Medicare is denying our EKG that was done with an office visit. Is ther a specific modifier that should be added to the EKG? I've worked OB/GYN for years new to Family Practice. thanks
We are a cardiac practice, we bill an E/M with modifier 25 and diagnostic EKG. The referring provider is our cardiologist. Claim is denied "referring provider is not eligible to refer these services:. We changed the referring provider to the PCP that sent the patient to our practice. Claim again denied for the same reason. Any suggestions. I thought you did not need a referring provider when the service was performed in your office.