right and left heart 2 phys

We have a phys from a different billing group performing a RHC and biopsy, 93451 93505. They are not privileged to perform the Left heart 93452. Out phys is doing that.
Normally a right and left is a combined code 93453 but these are two diff phys of two diff groups. How do you handle this? These codes do not take modifier 62 co surg or 52 reduced.

Thank you
Yvette Hofmeister, CPC
Senior Coder -OSUP
614-685-2915

Comments

  • Depends on the carrier but I would code the left & right separately and use modifier XP for Medicare lines of service, modifier 59 for commercial.

    Camille Laabs, CPC
    Hospital Billing Team Lead
    Pulse Heart Institute/Cardiac Study Center
    1901 S Cedar St  Ste 301
    Tacoma WA  98405
    253-572-7320 ext 3049
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