Wiki CPT codes 93306 and 93308

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CPT® Codes 93306 and 93308

Code 93306 is a complete transthoracic echo with Doppler and Colorflow. The following information is necessary to document/report a complete echo:
• LV
• RV
• LA
• RA
• mitral, aortic, tricuspid valves
• pericardium
• adjacent portion of the aorta

A follow-up or limited echocardiographic study (93308) is an examination that does not evaluate or document the attempt to evaluate all the structures that comprise the complete echocardiographic exam. This is typically limited to, or performed in follow-up of, a focused clinical concern.

Per CPT Assistant (September 2005):
Report of an echocardiographic study, whether complete or limited, includes an interpretation of all obtained information, documentation of all clinically
relevant findings including quantitative measurements obtained, plus a description of any recognized abnormalities. Pertinent images, videotape, and/or digital data are
archived for permanent storage and are available for subsequent review. Use of echocardiography not meeting these criteria is not separately reportable.
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What is the difference between 93006 echo and 93308 echo?

thanks
Amanda
93306 is a complete transthoracic echo with Doppler and Colorflow

93308 is a followup or limited transthoracic echo ONLY( no doppler or colorflow)

And you know a limited echo is anything less then a complete which would mean all of the structures that need to be mentioned for a full echo are not. Below is what would need to be documented for a complete echo.

LV
RV
LA
RA
mitral,aortic,tricuspid valves
pericardium
adjacent portion of the aorta

did I miss anything? ;)
 
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177
Location
Coeur d'Alene, Idaho
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I would bill the 93306 complete echo code. Timing of the test should not matter as long as medical necessity supports it. We occasionally have patients that get frequent echoes when recovering from a PE.
 

srgarrick

New
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93306 and 93308

I have a provider that sent over a limited echo charge 93308, but all the documentation states is "negative bubble study" is this enough documentation to support 93308?:confused:
 

ChrisZim

Networker
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If it were me, I would query the provider to amend his report for better documentation. I do not think even a limited would be sufficiently documented with just a "negative" report, and no quantification of any results listed.
 

SDAlward

Guest
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93306 is a complete transthoracic echo with Doppler and Colorflow

93308 is a followup or limited transthoracic echo ONLY( no doppler or colorflow)

And you know a limited echo is anything less then a complete which would mean all of the structures that need to be mentioned for a full echo are not. Below is what would need to be documented for a complete echo.

LV
RV
LA
RA
mitral,aortic,tricuspid valves
pericardium
adjacent portion of the aorta

did I miss anything? ;)
Nope! it doesn't look like you did. There are 9 structures that have to be evaluated, and you named all of them :)
 

peqchica5

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93306 is a complete transthoracic echo with Doppler and Colorflow

93308 is a followup or limited transthoracic echo ONLY( no doppler or colorflow)

And you know a limited echo is anything less then a complete which would mean all of the structures that need to be mentioned for a full echo are not. Below is what would need to be documented for a complete echo.

LV
RV
LA
RA
mitral,aortic,tricuspid valves
pericardium
adjacent portion of the aorta

did I miss anything? ;)
do all the structures have to be documented in the report if the provider is just interpreting the exam?
 

klamb1987

New
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3
Location
Peoria, IL
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From my experience (i work in congenital heart center). You can only bill a congenital complete echo once every 12 month, unless the patient has had some sort of procedure that would of effected the anatomy of the heart. If not you can only bill a limited EVEN if a complete was performed


Can any one tell if complete echocardiogram repeated with in 6 month what CPT code we can use
 
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