Wiki Device checks using X modifier

[Coder708]

Hello we are doing office visit, ekg and device check in office . We have been billing Office visit with 25 modifier , EKG on one encounter. On a separate encounter we bill the device check with a 59 modifier. I am receiving denials for bundling. Has anyone tried the XP, XU, XE modifiers and had success on a device check.

Thank you

 

[AmandaBriggs]

The EKG bundles into the device interrogation/programming codes. To use the 59 or X modifiers, the medical necessity for the EKG will need to be documented really well for these to pay and should be the exception rather than the rule.