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Office and EKG billing

mankwan

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2
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what will be the correct code to bill for office visit with ekg 10 leads? i have billed 99214 and 93000 to medicare and medicare has been denied EKG 93000.
 

jhendrix08

Guru
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149
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What dx code did you use with the EKG? We've never had trouble getting reimbursement for office visit and EKG; the CPT code you are using is correct. I'm wondering if the Dx code is the issue.
 

RDK720

Networker
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43
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what will be the correct code to bill for office visit with ekg 10 leads? i have billed 99214 and 93000 to medicare and medicare has been denied EKG 93000.
I've seen ECG's billed either 93005 & 93010 to do split billing or 93000 on a 1500 claim. One denial reason could be the number of ECG being billed. What denial are you getting?
 
Messages
239
Location
Selden
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0
I assume the above poster means 93005 & 93010. However, if you own the equipment, perform the ECG and provide a report, 93000 is the correct code. I would think the problem is the diagnosis.
 

eoroz2381

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If the patient is having their initial ECG and they have medicare, do you use the G0404 and G0405? Would the appropriate diagnosis code for the screening be Z13.6 screening for cardiovascular disorders? Also, We are getting the 93000 denied would we bill the 93005 and 93010 instead?
 
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