Wiki Is Medicare is bundling 93000 with E/M with 25 modifier ?



E. EKG Interpretations For services provided between January 1, 1992, and December 31, 1993, A/B MACs (B) must not make separate payment for EKG interpretations performed or ordered as part of, or in conjunction with, visit or consultation services. The EKG interpretation codes that are bundled in this way are 93000, 93010, 93040, and 93042. Virtually, all EKGs are performed as part of or ordered in conjunction with a visit, including a hospital visit. If the global code is billed for, i.e., codes 93000 or 93040, A/B MACs (B) should assume that the EKG interpretation was performed or ordered as part of a visit or consultation. Therefore, they make separate payment for the tracing only portion of the service, i.e., code 93005 for 93000 and code 93041 for 93040. When the A/B MAC (B) makes this assumption in processing a claim, they include a message to that effect on the Medicare Summary Notice (MSN). For services provided on or after January 1, 1994, A/B MACs (B) make separate payment for an EKG interpretation.
 
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