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Stress Echo Coding

Chris Posted Fri 27th of September, 2019 19:21:39 PM
If a mid level oversees testing for a stress echo and then an offsite MD does the report, is it valid to code with CPT 93350, 93325, 93320 and the offsite MD as the rendering NPI? It seems the use of CPT 93350 allows for this since it does not require supervision in the verbage.
SuperCoder Answered Mon 30th of September, 2019 07:50:09 AM

Hi Chris,


Thanks for your question.


If the physician has performed only the professional components of the stress test and echo, he should report 93350 and append modifier 26 (Professional component) and the person who has performed the technical component, he/she should report this code with modifier TC (Technical component).


In a hospital setting, the physician would use modifier 26 because he/she is only doing the supervision and interpretation of the service. The facility would be billing for the use of the equipment.


Note: Do not append modifier 26 if the cardiologist performed the test in the office, since he owns the equipment.


Hope this answers your query. Please feel free to write if you have any question.




Chris Posted Mon 30th of September, 2019 10:53:18 AM
TO clarify, if the testing was performed in an office, use CPT 93350, 93325 and 93320 and there is no need to use modifiers since the equipment is owned by the office/physician
SuperCoder Answered Tue 01st of October, 2019 06:31:45 AM

Correct. Modifier 26 should not be appended if the test is performed in the office, since the office owns the equipment.

Hope this helps.

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