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Nancy Posted Wed 16th of June, 2010 14:45:48 PM

My question is if a doctor does an EKG and does not document it in the notes but have the EKG strip in the medical records can you bill a 93000? Or is it as the old saying goes, if it was not documented it was not done. Thanks for your help

SuperCoder Answered Thu 17th of June, 2010 06:06:59 AM

The code 93000 is a global code for EKG which can be reported when the Px is performed and recorded with interpretation and report also. As per the question, the EKG is not documented also. Therefore you cannot bill 93000. You can try billing with 93005 (no modifier like 26 or TC to be added), but there is very less chance of getting paid as having only an EKG strip (sans any record of performing at least or any physician's signature) is not a kind of documentation that CMS / Medicare recognises for payment.

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