tci ED Coding & Reimbursement Alert - 2001 Issue 2

Reader Question: Billing for ECGs

Question: We are not getting paid for 93010 or 93042. Is it because we are billing them with critical care codes (99291-99292)?Ohio SubscriberAnswer: Many ED coders have run into problems when billing for 93010 (electrocardiogram, routine ECG with at least 12 leads; interpretation and report only) or 93042 (rhythm ECG, one to three leads; interpretation and report only). HCFA has requirements for billing electrocardiograms (ECGs) performed in the ED. The agency says only one interpretation of an ECG will be paid for an ED patient. HCFA advises hospitals that if they allow a physician to perform and bill...

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