Results 1 to 3 of 3

92980 unbundling against 93458

  1. #1
    Location
    Orange Park Florida
    Posts
    41
    Default 92980 unbundling against 93458
    Medical Coding Books
    has anyone else been seeing the stent code 92980 denying against 93458 for unbundled code? I have one that came back the insurance is avmed. i have always billed these two together with a -59 on 93458 is there something else i should be doing? thanks.
    Amanda Solomon CPC, CCC

  2. #2
    Location
    Richardson, TX
    Posts
    823
    Default
    Quote Originally Posted by mandapanda07 View Post
    has anyone else been seeing the stent code 92980 denying against 93458 for unbundled code? I have one that came back the insurance is avmed. i have always billed these two together with a -59 on 93458 is there something else i should be doing? thanks.
    I believe they are considered bundled if the cath was done and the physician knew a PCI would be done. We know for the most part that is not the case and have been told with the new Cath rules to add 59 to the stent. Maybe you can appeal with records that indicate the stent was done because of the Cath results hence the 59 modifier?
    Julie Graham, BA, CPC, CCC

  3. #3
    Location
    Orange Park Florida
    Posts
    41
    Default
    ok great thank you. i will try that.
    Amanda Solomon CPC, CCC

Similar Threads

  1. 93458- cath inlcuded in 92980 stent
    By dcrider in forum Cardiology
    Replies: 2
    Last Post: 03-19-2012, 08:35 AM
  2. 92980 + 92995
    By amym in forum Cardiology
    Replies: 1
    Last Post: 08-25-2011, 08:38 AM
  3. 92980 +
    By amym in forum Cardiology
    Replies: 3
    Last Post: 07-15-2011, 01:20 PM
  4. 93458-26 billed with 92980-RC & 92973, cath denied!
    By FLSJarrel in forum Cardiology
    Replies: 3
    Last Post: 05-24-2011, 10:36 AM
  5. ?92980+92982+92995 only bill 92980??
    By Pillow1 in forum Interventional Radiology
    Replies: 2
    Last Post: 01-29-2010, 11:59 AM

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?

Login

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.