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Posted By Gwen on 06-10-2005, 15:16:00 in Cardiology
Hi List,

Can I use (& get paid for) 93508 as the primary procedure with 92978? (Doc did a diagnostic placement of a coronary artery catheter and an intravascular ultrasound to check if blockage required angioplasty.
Ultrasound showed it didn't so that's all that was done.)


TIA for any feedback.
-Gwen
Gwen L. Altschul, CPC

Comments (4)
Posted By dhoward@hvclinic on 06-11-2005, 12:36:00
In Louisiana IVUS is only payable with a stent.


Donna Howard
Heart & Vascular Clinic
2631 North Causeway Blvd
Mandeville, LA 70471
tele: 985 871-9118
fax: 985 871-9113
dhoward@hvclinic.com
Posted By Jennifer on 06-10-2005, 16:18:00
I had a denial for this and my biller says we can not appeal (per
medicare). We billed the HTC on 5/4 in our cath lab and then the IVUS for
possible intervention the following day. We didn't need to do an
intervention and billed only an IVUS. I am undecided on how to appeal
this. My doc wants me to re-bill the IVUS with coronaries and I think I
should just appeal the IVUS. I have asked about this before. Any
suggestions from anyone????
Jennifer Crowell, CPC
Posted By Gwen on 06-10-2005, 15:36:00
Thanks, Elizabeth!
Posted By Gwen on 06-10-2005, 15:26:00
Yes, he did. Additional codes I should be billing aside from the 93508 and 92978?
Thanks, Elizabeth.
-Gwen
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