Correctly code your TEEs

Why This Topic Matters

TEE claims can be denied when the billed service does not match who performed each part of the encounter or when the setting is coded incorrectly. Understanding the article can help staff review documentation, align claims with the physician’s role, and distinguish facility-based billing from office-based billing.

Article Sections

1. Coding questions in the hospital setting

   Introduces the claim denial issue and frames the question around how TEE services should be selected based on the physician’s role in the encounter.

2. How TEE services are categorized

   Explains the broad service components used for TEE reporting and distinguishes between facility and non-facility situations, including congenital and non-congenital contexts.

3. Professional component modifier in facility claims

   Discusses the use of the professional component modifier in the hospital setting and contrasts it with office-based reporting.

4. TEE coding tip

   Offers a brief reminder about documenting who performed the probe-related portion of the service before selecting the claim line.

5. Clinical context and related echo services

   Provides general background on TEE use in cardiac imaging and notes that related echocardiography services may also be reported when appropriate.