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Thread: Modifier 59 with two "separate procedures"

  1. #11

    Default Cpc

    AAPC: Back to School
    I work for an ER physician billing company as an A/R Specialist. The billers have been appending modifier 59 to CPT code 93010 along with the ER visit 99282-99285. Is this a correct use of the modifier to get the 93010 paid or should there just be a modifier 25 appended to the visit? Many insurers are denying payment stating that the 93010 is part of another service.

    Merlinda Craig, CPC

  2. #12
    Join Date
    Apr 2007
    Lubbock, TX


    It's probably something else that's being billed, because it shouldn't bundle to the E/M...are you billing another type of EKG, like 93000, or another service from the medicine section?

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