CPT^® 92928, Under Therapeutic Services and Procedures

The Current Procedural Terminology (CPT^®) code 92928 as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic Services and Procedures.

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Summary

In this procedure the provider inflates a balloon tipped catheter into the blocked area of the coronary artery and places a stent to expand the narrowed walls of the vessel and treat stenosis for a single major coronary artery or branch.

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93458 DENYING AS BUNDLED

[QUOTE="UGLYOPI, post: 516129, member: 56610"] I code for cardiology as well, when I bill out my LHC w/stent, its 93458, 26, XU (USE -59 IF INS IS BCBS) Then your stent code 92928 needs to have the ve... [ Read More ]

93458 DENYING AS BUNDLED

I code for cardiology as well, when I bill out my LHC w/stent, its 93458, 26, XU (USE -59 IF INS IS BCBS) Then your stent code 92928 needs to have the vessel modifier LC, LD, RC, RI OR LM. It should g... [ Read More ]

jlong

The first procedure was billed with 93458.26.59, 92928.RC (3-stents placed in RC), 92978.26.RC, Medicare paid all three CPT. The patient returned to her room and then went into cardiac arrest and emer... [ Read More ]

MOD 26 on 93458 & 92928 (Cath and stent)

Hi, Why would you append MOD 26 to these cardiac procedures and not other procedures such as 58558 as neither owns the equipment? I am not understanding why one would get and not the other. I do un... [ Read More ]

93458 DENYING AS BUNDLED

Hello fellow Cardiology coders, I have been coding cardiology for many years and recently payers in Michigan have been denying 93458 (with or without) modifier 59 when bundled with with stent 92928-... [ Read More ]

I am new to Cardiology. I am going thru the CCC program to be certified. Is someone willing to code the following two reports to help me.

[QUOTE="mdm58, post: 513957, member: 9994"] 1) 92928 LD 93454 26 59 2) 93460 26 93567 26 [/QUOTE] Thank you for you time.... [ Read More ]

Denial 93458, 92978, and 92979.

I have never used the XU modifier. I would code these 92928 RC 93458 26 59 92978 26 LM 92979 26 LD... [ Read More ]

Denial 93458, 92978, and 92979.

Hello, I first billed out 92928 RC, 93458 26 XU,92978 XU LM, and 92978 LD. Got the denial for 92978 and 92978. I changed one of 92978 to 92979 and removed the XU then added modifier 26. Now, the... [ Read More ]

I am new to Cardiology. I am going thru the CCC program to be certified. Is someone willing to code the following two reports to help me.

1) 92928 LD 93454 26 59 2) 93460 26 93567 26... [ Read More ]

Coronary Shockwave Lithotripsy - CPT code?

Please see MLN #- MM12316 - effective July 2021. See page 4 of 8 - It states that C1761 is not to be coded, but to use 92928 for the professional services for lithotripsy.... [ Read More ]

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