tci ED Coding & Reimbursement Alert - 2004 Issue 6

Reader Question: Document Results When Filing Portable

Question: Our ED physician has begun using a portable echocardiograph machine. How should we report claims when he uses this equipment?California Subscriber Answer: You should report a complete echocardiogram with 93307 (Echocardiography, transthoracic, real-time with image documentation [2D] with or without M-mode recording; complete) and a limited echocardiogram with 93308 (... follow-up or limited study). The ED physician usually provides a limited study. If the physician is using the hospital's portable echocardiograph machine, append modifier -26 (Professional component) to show that you aren't trying to bill for the technical component. Remember: The physician should document the echocardiograph results...

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