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Thread: Intra-Operative TEE with bypass

  1. #1
    Join Date
    Apr 2007

    Question Intra-Operative TEE with bypass

    AAPC: Back to School

    I am having some trouble getting a straight answer for this question... Please help!!

    Can i bill a intra-operative TEE (93318/26) with a CABG or AVR/MVR surgery?? It keeps kicking out in our edits. Wants a 59 modifier possibly?? Our surgeons usually perform this right in the beginning before the bulk of the surgery begins to check the valves etc.... Would that be considered a medical necessity?? Is it included in the main surgery??

  2. #2


    The Society of Thoracic Surgeons has advised that you can bill for an intraop TEE if the following conditions are met:

    1. The surgeon must supervise the entire procedure
    2. Surgeon must separately document complete evaluation, not just "intraoperative TEE performed," and include indication
    3. Ensure that no other professional billing (ie: cardiology) over-reading occurs.

    They also said in most instances you would use 93314-26 for adults, 93316-26 for congenital.

    My surgeons never separately document the TEE eval so I never bill for this.

    Lisi, CPC

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