External electrocardiographic recording (CAM or Zio)

cmedina969800

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Albany, OR
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Hello-

Our office places External electrocardiographic recording typically they are ordered for 7-14 days which would be 93246 for the application of the device. We do not bill for the technical component as the company that provides the patch does that. We also bill for the interpretation & report.

We often get patients whose device falls off 2-5 days after the application. The device is not returned to the company that supplies the device because the order is 7-14 days so the patient will come back into our clinic to have a replacement put on.

I have a question (actually 2 questions) because my office is going back and forth on this...

1) Is it appropriate to bill for the application of the "replacement" device?

2) Is it appropriate to change the code to 93242 (48 hrs to 7 days) if the intention is for 7-14 days and it falls off on day 3 and then bill for the replacement?



Thoughts?
 
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