Professional Services Coding Guidelines

Simple notations in the E&M visit notes, such as "EKG-neg" or "EKG-acute MI", are not adequate documentation. Example: ECG/EKG ordered and read by the same provider in conjunction with a visit. The provider would capture the tracing, as well as the interpretation and report for the ECG along with the visit and code 93000 or 93040, as appropriate. ................
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