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Thread: Modifier 73 eligibility

  1. #1
    Join Date
    Apr 2007

    Default Modifier 73 eligibility

    AAPC: Back to School
    Does anyone know of a resource available that lists what codes are modifier 73 eligible? We had a patient come in for a cardioversion, they were prepped, labs and EKG performed, and it turned out they were in sinus rhthym and did not need to be cardioverted. Can I bill 92960-73? I am getting an edit from one system that says it is ineligible.

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    According to Ingenix Encoder Pro, -73 modifier is OK with this code as long as you are billing for the ASC. For the physician, use -53.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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