Can 93320 and 93325 be billed together?

Per NCCI you can bill 93350/93306 with a modifier but your documentation will have to be solid and really illustrate medical necessity for both.

Does CPT code 93325 need a modifier?

Coding Guidelines: Intraoperative TEE List the CPT code that describes the procedure performed. 2. When CPT codes 93312, 93313, 93314, 93315, 93316, 93317, 93320, *93321, 93325 and/or 93799 are submitted, for intraoperative TEE, by an anesthesiologist (specialty #05), they must be submitted with a “59” Modifier.

What does CPT code 93325 mean?

echocardiography
To report a color Doppler examination of the flow of blood through the heart’s chambers and valves, report CPT code +93325 in addition to some of the codes for 2D echocardiography. If color Doppler and spectral Doppler are also performed, those codes may be reported also.

What is procedure code 93320?

The Current Procedural Terminology (CPT®) code 93320 as maintained by American Medical Association, is a medical procedural code under the range – Echocardiography Procedures.

Can you bill 93306 and 93350 together?

3. National Correct Coding Initiative guidelines should be followed. 4. It is medically inappropriate, and contradicts CPT descriptors, to submit CPT 93306, 93307 or 93308, preformed in conjunction with CPT 93350, as 93350 includes a 93306, 93307 or 93308 service.

Does Medicare pay for tee?

Intraoperative TEE for monitoring purposes (CPT code 93318) is a noncovered service by the majority of Medicare Contractors. A few carriers provide coverage of this service for a small group of high-risk patients.

Which code does the 59 modifier go on?

Modifier 59 may be reported with CPT code 75710 if a diagnostic angiography has not been previously performed and the decision to perform the revascularization is based on the result of the diagnostic angiography.

Can 93306 and 93351 be billed together?

Answer: Transthoracic echocardiography (93303, 93304, 93306, 93307 or 93308) may be reported on the same date of service as a stress echo (93350 or 93351) for a different clinical circumstance. The modifier -59, Distinct Procedural Service, should be appended to the applicable TTE code.

What does CPT code 93351 mean?

stress test and stress echo procedures
Code 93351 is inclusive of stress test and stress echo procedures. Physicians report 93351 when the same physician provides all components (the stress echo and stress test supervision/ interpretation). 93351 is reported by the hospital when both stress echo and stress testing is performed (without contrast).

What is the difference between 93350 and 93351?

Code 93350 has been revised to support the establishment of a child (indented) code 93351. Code 93350 is used to report the performance and interpretation of a stress echocardiogram only.

How much does an ultrasound of the heart cost?

A standard echocardiogram and TEE can each cost $2,000 or more. If you do not have health insurance, you may have to pay the whole cost yourself. And even if you have insurance, you probably have a co-pay. This can be as much as half the cost of the test.

What is code 93306 and 93320, 93325?

code 93306. This code includes all three elements, 2D Echo, Doppler and color Doppler. Codes 93320 or 93325 should not be reported with code 93306. 0 Votes – Sign in to vote or reply. That’s what I was afraid of – but Thanks for the Reply. That’s what I was afraid of – but Thanks for the Reply. 0 Votes – Sign in to vote or reply.

Should our charges for code 93306 reflect all three elements?

Should our charges for code 93306 reflect all three elements, 2D Echo, Doppler and color Doppler? Answer: Yes, fundamentally, the charges for code 93306 should be the sum of the charges for 93307, 93320, 93325.

When to pay for new asecho code 93306?

The critical piece to follow is that when the payer does establish a payment for new code 93306 it should be based on the sum of all of the parts (93307, 93320, 93325). It is important to check with your payers.

What do stress echo codes 93350 and 93351 mean?

• Per NCCI edits, stress echo codes 93350 and 93351 have a billing edit assigned to TTE codes that indicates that a modifier is allowed in order to differentiate between the services provided.