Urology Coding Alert

Reader Questions:

Understand How to Execute EKG Services in Your Urology Office

Question: Can a urologist office bill for an Electrocardiogram (EKG), and if so, what CPT® code should be billed? It’s really difficult to have patients get a pre-op EKG on time and my providers would like to offer this service to make it easier for the patients to get what they need in one location before surgery.

AAPC Forum Participant

Answer: Yes, they can bill for this service if they have the proper equipment and training to perform the procedure. If your practice is providing both the professional and technical portions of the service, you’ll report 93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report) for a standard 12-lead EKG. If you are providing only the technical component, you would use 93005 (…tracing only, without interpretation and report); for the professional component only, you would use 93010 (… interpretation and report only).

Don’t forget: Because there are separate codes for each component of the service, you would not bill 93000-TC (Technical component…) or 93000-26 (Professional component), as the separate codes for the professional and technical components of the service mean that this way of coding for the service components is redundant.