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Thread: Billing for Stress Test in a Hospital by PCP (Internal Medicine)

  1. #1
    Join Date
    Apr 2007

    Exclamation Billing for Stress Test in a Hospital by PCP (Internal Medicine)

    AAPC: Back to School
    I'm doing research for a PCP (Internal Medicine). I'm not a biller, I'm an HCC ICD-9 coder, so any help would be greatly appreciated!


    A PCP conducts a stress test at a hospital, which test he supervises, intereprets, and reports. No tracing was done. Hospital owns the equipment.

    What CPT code(s)/modifier(s) should the PCP bill? 93015-26? Thanks in advance for the help!

  2. #2
    Join Date
    Apr 2007
    Green Bay


    He would bill codes 93016 and 93018 then.

    A -26 wouldn't be put on the 93015 as this is the "global" stress test code.

    93017 is the technical component of a stress test while
    93016/93018 is reporting the professional components of a stress test

    Jessica CPC, CCC

  3. #3
    Join Date
    Apr 2007

    Smile Billing for Stress Test in Hospital by PCP (Internal Medicine)

    Thanks so much, Jessica. And I'm sure the PCP I researched this for thanks you, too!

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