tci Part B Insider - 2003 Issue 19

Billing 93312-93317 As Monitoring Versus Diagnostic - Learn the Difference or Rue Your Reimbursement

Time to start digging back through your files. As of July 1, you can once again receive payment for transesophogeal echocardiography (TEE) services (93312-93317) along with other anesthetic, as long as you use modifier -59 (Distinct procedural service), according to the latest National Correct Coding Initiative. You can even go back and rebill for TEE services that the carriers denied from January to June based on this now-defunct edit. The catch: Medicare will only cover TEE separate from anesthesia if it's for diagnostic purposes. TEE for monitoring purposes won't receive any reimbursement. Sometimes, "the doctor's not even aware when...

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