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Wiki With mod 25, use a 51 or a 59?

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Emily Kort

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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?
 
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.
 
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