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limited echocardiogram

Annie Posted Wed 09th of March, 2016 18:39:45 PM

Would this be consider as a limited echocardiogram 93307?
NORMALS
RVID (Less than 2.6)
IVS-d (Less than 1.1)
LVID-d (Less than 5.7)
LVPW (Less than 1.1)
AO (Less than 3.7)
LA (Less than 4.0)
MEASUREMENTS
------------
IVSd: 1.0* cm
LVIDd: 4.3* cm
LVPWd: 1.0* cm
LVIDs: 3.2* cm
EF(Teich): 51 %
Ao Diam: 3.5* cm
LA Diam: 4.1* cm
TR Vmax: 2.58* m/s
RVSP: 37.00 mmHg
RAP: 10.00* mmHg

FINDINGS
-------
Indication::Bradycardia History of syncope/presyncope.
Study quality:This was a technically adequate study.
Left Ventricle:The left ventricular size is normal. Left ventricular wall thickness is normal. There is mild global hypokinesis of LV . Overall left ventricular systolic function is mildly impaired with, an EF between 45 - 50 %.
Right Ventricle:The right ventricle is mildly enlarged.
Left Atrium:The left atrium is mildly dilated.
Right Atrium:The right atrium is mildly enlarged.
Aortic Valve:Trace to mild aortic regurgitation. There is no evidence of aortic stenosis. The aortic valve is trileaflet and appears structurally normal.
Mitral Valve:Mild-to-moderate mitral regurgitation is present.
Tricuspid Valve:Mild-to-moderate tricuspid regurgitation present. The right ventricular systolic pressure, as measured by Doppler, is 27mmHg.
Pulmonic Valve:Trace/mild (physiologic) pulmonic regurgitation.
Pericardium:There is no pericardial effusion.
Diastolic function:There is mild diastolic dysfuntion for this patient.

CONCLUSIONS
-----------
1. This was a technically adequate study.
2. The left ventricular size is normal.
3. Left ventricular wall thickness is normal.
4. There is mild global hypokinesis of LV .
5. Overall left ventricular systolic function is mildly impaired with, an EF between 45 - 50 %.
6. The right ventricle is mildly enlarged.
7. The left atrium is mildly dilated.
8. The right atrium is mildly enlarged.
9. Trace to mild aortic regurgitation.
10. There is no evidence of aortic stenosis.
11. The aortic valve is trileaflet and appears structurally normal.
12. Mild-to-moderate mitral regurgitation is present.
13. Mild-to-moderate tricuspid regurgitation present.
14. The right ventricular systolic pressure, as measured by Doppler, is 27mmHg.
15. Trace/mild (physiologic) pulmonic regurgitation.
16. There is no pericardial effusion.
17. There is mild diastolic dysfuntion for this patient

SuperCoder Answered Thu 10th of March, 2016 09:18:58 AM

Thanks for the Query

CPT code for Limited echocardiogram is 93308 not 93307 and here documented scenario states its a complete echocardiogram .

Annie Posted Thu 10th of March, 2016 10:05:06 AM

So when can it be a 93306 or a 93307?

Annie Posted Thu 10th of March, 2016 10:05:40 AM

what makes it complete?

SuperCoder Answered Fri 11th of March, 2016 06:26:55 AM

Thanks for the Query

93306 is a complete transthoracic echo with Doppler and Colorflow
93307 is a complete transthoracic echo without without spectral or color Doppler echocardiography
93308 is a follow-up or limited transthoracic echo only ( no doppler or colorflow)
A complete echocardiogram which include all of the structures that are undermentioned. If one of the structure is not there it means echocardiogram is Limited.
LV
RV
LA
RA
Mitral, Aortic and Tricuspid valves
Pericardium
Adjacent portion of the aorta

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