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Coding 93015

  1. Question Coding 93015
    Clearnace Sale
    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?


  2. #2
    If the chemical stress test is a nuclear stress then you can code the injection codes.

  3. Default
    He is it is not doing a nuclear stress test. He is only doing the 93015.

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