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93000 denied

  1. Question 93000 denied
    Medical Coding Books
    Hello everyone,

    My doctor is being denied 93000 when billed with E/M visit, or sometimes the Dr. is paid for 93000 & is denied the E/M visit. Can someone explain why this is happening?

    Thank you!

  2. #2
    I have never had an EKG deny because of an E&M billed same day!

  3. Default
    I believe you have to attach a 25 modifier to the E and M code, then bill the 93000. This is how we process our claims.

    Hope this helps!

  4. #4
    Default 93000
    I always attach a modifier of 25 with my 93000

  5. #5
    i've noticed certain insurances pay just the ekg, & some just pay the ov. i always include mod 25 to the e/m code & will use a different dx code to the e/m & ekg. i think it just depends on the insurance.

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