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Modifiers with ECG, EEG

  1. #1
    Default Modifiers with ECG, EEG
    Medical Coding Books
    Capital BCBS is denying following services for want of modifiers:
    93041 Rhythm ECG, 1-3 leads
    95951 Monitoring for localization of cerebral seizure focus by cable radio
    93268 Wearable patient activated Rhythm ECG

    Suggestions will be greatly appreciated!

  2. #2
    Default Bundling issue
    I took a look a these codes billing together and it looks to me like you will need the modifier 59 on the 93041 as it is a component of 93268. I have access to via my job, so I took a peek. They have a tool that allows you to "validate" codes billing together so you can see what issues come up. It doesn't tell me which modifier, but since it's a bundling issue, I'm sure you need the modifier 59.
    Tina Hall, CPC
    Medical Coder I

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