tci Medicare Compliance & Reimbursement - 2007 Issue 7

CODING: Don't Use 93508 For 'Roadmap To Stent Placement'

Be prepared to fight for reimbursement for 93508 with 92980.Is your cardiologist receiving proper reimbursement for all the procedures you're billing?Not necessarily, say experts, if you're billing your catheterization using 93508 instead of 93510, along with a 92980 for stent placement.The problem: Many carriers will pay for 93510 along with 92980, but not 93508. This is because the carriers mistakenly believe you're using the 93508 to bill only for the necessary catheter placement to guide the stent placement, not as a separate procedure, say coders.The difference: 93508 is the same procedure as 93510, except that...

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