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Primary Care Coding Alert

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Get to the Heart of When to Use Modifier 25 With EKG

Published on Mon Jul 18, 2022

Question: Do the CMS 2022 guidelines require modifier 25 for an evaluation and management (E/M) cardiology office visit code when billing EKG code 93000? Connecticut Subscriber Answer: When you bill 93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report), remember that the National Correct Coding Initiative (NCCI) says that EKG codes include preprocedure, intraprocedure, and postprocedure work. This [...]
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