Cardiology Coding Alert
READER QUESTION ~ Multiple Echos Are Possible
Multiple Echos Are Possible-- Here's How Question: My cardiologist performed an echo and then decided to do transesophageal echocardiography (TEE). Can I bill both or just the TEE? Answer: If you've got medical necessity to provide the second diagnostic exam, you can code both. First, you should report the echocardiography with: • 93307-26--Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; complete; professional component • +93325-26--Doppler echocardiography color flow velocity mapping (list separately in addition to codes for echocardiography). Then you should report the transesophageal study as: • 93312-26-59--Echocardiography, transesophageal, real time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report; distinct procedural service • +93320-26-76--Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; complete (list separately in addition to codes for echocardiographic imaging); repeat procedure by same physician • +93325-26-76--Doppler echocardiography color flow velocity mapping (list separately in addition to codes for echocardiography). Your carriers may deny the second set of Doppler and color flow CPT codes as duplicates. If you have medical necessity and very good documentation to back up why you are charging a second set of Doppler and color flow CPT codes, you should appeal a denial to receive payment.
Alabama Subscriber
Cardiology Coding Alert
- Technology Is Key When Reporting 24-Hour Cardiac Monitoring Codes
Learn how to determine your date of service When you're deciding which CPT code series [...] - Coding Quiz ~ Catch Your Cath Coding Mistakes Ahead of Time
Learn what to do if a patient transfers for a same-day catheterization When a cardiology [...] - You Be the Expert ~ "OOO" Global Days Still Mean Global Period
'000' Global Days Still Mean Global Period Question: I'm trying to wrap my head around [...] - Focus on the Details to Choose Between 99213 and 99214
Never assume certain cardio diagnoses merit high-level E/Ms Your cardiology practice is more likely to [...] - READER QUESTION ~ Multiple Echos Are Possible
Multiple Echos Are Possible-- Here's How Question: My cardiologist performed an echo and then decided [...] - READER QUESTION ~ Same-Day EP, Cardiologist Visit?
Question: Can I bill for an office visit by a cardiologist and an electrophysiologist (EP) [...]
