decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 6 (June)
Cardiology RoundUp: How to bill when company rep does device checks
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Article Overview
This article explains a cardiology billing scenario involving pacemaker and defibrillator device checks performed with assistance from a company representative. It focuses on the distinction between professional and technical billing components, when a modifier may be relevant, and the circumstances under which the global service may be reported. The piece is useful for coders and billing staff handling implantable device interrogation and programming-related services.
Why This Topic Matters
Device-check billing can change depending on who performs the work and how the service is divided. Getting the billing structure right helps cardiology practices avoid reporting the wrong component for in-office device evaluations.
What You Will Learn
- How the article frames billing for in-office cardiac device checks involving an outside representative
- The distinction between professional and technical billing components in this scenario
- When the article indicates the global service may be reported
- How the discussion relates to device programming evaluations and device interrogation services
Who Should Read This
- Cardiology coders
- Physician office billers
- Revenue cycle staff
- Practice managers
Codes Discussed
Modifiers Discussed
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