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Wiki EKG/Rhythm Strip Procedures

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mnelson2013

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I was wondering if someone could help me. If the physician does an EKG and one with Rhythm Strips. Do you bill 93000 and 93040 w/51 modifier? The doctor did 2 separate electrocardiograms.
 
There has to be documented medical necessity as to why both were done. For instance, if rhythm strip was done but still some questions weren't answered and then a 12 lead EKG was done because of the remaining quesitons....ok to bill both with -59 on 93040. However, if nothing is documented to say why both were done, then bill only the 93040 if that was the order or 93000 if ordered.
 
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