jmlarzzaapc
New
Can anyone please clarify the EKG interpretation documentation requirements for the ED (CPT 93010)?
I know the following;
that an order needs to be present
there must be documentation in the medical record supporting the need for the EKG
there must be a separate, signed, written and retrievable report and an interpretation of the EKG that includes at least 3 of the 6 elements - axis; rhythm; rate; PR intervals, ST wave changes; comparison to a prior EKG (if reviewed)
The physicians at our hospital provide a signed order, sign off on the EKG report and they include in their ED dictation 'EKG shows' or 'EKG reviewed' and they will list the 3-6 elements of the EKG, but rarely will not elaborate any further. The ED dictation is signed by the physician and it always lists diagnoses that cover the order of the EKG.
Is this sufficient enough documentation to bill 93010? OR does the physician need to state 'EKG as interpreted by me?'
Can someone please help me out? Thank you!
I know the following;
that an order needs to be present
there must be documentation in the medical record supporting the need for the EKG
there must be a separate, signed, written and retrievable report and an interpretation of the EKG that includes at least 3 of the 6 elements - axis; rhythm; rate; PR intervals, ST wave changes; comparison to a prior EKG (if reviewed)
The physicians at our hospital provide a signed order, sign off on the EKG report and they include in their ED dictation 'EKG shows' or 'EKG reviewed' and they will list the 3-6 elements of the EKG, but rarely will not elaborate any further. The ED dictation is signed by the physician and it always lists diagnoses that cover the order of the EKG.
Is this sufficient enough documentation to bill 93010? OR does the physician need to state 'EKG as interpreted by me?'
Can someone please help me out? Thank you!