Modifiers with ECG, EEG

Partha

Expert
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296
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Capital BCBS is denying following services for want of modifiers:
93041 Rhythm ECG, 1-3 leads
95951 Monitoring for localization of cerebral seizure focus by cable radio
93268 Wearable patient activated Rhythm ECG

Suggestions will be greatly appreciated!
 

thall451

New
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5
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Everett, WA
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Bundling issue

I took a look a these codes billing together and it looks to me like you will need the modifier 59 on the 93041 as it is a component of 93268. I have access to Customcoder.net via my job, so I took a peek. They have a tool that allows you to "validate" codes billing together so you can see what issues come up. It doesn't tell me which modifier, but since it's a bundling issue, I'm sure you need the modifier 59.
 
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