I have a physician that did performed a Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report CPT code 93015. He want to bill for 93015 twice.
He thinks that maybe 10% of the time, we initiate a stress test on the treadmill, run through the entire sequence, and the patient cannot get their heart rate to the target. They then convert to a chemical stress test.
Since we have delivered two separate and distinct services, he wants to bill for both (each has a separate report) with a -25 modifier on the second one?
I have told him we can only bill for 93015 once.
Can someone give me feed back on their feelings about this?
- Exam Preparation
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Software / Digital
- Code Lookup (AAPC Coder)
- Practicode (online coding simulation)
- E/M Analyzer
- CPT RVU Calculator
- Health Plan Search (Provider Policies)
- Book Store
- Log In / Join