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Holter monitor and EKG performed on the same date of service

Princess Posted Tue 16th of April, 2019 10:42:00 AM
The physician did a EKG 93000 and a Holter monitor 93225 on the same date of service. To avoid denial should I put modifier 59 on CPT code 93000?
SuperCoder Answered Wed 17th of April, 2019 04:18:53 AM

Hello Princess,

Thank you for your question.

 

A Holter monitor is a battery-operated portable device that measures and records the heart’s activity (ECG) continuously for 24 to 48 hours or longer depending on the type of monitoring used.

 

If an EKG and a Holter monitor are done on the same day, they must have been separate tests, separate reports, done at 2 different times of the day, then use modifier- 59 (distinct procedural service) on the EKG. If not; then the EKG is not separately billable.

 

Hope that helps.

 

Thanks,

Please feel free to write if you have any question.

Princess Posted Thu 18th of April, 2019 15:53:01 PM
Thank you! I believe this helped!
SuperCoder Answered Fri 19th of April, 2019 01:26:32 AM

Thank you, happy to help.

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