During an office visit, a patient had a benign growth excised from their forearm. Additionally, the physician performed a cardiac rhythm test due to complaints of palpitations. When submitting for reimbursement, how should these services be reported?
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Document the forearm growth removal and cardiac rhythm test each under their specific CPT code, but without any modifiers.
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Assign only the procedure code for the growth excision, assuming the cardiac monitoring is an inclusive service.
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Utilize the appropriate CPT code for the growth removal, and append a -25 modifier to the cardiac rhythm test CPT code to reflect it as an independent service.
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Offer a single bundled CPT code that encompasses both the forearm procedure and the cardiac assessment, as they happened in one appointment.
When separate procedures are performed during the same visit, each should be reported individually. The cardiac rhythm test needs a -25 modifier to illustrate that it was a distinct and significant service, conducted independently from the growth excision. Neglecting to use the modifier could lead to insurance rejections, as the cardiac test might appear to be part of the growth excision without the modifier.
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