Results 1 to 3 of 3

Cardiac Stress Tests 93016 or 93018 or both?

  1. Default Cardiac Stress Tests 93016 or 93018 or both?
    Medical Coding Books
    Hi everyone! Okay, can I get some feedback on this? We have been billing this test one way forever and I keep finding information telling us the way we are billing is correct, but now somebody is trying to tell us it is different. I just would like to know how other facilites may be billing this.

    Patient has a cardiac stress test in our hospital. One of our physicians is present for the study and does the reading and interp. Our hospital bills the 93017 for the technical compontent. For the profee, do we bill just the 93018 or both the 93016 and 93018? We have always billed only the 93018 since the 93016 states Physician Present, no reading and interp. The 93018 has the reading and interp, but does not state physician present We have to bill the profees separate from the test so we cannot bill the 93015 to include both. I don't know if it makes any difference that we are RHC status or not. What do you suggest? I am not sure if you can bill for both of them as the descriptions contradict each other, but perhaps you can? If you have any input, I would greatly appreciate it!

    Thanks in advance for your thoughts!

  2. #2
    When we bill our stress tests done at the hospital we bill both 93016 and 93018. When we do them in our office we bill 93015 only. Hope this helps!
    Susie Corrado, CPC
    ENT Coding/Billing

  3. Default
    Thank You!!!!!!!!!

Similar Threads

  1. HPSA and 93016,93017,93018
    By SLBK53 in forum Cardiology
    Replies: 2
    Last Post: 03-09-2012, 08:31 AM
  2. Codes 93018 & 93016
    By jessica1974 in forum Cardiology
    Replies: 1
    Last Post: 02-09-2012, 09:06 AM
  3. Medicare denial 93016 and 93018
    By mcgraws in forum Cardiology
    Replies: 1
    Last Post: 06-30-2011, 12:19 PM
  4. Fixing Denial for 78452-26, 93016, 93018
    By 634sg4fs65g4fg in forum Medicare Regulations
    Replies: 1
    Last Post: 01-18-2011, 11:18 AM
  5. Stress echo: 93350-26; 93016; 93018 vs. 93351-26
    By Lisa Schwaesdall in forum Cardiology
    Replies: 0
    Last Post: 05-26-2009, 04:08 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.