On Demand - CV Diagnostic Coding Update for Imaging Leaders-Q&A

Q&A

Pdf Summary

This Q&A session covers various questions related to diagnostic coding in cardiovascular healthcare. The first question addresses the timing of diagnostic studies and states that it can depend on the payer and specific study guidelines. The second question recommends contacting the local carrier or using their website for reimbursement and coverage information. Question three explains that billing for code 93016 incident to depends on state laws and supervision. Question four acknowledges denials for diagnosis codes for code 76706 and suggests checking payer policies. The fifth question clarifies that an EP provider can bill for a TEE same day as a procedure if medical necessity and separate documentation are present. Question six provides an update on coding for coronary IFR, suggesting reporting code 93571 with modifier 52. In question seven, it is confirmed that an echo can still be billed when performed before an emergent pericardiocentesis, and checking carrier policies is recommended. Question eight discusses billing for codes 93350, 93018, 93016, and 93017, specifying how facilities and providers should report them. Question nine differentiates between off-campus outpatient services (POS 19) and on-campus outpatient services (POS 22). Question ten clarifies that code 93319 is specifically for 3D imaging of congenital anomalies but can be billed with non-congenital TEE codes if the imaging supports congenital cardiac anomalies. Finally, question eleven states that CTA and FFr can be billed and performed on different dates and independently of each other.

Keywords

diagnostic coding

cardiovascular healthcare

payer guidelines

billing

code 93016

denials

coronary IFR

echo

off-campus outpatient services

congenital anomalies