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cpc

  1. #1
    Location
    suffolk va
    Posts
    6
    Unhappy cpc
    Exam Training Packages
    What modifier should be added to an EKG when the pt has an OV and arthrocentesis on the same day? Should it be -59? Thanks

  2. #2
    Location
    Columbia, MO
    Posts
    12,570
    Default
    The EKG does not need a modifier it will not be bundled with anything on this claim. The OV will need a 25.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    suffolk va
    Posts
    6
    Default arthrocentesis modifier
    We have had problems with Medicare starting this year. They will pay for the office visit (with -25 modifier) and EKG but deny the arthrocentesis. When i called medicare to ask why, they said a modifier needed to be added to the arthrotcentesis but would not tell me which one.

  4. #4
    Location
    Columbia, MO
    Posts
    12,570
    Default
    Is it possible the arthrocentesis is being performed with in the global of another procedure? If this is the only visit for a period of time, then there is absolutely no modifier needed and this can be appealed. First look at everything.

    Debra A. Mitchell, MSPH, CPC-H

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