Billing 93306

What modifier is to be used if any, when billing 93306 to a commerical insurance? This is the only procedure done for the date of service.

93306

What is your place of service?
Non-Medicare payers may be slow to implement the 93306 code but will eventually do so. If the code is not accepted at this time, check with provider relations to clarify if you should continue to code with 93307, 93320, and 93325.
Non-Medicare payer fee schedules and contracts vary. From a practical perspective, the charges for code 93306 should be the sum of the charges for 93307, 93320, and 93325. Based on your current contract for 93307, 20, 25, one could assume the same payments for those codes would be applied to 93306, until your contract is renewed. The critical piece to follow is that when the payer does establish a payment for new code 93306 it should be based on the sum of all of the parts (93307, 93320, 93325). It is important to check with your payers.

93306

Thank you so much for that information.

codes

Medicare does not allow the bundle of 93320,93307,&93325, you only use the 93306 now.

93306

I bill for our doctors in office and when they read the interps for the 93306. So in the office I just bill 93306 no modifier. For when they are at the hospital, the hospital gets to bill the professional component and we bill the 93306 I 26. Hope that helped!