Results 1 to 9 of 9

Does 93351 include 93320 and 93325?

  1. Default Does 93351 include 93320 and 93325?
    Medical Coding Books
    We've got an insurance company denying the 93320 and 93325 when billed with the 93351. My understanding is that the 93351 only includes JUST the 93350 and 93015.
    Any comments on this?
    Last edited by cvand1972; 01-28-2009 at 04:20 PM.

  2. #2
    Default
    93351 Is The Echo

    93320 And 93325 Is The Doppler....either Code Shouldnt Be Bundled When Billed With 93351....if You Are Getting Inclusive Denials Then Send In An Appeal Letter With A Copy Of The Reports.

  3. #3
    Location
    Richardson, TX
    Posts
    822
    Default
    Quote Originally Posted by cvand1972 View Post
    We've got an insurance company denying the 93320 and 93325 when billed with the 93351. My understanding is that the 93351 only includes JUST the 93350 and 93015.
    Any comments on this?
    You are allowed to bill 93320 & 93325 with 93351, as they are NOT included.

    However, with all the many cardio chgs it is my understanding insurance companies do not have all the new codes loaded and that is creating a problem.

    Our CCI edits suggest to add mod 59 to 93320 & 25 because they are bundled, which is not the case. Linda Striby-Gates specifically discussed this last week in our webinar, and she suggested we do this as well until the insurance companies get on the ball.
    Julie Graham, BA, CPC, CCC

  4. Default Codes 99320 and 93325
    Do we use the new 99306 with the 99320 and 93325 for the echocardiogram charge and get paid? We previously billed 93307, 93320, 93325 and we have always gotten paid. What is the new billing?

    Bobby

  5. Default
    Help I am so confused, I know that 93306 is the new bulk code which replaces the 93307 93320 93325. I know 93351 replaces 93350 and 93015. From my understanding we are never to bill the 93306 and 93351 on the same date because we would be double billing. Why is it that CCI allows the following codes to billed:
    93351
    93306-59
    93000-59
    93307-59
    93308-59
    Per CCI the cpts with the mod 59 are all under the primary code 93351 with a 1 next to them. Can someone explain why.

  6. Default When billing 93306
    When using the bulk code 93306 does that include the professional and technical?

    Or will we need to bill the 93306 twice and use the TC modifier?

  7. Default Chrissy
    Quote Originally Posted by beckyruiz View Post
    Do we use the new 99306 with the 99320 and 93325 for the echocardiogram charge and get paid? We previously billed 93307, 93320, 93325 and we have always gotten paid. What is the new billing?

    Bobby
    Did you ever get an answer on this? I am having the same issue.

    Thanks Chrissy

  8. #8
    Location
    Kansas City, MO
    Posts
    92
    Default
    Quote Originally Posted by beckyruiz View Post
    Do we use the new 99306 with the 99320 and 93325 for the echocardiogram charge and get paid? We previously billed 93307, 93320, 93325 and we have always gotten paid. What is the new billing?

    Bobby
    The procedure 93306 includes the Echo, spectral doppler, and the color flow doppler so you would NOT bill the 93320 & 93325.

  9. #9
    Location
    Kansas City, MO
    Posts
    92
    Default
    Quote Originally Posted by eva110284 View Post
    Help I am so confused, I know that 93306 is the new bulk code which replaces the 93307 93320 93325. I know 93351 replaces 93350 and 93015. From my understanding we are never to bill the 93306 and 93351 on the same date because we would be double billing. Why is it that CCI allows the following codes to billed:
    93351
    93306-59
    93000-59
    93307-59
    93308-59
    Per CCI the cpts with the mod 59 are all under the primary code 93351 with a 1 next to them. Can someone explain why.
    My understanding is that in order to bill for one of the included codes and the 93351 on the same date the procedures must have been completed at two separate settings with no less than 15min between each test.

    For example a patient is in the office and has an EKG after review of the EKG the doctor decides the patient needs a stress echo so 30 mins later a stress echo is done you can bill both the 93351 & 93000-59 because they were done at two separate settings at two different times.

    This is just my understanding, let me know if I am wrong.

Similar Threads

  1. 93350 with 93320, 93325
    By jazzyblues2005 in forum Cardiology
    Replies: 1
    Last Post: 09-10-2013, 08:22 AM
  2. 93312, 93320, 93325
    By coders_rock! in forum Cardiology
    Replies: 3
    Last Post: 05-07-2013, 03:13 PM
  3. 93320 & 93325
    By coders_rock! in forum Cardiology
    Replies: 0
    Last Post: 06-07-2011, 01:29 PM
  4. Opinion to use CPT 93306 or 93351,93320,93325
    By daniel in forum Interventional Radiology
    Replies: 0
    Last Post: 02-04-2010, 10:26 AM
  5. 93303, 93320, 93325
    By Cheryl S in forum Cardiology
    Replies: 2
    Last Post: 06-29-2009, 03:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.