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Wiki Echo read at hospital need payable dx

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lorrieb23

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Port Saint Lucie, FL
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Our cardiologist reads echos (93306) done at the hospital and many times we are given a diagnosis that is not on the LCD. One question I have is if we cannot get paid for reading the echo with the given diagnosis, can the facility get paid with the same diagnosis just because they are billing inpatient? I don't know how different inpatient coding is. I know inpatient can bill with 'rule out' codes. Secondly, how can I get a payable diagnosis from the hospital for our reading?
 
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