Question:
Magda:
I have been billing heart cath and angioplasty and stent codes 93458-26,-59, 92928 I added modifier 59 to indicate that these was two different procedures but I am still getting denials in the EOB it says that they are bundled codes, So my question is how can I get paid for this two procedures if they are done the same day?
Answer:
Ruth Sheets:
Laureen discussed this question in the August Q&A Webinar. The answer has to do with the modifiers. You should only use modifier 59 as a last resort. She suggested other modifiers that might be the answer to getting these procedures paid.
Miss the webinar? You can become a CCO Club member, listen to the recordings from all the webinars, and receive access to the transcripts and answer sheets. Check it out!
Magda:
I have been billing heart cath and angioplasty and stent codes 93458-26,-59, 92928 I added modifier 59 to indicate that these was two different procedures but I am still getting denials in the EOB it says that they are bundled codes, So my question is how can I get paid for this two procedures if they are done the same day?
Answer:
Ruth Sheets:
Laureen discussed this question in the August Q&A Webinar. The answer has to do with the modifiers. You should only use modifier 59 as a last resort. She suggested other modifiers that might be the answer to getting these procedures paid.
Miss the webinar? You can become a CCO Club member, listen to the recordings from all the webinars, and receive access to the transcripts and answer sheets. Check it out!