Wiki stress echo/echo

Create Wiki
M

mom2vanna

Guest
Messages
15
Location
Northport, AL
Best answers
0
My doctor has performed a stress echo and an echo on the same visit in our office. I would be using 93306 and 93351. I've been putting a modifier on 93306, but should I use one on 93351 also? Or is it better not to do both tests on the same day?
 
It's not common to perform an echo and a stress echo on the same day unless the echo did not provide the results the md was looking for. If that is the case I would add modifier 59 to 93306 only; not necessary to add it to both 93306 & 93351. However, your documentation should support medical necessity to perform both tests on the same day; more than likely one of these procedures will be denied. Is your doctor routinely doing the echo & stress echo on the same day?

Dolores, CPC- CCC
 
If anyone has not actually seen a stress echo performed, I highly recommend it. It makes coding much clearer.

A stress echo is basically an echo at rest and then the patient is put on the treadmill and put on a table to echo the heart during excercise. CPT included the rest portion in CPT 93351. See description (bolding is mine)

ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, DURING REST AND CARDIOVASCULAR STRESS TEST USING TREADMILL, BICYCLE EXERCISE AND/OR PHARMACOLOGICALLY INDUCED STRESS, WITH INTERPRETATION AND REPORT; INCLUDING PERFORMANCE OF CONTINUOUS ELECTROCARDIOGRAPHIC MONITORING, WITH PHYSICIAN SUPERVISION

Rarely should you need to use both 93306 and 93351. Just my two cents.
 
You must log in or register to reply here.
Top