1. Larry Halem MD, CPC VEP Regional Productivity Director
Quick Tips
Larry Halem MD, CPC
VEP Regional Productivity Director

2. ECG interpretation ECG reading must include 3 of 6 components:
1. Rate and/or rhythm
2.Axis
3. Intervals (ie QT interval, PR interval)
4. Segments (ST or T wave changes)
5. Comparison to old ECG (stating no old to compare to is also acceptable)
6. Summary of clinical condition
Must include interpreted by me
RVU:0.24

3. Repeat ECG’s
Medical necessity must be documented to justify repeated ECG

4. Rhythm Strips Rhythm Strips (0.2 RVU)
In the past we needed a specific event to document a rhythm strip
Now we need and order for cardiac monitoring and an interpretation
Example: NSR rate 80 or atrial fibrillation rate 106
You can bill for both and ECG and rhythm strip with most payers