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How to code Doppler - I have a question

  1. #1
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    San Juan
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    Default How to code Doppler - I have a question
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    Regards,


    I have a question in regards to the revised code 93307 ("Echocardiography,, real-time with image documentation (2d), inclu transthoracic des m-mode recording, when performed, complete, without spectral or color doppler echocardiography")

    underneath of it, says (do not report 93307 in conjunction with 93320, 93321, 93325)

    So, how can I report a Spectra Doppler Echo? It will be perfect using 93307 with 93320 but it does not go with the CPT guidelines. Does 93307 include the 93320? Can someone please help?
    Thanks,


    Gabriel Rafael Aponte, MBA, RN, CPC, COC, CIC, CRC, CPMA, CCC, CHONC, CCS, CCS-P, CDIP
    Coder

  2. Default
    For 2009 to report an echocardiogram with spectra color flow you bill with 93306. Use modifier 26 if performed in an outpt hospital or inpt setting. Instead of billing an echocardiogram with 3 codes you will only bill with one.

  3. #3
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    San Juan
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    Default How to code Doppler Echo with Spectral for 2009?
    But code 93306 reads (Echocardiography, transthoracic, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography). And the physician did not do the color flow but did the Spectral. I think we will be over coding if we use 93306
    Thanks,


    Gabriel Rafael Aponte, MBA, RN, CPC, COC, CIC, CRC, CPMA, CCC, CHONC, CCS, CCS-P, CDIP
    Coder

  4. #4
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    What about mod -52? It's unfortunate that CPT changed the guidelines when they added 99306, but based on descriptions, this is probably your only option. Why doesn't he/she do color flow?
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Location
    San Juan
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    Wink Doppler Echo with Spectral for 2009
    He does do it with the color flow but the insurance does not pay for it, and we have to charge the member. I guess modifier -52 or unlisted will be the best option.

    Thak you for your help!!!!
    Thanks,


    Gabriel Rafael Aponte, MBA, RN, CPC, COC, CIC, CRC, CPMA, CCC, CHONC, CCS, CCS-P, CDIP
    Coder

  6. Smile aetna and color flow
    when you say insurance won't pay are you talking about aetna not paying for the color flow? and if you are, you need to code with the results from the echo //424.0// 424.2 they pay that you just need to find the correct ldx for aetna


    I have a question in regards to the revised code 93307 ("Echocardiography,, real-time with image documentation (2d), inclu transthoracic des m-mode recording, when performed, complete, without spectral or color doppler echocardiography")

    underneath of it, says (do not report 93307 in conjunction with 93320, 93321, 93325)

    So, how can I report a Spectra Doppler Echo? It will be perfect using 93307 with 93320 but it does not go with the CPT guidelines. Does 93307 include the 93320? Can someone please help?[/QUOTE]

  7. #7
    Smile
    Quote Originally Posted by angelcleg View Post
    when you say insurance won't pay are you talking about aetna not paying for the color flow? and if you are, you need to code with the results from the echo //424.0// 424.2 they pay that you just need to find the correct ldx for aetna


    I have a question in regards to the revised code 93307 ("Echocardiography,, real-time with image documentation (2d), inclu transthoracic des m-mode recording, when performed, complete, without spectral or color doppler echocardiography")

    underneath of it, says (do not report 93307 in conjunction with 93320, 93321, 93325)

    So, how can I report a Spectra Doppler Echo? It will be perfect using 93307 with 93320 but it does not go with the CPT guidelines. Does 93307 include the 93320? Can someone please help?
    [/QUOTE]


    OK...I have been asking this question for about a month and no one did not respond....So I went to the Chair of Cardiology yesterday and he explain it to me. Here it is...Very Simple

    2009 charges

    Bill 93306 alone

    Bill 93307 alone

    Bill 93312-26, 93320-26, and 93325 -26/59 (TEE) ; you can't bill these charges w/93306 or 93307 in 2009.

    Hope this helps because I was really confused until yesterday.
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017


    Alexandria, VA Chapter

    ~ Practice Kindness ~

  8. #8
    Location
    San Juan
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    33
    Default
    thank you
    Thanks,


    Gabriel Rafael Aponte, MBA, RN, CPC, COC, CIC, CRC, CPMA, CCC, CHONC, CCS, CCS-P, CDIP
    Coder

  9. Default
    Does this also include Pedi patients that are being examined for congenital cardiac anomalies? In the past the Cardiologist has billed 93303 or 93304, 99320 and 99325...

  10. Default
    Hello jcruz,

    For 2009, billing an echocardiogram for congenital anomalies has not changed. You would continue to bill 93303 or 93304 with 93320 & 93325.

    Dolores, CPC, CCC

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