Question:

What are the common reasons for payer denials of code 92972, and what documentation should providers include to support its medical necessity?

Answer:

Many payers are denying 92972 as not medically necessary or due to the documentation not containing enough information to support the use of this code. Providers are strongly encouraged to include in their procedural documentation why this service was medically necessary in addition to the PCI.

This question was answered in our Peripheral & Cardiology Coder. For more hot topics relating to cardiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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