Results 1 to 2 of 2

E&M same day as Nuclear Stress Test

  1. Unhappy E&M same day as Nuclear Stress Test
    Clearnace Sale
    We perform Nuclear Stress Testing in our office. Our physicians have recently been told by a colleague that if the patient being referred to them is new to the practice and they perform a brief consult or history and physical, they can also bill this in addition to the test.

    I have always been under the impression that the "brief H&P" would already be included with part of the test and you would not bill this separately.

    I have been able to find no guidelines on this. The only reasoning I can find for them to do this is if the referring doctor specifically requests for the doctor to also do a consult in addition to the test. Otherwise, I cannot see billing an E&M with this.

    Does anyone currently do this or have you heard of doing this?

  2. #2
    Question Stress Test w/ EM
    I also code stress tests but do not code an EM visit. Normally, the chief complaint is documented and a brief history which would be included in the test. I cannot find any specific guidlines on this either.

    The patient being referred for the stress test already has some type of sign or symptom or established diagnosis. I do not see why it would be necessary for the physician to do their own E/M if it was not requested in a consult.

    The only thing I could find in the CPT book is "If the physician provding nuclear medicine services is also responsible for the diagnositic work-up and/or follow-up care of the patient, E/M service codes should be coded in addition to the nuclear medicine procedures." I can see if the patients primary care requests a cardiology consult and the cardiologist decides to order/perform the stress test the same day but otherwise I don't think an E/M visit should be coded just because the patient is new.



Similar Threads

  1. Nuclear stress test help
    By player14 in forum Cardiology
    Replies: 3
    Last Post: 08-14-2015, 01:25 PM
  2. Billing nuclear stree test & adenosine stress tests
    By charlesbaci in forum Cardiology
    Replies: 1
    Last Post: 06-02-2012, 08:36 PM
  3. NP and Nuclear Stress Test
    By dkirkpatrick in forum Cardiology
    Replies: 2
    Last Post: 01-20-2012, 01:53 PM
  4. Nuclear Stress Test, etc.
    By Cpeterson2010 in forum Family Practice
    Replies: 0
    Last Post: 07-15-2010, 12:12 PM
  5. E&M Visit same day as Nuclear Stress Test
    By JBurnham in forum Cardiology
    Replies: 3
    Last Post: 02-19-2008, 01:05 PM

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.