Does CPT 93320 need a modifier?
Coding Guidelines: Intraoperative TEE 2. When CPT codes 93312, 93313, 93314, 93315, 93316, 93317, 93320, *93321, 93325 and/or 93799 are submitted, for intraoperative TEE, by an anesthesiologist (specialty #05), they must be submitted with a “59” Modifier.
Is CPT code 93320 an add on code?
Note that codes +93320 and +93321 are “add-on codes” and cannot be reported separately. They may be reported in conjunction with 93308 and 93350, among others.
What is procedure code 93320?
93320 – Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete.
Can 93320 and 93325 be billed together?
If your physician is billing for an Echo, just a plain ole’ Echo and he performs a complete echo as listed under 93306, then no, he should NOT be billing 93320/93325 in addition. But you also have a Stress Echo. For a stress echo in the hospital you would bill: 93350.
Can you bill 93306 and 93350 together?
These codes bundle (93306/93350); you’re billing a stress echo and an echo, in order to bill both, you’d need SOLID documentation of distict separate procedures with different dx.
Do echocardiograms require prior authorization?
Prior authorization is required for stress echocardiogram and echocardiogram procedures performed in any outpatient setting other than emergency rooms (place of service 23) and urgent care centers (place of service 20).
How is a transthoracic echocardiogram performed?
Transthoracic echocardiogram A technician (sonographer) spreads gel on a device (transducer). The sonographer presses the transducer firmly against your skin, aiming an ultrasound beam through your chest to your heart. The transducer records the sound wave echoes from your heart.
What does CPT code 93350 mean?
CPT® 93350 in section: Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed.
Does 93306 need a modifier?
Your doctor would report the appropriate echocardiogram code such as 93306 with modifier 26 for interpretation of the exam at the hospital.
How much does a echocardiogram cost?
An echocardiogram can cost you a lot. A standard echocardiogram and TEE can each cost $2,000 or more. If you do not have health insurance, you may have to pay the whole cost yourself. And even if you have insurance, you probably have a co-pay. This can be as much as half the cost of the test.
When to use modifier 91 in CPT code?
Modifier 91 is used to report any repeat clinical diagnostic laboratory test being billed if: A single service (same CPT code) is ordered (for the same beneficiary) Specimen is collected more than once in a single day. The service is medically necessary.
When to use Opps code 93312 or 93315?
Use procedure code 93312 (C8925 for OPPS billing when contrast is used) or 93315 (C8926 for OPPS billing when contrast is used) for the complete procedure, including probe placement, image acquisition, interpretation and report. Code 93315 (C8926 for OPPS billing when contrast is used) should be used for congenital anomalies only.
Is the CPT code 93317 reserved for congenital anomalies?
Code 93317 is reserved for congenital anomalies only. CPT code 93318 (C8927 for OPPS billing when contrast is used) (intraoperative monitoring) is considered part of an anesthesia service and should not be billed separately by the anesthesiologist.
When to use modifier 59 when reporting lab procedures?
When reporting lab procedures, modifier 59 is used when the same lab procedure is done, but different specimens are obtained, or the cultures are obtained from different sites. The June 2002 CPT® Assistant provides the following example showing the correct application of modifier 59: