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EKG performed one day but interpreted another day.......

Rhonda Posted Tue 07th of August, 2012 15:05:50 PM

Same doctor orders/performs EKG and reads it 2 days later....

93005 for the day it was performed.
93010 for the day is was interpreted.

Is this correct?

Thanks!

SuperCoder Answered Tue 07th of August, 2012 19:34:21 PM

Yes its correct.Because of frequent unavailability, cardiologists and radiologists often interpret radiographs and ECGs hours to days after the patients’ departure from the ED; therefore, their interpretations often do not directly affect the patients’ ED visit and real-time medical decisions.

Rhonda Posted Tue 07th of August, 2012 20:35:48 PM

What are you referring to when you use "ED"?

SuperCoder Answered Tue 07th of August, 2012 20:48:05 PM

Emergency Department.

Rhonda Posted Wed 08th of August, 2012 16:00:24 PM

The scenerio that I initially asked about would be done by a cardiologist in our multi specialty clinic. We own the EKG machine and it's typically done before the patients scheduled office visit.

SuperCoder Answered Thu 09th of August, 2012 17:19:18 PM

For the services your center performs, you should report 93005 (Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report).

Rationale: 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.

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).

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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