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Cath/PCI same day Hospital Follow-up

Guna Posted Wed 20th of August, 2014 06:15:02 AM

When a cath or cath/PCI is done can we bill for the same day follow up in the hospital or even the next day consult/follow up. if NO how long is the wait period from the procedure to bill able follow up.

SuperCoder Answered Wed 20th of August, 2014 07:50:20 AM

Thank you for your question.

To ensure the appropriate/correct information is provided, do you know the CPT code that is being billed for the Cath/Cath PCI?

Guna Posted Wed 20th of August, 2014 09:50:49 AM

Yes. The codes are 93458 for the Cath and 92928 for PCI along with hospital follow up 99233 on the same day or even the next day follow up. Thank you

SuperCoder Answered Mon 25th of August, 2014 08:24:53 AM

Thank you.
Researching, follow up today.

SuperCoder Answered Mon 25th of August, 2014 08:25:34 AM

Researching

SuperCoder Answered Mon 25th of August, 2014 08:25:34 AM
Researching
SuperCoder Answered Mon 25th of August, 2014 08:29:37 AM

Researching

SuperCoder Answered Mon 25th of August, 2014 08:29:37 AM
Researching
SuperCoder Answered Tue 26th of August, 2014 06:26:20 AM

93458 and 92928 are both showing global days of 0 per the Medicare Fee Schedule. In the CCI edit check it states that both codes can be billed with 99233 with the appropriate modifier. Typically a hospital follow up is included same day as the procedure performed, so this may deny per insurance guidelines, but they are billable same day.

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