Does 93010 need a modifier?
You shouldn’t need any modifiers–by definition, this code is for interp and report only. Also, it doesn’t have a PC/TC breakdown on the MPFS.
Can 93016 and 93018 be billed together?
It is possible for one physician to code both 93016 and 93018 if he or she performs and supervises the test and provides an interpretation and written report. This physician may or may not be the same physician who performs and bills code 78452.
Does Medicare pay for CPT 93010?
Consistent with Medicare guidelines, interpretation of the ECG must be done contemporaneously (at the time that clinical management decisions are being made). BCBSNC reimbursement for the professional component (procedure 93010) is for “interpretation and report” of an ECG procedure, not “review” of the procedure.
What does CPT code 93010 mean?
Electrocardiogram, routine ECG
CPT 93010 is defined as an “Electrocardiogram, routine ECG with at least 12-leads; interpretation and report only.”
What does CPT code 93015 mean?
Cardiovascular stress test
CPT® 93015 in section: Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress.
What is cpt78452?
Myocardial perfusion imaging
Myocardial perfusion imaging CPT code is being done to determine the significance or the extent of myocardial ischemia (or scar), or to assess myocardial viability (e.g., risk stratification following acute myocardial infarction). Planar techniques, such as conventional scintigraphy, are rarely used.
How often can CPT 93010 be billed?
jennie2223 said: are multiple units allowed for CPT 93010? Yes you may bill multiple units; however, depending on the insurancewill determine how the units are billed. Florida Medicaid let us bundle the units all together for billing.