Wiki Echo 93308, no procedure done same day.

[Realizingadream]

Hi patient had an echo done for chest pain, 93308. Insurance won't pay unless a "qualifying procedure was done same day, same doctor." Doctor changed his mind, wanted to do a more extensive procedure, rather than stenting decided to do valve revisions. And the family wants to take the patient to another facility for this more extensive procedure, which is closer to family. Is there a modifier so I can get something paid on this? Thanks in advance.

 

[kchappell14]

Echo 93308

This is a code for a limited Echo.

I don't know why an insurance company would deny payment for an echo because a procedure wasn't done. An echocardiogram is diagnostic in nature. Many times the echo will be done and the patient will either be treated medically or not need any type of cardiology treatment.

Could it be that the insurance company isn't paying because the procedure was limited and not complete (93306 or 93307)?