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93010 or 93000

  1. Red face 93010 or 93000
    Medical Coding Books
    I need some help with these two codes...we are getting denials from MCR for EKG's that are done at the hospital...I have been billing it as 93000-26 but it is saying that the modifier is inconsistent with the procedure code...do I need to start billing it as 93010 and would that need a 26 modifier!! Thanks!

  2. #2
    Location
    Phoenix, AZ
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    My doc reads all EKGs at our hospital. We bill 93010 with no modifier. 93010 is for interpretatinon and report which is exactly what my doc is providing.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Location
    Richardson, TX
    Posts
    823
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    Quote Originally Posted by asims2008 View Post
    I need some help with these two codes...we are getting denials from MCR for EKG's that are done at the hospital...I have been billing it as 93000-26 but it is saying that the modifier is inconsistent with the procedure code...do I need to start billing it as 93010 and would that need a 26 modifier!! Thanks!
    93000 = global code; billed in office

    93010 = professional code; billed in hospital
    Julie Graham, BA, CPC, CCC

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