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AEEG with ECG Monitoring

Renita Posted Wed 21st of March, 2012 15:33:44 PM

If a patient has an AEEG and the physician documents that they also do a ECG on the patient. Can you code the 95953 and 93268 together? I'm getting a denial on the 93268 even though we used a diagnosis of chest pain for the reason they did ECG monitoring.

SuperCoder Answered Thu 22nd of March, 2012 04:47:41 AM

CCI-wise, there should not be a problem to bill both, since there is no bundling. 95953 is for EEG and related to brain, whereas ECG is related to heart. Please check if there is any LCD policy in your state for that ECG code, and if yes, then you are coding Dx from the ICD9 list available in LCD policy. Also please check if the ECG code is 93268 only, or 93000-93010. Code 93268 is for ECG where recording is initiated either by Pt. activation or by an external automated programme.

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