tci ED Coding & Reimbursement Alert - 1999 Issue 12

HCFA Rule for Billing for X-ray And ECG Interpretations

Getting paid for electrocardiogram (ECG) and x-ray interpretations has always been a problem for emergency physicians. Many hospitals have contracts with their cardiology and radiology groups stipulating that these specialists will perform all interpretations of the diagnostic tests in their specialty (radiologists for x-rays and cardiologists for ECGs) performed at the hospital.When the tests are performed as an inpatient service, there is little dispute. In the emergency department (ED), however, getting a radiologist or cardiologist to perform an interpretation of the diagnostic test in sufficient time to determine treatment for the patient may be difficultfor example, when patients...

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