Find out Disconnect Dates Proper Place for Cardio Coders

Find out Disconnect Dates Proper Place for Cardio Coders

Tip for cardio coders: You should be well aware of the hook-up date and disconnect day.

Question: Which date of service (DOS) should I opt for 30-day cardiac event monitoring?

Answer: For your Part B administrator for Washington, Noridian Medicare, you'll need to know both (a) the date when the staff hooked up the patient; (b) the day when they disconnected the patient. However, knowing which dates to go for is only half the battle you also require to know where to report them.

When you are reporting 30-day cardiac event monitoring, Noridian needs providers to report the hook-up date as the "from" date and the disconnect date as the "through" date in Item 19 of the CMS-1500 (or for that matter its electronic equivalent).

Watch out: You should report only the "from" date (i.e, the hook-up date) in Item 24A (or its electronic equivalent), instructs Noridian. You shouldn't report the "through" (disconnect) date in 24 A as if you have dates spanning two months and only a single unit, "the system incorrectly suspends the claim and asks the provider for clarification," states Noridian.

The codes for the 30-day monitoring consist of 93268-93272 (Wearable patient activated electrocardiographic rhythm derived event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time ) and 93012-93014 (Telephonic transmission of post-symptom electrocardiogram rhythm strip[s], 24-hour attended monitoring, for each 30 day period of time).

Otherwise if the "monitoring service meets the definition of the new 30-day cardiovascular telemetry service," look to (Wearable mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage [retrievable with query] with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days time ), states Noridian.

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