Wiki Pediatric Echo confusion CPT 93303

[jen11976]

I have a "complete comprehensive pediatric two-dimentional, doppler and m-mode echo" being performed. As long as I have it documented in the dx somewhere that the issue is congenital, can we bill 93303, 93320 and 93325?

Also, the test is being performed on 1/4/11, our provider isn't authenticating the report until 1/10/11. Acceptable? Or unacceptable?

Thank you in advance!

 

[theresa.dix@tennova.com]

I have a "complete comprehensive pediatric two-dimentional, doppler and m-mode echo" being performed. As long as I have it documented in the dx somewhere that the issue is congenital, can we bill 93303, 93320 and 93325?

Also, the test is being performed on 1/4/11, our provider isn't authenticating the report until 1/10/11. Acceptable? Or unacceptable?

Thank you in advance!

Yes you can use 93303 and if doppler/colorflow was was done use the others two codes with it. According to CPT assistant this code should not be used when a congenital heart disease is suspected, but not found on echocardiography, the noncongenital echocardiography codes should be used then. The authentication reports, I will let someone else answer that.