Peggy Jernigan
Guest
What modifier should be added to an EKG when the pt has an OV and arthrocentesis on the same day? Should it be -59? Thanks
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- Thread starter Peggy Jernigan
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mitchellde
True Blue
The EKG does not need a modifier it will not be bundled with anything on this claim. The OV will need a 25.
Peggy Jernigan
Guest
arthrocentesis modifier
We have had problems with Medicare starting this year. They will pay for the office visit (with -25 modifier) and EKG but deny the arthrocentesis. When i called medicare to ask why, they said a modifier needed to be added to the arthrotcentesis but would not tell me which one.
We have had problems with Medicare starting this year. They will pay for the office visit (with -25 modifier) and EKG but deny the arthrocentesis. When i called medicare to ask why, they said a modifier needed to be added to the arthrotcentesis but would not tell me which one.
mitchellde
True Blue
Is it possible the arthrocentesis is being performed with in the global of another procedure? If this is the only visit for a period of time, then there is absolutely no modifier needed and this can be appealed. First look at everything.