Wiki 92928 billed twice

Robbin109

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I am getting denials from Medicare when billing

92928
92928-59

Anyone else having this issue and how are you getting them paid?

I know initially Medicare was denying for modifiers RC,LC,LD...I'm sure if they still are, or if this would help.

Thanks!
 
Stents

I have been billing my stents 92928 LD, 92928 LC or what ever artery he put the stent in. I haven't been told were not getting paid.
 
I justed called Medicare (southern California) and they are still not taking Modifiers LC,RC,LD for the stent codes.

Is anyone else having issues getting

92928
92928-59

paid? Modifier 51 perhaps...?
 
I have not had this problem with our MAC- I am in Louisiana, but I have just received a letter from UHC stating their system noticed a claim had been billed incorrectly on a claim with 92928 and 92928-59. I have been using the RC, LC, LD, LM and RI identifiers for the medicare claims w/out a problem.
Debbie
 
Are you also coding the diagnostic cath with a modifier -XU? And where are the stents being placed?

Thanks,
Jim Pawloski, CIRCC
 
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