Wiki interventional cardiology services

[cheryl a beal]

Does an interventional cardiologist need a referral from an EP to bill a new patient visit?

 

[jenneverett]

I would say it depends on whether the patient's insurance requires a referral.

If they don't and the EP and interventional cardiologist are not in the same group with the same taxonomy code, then you should be able to bill a new patient E&M.



Jennifer Everett, CPC

 

[ToniasCertification]

No referral is usually required since the PCP probably already received authorization for all Cardiology Services. EP wold fall under that.

Depending on the scope of practice, I would be careful billing a NP E&M code however.