Wiki one patient, one DOS, two providers, two procedures, is mod 59 needed?

[boogie9483]

Hi... I have one patient who came in and saw two providers of the same group, same specialty, on the same DOS. One provider billed for a global EKG (93000) and the other billed PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER (93280) according to CCI guidelines 93000 would require mod 59 if it's medically appropriate when billed together with 93280. Does this rule apply when it's two separate providers seeing the patient for two separate reasons? if so, does anyone have any CMS/CPT documentation that could explain this?

Thanks!!!!

 

[JenniferB7]

Was the patient seen by both doctors at the same visit or did the patient have two separate visits on the same day?