Wiki Modifier LD - this procedure

[coders_rock!]

Hello,

The insurance carrier is denying CPT code 92928 because modifier LD was used. I am somewhat confused because I thought this modifier was applicable with this procedure. Can someone please help? I cannot find any information stating that it should not be used.

Thank you in advance.

 

[decus1956]

I have used modifier LD, RC etc with 92928 and they have paid

 

[mitchellde]

The LD, RC, ETC modifiers are specified as facility outpatient modifiers. Therefore if you are using them for physician billing the payer may choose to reject them.

 

[aaron.lucas]

Are there physician modifiers for identifying the blood vessel that is being worked on? I'm curious because I work with PIP so we dont see this type of thing as often.

 

[mitchellde]

No there is only the anatomics listed in appendx A of the CPT book, but if you read careful you will see they are listed under the ASC/outpatient heading. However many payers do accept these for physician billing, you just need to check first.