Results 1 to 4 of 4

Stress echo in hospital setting

  1. #1
    Default Stress echo in hospital setting
    Medical Coding Books
    At our local hospital we are contracted for the supervision and interpretation of stress echo's. We are not hospital employee's. We are billing 93350-26, 93016 and 93018. The hospital is billing 93351 for the exam. We have some concerns about this. Everything i have read leads me to believe that 93351 would be used in the office setting, or possibly if we were employed by the hospital and they paid us. In our situation what should the hospital be billing?Any thoughts?

  2. #2
    Seacoast- Dover New Hampshire
    If the hospital is billing for their portion, I would belive that it would be for the equipment only. Any other responses?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    It is my understanding that it would be the other way around for the hospital. 93351 was established to report a stress echocardiogram combined with a complete stress test. The 2009 CPT changes Insider's view uses this code as an example in the office only. 93350 does not include the stress test.
    If you check your fee shedules, you will also see that this code (93351) does not breakdown by tech or prof components. All of my sources for clarification indicate that this service is reported for the Office only. Talk with a coding manager at the hospital for your concerns. I hope this helps.

  4. #4
    That's the problem, the hospital consultants have told the coders to use 93351 until Medicare clarifies the code. To complicate matters there is now a TC and -26 modifier for 93351. From what I have read these would be used if an internist who owns the equipment supervised the exam and the cardiologist interpreted the exam, but in the office setting.

    I welcome any other thoughts on the subject.


Similar Threads

  1. Hospital discharge and Stress Echo
    By gatewayclinic in forum Billing/Reimbursement
    Replies: 0
    Last Post: 10-06-2011, 08:00 AM
  2. Hospital billing for Stress Echo
    By cookc in forum Cardiology
    Replies: 0
    Last Post: 12-08-2010, 10:50 AM
  3. stress echo at hospital
    By mshelly87 in forum Cardiology
    Replies: 3
    Last Post: 09-15-2009, 03:22 PM
  4. coding dobutamine stress echo at hospital
    By mshelly87 in forum Cardiology
    Replies: 1
    Last Post: 08-13-2009, 11:54 AM
  5. 2009 Echo, Stress Echo, Limited Echo Codes
    By laurap in forum Cardiology
    Replies: 8
    Last Post: 07-01-2009, 10:25 AM

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?


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.