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93458 and 92928 bundle and Modifier XU, XS or 59

Carl Posted Mon 01st of February, 2016 03:09:16 AM

Dx I20.0
The patient has documented CAD with previous multivessel angioplasty and drug eluting stents, last procedure (2009). He has recurrence of atypical chest pain and equivocal stress echo.
He underwent (2015/11) left heart catheterization, selective coronary angiography and left ventriculography.
Decision was made during the procedure to proceed with two vessel coronary angioplasty and drug eluting stents in the LAD and 1 stent in the Cx. Left radial vascular access.
Is this sequence of CPT codes appropriate?
93458-XU, 92928-LD, 92928-LC

SuperCoder Answered Tue 02nd of February, 2016 03:13:51 AM

Yes, this sequence seems appropriate for the given situation.

Carl Posted Wed 06th of July, 2016 03:02:28 AM
I received from billing that Medicare does not cover add-on (92929). Is it true?
SuperCoder Answered Fri 08th of July, 2016 02:15:55 AM
Yes, the add-on code has been bundled with the main code on the MPFS.

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