ShelleyJohnson
New
The cardiologist I code for just started doing exercise stress echocardiograms without doing a complete resting echo. The echo tech does a quick baseline echo while the patient is at rest (no report is generated) then the tech does the stress echo while patient is on the treadmill.
SUMMARY:
*1. Negative stress echo for ischemia.
*2. Pt had a treadmill test with 1.25mm ST depressions, and peak SBP was 170mm Hg.
*3. Overall negative stress echocardiogram.
PHYSICIAN INTERPRETATION:
Exam Protocol: The patient exercised on a treadmill according to a Bruce protocol.
Patient Performance: The patient exercised for 10 minutes and 0 seconds, achieving 12 METS. The
maximum stage achieved was IV of the Bruce protocol. The patient developed no symptoms during the
stress exam.
2D Echo Findings: There were no stress-induced wall motion abnormalities. This is a negative stress
echo test for ischemia.
The 93551 code specifies during rest and cardiovascular stress test. So if the resting echo is not being done/reported what code should I use? Maybe 93015 and 93308?
Thanks for your input!
SUMMARY:
*1. Negative stress echo for ischemia.
*2. Pt had a treadmill test with 1.25mm ST depressions, and peak SBP was 170mm Hg.
*3. Overall negative stress echocardiogram.
PHYSICIAN INTERPRETATION:
Exam Protocol: The patient exercised on a treadmill according to a Bruce protocol.
Patient Performance: The patient exercised for 10 minutes and 0 seconds, achieving 12 METS. The
maximum stage achieved was IV of the Bruce protocol. The patient developed no symptoms during the
stress exam.
2D Echo Findings: There were no stress-induced wall motion abnormalities. This is a negative stress
echo test for ischemia.
The 93551 code specifies during rest and cardiovascular stress test. So if the resting echo is not being done/reported what code should I use? Maybe 93015 and 93308?
Thanks for your input!
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