Health Information Management

Monitoring integral to surgery

APCs Insider, March 5, 2004

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

QUESTION: When a patient is under general anesthesia, a 3-lead electrocardiogram (EKG), CPT 93041 is performed. Is this considered bundled into the APC rate as monitoring of anesthesia or is it a separate procedure that needs to be billed under the APC system? We checked the Correct Coding Initiative (CCI) edits and do not see that the surgery HCPCS and the 93041 CPT cannot be billed together.

ANSWER: With the current CCI edits, you are correct that no edit will prohibit the combination of a surgery CPT code along with 93041, 3-lead EKG. However, monitoring with 3-lead EKG would not be provided if it were not for the surgery. Therefore, the 3-lead EKG is considered part of the patient's operative needs or surgical services and a separate charge identified by CPT code 93041 is not allowed, according to Program Memorandum A-01-133. The monitoring is integral to the surgical services and packaged into the surgery services APC payment.

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular