tci ED Coding & Reimbursement Alert - 2006 Issue 1

Reader Questions: Fight for 93010 Claims

Question: Should we charge for contemporaneous EKG readings? If so, what CPT code should we report?Connecticut Subscriber Answer: If the emergency department physician is doing the interpretation and writing a report, you should report 93010 (Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only). If your payers aren't reimbursing for this code and you have solid documentation of the work, appeal.Hint: You don't need to report this code with modifier 26 (Professional component), because 93010 assumes the professional component only. ...

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