Hi. If these are Medicare patients you are referring to, then the physician can't bill for routine EKG because Medicare doesn't pay for routine anything. For other patients, I would think that 93005 would be the most appropriate code to bill. 93000 requires, in addition to medical necessity, the physician's actual documentation of interpretation and a report on that interpretation and some type of authentication or signature. If I don't find this information on the tracing, I usually look in the progress notes. Normally, you would expect a the information on the tracing with a reference in the progress notes. Keep in mind that I'm speaking from exclusively doing Medicare reviews. Your carrier should have information on their website regarding your question. Hope this helps.
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