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Nuclear Stress Test-Help

  1. Default Nuclear Stress Test-Help
    Medical Coding Books
    I am a little confused. I work for a cardiologist. They do Nuclear Adeno Stress test in the Hospital. Can you please confirm what are the codes that I should be billing. Is it :

    93018
    93016
    78452-26

    or

    93018
    93016
    93350-26

  2. #2
    Default
    Top group of codes.

    The below group would be a stress echo done in the hospital.

    Jessica CPC, CCC

  3. Default
    Just to confirm, I should bill 93018 93016 & 78452-26 for Nuclear Stress done in the hospitals but how about if the Doctor is dictating only the stress potion of the test. the rest is done by the NP.

  4. #4
    Default
    Yes 93016, 93018, 78452-26 for nuclear stress test.

    In your second question are you saying that the physician just dictated on the stress test and the NP monitored?
    That would be 93018 then for the physician and the NP would be billing 93016.

    Jessica CPC, CCC

  5. #5
    Default NP versus Physicain supervision
    Just wanted to clarify-

    The NP supervises the stress portion of the test. 93016 states [B]physician supervision[B]. Is it okay for the NP/PA to bill for 93016?

    The physician then interprets the test, so bill 93018.

    -Barbie

  6. Default Can someone help me with Stress Echo coding
    I need to know what codes are appropriate for a hospital to charge when doing a exercise stress echo and what codes for a Dobutamine stress echo?
    Thank

  7. Default
    I am confused. I was told that for Nuclear Adeno Stress test done in the Hospital the CPT code would be 93018 93016 & 93350-26 if the Doctor is their only for the stress portion of the test. If he is there for the full test then we can bill 93018, 93016 78452-26

    As for the regular Stress Test done in the Hospital the CPT codes are 93018 & 93016 only.

    Please confirm.

  8. #8
    Default
    I'm confused myself.

    93016/93018/93350-26 is for a stress ECHO

    93016/93018/78452-26 is for a nuclear stress test done in the hospital.

    I would code the 93016/93018/78452-26 for a nuclear stress test done in the hospital.

    Jessica CPC, CCC

  9. Default
    Quote Originally Posted by Jess1125 View Post
    I'm confused myself.

    93016/93018/93350-26 is for a stress ECHO

    93016/93018/78452-26 is for a nuclear stress test done in the hospital.

    I would code the 93016/93018/78452-26 for a nuclear stress test done in the hospital.

    Jessica CPC, CCC
    If i bill 93016/93018/78452-26 then what will the NP bill who was there for the resting portion of the nuclear stress test?

  10. #10
    Default
    I have no idea. I've never heard of one provider being there for the stress portion and another being there for the rest portion.

    Is the same provider interpreting BOTH resting/stress images, though?

    Its a study you're saying is done in the hospital. You'd only be billing for the interpretation and I'd imagine it is the MD who is interpreting all the images.

    Anybody else?

    Jessica CPC, CCC

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