AAPC - Back to school
Results 1 to 5 of 5

Thread: EKG Issues

  1. #1

    Default EKG Issues

    AAPC: Back to School
    I have been trying to file this claim with medicare several times and have continued to have some billing issues. Medicare continues to return this saying that the EKG is bundling with another aspect of the service. I am trying to figure out how to file this succesfully. All other parts of the visit have been paid with the exception of the EKG.

    99212 25
    69210 59

  2. #2


    My first question is why are you billing 93005 and 93010? If you did the tracing and the interpretation and report it should be 93000. Secondly, I am surprised that you are billing a 99212. Was the documentation that lacking?

  3. #3


    I our office is never able to file the combined code with medicare the 93000, medicare always rejects the codes when we file with this, but when we unbundled the code to 93010 and 93005 we are able to get them paid. This is the only patient we are having problems with.

  4. #4
    Join Date
    Apr 2007
    Tucson, AZ

    Default Hpsa?

    Are you located in a HPSA or PSA? I used to bill for a doctor in one of the HPSA zip codes, and even though she was performing both the technical and professional components of the EKG, Medicare would only pay the HPSA bonus on the professional component, and they could only process those codes when they were filed as separate components--claims filed with 93000 would be denied. I know it sounds crazy and defies all the logic we learned as coders, but I filed them that way because those HPSA payments added up!

    Have you asked your Medicare carrier (MAC) to tell you which code it is bundled with? They generally can't give coding advice, but if they're telling you it is bundled, they should be able to tell you which code it is bundled with.

  5. #5


    we are located in a hpsa and that is why we bill seperate because there is more money in it. I haven't asked them which specific code it is bundling with maybe that will help me find a way to get this to work.

Similar Threads

  1. Reason for EKG vs results of EKG
    By tag60 in forum Diagnosis Coding
    Replies: 0
    Last Post: 11-08-2015, 09:42 PM
  2. Issues with the I.T Department
    By QuadRider in forum ICD-10
    Replies: 1
    Last Post: 09-29-2015, 12:05 PM
  3. Please help emr dx issues
    By dls in forum Compliance General Discussion
    Replies: 5
    Last Post: 09-22-2015, 10:23 AM
  4. have issues
    By maxwell@marshall.edu in forum General Surgery
    Replies: 1
    Last Post: 10-31-2011, 09:51 PM
  5. Incident to issues
    By Lisa Bledsoe in forum Medicare Regulations
    Replies: 7
    Last Post: 02-12-2010, 03:33 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.