Stress Echo

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What are the correct codes for billing a stress echo in the office? I have 2 different ways I have been told and I really need to get this straightened out.

One way I have been told is to bill 93350 and 93015 only.

The other way I have been told is to bill 93350, 93015, 93320 and 93325.

Can someone please tell me what is correct or where I can go to get the correct answer??

Thanks!!
 

christyms

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It depends on what exactly the report states the dr. did. Do you have an exact report you need help coding? 93015-93018 are used only when a component of the test is provided. Where tests are performed will have an effect on how the services are coded. If the test was administered at the local hospital, the physician would report the S&I components of the service & the hospital would report the tracing portion of the service. If the OP facility employed a physician to do the S&I & a tech. to do the tracing, you would report the complete stress test service.
 
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office setting

These stress echos are done in the office. I understand the part about billing 93015 in the office. What I can't figure out is whether to also bill 93350 and/or 93320 and 93325.
 

christyms

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93015 should be reported in addition to 93350 to capture the exercise stress portion of the study
 
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