I don't code an EM visit with the stress test. The physician performing the stress test will usually list the chief complaint and any prior diagnosis pertinent to the stress test (ie..CAD, HTN, HC). I also assumed it's included in the stress test portion. The CPT coding guidelines under Nuclear Medicine state "If the physcian providing nuclear medicine services is also responsible for the diagnostic work-up and/or follow-up care, evaluation and managment service codes should be coded in addition to nuclear medicine procedures." Coding an EM visit simply because the patient is new doesn't sound right. I'll see what else I can find....
As far as coding a consult, I normally see the consult for cardiology 1st than the stress test follows???? I guess if they were done on the same day you can code both as long as a consult was requested by the PCP.
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