Results 1 to 2 of 2

E/P Studies

  1. Default E/P Studies
    Medical Coding Books
    I am hoping someone might be able to answer a question on how to bill correctly for E/P evals (93619 & 93620). We know that these 2 codes are for comprehensive studies. Our question is if it is more appropriate to bill these with the -52 modifier if only 2 of the 3 (HIS, RA, RV) are documented; or if we should should bill the individual codes (93600 - 93618) with the knowledge that 93621 can only be billed with 93620. We have heard arguments both ways and are having a hard time finding reputable sources for clarification.

    Thank you for any help you can provide.

  2. Default
    Hello,
    I am hoping someone might be able to answer a question on how to bill correctly for E/P evals (93619 & 93620). We know that these 2 codes are for comprehensive studies. Our question is if it is more appropriate to bill these with the -52 modifier if only 2 of the 3 (HIS, RA, RV) are documented; or if we should should bill the individual codes (93600 - 93618) with the knowledge that 93621 can only be billed with 93620. We have heard arguments both ways and are having a hard time finding reputable sources for clarification.

    You would not use modifier 52 on 93619-93620. If only 2 of the 3 (HIS, RA or RV) is documented then bill the individual codes (93600-93618). The CPT provides a definition of arrhthmia induction and gives a brief explanation on how to use these codes.

    Hope this has been helpful,
    Dolores, CPC - CCC

Similar Threads

  1. EP Studies
    By rsenn1979 in forum Cardiology
    Replies: 4
    Last Post: 05-03-2013, 12:07 PM
  2. EP Studies
    By OliviaPrice in forum Cardiology
    Replies: 0
    Last Post: 05-05-2011, 02:20 PM
  3. EP Studies
    By dphillips in forum Cardiology
    Replies: 5
    Last Post: 04-20-2011, 01:14 PM
  4. GU Studies
    By michaelrcpc in forum Interventional Radiology
    Replies: 1
    Last Post: 07-28-2010, 11:44 AM

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?

Login

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.