Wiki 93010 or 93000

[asims2008]

I need some help with these two codes...we are getting denials from MCR for EKG's that are done at the hospital...I have been billing it as 93000-26 but it is saying that the modifier is inconsistent with the procedure code...do I need to start billing it as 93010 and would that need a 26 modifier!! Thanks!

 

[Cyndi113]

My doc reads all EKGs at our hospital. We bill 93010 with no modifier. 93010 is for interpretatinon and report which is exactly what my doc is providing.

 

[jewlz0879]

I need some help with these two codes...we are getting denials from MCR for EKG's that are done at the hospital...I have been billing it as 93000-26 but it is saying that the modifier is inconsistent with the procedure code...do I need to start billing it as 93010 and would that need a 26 modifier!! Thanks!

93000 = global code; billed in office

93010 = professional code; billed in hospital