AMA CPT® Assistant - 1998 Issue 8 (August)

Modifier -26, with Cardiac Catheter (Q&A) (August 1998)

August 1998 page 10d Coding Consultation Modifier -26, with Cardiac Catheter (Q&A) Question My doctor did a left and right heart cardiac catheterization. We billed without use of the -26 modifier, since the physician did the work. The third-party payor says we should use the -26; who is correct? AMA Comment If hospital equipment is used for the catheterization, then the -26 modifier should be appended to the codes reported for the catheterization. In addition to being used to identify performance of only the interpretation of a procedure, the -26 is also used to identify the use of...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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