Results 1 to 2 of 2

ProFee Billing for Echo and EKG denials

  1. Default ProFee Billing for Echo and EKG denials
    Medical Coding Books

    We are having problems with billing professional fees for EKGs and Echos interpretations. When the MD's bill for the fee they only have the diagnosis codes that the patients is either in the hospital for or going to have surgery for. These codes are clearly not related to any cardiology studies and are all bing denied for diagnosis cross walk errors. My question is does anyone know of a universal code for Medicare to cover Interpretations in itself?

  2. Default
    If the EKG is a "pre op" test, I use V72.81 as primary Dx at it gets paid. As for echo, we usually have a cardiac related reason for those to be ordered. I will sometimes use the echo findings as part of the Dx as well.

Similar Threads

  1. 2013 Molecular Tier Code Denials for Profee (26 modifier)
    By JKAHL1@JHMI.EDU in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 05-28-2013, 07:43 AM
  2. Ekg/cardiac echo
    By coder1 in forum Cardiology
    Replies: 0
    Last Post: 05-20-2013, 07:39 AM
  3. office visit, echo and ekg
    By tdnguyentx in forum Cardiology
    Replies: 4
    Last Post: 12-06-2012, 04:32 PM
  4. ekg and echo same day
    By in forum Cardiology
    Replies: 6
    Last Post: 07-23-2012, 03:34 AM
  5. Echo Denials
    By renifejn in forum Cardiology
    Replies: 6
    Last Post: 10-16-2008, 07:38 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.