Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

EKG and US billing

Gina Posted Fri 28th of February, 2020 15:00:20 PM
If multiple emergency Physicians see a patient during the same encounter, and one performs the E/M, and a different provider in the same group performs an ancillary service such as an EKG, or Ultrasound, can you bill all services under the primary Physician performing the E/M? Thank you!
SuperCoder Answered Mon 02nd of March, 2020 08:08:58 AM

Hi Gina,

Thank you for your question.

In emergency department (ED) ancillary services such as an EKG, or Ultrasound are billed as packages when a service is performed with another service. Separate payment will continue to be made when these ancillary services are performed and reported as the only service on a claim.

So, in ED we will bill all ancillary services under primary physician performing the E/M under one NPI number.

Also note that, in the emergency department, there are no established patients. That’s why the ED services codes (99281-99285) don’t make that a distinction. And obviously, there are no planned procedures in the ED either.

The combination of these two facts should indicate to most emergency physicians that their E/M codes should almost always have the  modifier -25 attached if they perform a procedure on a patient after the initial evaluation.

Feel free to ask for any further query.

Related Topics