indirakumaris
Contributor
kindly confirm whether the below document for stress echo is eligble for 93320-26 and 93325-26 . It is billed in hospital.Doctor office bill for only 93350-26?
Indication: Chest pain
Measurements:
LA 3.7 cm
IVS 1.0 cm
PW 1.0 cm
LVEDD 4.2 cm
LVESD 2.7 cm
LVOT 2.0 cm
Ao 3.8 cm
2-D and Doppler interpretation:
The right atrium is normal. The tricuspid valve is morphologically normal. There is trace tricuspid regurgitation. The right ventricle appears normal in size and function. The pulmonic valve appears grossly normal. The left atrium is normal. The mitral valve is normal with normal leaflet excursion. There is trace mitral regurgitation. The left ventricular cavity size, wall thickness, and systolic function is normal. Left ventricular ejection fraction is estimated 55 %. The aortic valve appears normal with normal leaflet excursion. The proximal segment of the ascending aorta is normal in size. There is no pericardial effusion. The patient is noted to be in sinus rhythm during the study.
The patient exercised on a standard Bruce protocol, achieving greater than 85% of the maximal predicted heart rate with no chest pain reported, sinus rhythm throughout, no ischemic EKG changes, and physiologic blood pressure response.
STRESS ECHOcardiography revealed normal augmentation of left ventricular systolic function with EF 65% and no stress-induced ischemic wall motion abnormalities.
Conclusion:
Normal STRESS ECHOcardiogram
Thanks
indira.s
Indication: Chest pain
Measurements:
LA 3.7 cm
IVS 1.0 cm
PW 1.0 cm
LVEDD 4.2 cm
LVESD 2.7 cm
LVOT 2.0 cm
Ao 3.8 cm
2-D and Doppler interpretation:
The right atrium is normal. The tricuspid valve is morphologically normal. There is trace tricuspid regurgitation. The right ventricle appears normal in size and function. The pulmonic valve appears grossly normal. The left atrium is normal. The mitral valve is normal with normal leaflet excursion. There is trace mitral regurgitation. The left ventricular cavity size, wall thickness, and systolic function is normal. Left ventricular ejection fraction is estimated 55 %. The aortic valve appears normal with normal leaflet excursion. The proximal segment of the ascending aorta is normal in size. There is no pericardial effusion. The patient is noted to be in sinus rhythm during the study.
The patient exercised on a standard Bruce protocol, achieving greater than 85% of the maximal predicted heart rate with no chest pain reported, sinus rhythm throughout, no ischemic EKG changes, and physiologic blood pressure response.
STRESS ECHOcardiography revealed normal augmentation of left ventricular systolic function with EF 65% and no stress-induced ischemic wall motion abnormalities.
Conclusion:
Normal STRESS ECHOcardiogram
Thanks
indira.s