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Coding 36620 with EP study(93620)

  1. Default Coding 36620 with EP study(93620)
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    36620 is flagging when we code it with an ep study(93620). Is 36620 included in 93620 or do I need to add the modifier 59 to 36620 for the codes to pass through? Thank you in advance!

  2. #2
    You need to add the 59 modifier.

    Dawn CPC, CCC

  3. Default
    Thank you for your reply. I normally attach the modifier 59 to 36620 but I was told that the EP study(93620) included this service. Is that correct or was I misinformed? Please provide sources if available because the coding department won't take my word for it.

    Also, is a right heart cath(93501) appropriate to code during an EP study(93620)? It was done in one of our labs yesterday but it's getting flagged when I plug these codes in our scrubber.

    I appreciate any help you can provide. Thanks.

  4. Default
    Or should I use the swan catheter insertion(93503) code instead of the right heart cath(93501) code in conjuction with the EP study(93620) code?

  5. #5
    Sorry it took so long to get back to you. It is my understanding that if the doc documents this as a seperate and distinct procedure, that you bill the 36620 with the 59. Otherwise, it is included in the 93620. Also, we do not bill a RHC as he does this to help localize catheter placements. Hope this helps.

    Dawn CPC, CCC

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