tci ED Coding & Reimbursement Alert - 2008 Issue 10

Reader Questions: Tackle This Modifier 25 and EKG Scenario

Question: We-ve received letters from CMS regarding modifier 25. We use this modifier on the ED E/M when the physician performs an E/M visit and an EKG. Is this appropriate? Arizona SubscriberAnswer: Carriers differ in their requirements for appending modifier 25 (Sig-nificant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) on diagnostic interpretations. Some carriers want you to append modifier 25 to your E/M code (such as 99281-99285) when the physician interprets an EKG (such as 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.