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HOLTER MONITOR AND EKG SAME DAY

Kelly Posted Fri 01st of March, 2013 16:07:01 PM

How can we avoid denials when billing an ekg '93000' and 24 hour holter monitor '93224' on the same day? Should we add a modifier? We are usually being denied for it being inclusive. Are we able to bill the ekg on the day it is performed and then bill the holter monitor on the day it is interpreted (usually two days later)?

SuperCoder Answered Fri 01st of March, 2013 23:51:22 PM

If an EKG and a Holter are done on the same day they must truly have been separate tests, done at 2 different times of the day.
If this is the case then use mod 59 on the EKG. If not then the EKG is not billable.

An EKG done in office and a holter hook up on 3/1 with the holter read two days later,3/3. Bill the EKG on 3/1 and the holter on 3/3.

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