Wiki Please help with EP billing

[cvand1972]

I need a little direction on this. I'm not all that experienced with EP billing and coding and am not having much success finding what I need, unless it's right in front of my face and don't realize it.

We billed:
93651
93620-26
93621-26
93623-26
93613

United Health Care paid the 93651 and denied the rest stating that they were not covered and their decision was based on an NCD. I can't find one with CMS. I've even called and their 'representatives' say they can't help. Maybe one of you can??

 

[cvand1972]

Diagnosis was atrial flutter...427.32

 

[deeva456]

We had problems with United Healthcare not paying 93651 when billed the same day as the EP study. Add modifier 59 to 93651, the dx should be atrial flutter.

Dolores, CPC-CCC