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93320 & 93325 denied

  1. Question 93320 & 93325 denied
    Medical Coding Books
    93016 - paid
    93018 - paid
    93350[26] - paid
    93320[26] - denied
    93325[26] - denied

    can anyone tell me under what circumstances, if any, can 93320 & 93325 be billed?

  2. #2
    Location
    Phoenix, AZ
    Posts
    620
    Default
    The note under the +93320 in the CPT book says "Use 93320 in conjunction with 93303, 93304, 93312, 93314, 93315, 93317, 93350 and 93351."

    The note under the +93325 states, "Use 93325 in conjunction with 76825, 76826, 76827, 76828, 93303, 93304, 93308, 93312, 93314, 93315, 93317, 93350, 93351."

    please post the report and we can better help you. Does the report state that a color doppler and continuous wave spectral were performed?
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. Default additional questions
    Since +93320 and +93325 are add-on codes, can they both be billed with only 1 primary procedure (93312)? We only billed the professional component with 26 modifier, but 93325 was not paid by Medicare.
    Thanks for your help!
    Amy

  4. Default
    Thanks for responding Cyndi, unfortunately, I do not have a note.

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