We do a pre and post transespohogeal echo on our pediatric patients
we use 93315 for the probe and interp but we leave the probe in so how should we code the second interpretation? With a 93317?
• For hole closure, ASD closure, Norwood, VSD closure we would 93315 and a 93317 because you are screening the heart before and after surgery. 93317 will show if anything is leaking.
CPT 93315 and 93317 are only used for Diagnostic study. What you are describing is for monitoring during procedure; this is coded with either CPT 93355 or CPT 93318 regardless of congential or non-congential. Below link provides some more indepth description of when each code should be used.
http://asecho.org/wordpress/wp-cont...ement-Newsletter-with-Charts_FORMATTED_V3.pdf
93355 - Echocardiography, transesophageal (TEE) for guidance of a transcatheterintracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheterpulmonary valve replacement, mitral valve repair, paravalvular regurgitation repair, leftatrial appendage occlusion/closure,
ventricular septal defect closure) (peri-and intraprocedural),real-time image acquisition and documentation, guidance with quantitativemeasurements, probe manipulation, interpretation, and report, including diagnostictransesophageal echocardiography and, when performed, administration of ultrasoundcontrast, Doppler, color flow, and 3D
93318 Echocardiography, transesophageal (TEE) for monitoring purposes, including probeplacement, real time 2-dimensional image acquisition and interpretation leading to ongoing(continuous) assessment of (dynamically changing) cardiac pumping function and totherapeutic measures on an immediate time basis
