Wiki Denials w/Cath and 2013 Interv Codes

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mbprzychocki

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We are getting denials from UHC, Humana for billing a 93458-26,59 and 92928 together. Is anyone else having this problem? They are trying to say these codes are bundled together.....I went ahead an billed with the 26 & 59 like before and am not adding the "specific artery mods" like we used to.
Frustrated because now alot of my January claims are being denied.....:confused:

Thank you for any input some of you may have!
 
This started happening to us last year. I started billing with a remark stating that the "Cardiac Cath was performed to see if a stent was necessary" and have had success with most carriers in getting them paid. Some still require that I send in an appeal with a copy of the Cath Report.
 
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