Health Information Management

Tip: Using modifier -59 with an EKG

APCs Insider, December 20, 2013

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A patient comes into the ED with chest pain. An EKG (CPT® code 93005) is performed. The patient goes directly to the catheterization lab for catheterization (code 93454). 

As long as the EKG was medically necessary and separate from the cardiac catheterization, modifier- 59 (distinct procedural service) would be appropriate to append.

The cardiac catheterization procedures may require ECG or EKG tracings to assess chest pains during the procedure. That wouldn't be separately reported, but diagnostic EKGs prior to the procedure or after the procedure are perfectly fine to be billed with the modifier -59.

This tip is adapted from “This month's coding Q&A” in the December issue of Briefings on APCs.

 



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