Ask Dr. Z

Please help. "Patient scheduled and brought to cath lab, intubated, and placed under anesthesia. Prepped and draped in sterile fashion. TEE performed to obtain measurements for planned ASD device closure. See full TEE report by Dr. G for details. By TEE the ASD measured only 3.8 mm. A small left to right shunt was identified. There is no sign of enlargement. Doctors elected to discuss situation with patient's parents prior to proceeding with cardiac cath. Following extensive discussion with parents, decision made not to proceed with cardiac cath. Patient will be followed in clinic over time for the development of heart right enlargement to suggest significant shunting and indication for closure." The physician is asking, how can this case be billed, or are there other codes that may be used? Per physician, "Supplies were opened and NOT used (all wasted)." Please help - I suggested to the physician that only TEE (93315) may be reported, but I would like your take on this.