• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Modifier 59 on a Pacemaker Insertion

gprudhoe

Contributor
Messages
11
Best answers
0
Should you use a modifier 59 on an EKG performed during a pacemaker insertion? We are at odds with our Finance Department as they say this was performed preop but is being placed on the Pacemaker insertion account.
gprudhoe:)
 

Kris Cuddy

Guru
Messages
204
Best answers
0
With as much is going on right now with the government and other carriers monitoring the use of modifier 59, your best bet would be to get the EKG report(s) and operative reports and determine if it truly was preoperative, during surgery, etc. It's just my humble opinion to do that, however I would personally want to know all the facts before I put my "John Hancock" on a claim with modifier 59.

Kris
 

gprudhoe

Contributor
Messages
11
Best answers
0
With as much is going on right now with the government and other carriers monitoring the use of modifier 59, your best bet would be to get the EKG report(s) and operative reports and determine if it truly was preoperative, during surgery, etc. It's just my humble opinion to do that, however I would personally want to know all the facts before I put my "John Hancock" on a claim with modifier 59.

Kris
Thank you. This is what we were thinking especially with the RAC's coming.
gloria
 
Top