Cardiology Coding Alert
Figure Out This TEE Scenario
Question: After the patient was appropriately prepped and anesthetized, the provider performed a transesophageal echocardiography (TEE) with multiple transducers to obtain a two-dimensional (2D) image of the heart. How should I report this procedure? Alabama Subscriber Answer: Report 93312 (Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report) on your claim. Don’t miss: A TEE test provides a close look at the heart’s valves and chambers to assess the overall function of the heart’s valves and chambers and to determine the presence of many types of heart disease. A TEE involves using a flexible tube with a transducer at its tip. The probe generates ultrasound in the form of an M mode, producing an image similar to a tracing that captures the one-dimensional motion and position of the heart and its chambers on a paper strip. This procedure is known as two–dimensional motion. Coding tip: Code 93312 contains both a technical and professional component. Append modifier TC (Technical component) when reporting only the technical component. Append modifier 26 (Professional component) when reporting just the professional component. Don’t miss: Never report 93312 in conjunction with TEE code 93355, according to CPT®. “Don’t forget to report your codes for Doppler — +93320 (Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete) or +93321 — (… follow-up or limited study (List separately in addition to codes for echocardiographic imaging)) and color flow — +93325 (Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)) studies when performed with the TEE if appropriately documented, says Robin Peterson, CPC, CPMA, senior consultant; compliance review, education, and training, Pinnacle Enterprise Risk Consulting Services in Centennial, Colorado. “These codes have a professional and technical component as well, so you’ll need to append modifier 26 (Professional component) if you’re only reporting the professional component.”
Cardiology Coding Alert
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