Wiki Tee dx for pfo

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gnp001

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I'm really hoping someone more experience in Cardiology can help me. I'm fairly new and have managed pretty well but this has me stumped.

My physician did a TEE to see if the patient's PFO was still open but I have no idea how to code the PFO and if it's even payable.

Any and all help is much appreciated. I've spent quite a bit of time looking but I'm not sure I understand exactly what I'm looking for. I went to the physician and he really couldn't help me much.

Many thanks to everyone!
:confused:
 
gnp001 said:
I'm really hoping someone more experience in Cardiology can help me. I'm fairly new and have managed pretty well but this has me stumped.

My physician did a TEE to see if the patient's PFO was still open but I have no idea how to code the PFO and if it's even payable.

Any and all help is much appreciated. I've spent quite a bit of time looking but I'm not sure I understand exactly what I'm looking for. I went to the physician and he really couldn't help me much.

Many thanks to everyone!
:confused:
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Most of the time we use 745.5 for our PFOs unless it is ventrical defect being corrected. 745.5 can be used for a Patent or persistent foramen ovale/atrial.
 
No we do not use the congenital echo code with PFO's. Per CPT instructions a PFO is non-congenital. If a tee was done for ASD then you would use the congential echo/htc codes. If it is done for a PFO then you use the non-congenital CPT codes.

Misty Sebert, CPC, CCC
Spokane Cardiology Providence Heart Institute
 
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