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Referring to question ID 5115 (10/2013

Date: Dec 23, 2022

Question:

“Is it okay to report codes 93653, 93621, 93623, and 93642 together even though code 93621 is an add-on procedure without a base code?” Per NCCI, code 93642 is a component of 93653. Only 93653 will be reimbursed. No modifiers are allowed to unbundle. One of our providers doesn’t agree, stating that it's not related to the EP study at all, but rather a totally unrelated procedure indicated to evaluate whether the archaic defibrillator hardware still works, just coordinated at the same time to avoid giving her anesthesia twice. Would you agree that in these cases code 93642 is appealable?

Question ID : 18079
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