Wiki Echo 2d, complete

[scuatro4]

HELLO,
MAY ANYONE PLEASE ASSIST. IF A PCP SUPERVISES COMPLETE PROCEDURE IN HOSPITAL EITHER AS OUT-PT OR IN-PT WHILE TECH DOES PROCEDURE, IS HE ABLE TO BILL FOR 93306,26 OR ONLY THE 93016,93018 CPTs? (I WAS INFORMED BY MY PROVIDER THAT HE ALWAYS NEEDS TO BE PRESENT WHILE TECH PERFORMS PROCEDURE)

-AND IS THERE A REASON IN THE CASE THAT 93306,26 IS APPROPRIATE, WHY WOULD 93016,93018 BE USED IN ADDITION TO PRIMARY CPT, IF MODIFIER (26) REPRESENTS THE PROFESSIONAL COMPONENT THE PHYSICIAN DID THE SUPERVISION AND INTERPRETATION? SHOULD IT ONLY BE OK TO BILL UNDER HCPCS 1500 FORM PROC: 93306,26???PLEASE HELP. THANK YOU

 

[theresa.dix@tennova.com]

93306 is an complete Echo. 93016 and 93018 are stress test. Were both of these test done?

 

[scuatro4]

in some instances the stress portion is performed.

 

[thomas7331]

Supervision and interpretation and split between two codes for a stress, so 93016 can be billed for supervision portion. Most other diagnostic procedures - those with a modifier 26 professional component - do not allow a separate charge for just the supervision. If your provider is not doing the interpretation and report, you shouldn't be billing a modifier 26.