Cardiology Question for the Week of December 19, 2016

Cardiology Compliance Question of the Week

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:

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).

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.