Wiki 93555 & 93556 denied

[coders_rock!]

93510 - paid
93543 - paid
93545 - paid
92980(LD) - paid
93555(26) - denied
93556(26) - denied

can 93555 & 93556 be billed w/the other codes?

Thanks,

 

[armymomryan]

What was the reason given for your denial?

 

[OliviaPrice]

Prior to 2011, per NCCI edits 93555 & 93556 were bundled into 92980. If an intervention was performed following a diagnostic cath you will need to append modifier -59 to the 93556 & 93555 codes.

 

[coders_rock!]

Prior to 2011, per NCCI edits 93555 & 93556 were bundled into 92980. If an intervention was performed following a diagnostic cath you will need to append modifier -59 to the 93556 & 93555 codes.

Thanks,

Would you happen to have a source where this info came from. I am really interested in knowing everything I can about this specialty.

 

[coders_rock!]

What was the reason given for your denial?

The denial was that they are bundled to 92980.

 

[bmx1616]

The codes, 93555 and 93556 have been deleted from the cpt codebook.

 

[coders_rock!]

The codes, 93555 and 93556 have been deleted from the cpt codebook.

I know that they have been deleted. The claim is from 2010 and I am having difficulty determining whether or not they are bundled. I would like to have a source to reference to, just in case my manager ask.

Thank you for your input.

 

[Jim Pawloski]

I know that they have been deleted. The claim is from 2010 and I am having difficulty determining whether or not they are bundled. I would like to have a source to reference to, just in case my manager ask.

Thank you for your input.

Since this is from 2010, 93555 & 93556 are the S&I code for coronary angio and LVgram. I would use Dr. Z's book for reference.
HTH,
Jim Pawloski, CIRCC

 

[coders_rock!]

Thanks Jim...