Cardiology Question for the Week of January 30, 2017

Question:

Question:

I know that when a TEE (transesophageal echocardiography) is performed with contrast on a Medicare patient that we should assign C8926 or C8927 with add-on codes 93320–93325 (if performed), but what code should we bill in addition to 93312 on a non-Medicare patient if contrast is used?

Answer:

Answer:

There is no universal guideline for this; you should ask your major payers what they require. Some will want the C codes, others will want 93312 (and 93320–93325 if performed) and the Q codes for the contrast material (Q9950, Q9955, Q9957). Others may allow you to bill an injection/infusion code separately (96365–96379).