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Echocardiogram with bubble study

Oscar Posted Wed 10th of June, 2015 08:12:58 AM

Please clarify what is the difference between bubble study and normal 2D Echo. Regularly we are reporting 93306, could you please let us know what is the code for Echocardiogram with bubble study?

SuperCoder Answered Thu 11th of June, 2015 02:45:11 AM

A bubble echocardiogram is the same procedure as an echocardiogram, except an IV is placed in the patient's arm. During certain portions of the imaging, saline with bubbles is injected into the vein. This enables the cardiologist to see if there is a tiny hole between the upper chambers of the heart known as a PFO (patent foramen ovale) or ASD (atrial septal defect). This test is often done in conjunction with a transcranial Doppler or when the patient is experiencing neurological symptoms such as migraines, stroke-like symptoms, etc.

For billing a bubble study there isn't a separate code for the injection of the agitated saline. CPT doesn’t provide a code specific to the bubble study. A bubble study involves injecting agitated saline solution into the patient’s vein and following it as it passes through the patient’s heart. You would just bill the echo as 93306 or 93307 or if a limited bubble study is done, 93308.

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