Joy Posted Mon 08th of February, 2016 09:13:41 AM
Does a surgeon have to request it?
SuperCoder Answered Tue 09th of February, 2016 06:22:04 AM
Request by surgeon for TEE is a requirement per reimbursement guideline so it will always be needed. Please find the guidelines for reimbursement below,
The key points for reimbursement of IOE- Intraoperative Echocardiography services should include:
1) Documentation that the surgeon or other physician is requesting echocardiography for a specific diagnostic reason. The medical record should indicate this request either by an order in the medical record, the operative consent form, progress notes, or at the very least within the dictated echocardiography report. It is a good practice for the patient report to indicate the medical necessity for performing the TEE and the physician who requested the IOE service. It should also be clear whether the IOE was performed for diagnostic, monitoring, or research purposes.
2) A complete interpretation and report is generated by the echocardiographer. Best practices include submission of a copy of the completed, signed TEE report with the billing sheet.
3) When TEE is used for monitoring by the physician who places the TEE probe and another physician provides a diagnostic exam and report, the monitoring physician only receives compensation for placement of the probe. There is no reimbursement for diagnosis when intraoperative TEE is used solely for monitoring.