Modifier 76 would be appropriate (or 77 if performed by a different physician) for the additional EKG's.
As to the "how many are covered" issue, for most carriers this is simply a medical necessity issue. From a clinical standpoint, it is sometimes necessary to perform several EKG's on the same date of service (for instance, after a cardiac drug is given to assess the effectiveness of the intervention). If the additional units are denied, I would appeal with the reports (make sure they list the reason the EKG was performed).
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join