Wiki What echo code(s) to use?

[Amanda__]

Hi all,

can someone please help me out with the following questions?

1) If a patient was born with a "congenital" heart defect and was later repaired, is this patient still considered to have a "congenital" heart disease?

2) How would I bill the above scenario? Do I continue to bill for the transthoracic echo code for "congenital" heart diseases (93303) OR should I bill from now on, the transthoracic echo code for "non-congenital" heart disease (93306)?

Your input is much appreciated!!

-Amanda G. Persaud, CPC

 

[jewlz0879]

1. would still be considered congenital. Per Dr. Z, "once congenital, always congenital"

2. You would go with the congenital code.

Unless they had a transplant. After transplant, if any residual congenital remains, use congenital codes.

HTH