Wiki right hearth cath

[mclona143]

My physician does right heart cath in the hospital 93451, he is performing the procedure and reading the test, even though the hospital owns the equipment. Normally this would be billed 93451-26 for the reading of the test and 93451-TC for the hospital part, but if the physician is performing and reading how dow we correctly bill for it? We are getting denials from the insurance companies saying we are only the professional part. I don't want the physician to lose money.



Any help would be appreciated.


Thanks

Lona

 

[espressoguy]

you just bill the 93451-26. The hospital gets the technical component.

 

[bataneca]

you just bill the 93451-26. The hospital gets the technical component.

That is how I usually code mine as well. Just use 93531-26. Are you also coding the injections? I have noticed, my claims are getting denied when I code for injections, access and fluoroscopy. Just a though. Are both of you experiencing this as well?