Ask Dr. Z

WE DID-LEFT HEART CATH,DFR ,IVUS, PCI WITH DES OF LAD. We are not getting paid for the DFR,IVUS.For left heart cath,coronary angiography &left ventriculogram and to visualize lt and right coronary system. The left main was engaged with an EBU 3.5 guide.Heparin was used for anticoagulation,after confirmation of a therapeutic ACT, the LAD was wired with a comet wire and DFR measurements with pullback were obtained. The proximal to mid LAD lesion was predilated NC emerge 2.5x15mm &3.0x15 mm at18 ATM. The lesion was stented with DES. Then IVUS was performed & the stent was post dilated with NC euphora 4.0x15 mm at 22ATM. Right radial access to preform procedure. Medicare states that claim /service lacks information or has submission /billing errors. I HAVE TRIED MODIFIER XU ON DFR &IVUS STILL NOT PAID. The DFR & IVUS OF LAD.