Results 1 to 3 of 3

51 modifier and cardiology

  1. Default 51 modifier and cardiology
    Medical Coding Books
    Hi All,
    Is it appropriate to attach a 51 modifier onto CPT code 93018 when in conjunction with code 93350?

  2. #2
    Jacksonville Florida Chapter
    I would think so because those are two different procedures for the same body part/system, even though I'm sure an insurance company would argue that they are basically the same thing since the real difference is that one is an echocardiogram and the other is an electrocardiogram.

    Have you tried submitting the claim with mod -51?

    Oh.... and wouldn't it be nice to be able to bold the differences like I did to show an insurance company that would argue that the two tests are basically the same?
    John Meyer, CPC
    Heekin Clinic

  3. #3
    I have never used a -51 on the 93018 when submitting with 93350. I use the -26 on the 93350 and no modifier on the 93018. I am assuming that you are doing the stress echocardiogram in the hospital or outpatient testing center setting. This is how I bill:
    93350 -26
    93320 -26
    93325 -26

    Hope that helps you.
    Autumn G. CPC, CCC
    Grand River Cardiology PLC
    Grand Rapids, MI

Similar Threads

  1. Cardiology
    By kayelam in forum Modifiers
    Replies: 0
    Last Post: 04-23-2014, 08:38 AM
  2. cardiology help
    By Jennarw in forum Cardiology
    Replies: 1
    Last Post: 07-03-2013, 03:24 PM
  3. Replies: 0
    Last Post: 02-12-2013, 01:51 PM
  4. Modifier -59 in Cardiology
    By amym in forum Modifiers
    Replies: 4
    Last Post: 01-11-2012, 08:13 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.