Josephine Posted Thu 31st of January, 2013 14:26:29 PM
We have been hearing that Medicare is cutting echo hospital readings (93306,26) if the same doctor rounds on the same day (99233,299232,99231). Is there any truth to this and if so, is there a policy you can provide us from Medicare? Also, can we use a modifier 25 to show that it was a seperate service?
Josephine Posted Thu 31st of January, 2013 20:18:44 PM
Correction to the code 299232, should be 99232
SuperCoder Answered Fri 01st of February, 2013 23:11:14 PM
Let us search this for you. Please be patient till the time. Thank You.
SuperCoder Answered Mon 04th of February, 2013 15:27:23 PM
We haven’t come across information on cutting the 93306-26 fee when reported with subsequent hospital care. On the other hand, those reporting the technical component of multiple same-session diagnostic services should be familiar with the 2013 MPPR changes (http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1149OTN.pdf) and hospital-owned/operated practices should review the 3-day payment window (http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Three_Day_Payment_Window.html).