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Stent of LAD and OM1 and OM2

Parul Posted Fri 21st of June, 2013 18:30:52 PM

Hi: Is it correct to Bill
Stent of LAD 92928/LD and
Stent of OM1 as 92928/LC/59 and
stent of OM2 as 92929/LC
Could you please advise>
Thanks a lot in advance!
P Chan

SuperCoder Answered Mon 24th of June, 2013 12:19:50 PM

Your coding appears correct based on CPT instructions, although you shouldn’t need the mod 59 because the coronary modifiers will show why you’re reporting the code twice (payer preference could vary). Check your payer’s policy to understand reimbursement policies, too. Medicare bundles payment for +92929 into the primary service code, so you won’t see separate payment for that code from them.

Parul Posted Mon 01st of July, 2013 11:51:25 AM

Thank you very much!
Sincerely,
P Chan

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