Wiki With mod 25, use a 51 or a 59?

[Emily Kort]

99214-25
17000 destruction of premalig. lesion
93000 electrocardiogram

All billed out to MR, same DOS. 93000 rejected ("1000: procedure integral to major procedure per CPT guidelines and not reimbursable separatley") and now I am rebilling correctly but need help.

Append mod. 51 or mod. 59 to 93000?

 

[brookievb]

59

59-DISTINCT procedural services.

 

[Lisa Bledsoe]

-59

Definitely.
I can't for the life of me figure out why the edits bundle like this...but they do

 

[OCD_coder]

What is the medical necessity for the 93000. There is an LCD for the 93000 that I always follow when I unbundle the EKG. It supports the medical necessity, otherwise the EKG is bundled into the E/M and not reported seperately.