Cardiology Coding Alert

Reader Question:

Transtelephonic Monitor

Question: We hook patients up to transtelephonic monitors, sometimes looping, sometimes nonlooping. Our transmissions are forwarded to an outside facility, and our doctors do the interpretations. The company that receives the transmissions suggested G codes that were denied by our local Medicare carrier because these codes can only be used by 24-hour facilities. For a nonlooping monitor, should I bill just 93014, or 93014 and 93012?

Illinois Subscriber  
Answer: Because an outside agency is performing the scanning and retrieval for this service, the only code that may be billed is 93014 (telephonic transmission of post-symptom electrocardiogram rhythm strip[s], per 30-day period of time; physician review with interpretation and report only). Do not use code 93012 (... tracing only).
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