tci ED Coding & Reimbursement Alert - 2014 Issue 12

EKG Denials: Monitor Your Documentation To Rejuvenate Payment For EKG Interpretations

Does your chart trace a clear picture of a separately identifiable service? It's happening again. Payers are aggressively bundling the interpretation and report of diagnostic EKGs into the ED E/M level of service. Although the reimbursement for code 93010 (Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only) only pays $8.60 in the 2014 Medicare fee schedule, that amount adds up over the course of a year. Check out these tips to help jump start your payments for this common ED service. First, Review the Fundamentals For a service to be payable, it has to...

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