Is it possible to perform a complete doppler (93320 - pulsed wave and/or continuous wave with spectral display) when the documentation requirements are not met for a complete echo exam? There are no documentation requirements in CPT for 93320 and 93321, and in the CPT book, it states that 93320 can be used in conjunction with 93303, 93304, 93307, 93308, 93312, 93314, 93315, 93317, 93350.
My thought is that if the documentation supports pulsed wave and/or continuous wave doppler with spectral display, then why not code 93320 with 93308 (unless it's a follow up examination)? I know that some carriers/payers insist that 93320 be billed with 93307 and 93321 with 93308, but my carrier doesn't have that limitation.
I'm really confused about this. I guess what is really throwing me is the CPT language/instructions indicating that 93320 is OK to use in conjunction with 93308.
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