AAPC - Back to school
Results 1 to 6 of 6

Thread: 93508 with a Stent

  1. #1

    Default 93508 with a Stent

    AAPC: Back to School
    My physician is an interventional cardiologist who is called in after a diagnostic heart cath by another cardiologist to perform stenting. The cardiologist who performs the left heart cath, coronary angiography and left ventriculogram bills his 93510 while we bill 93508 for the catheter placement during our procedure. We are getting rejections on the 93508 and are trying to determine how to get paid for the catheter placement during our procedure. These are both done on the same day, different physicians, not in the same practice. I realize there are other codes with the heart caths. I am only concernced with the rejection of the 93508.

  2. #2


    You are getting a denial for the 93508 because when your physician goes in and places the stent the catheter placement codes are considered part of the stent. You can only bill the stent code 92980. My physicians are interventional cardiologists as well and we do the same exact thing, we go in alot of the time after the diagnostic heart cath has been done. Hope this helps

  3. #3

    Default 93508 With A Stent

    Thank you for your help! I didn't ask this question originally, but do you also bill the S & I codes (93555-56) if documentation supports them? I was told you can with the Modifier 59 to differentiate from the diagnostic heart cath (already billed by the other provider). We would also use Modifier 26 for our physicians.

  4. #4
    Join Date
    Apr 2007
    Moore, OK


    No. Your physician is doing an intervention not a diagnostic study. The stent code includes all catheter movement, injections and imaging necessary to accomplish the intervention.

    Terry Davis

  5. #5


    I am working for Cardiology Facility Based Practice and faced this issue too. If Diagnosstic Cardiac Cath turned to the coronary intervention (unplanned) we can bill both, dx. Cardiac Cath and stent. Please see this Medicare guidlines:


    "Coronary angiography procedures performed during a therapeutic coronary artery procedure that are integral part of the procedure (e.g., guiding arteriograms), are considered to be part of the percutaneous coronary intervention and not a separately reportable diagnostic procedure. However, when a diagnostic cardiac catheterization or angiography is performed on the same day but as a separate procedure prior to percutaneous coronary intervention, then the 59 modifier should be appended to the codes 93555 and 93556 when reported with the diagnostic catheterization procedures."

    Per NCCI 93508 is not bundled with 92980, but some insurances still deny these procedures together. Resently our Managed Care department reached agreeement with OXFORD, that we can bill 93508-26-59 with stent. So, I am billing Dx. Cardiac Cath together with UNPLANNED coronary intervention (if propely documented) and using modifier -59- with 93508 for non-Medicare vendors.

    If still denied, you could write an appeal using Medicare guidlines quoted above.

    I hope, it will be helpful.

  6. #6


    You are not going to get paid for the 93508 with the stent placement.
    These cath codes (93508 and 93510) are diagnostic in nature. There is no separate billing for cath placement in coronary artery stenting. That is only accepted in peripheral stenting.
    The fact that the first doctor billed the diagnostic evaluation (93510) to determine the need for the stent placement is all that would be allowed.
    Your physician can only bill for the stenting.

Similar Threads

  1. Replies: 2
    Last Post: 02-08-2011, 01:54 PM
  2. Is it 93508 or 93510
    By peeya in forum Cardiology
    Replies: 1
    Last Post: 10-26-2010, 07:15 PM
  3. 93501 and 93508
    By karenkohner@yahoo.com in forum Cardiology
    Replies: 3
    Last Post: 09-22-2010, 09:16 AM
  4. help with 93508
    By jmthomas29 in forum Cardiology
    Replies: 4
    Last Post: 09-24-2009, 09:32 AM
  5. 93508 and 93510 on the same day
    By jtuominen in forum Cardiology
    Replies: 3
    Last Post: 03-31-2009, 09:08 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?


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.