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Anesthesia Coding Alert

You Be the Coder:

TEE With Follow-Up Study

Published on Thu May 25, 2006

Question: Can the anesthesiologist bill for a TEE and complete Doppler study, then bill for a follow-up limited study?

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Answer: Yes, you should be able to report both studies, if you have the supporting documentation. Code the initial visit with 93312 (Echocardiography, transesophageal, real time with image documentation [2D] [with or without M-mode recording]; including probe placement, image acquisition, interpretation and report) and add-on codes +93320 (Doppler echocardiography, pulsed wave and/or continuous wave with spectral display [list separately in addition to codes for echocardiographic imaging]; complete) and +93325 (Doppler echocardiography color flow velocity mapping [list separately in addition to codes for echocardiography]).
 
Report the follow-up study with 93312 and +93321 (Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; follow-up or limited study [list separately in addition to codes for echocardiographic imaging]).
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