Cardiology Coding Alert
Seek CMS Manual Guidance on Shared E/M
Question: Virginia Subscriber Answer: No. Unlike most other E/Ms, "a consultation shall not be performed as a split/shared E/M visit," states the Medicare Claims Processing Manual, Chapter 12, Section 30.6.10.A (www.cms.hhs.gov/Manuals/IOM/list.asp). To report a consultation under the cardiologist's name and national provider identifier (NPI), the cardiologist must perform and document his own history of present illness (HPI), physical exam, and medical decision making (MDM). The cardiologist may consider past, family, and social histories (PFSH) and review of systems (ROS) the non-physician practitioner (NPP) documents, but the cardiologist must confirm that PFSH and ROS, according to E/M documentation guidelines (www.cms.hhs.gov/MLNEdwebGuide/25_EMDOC.asp). An NPP can perform a consult if it's within his scope of practice and meets state license requirements, but you should use the NPP's NPI in that case. Remember:
Cardiology Coding Alert
- CCI 15.3:
Shore Up Your Cardiology Coding by Catching 3 CCI Additions and 1 Key Deletion
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Chart Cardiology's CCI 15.3 Changes At-a-Glance
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Check your ICD-9 2010 Prep With 3 Embolism Questions
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Prepare for Swine Flu Season With G9141, G9142 Know-How
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Match Holter Monitor Service to Codes
Question: A patient who is suffering heart palpitations reports for waveform Holter monitor testing with [...] - Reader Questions:
ID Iatrogenic CVA for Proper 997.02 Use
Question: Is 434.x the correct code for a postoperative cerebrovascular accident (CVA)? Nebraska Subscriber Answer: [...] - Reader Questions:
Size Up Single-Site EP Study
Question: What is a "single-site" EP study? Is there a CPT code specific to this? [...] - Reader Questions:
Verify ICE Catheterization Before Coding
Question: How should I report PFO/ASD closure using an ICE catheter for guidance? Idaho Subscriber [...] - Reader Questions:
Seek CMS Manual Guidance on Shared E/M
Question: Can a cardiologist and NPP share a consult and use the cardiologist's NPI? Virginia [...] - Reader Questions:
Connect Elevated Creatine Kinase to 790.5
Question: The only reason documented for a cath lab service is "elevated creatine kinase." Which [...] - Quiz Answers:
3 Embolism Answers Gauge Your ICD-9 2010 Skills
See how your answers to the quiz match with the experts'. Have you nailed down [...]
