modifier help

Chelle-Lynn

True Blue
Messages
729
Location
Modesto, CA
Best answers
0
No modifier is required when billing 93000 with an E&M. It would be correct to place the modifier 25 on the E&M is the EKG was truly significant and separate service. Billing the 93000 indicates that the provider performed not only the technical component of the EKG but also the interpreted and documented the EKG results.

However when billing the 93000 with 93225 and 93227 this is usually inclusive. The most common modifier used is 59 to indicate a distinct procedural service.
 
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