tci ED Coding & Reimbursement Alert - 2001 Issue 4

Reader Question: NPs/PAs and EKGs

Question: Can nurse practitioners (NPs) and physician assistants (PAs) charge for interpreting EKGs using 93010 (electrocardiogram, routine ECG with at least 12 leads; interpretation and report only) or for reading EKG rhythm strips using 93042 (rhythm ECG, one to three leads; interpretation and report only)?Nancy RyderRN Medical Coding Manager at ProBillHuntington, W.V.Answer: Yes. PAs and NPs can bill for 93010 and 93042 under their own provider number per HCFAs federal guidelines. According to Medicare, PAs and NPs can bill any service they provide. This also applies to private payers, if they recognize these midlevel providers. However...

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