Wiki Billing Intraoperative TEE

[meganrveach]

Can anyone tell me how to correctly bill for an intraoperative TEE when it is being done as an intraoperative evaluation to assess prosthestic or repaired/reconstructed valve function, or the integrity/function of complex congenital heart repairs? It does meet the indication in which Indiana Medicare has stated in the LCD. Do I bill diagnostic TEE 93312 with 59 and 26 modifer (hospital setting) along with the general anesthestic charges, as long as there is a report/interpretation? Thanks!

 

[CatLaw]

Yes, as long as you are doing the placement, report and interpretation. Otherwise you can choose from 93313 for placement of probe only or 93314, interpretation and report. I don't believe you will need the 26 modifier. I would only use 59 modifier.