tci ED Coding & Reimbursement Alert - 2008 Issue 6

Reader Questions: Is There a Procedure Code for Carotid Massage?

Question: A patient reports to the ED complaining of tightness in his chest and heart palpitations. The ED physician performs a carotid massage on the patient. How should I report the massage? Is there a CPT code for it? Ohio SubscriberAnswer: There is no CPT code to represent carotid massage. However, you can roll the work from the massage into the overall E/M code level. Suppose that notes for the entire encounter indicate a level-four E/M. On the claim, report the following: - 99284 (Emergency department visit for the evaluation and management of a patient, which requires these three...

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