lsilbaugh
Contributor
I'm hoping someone can help! I do not code for heart and vasc. but I have been helping. can someone please help me on this one? PT has state MA. The patient came into the ER - The provider did an h&p then admitted the patient.
The provider billed.
99223-AI-25
93010 (prehospital ekg)
92941-lc
93458-26-59 (denied procedure code for services rendered)
99152 (denied procedure code for services rendered)
I do know about the CMS edit but it seems every time we bill 93458 and 92941 it gets denied. They applied the mod 59 to 92941. Clear guidance would be greatly appreciated.
The provider billed.
99223-AI-25
93010 (prehospital ekg)
92941-lc
93458-26-59 (denied procedure code for services rendered)
99152 (denied procedure code for services rendered)
I do know about the CMS edit but it seems every time we bill 93458 and 92941 it gets denied. They applied the mod 59 to 92941. Clear guidance would be greatly appreciated.