Q/A: Appropriate reporting of modifier -59 with EKGs
APCs Weekly Monitor, April 2, 2010
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Q: I have a question pertaining to APCs Weekly Monitor’s advice published March 12, “Using modifier -59 for EKG.” Your advice indicates that we need to consider information beyond whether the EKG was performed prior to or following the procedure. An EKG performed during the procedure generally is integral to the procedure and not separately coded. Your advice appears to address medical necessity. Reporting a code for a procedure is appropriate to identify procedures that aren’t a comprehensive component of the global surgical package to provide accurate data if for no other reason.
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