Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Cardiology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 03-11-2010, 06:45 AM
dclark7 dclark7 is offline
True Blue
 
Join Date: Apr 2007
Location: Hartford, CT
Posts: 513
dclark7 will become famous soon enough
Default Stress Echo (93350, 93351)

My billing manager and I are having a little disagreement with coding for stress echos. Per CPT, codes 93350 and 93351 are global codes that include the echo and stress test (93351 with M.D. supervision). She wants me to bill 93306,59 and 93351. All the research I've done (CMS, American Society of Echocardiography, American College of Cardiology, AMA) point to 99350 and 99351 as the correct way to code; but, she is going by what our Echo Tech told her. Has anyone else had this problem, how do you code this?

Doreen, CPC
Reply With Quote
  #2  
Old 03-13-2010, 12:43 AM
deeva456 deeva456 is offline
Expert
 
Join Date: Apr 2007
Posts: 253
deeva456 is on a distinguished road
Default

Doreen you are correct to code only 93350 or 93351. These codes were created to use when performing an echocardiogram with the stress test. 93306 is for the echo only, no other testing. The way she is coding could be considered double dipping or fraudulent billing.

I believe this information can be verified in the CMS website, Medicare online manuals. I'll get back to you with the link.


Dolores, CPC - CCC
Reply With Quote
  #3  
Old 03-17-2010, 09:51 AM
dclark7 dclark7 is offline
True Blue
 
Join Date: Apr 2007
Location: Hartford, CT
Posts: 513
dclark7 will become famous soon enough
Default

Thanks for your response, I do have the links for the CMS website and the Medicare online manuals. I think I have finally convinced everyone about the correct coding for these. (They all think it's not fair becasue the reimbursement is really low, but then again when dealing with CMS not much is fair to the doctors).

Doreen, CPC
Reply With Quote
  #4  
Old 03-18-2010, 02:55 PM
Jess1125 Jess1125 is offline
Expert
 
Join Date: Apr 2007
Location: Green Bay
Posts: 365
Jess1125 is on a distinguished road
Default

Dolores,

Would you be able to post that link for me? I'd like to have the link myself. I've been searching the Medicare website but don't seem to be having much luck finding something about cpt's 93351 and 93306.

Jessica CPC, CCC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 12:23 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC