Results 1 to 4 of 4

Re: 93010

  1. #1
    Exclamation Re: 93010
    Medical Coding Books
    Does anyone have a expert 2008 CPT book? We had a payer tell us we have to use a 26 modifier on 93010 for the EKG interp. I tried to explain to her that this was the physicians portion and no modifier is needed. Am I wrong??
    She said her 2008 expert CPT book had a box that says modifer is necessary. I only have the professional.
    Thanks for any input.

  2. #2
    Default Your not wrong
    I don't have an expert book but that is either a misprint or she doesn't know how to read the book.

    When I added the code with the modifier to my claim scrubber this is the response I got.

    Modifier -26 is not appropriate with Procedure Code 93010 because that procedure is either defined as 100% technical, 100% professional, or does not have a professional/technical split.

    Good luck fighting that one out,

    Laura, CPC

  3. #3
    I bill the 93010 all the time to numerous payers and have never run into that. It is only for the professional portion and therefore the modifier would be redundent. Sorry I also have the professional CPT manual, but there must have been a print error in the expert.

  4. #4
    Milwaukee WI
    Default 2008 Expert CPT
    The 2008 Expert CPT does indead have a little box next to 93010 with 26 in it.

    BUT if the payer had read the introduction to CPT expert edition she'd know that the little box means: Only codes with this icon represent the physician's work or professional component of a procedure or service. Do not use either modifier 26 (physician component) or TC (technical component) with these codes. (emphasis added by FTB) This guideline is on page i of the Introduction section of 2008 CPT Expert edition published by Ingenix.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. 93010
    By lgilmore1 in forum E/M
    Replies: 2
    Last Post: 10-23-2014, 09:40 AM
  2. E/M and 93010
    By ecartwright in forum E/M
    Replies: 1
    Last Post: 07-31-2014, 01:15 PM
  3. 93010 - has anyone been having their
    By nyyankees in forum Cardiology
    Replies: 1
    Last Post: 06-13-2014, 11:39 AM
  4. 93010 - How would you code the physician
    By jwangelin in forum Cardiology
    Replies: 1
    Last Post: 04-10-2014, 09:40 AM
  5. 93010 - are multiple units allowed
    By coders_rock! in forum Cardiology
    Replies: 5
    Last Post: 05-18-2011, 12:05 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.