Results 1 to 4 of 4

93005 and 93017 w/mod 25?

  1. #1
    Question 93005 and 93017 w/mod 25?
    Medical Coding Books
    We've run into quite some debate on this particular subject. So the question is since 93005 is a component of 93017 but the results of the EKG is what prompted the treadmill later can/should these be billed with a modifier 25?


  2. #2

    I don't believe that modifier 25 can be utilized on codes other than those considered e/m. Also, according to cci, 93005 is a component of 93017 w/ an indicator of (1). This would mean that in order to unbundle the two, you would append a (59) modifier to the 93005.

    Hope this info helps & Good Luck!
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  3. #3
    oops, my bad...I meant modifier 59. We are utilizing the 59 for this scenario but are being told by an outside consultant we are overusing this modifier. I feel it is entirely appropriate for this scenario though. Any thoughts?

  4. #4

    I think that overall there probably is a high use of the (-59) modifier. When there has been a question as to when to unbundle procedures, I've gone right to my physician(s). Ask him if there is justified reason for unbundling the two procedures - show him the description of the (-59) modifier out of the cpt book and give him your scenario. I've worked with physicians who, after reviewing a coding scenario and the use of various "unbundling" modifiers (-25, -57, -59) have stated that it would not be appropriate to bill w/ them. Would this work in your situation?
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

Similar Threads

  1. Coding 94621, 93017, and 93005 Together
    By Breezy in forum Cardiology
    Replies: 1
    Last Post: 05-01-2012, 09:14 AM
  2. HPSA and 93016,93017,93018
    By SLBK53 in forum Cardiology
    Replies: 2
    Last Post: 03-09-2012, 08:31 AM
  3. 93017 billed with 96372
    By Halftail99 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-01-2012, 06:38 AM
  4. 93017
    By prabha in forum Interventional Radiology
    Replies: 1
    Last Post: 08-25-2009, 02:30 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.