Question Billing for E&M with EKG

MagenD

New
Messages
2
Location
Joliet, IL
Best answers
0
Hi I just recently started working for a billing company doing AR and I have a physician that keeps billing for an office visit (typically 99213/99214) with EKGs. Sometimes he uses just 93000 and sometimes he uses that and 93005. My first question is what is the correct way of billing these codes? It seems there area lot of denials coming through.
My second question is whether you can actually bill 93000 and 93005 in the same visit.
 
Last edited:

mk2001

Networker
Messages
47
Best answers
0
I didn't think you could bill 93000 & 93005. 93000 is for both the prof & tech component of an EKG & 93005 is for the prof component only.
 

zoinks071

Contributor
Messages
19
Location
Syracuse, NY
Best answers
0
I agree, 93000 includes all the technical elements of the tracing as well as the physician's interpretation and report when the provider owns the ECG machine. It would not be appropriate to try and also report the tracing (93005) separately.
Hope this helps :)
 
Top