Echo and Stress Echo billing
We have started billing for a new cardiology clinic and I would like some advise from experienced cardiology billers. Your advise will be greatly appreciated.My understanding is that a typical stress...
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A typical stress echo is bill 93350 and 93015. If you are using color flow and doppler, then add 93320 and 93325. 93350 is an echocardiogram during rest AND stress so the 'limited' echo performed...
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Thank you so much. I made an error when I referred to code 93308. We do use the 93350 and 93015 along with color flow and doppler. After reading your reply I clarified with the billing staff that we...
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I am curious to know exactly what documentation they brought to show it was not appropriate. According to the CCI edits, it is appropriate to bill with a 59 modifier. We have had some problems with...
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The carrier is a local carrier here in our state. They told us that in 2006 Medicare is going to start auditing the 59 modifiers and changing their policy on how it is used.They brought a copy of...
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This is kind of tricky because the 93350 does say at rest and during stress but the RVUs are less than the RVUs for 93307, which never made any sense to me (or my physicians). My physicians feel this...
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Thanks April. I am just glad to hear it is not just us that continues to battle this. I think we have come to the conclusion that we will bill a full echo using the 93307 and just add the stress test,...
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I do cardiology billing and claims never deny by medicare as our claims are 70%, this is what I do930159335093320 mod 2593325 mod 25we dont add 93307 25 to this because it will always deny as bundled,...
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Sorry, I made a mistake, i dont use modifer 25 but use modifer 26 like930159355093320 2693325 26or if just billing resting echos then:93307 2693320 2693325 26szmalik
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Modifier 26 is used for the professional component only. If the test is done in the physicians office on equipment owned by the practice this would not be used. If testing is done elsewhere, such as...
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To which codes are your referring? Currently, there are no codes that specifically reference the interpretation of echos. Perhaps you are thinking of stress tests?Stress Tests interps9301693018Echo...
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