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Article 28 /split billing

  1. #1
    Default Article 28 /split billing
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    I'm wondering if someone could advise. We are an Article 28 Hospital with out patient Family practice and Cardiac services so billing for Medicare is split.
    We received a denial from Medicare on CPT 93295,stating not billable to Medicare A.
    I'm wondering if someone can advise which CPT should be used to bill the remote acquisition of and interpretation of the remote data.
    Is there a global code Perhaps(?) 93297
    The service was provided outside of the 90 day service period for a remote defibrillator(ICD) evaluation acquisition and interpretation by Cardiologist
    Appreciate direction
    Cheri Westman

  2. #2
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    There is no global code for this service. 93294 (for pacemaker) and 93295 (for ICD) are the professional services - the technical counterpart for both of these is 93296.
    Thomas Field, CPC, CEMC

  3. #3
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    Medical Billing
    Thank you

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