Wiki Coding 36620 with EP study(93620)

slicksurfer

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36620 is flagging when we code it with an ep study(93620). Is 36620 included in 93620 or do I need to add the modifier 59 to 36620 for the codes to pass through? Thank you in advance!
 
Thank you for your reply. I normally attach the modifier 59 to 36620 but I was told that the EP study(93620) included this service. Is that correct or was I misinformed? Please provide sources if available because the coding department won't take my word for it.

Also, is a right heart cath(93501) appropriate to code during an EP study(93620)? It was done in one of our labs yesterday but it's getting flagged when I plug these codes in our scrubber.

I appreciate any help you can provide. Thanks.
 
Or should I use the swan catheter insertion(93503) code instead of the right heart cath(93501) code in conjuction with the EP study(93620) code?
 
Sorry it took so long to get back to you. It is my understanding that if the doc documents this as a seperate and distinct procedure, that you bill the 36620 with the 59. Otherwise, it is included in the 93620. Also, we do not bill a RHC as he does this to help localize catheter placements. Hope this helps.

Dawn CPC, CCC
 
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