Wiki 93000 denied

[coders_rock!]

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!

 

[amym]

I have never had an EKG deny because of an E&M billed same day!

 

[Kathy B.]

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!

 

[emgarcia]

93000

I always attach a modifier of 25 with my 93000

 

[sky]

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.