Wiki 93303 vs 93306

[linzk1082]

Hi,
CPT 93303 is for congenital transthoracic echo. CPT 93306 is for non congenital transthoracic echo. I am curious whether the result of the echo should determine which code/test is billed?
For example if the test is done because a prenatal echo showed ventricular septal defects yet the result of the echo was normal. Which code should be billed?

 

[jewlz0879]

I would go with 93306. Sure the indication was VSD but it was discovered the patient has "nomal" echo so I would go with 93306 as 93303 is for congenital.

Logically, if you submit 93303 without a supporting congenital dx, more than likely, you'll get a denial.

You could also query the physician and see if he/she agrees.