Wiki 93000 vs 93005 vs 93010

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stephlyn319

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When billing for an internist, if an EKG is performed with I & R on the same day, does 93000 include everything? When would you bill 93005 and/or 93010?
 
93000 since your office is performing the professional and technical component.

93005 (technical only) vs 93010 (professional only) is only when I&R is sent out to a third party. For example, Hospital bills 93005, then physician bills 97010.
 
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Can EKG done in office be split?

We do EKG's in our office with the machine report scanned to pt's EHR by the MA/LVN who performs it and documentation in chartnote by the ordering physician. One of my billers wants me to split the 93000 into 93005 & 93010, saying we will get paid more that way. Is this kosher, CodingKing? It sounded a little off to me...

Thanks for any expert opinions!!
 
Unbundling

This would be unbundling and is considered fraudulent. Per the OIG Compliance Program Guidance "Unbundling (billing for each component of the service instead of billing or using an all-inclusive code)"
 
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