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Nuclear Stress Coding

  1. #1
    Default Nuclear Stress Coding
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    Our cardiologists will soon be doing the nuclear interpretation of stress testing as well as the cardiology portion in the hospital/outpatient setting. We do not own the equipment. I know the cardiology codes 93016, 93018, but what are the nuclear codes?

    Thank you

    Last edited by 10marty; 08-27-2010 at 06:48 PM.

  2. Default

  3. #3
    93350-26 is the PC for stress echo's. I was looking for the codes to bill the nuclear interpretations of nuclear stress tests.

    I suspect 78452-26?


  4. Default
    yes it is 78452-26

  5. #5
    Default Modifier
    78452- not pd

    was denied by bcbs is that because we didn't use -26?

    They are saying it is a bundled code, is it a bundled or do we need a -26?

    Thanks so much!

  6. #6
    Default more info
    Ok so I was just told more info on this, sorry I am the middle man. Ok so we do the stress test, and bill for it, then a cardiologist, bills for the read. So with that being said do we bill 78452-26 or without?
    The read would be -TC correct? And -26 would not interfere with the pmt for the dr billing for the read correct?

  7. Default
    if you are billing for the hosp side , use TC.

  8. #8
    Default Stress test
    No we are a Dr office. so should we be using a -26 or should we not because the other Dr is reading it?

  9. #9
    Bay City, Michigan
    Default nuclear stress test interprets
    If your dr is reading & supervising the stress test, use 93016 & 93018. If he is also reading the nuclear portion of the test, use 78452-26. But if, as you mentioned, another dr (radiologist) is reading the nuclear scan, there is nothing else to bill.

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