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Thread: Inpatient E/M

  1. #1
    Join Date
    Apr 2007

    Default Inpatient E/M

    AAPC: Back to School
    I'm coding for Inpatient E/M at my work. And came across a note that the physician did the following.

    The patient has tachycardia HR 140-170. EKG showed regular rhythm. The patient's SBP around 110.
    I proceed to cardiovert the patient with Adenosine 6 mg IV x1. The patient was on continuous monitor. Monitor showed atrial flutter. The patient did not convert. He remains stable throughout

    Can I charge for this in a Inpatient setting. For some reason I'm thinking to add CPT 96374 or 93015 for this.

    (By the way the Critical Care note is complete, this note above is a separate note).

    Some guidance please.

    Thank You
    Daniel ,CPC
    Last edited by daniel; 02-09-2010 at 08:55 AM.

  2. #2
    Join Date
    Apr 2007


    Any takers

  3. #3
    Join Date
    Apr 2007


    I'm confused. Maybe because this really isn't my area anymore I'm out of touch with cardiology but I have no idea what is going on.

    If the patient is critical why are they put on a treadmill/bike? Of course I don't get that from the note but thats what 93015 is.

    Laura, CPC, CPMA, CEMC

  4. #4
    Join Date
    Apr 2007


    Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report

    I'm not saying they were on a treadmill, if you look at this code it includes and/or pharmacological stress. Which mean the physician injects a pharmacological agent to simulate the effects of exercise on a patients heart.

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