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?


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.


CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.