Forum - Questions & Answers

Dec 4th, 2013 - stomach1 3 

Echo

Hello, Is a 93350 & 93306 both payable when billed together? Does 93350 need modifier 59?

Dec 4th, 2013 - nmaguire   2,606 

re: ECHO

Transthoracic echocardiography (93303, 93304, 93306, 93307 or 93308) may be reported on the same date of service as a stress echo (93350 or 93351) for a different clinical circumstance. The modifier -59, Distinct Procedural Service, should be appended to the applicable TTE code.

Explanation:
• Per the AMA CPT® Introductory echocardiography language, stress echo codes (93350, 93351) include the acquisition of echocardiography images before, after, and in some protocols during stress.
• Per NCCI edits, stress echo codes 93350 and 93351 have a billing edit assigned to TTE codes that indicates that a modifier is allowed in order to differentiate between the services provided.

Dec 4th, 2013 - stomach1 3 

re: ECHO

Thank you for the feedback it was very helpful.



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