tci ED Coding & Reimbursement Alert - 1999 Issue 12

Correct Payment for ECG Interpretations Requires Accurate Documentation, Code Assignment

When a patient with a potential cardiac problem is examined in the emergency department (ED), the emergency physician often orders an electrocardiogram (ECG) and interprets the results to determine whether there is indeed a heart problem, and the nature of that problem. When the physician performs the actual interpretation of the test that he or she ordered, the physician can bill for this in addition to the evaluation and management (E/M) service delivered to the patient that day.However, third-party payers require physicians to provide specific evidencein the form of a written reportthat the service they provided to the...

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