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93010 with Heart Cath

  1. #1
    Modesto, CA; Central Valley Chapter
    Default 93010 with Heart Cath
    Medical Coding Books

    I see in the CCI edits that 93010 is included in the procedure done unless it was done prior to or after the procedure. My cardiologist is telling me that they are always done the recovery area. I do have the print from the test but no actual dictated reports.

    I am hoping someone that has more experience than me can explain this to me; when it should be billed separately and what kind of documentation is needed.
    Tina Reich, CPC, CPC-I, CEMC

  2. Default
    Hi Tina,

    If an EKG is done before or after the heart cath you can bill for it with modifier 59. Documentation is required, our doctors will either write the results on the EKG tracing, hospital progress notes or d/c summary.

    Hope this has help you,

    Dolores CPC, CCC

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