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TEE Billing

  1. Default TEE Billing
    Medical Coding Books
    Does anyone deal w/billing of TEE's for thier Dr's. I am having trouble with the 99312 vs 93318. Do you assume 93318 on major heart surgeries? I don't get alot of documentation. Does anyone else have this problem? If so how do you handle it?

  2. #2
    Location
    Minneapolis, MN
    Posts
    19
    Default
    You lost me there...CPT 99312 is a deleted code. When our MDA's do a placement of a TEE during the surgery, we bill 93313, with supporting documentation.

    Hope this helps!
    Lisa Gillstrom, CPC, CPBB, HUC
    National Compliance Manager

    himagine solutions inc.
    3109 W. Martin Luther King Blvd., Suite 650, Tampa, FL 33607
    P: 813-331-0645
    lgillstrom@himaginesolutions.com
    www.himaginesolutions.com

  3. #3
    Default
    I think you meant to type 93312. Anyway, we bill 93312 with a modifier 26 when our doctors do TEE's at the hospital. Hope this helps!
    Susie Corrado, CPC
    __________________
    ENT Coding/Billing

  4. Default TEE's
    If the Anes doc does probe insertion and image acquisition and interpretation you can use 93312 with a -26-59 (-26 if it's hospital equip). They should dictate a note too, to document what they did.
    If they do constant monitoring during the op you can use 93318. But no one pay 93318, just an FYI. Insertion of probe only use 93313.

  5. #5
    Location
    Minneapolis, MN
    Posts
    19
    Default TEE Billing
    The 93313 was not a typo. We do not do the reporting, etc. only the insertion. with appropriate modifiers as needed and supporting documentation.

    But yes, sometimes, finding supporting documentation can be difficult. Reminding and education providers to provide essential documentation is an ongoing process.
    Last edited by LGillstrom; 06-17-2008 at 12:17 PM. Reason: additional information!!
    Lisa Gillstrom, CPC, CPBB, HUC
    National Compliance Manager

    himagine solutions inc.
    3109 W. Martin Luther King Blvd., Suite 650, Tampa, FL 33607
    P: 813-331-0645
    lgillstrom@himaginesolutions.com
    www.himaginesolutions.com

  6. #6
    Default response to TEE billing
    wow I just coded a Doppler TEE (2007) w/MCS 20 min this morning...here is what I did
    93318-26
    93320
    99144

    Quote Originally Posted by sunflower View Post
    Does anyone deal w/billing of TEE's for thier Dr's. I am having trouble with the 99312 vs 93318. Do you assume 93318 on major heart surgeries? I don't get alot of documentation. Does anyone else have this problem? If so how do you handle it?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  7. Default
    I have another question. What if an anesthesiologist places the probe and does the intial interpretation and then does subsequent interpretations. Whould you code like this?

    93312 with a -26-59
    93314 - 26
    93314- 26-76

  8. Default
    93312 and 93314 cannot be billed together. 93312 is for placement, interpretation, and review of the study of the images. There also needs to be a dictated report. 93314 is only used if the physician did not place the TEE probe but reviews and interprets.

    Hope this helps

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