Cardiology Question for the Week of March 4, 2019

Cardiology Compliance Question of the Week

Question:

If a patient comes into our hospital (probably in A-Fib), and an EKG confirms the A-Fib, then they are taken to the EP suite where a cardioversion is performed, are we allowed to code for the EKG with a 59 modifier?

Answer:

A diagnostic EKG done prior to the determination of the need for the cardioversion (or other procedure) is separately billable. The EKG monitoring during the procedure would not be separately billable.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.