Cardiology Coding Alert

Physician Supervision/Diagnostic Indicator (Phys Supv)

  0 -- Procedure is not a diagnostic test, or procedure is a diagnostic test which is not subject to the physician supervision policy.

  1 -- Procedure must be performed under the general supervision of a physician.

  2 -- Procedure must be performed under the direct supervision of a physician.

  3 -- Procedure must be performed under the personal supervision of a physician.

  4 -- Physician supervision policy does not apply when procedure is furnished by a qualified, independent psychologist or a clinical psychologist or furnished under the general supervision of a clinical psychologist; otherwise must be performed under the general supervision of a physician.

  5 -- Physician supervision policy does not apply when procedure is furnished by a qualified audiologist; otherwise must be performed under the general supervision of a physician.

  6 -- Procedure must be performed by a physician or by a physical therapist (PT) who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified electrophysiologic clinical specialist and is permitted to provide the procedure under State law.

 6a -- Supervision standards for level 66 apply; in addition, the PT with ABPTS certification may supervise another PT, but only the PT with ABPTS certification may bill.

 7a -- Supervision standards for level 77 apply; in addition, the PT with ABPTS certification may supervise another PT, but only the PT with ABPTS certification may bill.

  9 -- Concept does not apply.

 21 -- Procedure must be performed by a technician with certification under general supervision of a physician; otherwise must be performed under direct supervision of a physician.

 22 -- Procedure may be performed by a technician with on-line real-time contact with physician.

 66 -- Procedure must be performed by a physician or by a PT with ABPTS certification and certification in this specific procedure.