Wiki 93306 for Impella check - with modifier 76

[taranh]

For inpatient - an Impella has been placed and an Echo 93306 is done in the morning, and then again in the evening to check placement. Can the following be billed when done by the same physician? Two separate reports have been written and signed by provider.

93306,26
93306,26,76

Thank you!

Tara

 

[AmandaBriggs]

I would question the need to do two complete echoes. Typically the echo done later in the day to check placement of the Impella is very limited and doesn't visualize all of the required structures for the 93306 and is typically billed as 93308 with 93321 and/or 93325 if done. This is what we typically see in our practice.