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Is the Dx of HTN sufficient medical necessity for 93000?

  1. #1
    Default Is the Dx of HTN sufficient medical necessity for 93000?
    Medical Coding Books

    new patient, has a hx of HTN, physician wants an EKG - there is no complaint - just the hx of HTN and the physician thinks it is related to 'white coat syndrome'


    Thanks - Schawn

  2. Default

    Absolutely, hx of HTN is a valid reason to have an EKG done. We do one for almost every new patient visit or consultation . It's important since uncontrolled or unmanaged HTN can lead to stroke & heart attack,also the doctor needs to establish a baseline EKG should the patients HTN worsen or new symptoms occur. Both HTN 401.1-401.9 and 796.4 are on the Medicare LCD list L28255.

    I hope this help answer your question,

    Dolores, CPC, CCC

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