I don't see that TC/-26 are appropriate for this code. We are getting insurance denials because 93356 was billed along with 93303-26, 93320-26, 93325-26. The hospital is also billing for this charge. I'm trying to confirm if we (hospital and professional) should be billing this code or just the hospital since they performed the exam? I appreciate your help.If your billing for the doctor, you bill 93356-26, if for the hospital or clinic bill 93356-TC
So to confirm, there should be one 93356 billed either by the hospital OR profee, correct? Is it appropriate to bill for both profee and hospital?
93356 doesn't take a 26/TC modifier. I code for profee and we bill the 93356 but the hospitals don't.
Per question to Dr. Z last year -
93356 for Facility CodingDate: Mar 2, 2020
Question:Is new add-on code 93356 appropriate for facility coding?
AnswerAccording to the Medicare OPPS fee schedule it is reportable by hospitals. Medicare bundles the payment for code 93356 into the echocardiogram, but other payers may not. -Ruth Broek
Question ID : 13558