Summer
Networker
Good afternoon everyone,
Please advise, should coders be adding a modifier -59 to every procedure when an E/M is being performed on the same day – for Medicare and / or Commercial carriers: Example below: all performed on the same day
Hospital or Office E/M with a modifier -25
EKG – modifier -59
Echo – modifier -59
and a stress test - modifier -59
To me this appears to be overutlizing the modifier -59 however I'm told this is how we should billing.
Your thoughts and knowledge are welcomed!!
Please advise, should coders be adding a modifier -59 to every procedure when an E/M is being performed on the same day – for Medicare and / or Commercial carriers: Example below: all performed on the same day
Hospital or Office E/M with a modifier -25
EKG – modifier -59
Echo – modifier -59
and a stress test - modifier -59
To me this appears to be overutlizing the modifier -59 however I'm told this is how we should billing.
Your thoughts and knowledge are welcomed!!