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EKGs contanly denid as duplicates

Physician codes 93010, will have 3 in one day, sending on claim as, 93010, 93010-76, 93010-76, claims are submitted sometimes as 2 on one claim form separate line items and a separate claim for the 3rd EKG, because of the referring physician listed. Nine times out of ten payer denies one of the EKGs as a duplicate, we must follow up with notes, reconsideration forms, and this becomes extremely time consuming. I would appreciate any feedback in how to have these paid the 1st time. Payer typically the most troublesome UHC and Humana.

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