Billing > Billing

ECHO'S IN OFFICE

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TerriTye:
This is what I have learned - For Echo's in the office, We bill 93306 - that bundles the 2d, Doppler and color flow. 93224 is to be billed as 93224, this is a bundle as well.
My next question is this: 93744 - Dual Chamber wReprogramming. Is this an accurate procedure code. It is marked on my fee ticket; but I cannot find any info on this. I also have a 93743 - which is "wo Reprogramming". Does anyone have any experience with billing these codes?

HeidiK:
Hi Terry!

I would suggest speaking with the office to get more clarification of how they want these procedures (with modifiers or not) filed on  insurance claims.  Without the medical record explaining the entire circumstance, it's difficult to offer proper advice.

There were a significant number of changes to cardiology CPT codes in 2009, and 93744 was deleted as well as 93743.  My suggestion would be for this cardiology practice to have their entire fee schedule reviewed.  If they have continued to bill these two codes for the last four years, they may have lost a significant amount of reimbursement and chances are high other revisions are necessary to improve their revenue cycle.

I mentioned in a previous reply how I wasn't sure if you were responsible for coding or billing only.  If you are a coder, I'm sure you are aware of the difficulties in cardiology coding and more recent years have had numerous changes also.  If you are responsible for a fee schedule review as part of your services, I would suggest doing so immediately.  If you need help providing this additional service for your client, let me know if I can be of any further help!  :)

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