tfrick2
Networker
I received the following scenario from our cardiology department:
"We have a patient who has a murmur so a complete echo was ordered. The patient also says he has chest pain at rest, so the cardiologist wanted to do a limited stress echo to watch the EKG and also look specifically at the wall motion while being stressed, which the regular echo wasn't looking at.
The charges entered are:
93350
93306
93017
Would we use a modifier -59 for the stress portion that is looking at something different or would this just be one charge of rest/stress echo with a modifier -52 since the stress images are limited?"
Any guidance or suggestions you can give are greatly appreciated!
"We have a patient who has a murmur so a complete echo was ordered. The patient also says he has chest pain at rest, so the cardiologist wanted to do a limited stress echo to watch the EKG and also look specifically at the wall motion while being stressed, which the regular echo wasn't looking at.
The charges entered are:
93350
93306
93017
Would we use a modifier -59 for the stress portion that is looking at something different or would this just be one charge of rest/stress echo with a modifier -52 since the stress images are limited?"
Any guidance or suggestions you can give are greatly appreciated!