Karalea88
Contributor
If someone could help with this scenario......
Patient in cardiology office for 1 year follow up and echo regarding hypertension, cad, stenosis( echo was scheduled the same time as the 1 year follow up). Echo was done same time as encounter and reviewed, medically appropriate history and exam performed. Provider bills 99214-25, 93308. Even though, the echo was scheduled with follow up at previous visit (1 year ago) is it still appropriate to report both the E/M and ECHO?
EKG, ECHO, STRESS TEST, ETC have a XXX indicator so the global concept does not apply, so are these procedures more less exempt from the rule unless they are scheduled strictly for the procedure and the provider only does a limited exam pertaining to the medical necessity of the procedure? I want to make sure I clearly explain this to our providers because they do bill a lot of E/M's with same day test. Any guidance is appreciated!!
Patient in cardiology office for 1 year follow up and echo regarding hypertension, cad, stenosis( echo was scheduled the same time as the 1 year follow up). Echo was done same time as encounter and reviewed, medically appropriate history and exam performed. Provider bills 99214-25, 93308. Even though, the echo was scheduled with follow up at previous visit (1 year ago) is it still appropriate to report both the E/M and ECHO?
EKG, ECHO, STRESS TEST, ETC have a XXX indicator so the global concept does not apply, so are these procedures more less exempt from the rule unless they are scheduled strictly for the procedure and the provider only does a limited exam pertaining to the medical necessity of the procedure? I want to make sure I clearly explain this to our providers because they do bill a lot of E/M's with same day test. Any guidance is appreciated!!