Guest guest Posted April 28, 2012 Report Share Posted April 28, 2012 hi ardiana. what codes did you use? and medicare? > > Quetion: > We recently saw a patient for a pre op clearance and we did a EKG. I noticed that the insurance did not pay for the visit and the EKG, are we suppose to add a modifer? > > Thanks > Ardiana Teran > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2012 Report Share Posted April 28, 2012 Look closely at the diagnosis codes. If this is a Medicare patient, if you have any codes on there that are not supposed to be (according to the LCD=Local Code Determination), then it will get rejected. The LCD is published by your Medicare carrier and will give you the list of " approved " codes. If you only did it for the pre-op, but the pre-op is for, say, cataracts, then you need to delete the cataract diagnosis code from the 93000 EKG CPT code. In e-MDs, click on the 93000 so it is highlighted in blue, then click on " edit CPT " and you will see the diagnosis codes listed somewhere along the middle. You can change those, rearrange the order, and you can select a " blank " diagnosis code to delete the icd9 code that you don't want. Pratt Quetion:We recently saw a patient for a pre op clearance and we did a EKG. I noticed that the insurance did not pay for the visit and the EKG, are we suppose to add a modifer? ThanksArdiana Teran Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2012 Report Share Posted April 28, 2012 ,when you say,codes not Supposed to be there, do you mean outdated codes, or just codes that don't apply to the current claim/visit? Sent from my Windows PhoneFrom: PrattSent: 4/28/2012 7:45 AM To: Subject: Re: EKG and modifer? Look closely at the diagnosis codes. If this is a Medicare patient, if you have any codes on there that are not supposed to be (according to the LCD=Local Code Determination), then it will get rejected. The LCD is published by your Medicare carrier and will give you the list of " approved " codes. If you only did it for the pre-op, but the pre-op is for, say, cataracts, then you need to delete the cataract diagnosis code from the 93000 EKG CPT code. In e-MDs, click on the 93000 so it is highlighted in blue, then click on " edit CPT " and you will see the diagnosis codes listed somewhere along the middle. You can change those, rearrange the order, and you can select a " blank " diagnosis code to delete the icd9 code that you don't want. Pratt Quetion:We recently saw a patient for a pre op clearance and we did a EKG. I noticed that the insurance did not pay for the visit and the EKG, are we suppose to add a modifer? ThanksArdiana Teran Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2012 Report Share Posted April 28, 2012 Thanks for the informationArdiana M. Teran Look closely at the diagnosis codes. If this is a Medicare patient, if you have any codes on there that are not supposed to be (according to the LCD=Local Code Determination), then it will get rejected. The LCD is published by your Medicare carrier and will give you the list of "approved" codes. If you only did it for the pre-op, but the pre-op is for, say, cataracts, then you need to delete the cataract diagnosis code from the 93000 EKG CPT code. In e-MDs, click on the 93000 so it is highlighted in blue, then click on "edit CPT" and you will see the diagnosis codes listed somewhere along the middle. You can change those, rearrange the order, and you can select a "blank" diagnosis code to delete the icd9 code that you don't want. Pratt Quetion:We recently saw a patient for a pre op clearance and we did a EKG. I noticed that the insurance did not pay for the visit and the EKG, are we suppose to add a modifer? ThanksArdiana Teran = Quote Link to comment Share on other sites More sharing options...
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