The following includes edits going to production around September 20, 2013 at Blue Cross & Blue Shield:
Revised Edit #23 — Electrocardiogram, Stress Test, Rhythm Electrocardiogram and Electrocardiograms with Interpretation and Report with Emergency Department Evaluation and Management Services (E&M).
Rationale: Anthem Central Region bundles 93010, 93018, 93040, 93042 and 0180T with emergency department evaluation and management services (99281-99285). Anthem considers interpretation of these tests to be a component of an evaluation and management service. Therefore, if 93010, 93018, 93040, 93042 or 0180T is submitted with an emergency department evaluation and management service (99281-99285)—only the evaluation and management service will be reimbursed.