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tci ED Coding & Reimbursement Alert - 2003 Issue 8

You Be the Coder: ECGs Reimbursed Only Once

Question: How can we receive reimbursement for 93010 and 93042 in the emergency department (ED)?Texas Subscriber Answer: You may have difficulty recovering payment for both 93010 (Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only) and 93042 (Rhythm ECG, one to three leads; interpretation and report only) if they are from the same ECG tracing. You can bill for both tests as long as they are medically necessary. CMS says only one interpretation of an ECG will be paid for an ED patient. The agency advises "hospitals that if they allow a physician to perform...

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