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EKG & Modifier

  1. Default EKG & Modifier
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    We saw a patient for palpitations and shoulder pain. We billed 99213.25, 93000, 20610 &
    J1885 to Medicare. Medicare processed all except the 93000. When I called to find out why they said that the EKG needed a modifier as it was bundled with the 20610. Does anyone use a modifier on the EKG when it was done with an injection? If so, what modifier do you use? Also was this billed correctly?

  2. #2
    Greeley, Colorado
    Medical Billing
    Modifier -59 because for some stupid reason cci edits bundle an ekg with any other procedure. Otherwise, it looks ok to me.
    Lisa Bledsoe, CPC, CPMA

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