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93000

  1. L

    Wiki 93000 - EKG denial

    I'm getting rejection from Medicare, UHC for EKG code 93000 even when submitted with payable dx. The denial code is M80: Not covered when performed during the same session/date as a previously processed service for the patient. Is the any new NCCI for this code, 93000, if so, where I can find...
  2. J

    Wiki G0439 and billing 93000

    Does Medicare cover 93000 with the AWV G0439, if it is submitted with the same dx code Z00.00? We are getting denials and I want to be sure before I start telling AR to adjust as bundled per EOB. It seems all of the insurance companies are making the EKG inclusive to the PE. Only add modifier 59...
  3. I

    Wiki Modifier 25 with glucose test

    Hello All, So our Family Practitioner did a preventive visit for a new patient (99385), and included a new patient E/M code (99201) for autism, and added a modifier 25 to the E/M code, which is correct. But then he also did a glucose blood test with a monitoring device (82962) because the...
  4. K

    Wiki Documentation Requirements for 93000

    I work for a cardiology office, and recently we were told by an auditor that when performing an EKG in the office, that we must have a "Separate" report for that EKG in order to bill the 93000 code. Currently our physicians are interpreting the EKG and writing their interpretation on the strip...
  5. M

    Wiki Does the notes support EKG 93000?

    I am in a bit of a debate with a practitioner. When I read CPT guidelines it states there must be a signed written report. However, our machine gives a print out of its findings based on PR interval, QT, QTc, etc... Nowhere in the medical notes, besides the order, does it even comment on the...
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