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93641 and 92960 unbundling

  1. #1
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    Detroit Chapter
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    Default 93641 and 92960 unbundling
    Medical Coding Books
    The provider coded :
    93641 with dx 414.8, 428.22 780.2
    and 92960-59 with dx 427.31

    I didnt think that the atrial fib made a difference to the procedure . It seems like this would still be included in the 93641 code
    Please advise

  2. #2
    Location
    Richardson, TX
    Posts
    823
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    Quote Originally Posted by Shay2025 View Post
    The provider coded :
    93641 with dx 414.8, 428.22 780.2
    and 92960-59 with dx 427.31

    I didnt think that the atrial fib made a difference to the procedure . It seems like this would still be included in the 93641 code
    Please advise

    No because the heart cath, by nature, is diagnositc. The Cardioversion is therapeutic and since patient is in A-fib it is appropriate to bill for it. You can also look at NCCI and see that these codes are not bundled.

    Hope that helps.
    Julie Graham, BA, CPC, CCC

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