AMA CPT® Assistant - 2012 Issue 1 (January)

Medicine: Cardiovascular (Q&A) (January 2012)

January 2012 page 13c Medicine: Cardiovascular Question: Are electrocardiograms (ECGs) an inherent component of elective cardioversion? Answer: Any electrocardiogram (ECG) performed prior to or during cardioversion is included in code 92960, Cardioversion, elective, electrical conversion of arrhythmia; external. However, if a post-cardioversion ECG is medically necessary and documentation supports this additional study, then the appropriate 12-lead ECG CPT code should be reported with Modifier 59, Distinct Procedural Service, appended. In certain cases a post-cardioversion ECG is performed to diagnose unexpected arrhythmias after cardioversion or to define ST wave changes. Medical record documentation should reflect this eventuality. Medicine: Cardiovascular (Q&...

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