Q/A: Appropriate reporting of modifier -59 with EKGs
APCs Insider, April 2, 2010
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
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.
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
-
Modifier -59 Case Studies: Clarify Common Coding Confusion
Modifier -59 is a perennial problem area for outpatient coders. It shouldn’t be viewed as a way to guarantee payment but...
-
Outpatient Bed Charge Capture: Billing for Common and Complex Cases
During this 90-minute audio conference, our expert speakers walk you through common and complex cases and explain compliant...
-
Billing No-Cost and Low-Cost Devices: Tips to Avoid the Audit Fast Track
During this 90-minute audio conference, our speakers will use a case study to demonstrate best practices to help you comply...
-
Spinal ICD-9 and CPT Coding
During this two-hour audio conference, our speakers will discuss common coding errors for spinal diagnoses and procedures...
-
2012 OPPS Final Rule: Analyze the Impact and Manage the Changes
Expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, return for this popular program. They review the final rule...
Most Popular
- Articles
-
- Five tips for an effective hospital patient safety program
- Jury sides with blood lab technician in New Jersey whistleblower case
- Note from Hugh
- Q/A: Should we use modifier -Q0 to override edits for ICDs?
- Questions surround when time starts for proposed inpatient presumption
- Overnight physicians in ICU show little effect on outcomes
- QAPI is coming: Is your facility preparing for its arrival?
- Note from the instructor: CMS clarifies payment amount to be applied to payment caps and manual review thresholds for outpatient therapy services provided by critical access hosptials
- Tip: Review codes that are now packaged
- Latest scores show incremental progress in hospital safety
- E-mailed
-
- Questions surround when time starts for proposed inpatient presumption
- Jury sides with blood lab technician in New Jersey whistleblower case
- Q/A: Should we use modifier -Q0 to override edits for ICDs?
- Overnight physicians in ICU show little effect on outcomes
- Five tips for an effective hospital patient safety program
- Tip: Review codes that are now packaged
- Note from the instructor: CMS clarifies payment amount to be applied to payment caps and manual review thresholds for outpatient therapy services provided by critical access hosptials
- QAPI is coming: Is your facility preparing for its arrival?
- CMS recommends use of AHRQ Common Formats for hospital adverse event reporting
- ACDIS/AHIMA brief provides guidance on query best practices
- Searched