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EKG and pacemaker interrogation

M

mholtzhouser

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6
Location
Cape Girardeau, MO
Does anyone know if the CCI edits changed on 7/1/13 in regards to EKG's and pacemaker interrogations billed on the same day? We previously had no issues with them as long as we utilized a 59 modifier on the EKG. Now they are being kicked back to us even with the modifier. I attended a seminar on some of the CCI edit changes but didn't pick up on this being one of them. Any assistance would be appreciated. Thanks :)
 
It's my understanding EKGs are included with PM/ICD chks/interrogations. Of course, if the patient is there and starts experiencing other symptoms not related to PM then you could bill for it with 59. If you're meeting this, I would appeal with strong documentation that illustrates the need for EKG with supporting dx.
 
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