Author Topic: 93000 billing  (Read 190 times)

Adnare01

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93000 billing
« on: September 27, 2017, 06:28:56 AM »
Hi,

Can we bill EKG 93000 under POS (21) which is Inpatient Hospital? As my provider wants me to bill it but Medicare is denying it with CO5 - The procedure code/bill type is inconsistent with the place of service and remark code is M77 - MISSING/INCOMPLETE/INVALID/INAPPROPRIATE PLACE OF SERVICE. What can be the appropriate code to be billed and get paid?

Regards,
Tayyab

Michele

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Re: 93000 billing
« Reply #1 on: September 27, 2017, 07:57:46 AM »
Did you bill it with the 26 modifier?  If not, that is the problem.  In the hospital, the doctor would not be doing a global ekg, the technical portion would be the hospital.

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Adnare01

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Re: 93000 billing
« Reply #2 on: September 27, 2017, 08:01:26 AM »
I did bill it with Modifier 26 initially but the claim still got denied. then i tried billing it after removing Modifier 26.

Michele

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Re: 93000 billing
« Reply #3 on: September 27, 2017, 12:48:10 PM »
I'm sorry!  Actually you need to take a look at 93010.  That is for the reading of the EKG.  The 93000 is the global so you wouldn't use the 26 modifier.  You need to bill the 93010 when billing for the professional component of an EKG.

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