Internal Medicine Coding Alert
Own the Stress-Test Machine? Then Use 93015
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Question: How should I code an in-office pharmacological stress test, including the adenosine and the normal sterile saline? Answer: Assuming that your practice owns the stress-test equipment, you should report the global code 93015 (Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report). To code the adenosine, select J0152 (Injection, adenosine for diagnostic use, 30 mg [not to be used to report any adenosine phosphate compounds; instead use A9270]). For the sterile saline, choose A4216 (Sterile water/saline, 10 ml) or A4217 (... 500 ml), depending on the dosage.
Arkansas Subscriber
Warning: Many commercial and Medicare payers may not pay separately for the saline because they consider it included in the stress-test service.
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Presented by Steven M. Verno, CMBSI
The following supplement to Internal Medicine Coding Alert is the [...]