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MULTIPLE 92928

Kathy Posted Fri 15th of March, 2013 17:51:42 PM

Can you bill multiple stents to different arteries of the heart? For example, if the doctor does a stent to the RC and LC and angioplasty to the LD, should you bill 92928-RC and 92928-LC and 92920-LD??

SuperCoder Answered Wed 20th of March, 2013 21:04:17 PM

CMS has decided to give the add-on codes a "bundled" status on the Medicare Physician Fee Schedule. They will only pay for the "base" codes and aren't paying for the additional branches.CPT code 92928 can be billed multiple time for stents in different vessels, Medicare will pay for more than one stent so long as they are in different vessels, 92929 is reported for the branch stenting and that is what they are bundling in the main procedure code.

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