Wiki 93642-26 and 93282-26 both performed on SDOS

[FreemanR]

When procedures 93642-26 and 93282-26 are performed on a patient on the same date of service, when is it appropriate to apply modifier 59 to 93282-26?

Per CCI Edits, Code 93282 is mutually exclusive with code 93642 but a modifier is allowed in order to differentiate between the services provided. Before using a modifier to unbundle a column 2 code, what clinical circumstances and documentation support overriding this edit?

Thank you!

 

[WaterJunkie]

Hi. 93642 includes programming after using the generator to induce arrhythmia. Did your provider do an EP eval or just reviewed a print out?

 

[FreemanR]

Yes. Our provider did do the EP evaluation.

Thanks!