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Cardiologist monitoring heart rate during gastro procedure

Bridget Posted Fri 24th of April, 2015 18:38:41 PM

Patient with AFib needed endoscopy. Every time they tried to do the procedure, the patient's heart rate would go up and they'd stop. So they finally refused to do it. So our cardiologist went over to gastro and stayed with the patient, monitoring their heart rate issues while the endoscopy was done. He was there for the time of the procedure which was about an hour. He said he made a note at the bottom of the endoscopy report. Is there a code for this?

SuperCoder Answered Mon 27th of April, 2015 09:40:01 AM

If the cardiologist did the monitoring through cardiac monitor then the service will not be payable since it is part of the procedure, however if the cardiologist was actively involved in the monitoring then kindly submit the cardiologist note for correct coding.

Bridget Posted Fri 08th of May, 2015 15:43:40 PM

But if he was actively involved, what would he bill? Would it be a hospital visit code?

I don't know what you mean "through the cardiac monitor", do you mean just looking at a screen versus examining the patient?

SuperCoder Answered Mon 11th of May, 2015 05:59:17 AM

Well, bill the appropriate Inpatient Consultation code (99251-99255) accordingly.

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