AAPC - Back to school
Results 1 to 2 of 2

Thread: Please Help

  1. #1
    Join Date
    Apr 2007
    East Stroudsburg

    Default Please Help

    AAPC: Back to School
    Hi, I have 2 questions,

    1. My doctor did a LHC on a patient yesterday, it took a long time and the doctor had some problems, the patient needed a stent in the RCA he also needed PCI in the LCX but doctor didn't want to do it at the same time because the fluoroscopy time was almost 27 minutes so he brought hime back to the cath lab today to do that procedure. The procedure was unsuccessful, doctor couldn't get the balloon inflated. I am not sure how to bill for that second procedure. I don't think I can bill for the LHC because it was a staged procedure, would I just bill for the PCI with a modifier? I really appreciate any help on this.

    2. My doctor will be going away this summer and we are trying to figure out if we can still do pacemaker checks in the office with our nurse practitioner even if the doctor isn't in the office.

    Again, thank you for any help on these matters.

    Christine Berman

  2. #2
    Join Date
    Apr 2007
    durham, nc


    You would be correct not to bill the LHC on day two because it was staged. I would say that if the doctor was able to get a balloon to the lesion but unable to deploy then you could bill the balloon code with a modifier for discontinued procedure. However, if he was not able to get the balloon to the vessel and only got that far with a wire/sheath, then I would not bill for the balloon. These types of cases you should check your employer's policy and use best judgement.
    A.Dimmitt, CPC, CIRCC
    Durham, North Carolina

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.