tci ED Coding & Reimbursement Alert - 2004 Issue 11

Reader Question: Make Your Points Count With EKGs

Question: Is it appropriate to bill for an electrocardiogram interpretation and also count the service as part of the level of evaluation and management? For example, we would give one point for ordering the test and two points for interpreting it.New Jersey Subscriber Answer: Both the CMS documentation guidelines and the Marshfield Clinic score sheet differentiate between "points" you assign for the review of a diagnostic test (as part of the "amount and complexity of data reviewed" category of medical decision-making) and the preparation of the separately billable written interpretive report that would be reported with its own...

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