Cardiology Coding Alert

Reader Questions:

Remember Mod 26 for TEE Claims

Question: Medicare has been denying claims that include 93312, +93320-26, and +93325-26. Should I be reporting TEEs differently? Nebraska Subscriber Answer: First, be sure that you append modifier 26 (Professional component) to 93312 (Echocardiography, transesophageal, real time with image documentation [2D] [with or without M-mode recording]; including probe placement, image acquisition, interpretation and report) when the cardiologist performs a hospital transesophageal echocardiography (TEE). Modifiers: Your question indicates that you already are appending modifier 26 to +93320 (Doppler echocardiography, pulsed wave and/or continuous wave with spectral display [List separately in addition to codes for echocardiographic imaging]; complete) and +93325 (Doppler echocardiography color flow velocity mapping [List separately in addition to codes for echocardiography]). Code 93312 has professional and technical components just as +93320 and +93325 do, so you need to indicate that you are reporting only the professional component of each code, if that is the case. Place of service: Second, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Cardiology Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.