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Victoria Posted 6 Year(s) ago

Hi! we want to know the correct CPt for EKG done in our office but was interpreted by another provider outside our group,we owned the device. We know that 93000 is an office global code & 93010 done in the hospital but interpreted by our cardiologist.Thank you!ASAP

SuperCoder Posted 6 Year(s) ago

For the services your office performs, you should report 93005 (Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report).
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Although for many codes you would indicate performance of only a portion of the service by appending either modifier TC (Technical component) or 26 (Professional component), that method does not apply for ECGs.
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Instead, this family of codes provides separate options depending on whether you perform the entire service (93000, ... with interpretation and report), the technical component only (93005), or the professional component only (93010, ... interpretation and report only).
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Caution: Be sure payer agreements include the component codes (93005, 93010) in the payer fee schedule and not just the global code (93000).
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Best,
Leesa
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Leesa A. Israel, BA, CPC, CUC, CMBS
Executive Editor, The Coding Institute
Manager, TCI Consulting & Revenue Cycle Solutions
Email: leesai@codinginstitute.com
www.codinginstitute.com

Victoria Posted 6 Year(s) ago

Thanks a lot,I appreciate it was a speedy reply>>>>>

Posted by Victoria, 6 Year(s). There are 3 posts. The latest reply is from Victoria.

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