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Pediatric Echo confusion CPT 93303

  1. #1
    Question Pediatric Echo confusion CPT 93303
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    I have a "complete comprehensive pediatric two-dimentional, doppler and m-mode echo" being performed. As long as I have it documented in the dx somewhere that the issue is congenital, can we bill 93303, 93320 and 93325?

    Also, the test is being performed on 1/4/11, our provider isn't authenticating the report until 1/10/11. Acceptable? Or unacceptable?

    Thank you in advance!

  2. Red face
    Quote Originally Posted by jen11976 View Post
    I have a "complete comprehensive pediatric two-dimentional, doppler and m-mode echo" being performed. As long as I have it documented in the dx somewhere that the issue is congenital, can we bill 93303, 93320 and 93325?

    Also, the test is being performed on 1/4/11, our provider isn't authenticating the report until 1/10/11. Acceptable? Or unacceptable?

    Thank you in advance!

    Yes you can use 93303 and if doppler/colorflow was was done use the others two codes with it. According to CPT assistant this code should not be used when a congenital heart disease is suspected, but not found on echocardiography, the noncongenital echocardiography codes should be used then. The authentication reports, I will let someone else answer that.
    Theresa CCS-P CPMA CCC ICDCT-CM

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