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A stress test is basically an ekg done while the heart is stressed, either by exercise or meds. So the ekg is an inherent part of a stress test. But if the ekg is done as a separate service from the stress test it would be appropriate to report it with 59 mod. An example might be that a patient presents to the cardiologist with shortness of breath and chest tightness, doc perfoms and ekg. Based on the results of the ekg, he then performs a stress test following the original ekg. The ekg should be reported with the mod. The purpose of the bundling is to prevent someone from billing both codes for the exact same (stress) test
Diane