Wiki E&M billed with EKG

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cmontgomery

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Would any of you put mods on any of these codes billed out together? 99214, 71020, 93000, 93040 and A4556? I'm trying to determine if it is approp to put a 25 on the E&M and a 59 on the second procedure code of 93040, no mods at all or just a 25 or just a 59. What would you do?
 
Some of our payers want a -25 on the level with ekgs and some don't. I would not use a -25 and then a -59 on the second claim line. Of all those combinations you gave if I was going to use a modifier it would be a -25 on the level. :)
 
As per CCI edits 25 mod is not required on E&M when billed with EKG. But again few insurance wants 25 mod when billed with EKG.
Initially you can submit without 25 and 59 mod and in case you receive any denials from any of the insurance then you can add 25 mod.

Regards,
Shruthi
 
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