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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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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