CQW Panacea-re-brand-rev3

Cardiology

For the Week of March 30, 2015

Question:

Should we charge for the intravenous (IV) insertion and the supplies when we perform a bubble study echocardiogram, or should we bill only for the echo (93306)?

Answer:

For Medicare claims, you cannot assign a code for the injection / IV insertion, although non-Medicare payers may allow 96374 for the administration of the contrast. You would bill for the echo (9330x if billing for the physician’s office or C8921–C8930 for the hospital). You should assign the appropriate code for the contrast material given, which would be one of the following, which are packaged for hospital billing under the outpatient prospective payment system (OPPS) but may be paid separately for non-hospital offices.

A9700 Supply of injectable contrast material for use in echocardiography, per study
Q9956 Injection, octafluoropropane microspheres, per ml
Q9957 Injection, perflutren lipid microspheres, per ml

Return to Compliance Question of the Week Index

BMQ3CPCRM15

Sign up to receive Compliance Question fo the Week.

To view and archive of the Cardiology Compliance Question of the Week, click here