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.
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