Results 1 to 4 of 4

With mod 25, use a 51 or a 59?

  1. Default With mod 25, use a 51 or a 59?
    New Call-to-action
    17000 destruction of premalig. lesion
    93000 electrocardiogram

    All billed out to MR, same DOS. 93000 rejected ("1000: procedure integral to major procedure per CPT guidelines and not reimbursable separatley") and now I am rebilling correctly but need help.

    Append mod. 51 or mod. 59 to 93000?

  2. Default 59
    59-DISTINCT procedural services.

  3. #3
    Greeley, Colorado
    Thumbs up -59
    I can't for the life of me figure out why the edits bundle like this...but they do
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Nashville AAPC Chapter
    What is the medical necessity for the 93000. There is an LCD for the 93000 that I always follow when I unbundle the EKG. It supports the medical necessity, otherwise the EKG is bundled into the E/M and not reported seperately.

Similar Threads

  1. Mod 51 vs Mod 59 for ASC use
    By Tracy592 in forum Modifiers
    Replies: 3
    Last Post: 07-08-2015, 12:49 PM
  2. mod 62 denied can I use mod 80?
    By in forum Modifiers
    Replies: 6
    Last Post: 05-18-2015, 05:27 AM
  3. Mod 25
    By dpumford in forum Modifiers
    Replies: 2
    Last Post: 09-06-2011, 11:08 AM
  4. mod 25 - Can anyone shed some light on this
    By iovine in forum Billing/Reimbursement
    Replies: 4
    Last Post: 08-26-2011, 06:32 AM
  5. mod 25 & mod 59 with a 94664 (inhaler)
    By jsa1517 in forum Modifiers
    Replies: 2
    Last Post: 01-29-2010, 02:46 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.