Getting paid: Proper billing and documentation for TEE services

Why This Topic Matters

TEE claims are frequently denied, and the article helps readers understand the broad billing and documentation issues that affect whether these services are paid under Medicare or scrutinized by payers.

Article Sections

1. Overview of TEE billing and coverage

   Introduces transesophageal echocardiography services and the Medicare coverage environment. Summarizes why these claims are often denied and why contractor guidance matters.

2. Coding options

   Reviews the main TEE service categories discussed in the article and how billing may vary based on the nature of the service and the clinician’s role. Also notes payer scrutiny related to certain service types and claim combinations.

3. Documentation requirements when billing for TEE services

   Describes the general documentation elements and recordkeeping expectations used to support TEE claims. Covers the types of report content and supporting records that may be requested on review.

4. Denial rates for 93312-93318

   Presents utilization and denial data for a group of TEE-related codes. Provides a comparison of billed services, allowed amounts, and denial percentages.