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Coding Stress Echocardiogram: 93350 vs 93351

  1. Default Coding Stress Echocardiogram: 93350 vs 93351
    Medical Coding Books
    How should stress echo's be coded?

    Assume patient is attached to EKG leads, runs on a treadmill, then lays on bed and gets scanned. Physician is there to supervise the test, dictates report for EKG portion and then dictates a report for echo portion.

    These are the possibilities using medicare rates:

    Office:
    93015 (stress EKG) + 93350 (Stress Echo Images) = $371.75

    Hospital:
    93016,93018 (Stress EKG Interpretation and Report) + 93350-26 (Professional Component of stress echo) = $117.89

    vs

    Office:
    93351 (Stress Echo Complete) = $330.35

    Hospital:
    93351-26 (Stress Echo Professional) = $133.05

    When would you select 93350 vs 93351?

  2. #2
    Location
    Hartford, CT
    Posts
    723
    Default
    93015 is a column two code for 93350 and you cannot use a modifier per NCCI edits. If the physician is supervising then the correct code is 93351.
    Doreen Clark, CPC, CPMA
    Medical Auditing Specialist
    Integrated Physicians Management Services
    East Harftord. Ct

  3. Default
    Quote Originally Posted by dclark7 View Post
    93015 is a column two code for 93350 and you cannot use a modifier per NCCI edits. If the physician is supervising then the correct code is 93351.
    what would u code for

    1. outpatient stress echo (where physician owns equipment)

    2. Hospital stress echo (where hospital owns equipment)

  4. Default
    On one site I saw: "Bill codes 93015?93018 if the stress test is performed
    in a hospital setting, along with procedure code 93350.
    If the stress test and echocardiogram are performed in an
    office, bill combined code 93351. "

    Outpatient where physician owns equipment:
    93351

    Inpatient where hospital owns equipment:
    93350-26, 93016, 93018

  5. #5
    Location
    Coeur d'Alene, Idaho
    Posts
    134
    Default
    On one site I saw: "Bill codes 93015?93018 if the stress test is performed
    in a hospital setting, along with procedure code 93350.
    If the stress test and echocardiogram are performed in an
    office, bill combined code 93351. "

    Outpatient where physician owns equipment:
    93351

    Inpatient where hospital owns equipment:
    93350-26, 93016, 93018


    I agree with the above. You may also be able to bill 93320 for Doppler and 93325 for Color Flow if done.

    Thanks, Amanda

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