EKG Diagnosis coding

[wbragg]

I have searched high and low for coding guidelines on how to properly diagnosis code EKG’s. In addition, I have searched for guidelines on the date of service. For example, should you report the 93010 on the date the EKG was read or on the date the EKG was performed. Should you report the indications for the EKG as well as the results? Should R94.31 be the primary dx or the should the actual results be the primary dx? If you have indications and results, should the indications be primary or the results- do you also code the indications with the results? I have been unable to locate a class specific to coding Cardiology testing – Echo’s, EKG’s, Stress tests, etc. Does anyone have any information leading to policies or classes on these?

 

[TThivierge]

WBragg
I hope can help you..use the REASON for the EKG from documentation of visit by provider but it should be on EKG result report. There have been reasoning such as dx R07.89 or abnormal results R94.31. Etc. However the resulting report says this but also is given a definitive dx such as dx I42 or dx I25 or dx R00 from results of the report. Use the definitive dx on EKG claim. Also use proper Z dx code Z12-Z13 as last dx code if applicable.
Lady T

 

[YenireddySrilekha]

WBragg
I hope can help you..use the REASON for the EKG from documentation of visit by provider but it should be on EKG result report. There have been reasoning such as dx R07.89 or abnormal results R94.31. Etc. However the resulting report says this but also is given a definitive dx such as dx I42 or dx I25 or dx R00 from results of the report. Use the definitive dx on EKG claim. Also use proper Z dx code Z12-Z13 as last dx code if applicable.
Lady T

Does this mean can we code indications of EKG for which the test has been done unless the definitive dx is not listed in the results of the report. If the condition code is in the result, can we not code indication while adding dx to the CPT. Can u clarify which is appropriate ?
Thank You.

 

[TThivierge]

Does this mean can we code indications of EKG for which the test has been done unless the definitive dx is not listed in the results of the report. If the condition code is in the result, can we not code indication while adding dx to the CPT. Can u clarify which is appropriate ?
Thank You.

Yenireddy
If the radiology report has a definitive dx given by radiologist doctor who has read the results then you can use that as the first dx code. But you can add R07.89 or whatever symptom indications from ordering provider as 2nd or 3rd dx. I hope this data helps you.
Lady T