tci ED Coding & Reimbursement Alert - 2001 Issue 4

Avoid Edits and Audits Know the Difference Between Cardioversion and Defibrillation

If you frequently see code 92960 (cardioversion, elective) coming from your ED, youre probably looking at a potential red flag for auditors. This is because ED physicians rarely perform cardioversion. Theyre probably doing defibrillation instead, which is bundled into the CPR code 92950 (CPR, in cardiac arrest). The term elective in 92960s definition throws up a red flag with payers, because ED facilities dont usually schedule procedures for patients with pre-existing conditions. These issues make it more than likely that your facility is coding incorrectly and billing singly for a bundled procedure.Differentiate Cardioversion and Defibrillation The difference between...

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