AAPC - Back to school
Results 1 to 2 of 2

Thread: EKGs getting denied?

  1. #1
    Join Date
    Apr 2007

    Default EKGs getting denied?

    AAPC: Back to School
    Is anyone having problems with EKG's being denied by Medicare? We're using 93000 with an E/M code, and double checking that we're using a ICD-9 code that shows medical necessity. We don't usually add a -25 to the office visit, but if we do add the -25 it doesn't seem to change the result.
    Does anyone have better results using 93005 and 93010 together in place of 93000? Thanks a bunch for any help.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Have you appealed any? There should not be a problem as long as you have medical necessity. Do not bill the 93005 and the 93010 instead. Also did the patient have an EKG with another provider on the same day? or even the day before? If so you probably need a 77 modifier. What does the denial code say? Is it always the same denial code?

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. EKGs
    By JCampbell in forum Family Practice
    Replies: 1
    Last Post: 09-04-2015, 02:23 PM
  2. Ekgs
    By palmlizard2000 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-06-2014, 12:58 PM
  3. Ekgs
    By amylis1 in forum Cardiology
    Replies: 3
    Last Post: 08-16-2012, 07:29 AM
  4. EKGs
    By ssullivan@adirondacktherapy.com in forum Cardiology
    Replies: 6
    Last Post: 07-26-2010, 05:13 PM
  5. EKGs in the ER
    By racheleporter in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-31-2008, 11:50 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?


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.