Internal Medicine Coding Alert
Reader question:
IPPE: Only Report G0403 for EKG
Published on Thu Mar 15, 2012
Question:
Kentucky Subscriber
Answer:
You can only bill for a screening EKG with G0403 (Electrocardiogram, routine EKG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report) in conjunction with the patient's IPPE. Any other time your physician conducts an EKG, you should submit 93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report). In this latter case, you would indicate the nature of EKG (i.e. screening versus diagnostic) through an appropriate ICD-9 code.Other Articles in this issue of
Internal Medicine Coding Alert
- Incident-to Billing:
Incident-to Claim: Avert OIG Audit with These Tips
Heads up: 4 must-know tips for coding help. The HHS Office of Inspector General (OIG) [...] - Coding Tips:
Diagnosis and Management Option Should Tally For Crohn's Claims
Concentrate on the full picture for maximum ethical reimbursement. If your physician treats patients with [...] - CMS Corner:
Updates on Incentive Payment Program and ICD-10
Plus: Rural health providers, check your listing for accuracy. If you have a physician or [...] - ICD-10:
Varicose Vein Diagnoses: Adding Multiple Codes
Your coding options explode with ICD-10. Recent statistics show that up to 25 percent of [...] - You Be the Coder:
Reason for DES Reporting Points Diagnosis
Question: We have a new patient in our office whose mother took DES while pregnant. [...] - Reader question:
Options for Best Answer to Split Admit/Discharge Scenario
Question: When you have a patient admitted by one physician, but a different physician discharges [...] - Reader question:
Two Units of 87804 Is OK -- But Add Correct Modifier
Question: A patient with only Medicaid coverage came to our office for a flu test. [...] - Reader question:
IPPE: Only Report G0403 for EKG
Question: Can we only bill a screening EKG with an IPPE (initial preventive physical exam), [...] - Reader question:
Overly Damaged Hair Could Mean 704.2
Question: A teenager came to our practice with a note saying she could not return [...] - Reader question:
Vitamin B-12 Charge Depends on Payer and Site of Service
Question: Our clinics frequently provide B-12 shots as stand-alone charges with no E/M charge. We [...] - Reader question:
Double Check Copay Early to Save Future Hassles
Question: A patient came to our office with the same insurance card she's had for [...] - Reader question:
No Modifier 55 for Suture Removal
Question: An established patient went to the emergency room in another state over the weekend [...] - Reader question:
Improper ICD-9 Code? Refer to Closest Diagnosis Equivalent
Question: My internist saw a patient for "ciliary dyskinesia." This condition occurs in the nasal [...]
View All
