Cardiology Question for the Week of May 9, 2016

Question:

Question:

Should we charge for the intravenous (IV) insertion and the supplies when we perform a bubble study echocardiogram, or should we bill only for the echo (93306)?

Answer:

Answer:

For Medicare claims, you cannot assign a code for the injection / IV insertion, although non-Medicare payers may allow 96374 for the administration of the contrast. You would bill for the echo (9330x if billing for the physician’s office or C8921–C8930 for the hospital). You should assign the appropriate code for the contrast material given, which would be one of the following, which are packaged for hospital billing under the OPPS but may be paid separately for non-hospital offices.   

Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml

Q9956Injection, octafluoropropane microspheres, per ml

Q9957Injection, perflutren lipid microspheres, per ml