Clarification:
Diagnostic Test by NP Has Steep Requirements
Published on Thu Apr 12, 2012
Keep Medicare's direct physician supervision rule in mind.The Reader Question "93016 NPI Depends on Provider" in Cardiology Coding Alert, vol. 15, no.4, stated that you should use the nurse practitioner's National Provider Identifier (NPI) to bill 93016 (Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; physician supervision only, without interpretation and report) when the nurse practitioner (NP) provides the 93016 service and state scope of practice allows her to provide that service without direct physician supervision.To clarify, practices should consider the relevant rules regarding physician supervision of diagnostic tests when deciding how to perform and report these tests. The guidance cited below suggests that if there is no physician providing direct supervision during the test, the NP may bill the test under her own NPI in the very limited circumstances where the NP performs the test and state scope of practice [...]
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