Wiki EP Study & ICD placement

[donsqueen]

Patient had electrophysiology study. As a result of the study, the ICD was placed by the same provider at the same session. My instinct is to place a modifier 59 on the ep study, however, Ingenix Encoder pro is stating to place a modifier 51 on the ICD placement. Anyone have any thoughts on this? Is Ingenix correct?

Thanks in advance,

 

[diane1217]

I have version 5.3 of the Encoder, and modifier 51 is not listed as being appropriate for any of the EP codes. Additionally, there is a note in the CPT book that states "Modifier 51 should not be appended to 93600-93660". You might want to consider using the 59 modifier. Hope that helps a bit.