Wiki Office visit into procedure...

[wrightju1]

I understand that the E/M visit (99214) that determines the need for pacing pulse generator replacment (33264) rolls into the procedure code. However, does the ECG (93000) and/or Evaluation with programing (93284) that was done in the office the same day as the procedure roll in as well? Does the ECG and ICD System Evaluation roll into the MDM in the E/M? Or can they be billed seperately? Or more accurately, is it APPROPRIATE to bill them with modifiers because they are done in the office and not necessarily part of the E/M?

Well, let me edit that by saying the 99214 was billed with the 57 modifier Decision for Surgery....