Cardiology Question for the Week of April 25, 2016

Cardiology Compliance Question of the Week

Question:

Is modifier -59 (distinct procedural service) or XU (unusual non-overlapping service) better to use for a diagnostic cardiac catheterization that led to decision to place a coronary stent at the same session? 

Answer:

At the present time, either would be appropriate. Modifier use is specific to each payer, so check with your local Medicare administrative contractor (MAC) for its guidelines. 

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.