93000 denied

coders_rock!

Expert
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Hello everyone,

My doctor is being denied 93000 when billed with E/M visit, or sometimes the Dr. is paid for 93000 & is denied the E/M visit. Can someone explain why this is happening?

Thank you!
 

Kathy B.

Guest
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I believe you have to attach a 25 modifier to the E and M code, then bill the 93000. This is how we process our claims.

Hope this helps!
 

sky

Networker
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i've noticed certain insurances pay just the ekg, & some just pay the ov. i always include mod 25 to the e/m code & will use a different dx code to the e/m & ekg. i think it just depends on the insurance.
 
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