Cardiology Question for the Week of February 19, 2024

Question:

For 93503, in 2024, do we need to report modifier -26 for a Swan-Ganz insertion?

Answer:

This depends on the circumstances. Normally, professional claims do not need to report modifier -26 for a Swan-Ganz insertion. However, if a Swan-Ganz is used for a right heart catheterization reported with code 93451, modifier -26 should be reported for a professional claim.

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.

TAGS: Cardiology, Coding, Compliance

CPT® copyright 2023 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Looking for an answer?

Compliance Question Archive

Sign Up for Compliance Question of the Week