Results 1 to 2 of 2

Modifier 73 eligibility

  1. #1
    Default Modifier 73 eligibility
    New Call-to-action
    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
    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.

Similar Threads

  1. eligibility
    By rosa123 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 03-10-2015, 02:23 PM
  2. Eligibility Website
    By tmr1965 in forum General Discussion
    Replies: 1
    Last Post: 12-31-2013, 08:58 AM
  3. Medicare eligibility
    By in forum Medicare Regulations
    Replies: 2
    Last Post: 11-06-2012, 11:46 AM
  4. Verifying Eligibility
    By kinger70 in forum Medicare Regulations
    Replies: 1
    Last Post: 06-25-2012, 12:10 PM
  5. Insurance Eligibility
    By saprice in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 07-09-2008, 09:53 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.