06-09-2017, 05:50 AM | Community Wiki

Page 1 of 2 12 LastLast
Results 1 to 10 of 11

EKG 93000 vs 93010

  1. #1
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default EKG 93000 vs 93010
    Medical Coding Books
    I need to find in writing this: If you own the practice and machinary, you use 93000. If the hospital owns the machinary you charge 93010, the professional component and the hospital bills for the technical component. Any links would be greatly appreciated.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Should the hospital bill 93005?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Any takers on this?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  4. #4
    Default
    Yes. For the hospital we are using 93005

  5. #5
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Is there any official documents that states this?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  6. #6
    Default Ekg
    This is my understanding of the way this breaks down in CPT.

    If the EKG is done in an office where the Dr. owns the equipment (EKG machine) and is doing the interpretation and report use 93000. This is the global code per CPT -- ECG with at least 12 leads with interpretation and report.
    If the EKG is done in a facility that owns the equipment they do 93005-TC. They own the equipment, but the Dr. does the interpretation, not the facility and he can charge 93010-26 for the interpretation and report only.

    So, either 93000 (Dr owns and does it all)
    93005-TC facility charge for running the test and 93010-26 Dr. charge for interpretation.

    Anyone else?

  7. Default
    Hello!
    93010 does not need a modifer 26, it is for interpetation and report only, so 26 is not need.

  8. #8
    Location
    Charleston, South Carolina
    Posts
    641
    Wink
    Actually, if you look at the Medicare fee schedule (where they list codes with the global, the technical and professional separately on separate lines/separate RVUs) you will find only one listing for each 93005 and 93010. Neither of these needs a modifier as the verbiage clearly indicates 93005 is technical part only and 93010 is professional part only, while 93000 is the global.
    Machelle Morningstar, CPC, COC, CEMC, COSC
    AHIMA Approved ICD-10-CM/PCS Trainer

  9. #9
    Default ekg
    Thanks for clarifying that! I stand corrected 93005 and 93010 (no modifier!).
    Thanks again!

  10. Smile ekg
    Thanks for all of the input. I have a hospitalist that now tells me that he gives me a charge even when he reads another physicians ordered ekg.

    Example: pt admit from ER, Er phys ordered EKG, when the patient comes to the floor, Hospitalist also reads that same EKG, will he get a interpretation charge also?

Page 1 of 2 12 LastLast

Similar Threads

  1. Need a separate report for 93000, 93005 and 93010
    By Gainingknowledgedaily in forum Cardiology
    Replies: 3
    Last Post: 02-04-2014, 10:37 PM
  2. 93010 or 93000
    By asims2008 in forum Cardiology
    Replies: 2
    Last Post: 08-01-2011, 01:13 PM
  3. EKG - 93005 vs 93000 vs 93010
    By mkm1517 in forum Cardiology
    Replies: 8
    Last Post: 05-08-2009, 06:11 PM
  4. EKG - 93005 vs 93000 vs 93010 - understand the codes
    By mkm1517 in forum Family Practice
    Replies: 2
    Last Post: 10-10-2008, 06:43 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?

Login

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.