Cardiology Coding Alert
Tackle This Modifier 25 and EKG Scenario
Question: Arizona Subscriber Answer: You should not use modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) on an E/M code (such as 99201-99215, Office or other outpatient visit for the evaluation and management of a new or established patient) when your physician performs an EKG, Protime, or any ultrasound study as part of a pre -or postprocedural workup. Some carriers want you to append modifier 25 onto your E/M code (such as 99201-99215) when the cardiologist performs an EKG (such as 93000, Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report) in diagnostic cases.
Cardiology Coding Alert
- Clear Up Your Claims by Comparing Combined Cath Versus Ablation Transseptal Heart Codes
Here's why you should apply modifier 22 for ablation casesIf your transseptal atrial fibrillation ablation [...] - CCI 14.2 Update:
Heed This Slew of EKG Bundles or Trigger Massive Denials
CPT 93000 codes will now require meeting modifier 59 criteria If you're used to tacking [...] - Coding Quiz Questions:
Think You Can Handle Hypertension Dx Coding? Try This
What your physician documents is key If you incorrectly dig into hypertension ICD-9 codes, you [...] - Coding Quiz Answers:
Prime Your Hypertension Skills With This ICD-9 Challenge
Surprise: You must indicate primary or secondary hypertensionTo avoid taking up your cardiologist's valuable time, [...] - You Be the Coder:
Get Modifiers Q0, Q1 Straight
Question: Should we append modifiers Q0 or Q1 on every ICD implant billed? Our MLN [...] - Reader Questions:
Don't Confuse 'Holter' With 'Event'
Question: What is the code for an event monitor? What is the difference between a [...] - Reader Questions:
Tackle This Modifier 25 and EKG Scenario
Question: We've received letters from CMS regarding modifier 25. We use this modifier on the [...] - Reader Questions:
Modifiers Matter for Left Cath, Stent Procedures
Question: Can I charge a cath (93510) and stent (92980) together when the same cardiologist [...] - Reader Questions:
Reporting Renal CTA? Use 74175
Question: What is the appropriate CPT code for a renal CTA?Oklahoma SubscriberAnswer: You should report [...] - Reader Questions:
No Patient There? Don't Expect Payment
Question: Should we bill an office visit (99211-99215) for a consult with a family member [...] - Reader Questions:
What Makes a Clean Claim?
Question: Our cardiology practice has recently had to appeal numerous claims. The denials are due [...]
