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EP Study & ICD placement

  1. Default EP Study & ICD placement
    Medical Coding Books
    Patient had electrophysiology study. As a result of the study, the ICD was placed by the same provider at the same session. My instinct is to place a modifier 59 on the ep study, however, Ingenix Encoder pro is stating to place a modifier 51 on the ICD placement. Anyone have any thoughts on this? Is Ingenix correct?

    Thanks in advance,

  2. #2
    Pasadena, CA
    I have version 5.3 of the Encoder, and modifier 51 is not listed as being appropriate for any of the EP codes. Additionally, there is a note in the CPT book that states "Modifier 51 should not be appended to 93600-93660". You might want to consider using the 59 modifier. Hope that helps a bit.

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