Parul Posted Thu 26th of May, 2016 16:54:32 PM
Hello and Good evening:
Could you please help provide information on submitting the correct Date of Service to be reported for CPT codes 93225 and 93227? We are billing both these services on Day One ( the day of hook-up) even though the Physician Interp (CPT 93227) takes place on Day two or day three. We do not own the device and hence are enot billing the Global CPT 93224.
We are reporting for example:
93227 01/01/2016 ( date physician signed the report is 01/03/2016 )
Thanking you in advance.
SuperCoder Answered Fri 27th of May, 2016 03:46:25 AM
External electrocardiographic recording (Up to a 48 hour period) is payable in four different ways:
93225 - Report this code for the recording portion of the test only. The recording service includes the placing of the ECG electrodes on the patient’s chest, the data recording, and the device removal.
93226 - Report this code for the scanning analysis and report portion of the test only. The scanning and analysis service includes the download and analysis of the data and the provider’s compilation of the information.
93227 - Report this code for providers review and interpretation of the data collected from a 48 hour continuous electrocardiographic recording. This code is for professional services only.
93224 - This is the gloss code which includes all the above services. Both professional and technical services are included in this code.
Based on the information given above, you can select the most appropriate code for the services performed by the physician.
Up to a 48 hour period translates to the hook up being performed on one day and the physician or other qualified healthcare professional performing the interpretation on another day. That means you have to determine which date of service your payer considers correct. Generally, the Medicare rule is that you must bill services, or their components, if applicable, for the date of service on which the provider performs them.