tci Part B Insider - 2009 Issue 42

READER QUESTION: Distinguish 'May Include' From 'Required'

Also: Know the requirements of a 'limited' study. Question: Does the doctor need to document viewing the pulmonary artery and veins to code a complete 2D transthoracic echo (93307)? Answer: No. But if the cardiologist does visualize the pulmonary vessels, you would include that in the echo code. CPT's "Echocardiography" guidelines require examination of -- or an attempt to examine -- the following for 93307 (Echocardiography, transthoracic, real-time with image documentation [2D], includes Mmode recording, when performed, complete, without spectral or Doppler echocardiography): • left and right atria • left and right ventricles • aortic, mitral, and tricuspid valves...

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