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Wiki To use Modifier 25 or not

demassd

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I am coding for a cardiologist and there is an office visit, 99124, an EKG 93000, and an ECHO 93306. Do I use a modifier 25 for the EKG and 51 for multiple procedures? I was taught not to use the modifiers but now I am being told to. Im a little confused.Thank you for your help in advance.

Darla Mitchell, CPC
 
Modifier 25 would go on the office visit, if documentation supports a separate and significantly identifiable service. Modifier 51 is not applicable to 93000 per the physician RVU file. "Multiple Procedures 0 - No payment adjustment rules for multiple procedures apply" and would not go on 93306 since that is the primary procedure.
 
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