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Wiki Documentation Requirements for 93000

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kjselph

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I work for a cardiology office, and recently we were told by an auditor that when performing an EKG in the office, that we must have a "Separate" report for that EKG in order to bill the 93000 code. Currently our physicians are interpreting the EKG and writing their interpretation on the strip and signing it. I was under the impression that this was sufficient documentation to bill that code. Any thoughts or opinions on this?
 
Because code 93000 is a global service, it includes the ECG recording AND the interpretation and report - two separate components, the professional and the technical. In the absence of a separate written report, code 93000 would not be appropriate. Basically it has to do with the fact that the report must be "separately retrievable" from the recording data.
 
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