Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci ED Coding & Reimbursement Alert - 2002 Issue 9
You Be the Coder: EKG Billing and Coding
Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.
Question: What type of documentation is necessary to charge for EKGs and x-ray?
Louisiana Subscriber
Answer: Medicare states that in order to bill for an EKG interpretation the ER physician should provide "a separate written report similar to that of a specialist in the field." Based on this, the documentation for an EKG interpretation should include rate, rhythm, axis, intervals, and whether there were any ST/T wave changes. Comparison to prior EKGs, if available for review, should...
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