This is interesting. I have never thought about it but I always just give them 2 pts if they are ordering and reading their own EKGs.
My take on would be that if you are reading a test and it counts toward data pts on E/M you are obviously the one who ordered it, otherwise it would be a non issue and you would only charge for reading the EKG. So it wouldn't make sense to give additional credit for ordering the testing to be done.
I agree with you that is sounds like double dipping. Hopefully someone will have a resource to clarify this.
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