Forum - Questions & Answers

Jul 15th, 2011 - funequa 5 

Proper Coding and billing for an Event recorder

A vendor is directing an office to code 93270, 93271, and 93272 for an event recorder. I was thinking 93268 would be appropriate. Please advise.
Thank you.

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Jul 21st, 2011 - jschmutz   323 

re: Proper Coding and billing for an Event recorder

An "Event Recoder" is pretty vague. We would need more information about this "Event Recoder" and what it does and what it records, etc.

93268: The purpose of this study is to evaluate the patient's ambient heart rhythm during symptoms. The physician instructs the patient in the use of an external rhythm monitor. A technician places ECG leads on the patient's chest, and the monitor uses a symptom-related memory loop mechanism with remote download capability up to 30 days to record the patient's rhythm. During symptoms, the patient activates the monitor by pressing a button. The resulting recording includes ECG activity prior to and during symptoms. The patient uses the device to transmit the recording over the telephone line, allowing a rhythm printout to be generated. The physician reviews and interprets this rhythm strip. Code 93268 reports transmission and physician review and interpretation. Code 93270 reports the recording only (including connection, recording, and disconnection). Code 93271 reports transmission download and analysis. Code 93272 reports only the physician review and interpretation.

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