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EKG 93010 with an office visit

Deborah h Posted Tue 03rd of November, 2015 17:51:30 PM

Please let me know when it is appropriate to bill an EKG with a Cardiologist office visit; examples please; and when it's not ok to bill the EKG with an office visit; examples please. Also, please indicate the documentation that is required in the office note and/or the EKG note in order to bill 93010 with EM code.

SuperCoder Answered Wed 04th of November, 2015 05:56:07 AM

Billing EKG is depends on the procedure performed during OV. Always need to check the bundling and specific guidelines for the procedure, like with CPT 93458 and 93015, EKG is bundled according to the guidelines. So, EKG cannot be bulled separately.
ECG services billing should have following points to be covered:
Specific order for the diagnostic test.
Documentation in the medical record supporting the need for the diagnostic test.
A separate, signed, written and retrievable report; and an interpretation of the diagnostic test.
NOTE- Reviewing of 3 elements by the physician is needed to code EKG. Like about- sinus rhythm, axis deviation, axis and intervals, T-wave inversion or other interpretation.

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