Cardiology Coding Alert
Never Report Add-On Code Without Correct Primary Code
Question: I’m getting a lot of denials for claims with +93571 with the explanation that the primary procedure must be billed. Can you help me? Wisconsin Subscriber Answer: Code +93571 (Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel (List separately in addition to code for primary procedure) is an add-on code, so you must report it along with the appropriate primary code. You cannot report an add-on code alone on your claims or they will be denied. You can report +93571 in conjunction with 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92975, 93454-93461, 93563, and 93564, according to CPT®. You should never report +93571 in conjunction with 0523T. However, there will be times, rarely, when a provider will perform FFR or iFR as a stand-alone procedure. When this is done, code 93799 (Unlisted cardiovascular service or procedure) would be reported.
Cardiology Coding Alert
- HCPCS:
Focus on Arteriovenous Fistula Creation HCPCS Level II Updates
Remember: Pay attention to effective dates for COVID-19 HCPCS Level II codes. The Centers for [...] - ICD-10:
5 Tips Guide Your Hypertensive CKD and Pulmonary Hypertension Claims
Don’t forget to report a secondary code from category N18- when reporting a code from [...] - Documentation:
Boost Your Medical Documentation With HPI, ROS, and A/P Enhancement
Make sure your documentation avoids conflicts or contradictions with info throughout the record. If you’ve [...] - You Be the Coder:
Rely on Global Code for This Holter Monitor Coding Scenario
Question: The patient has an irregular heart rhythm that comes and goes. Based upon his [...] - Reader Questions:
Reporting Mobitz Block Type I? Do This
Question: My cardiologist documented a diagnosis of Mobitz block type I. Which ICD-10 code should I [...] - Reader Questions:
Never Report Add-On Code Without Correct Primary Code
Question: I’m getting a lot of denials for claims with +93571 with the explanation that [...]
