Results 1 to 2 of 2

EKG & Modifier

  1. Default EKG & Modifier
    New Call-to-action
    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
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    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

Similar Threads

  1. E&M and EKG
    By Tonyj in forum E/M
    Replies: 2
    Last Post: 04-25-2015, 02:30 PM
  2. EKG and E&M
    By wendymcgee in forum Billing/Reimbursement
    Replies: 0
    Last Post: 05-23-2014, 01:02 PM
  3. Please help with EKG's & E/M's
    By coders_rock! in forum Cardiology
    Replies: 1
    Last Post: 04-24-2013, 11:20 AM
  4. Appropriate 59 modifier usage with EKG
    By kjg6699 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-12-2010, 11:50 AM
  5. Repeat EKG-What Modifier?
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-24-2010, 03:28 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?

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.