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TEE 93312 vs 93313

Date: Feb 16, 2022

Question:

I'm trying to bill for a TEE done in the hospital setting and for the cardiology physician group that is a provider-based clinic. Is it appropriate to report 93313 for the hospital for the probe placement and 99314 for the physician who is present for the exam and does the interpretation? The same provider is doing the full procedure. Complicating matters, color flow, and spectral Dopplers were also done, which cannot be added on to 93313. Contrast was used, so for Medicare patients on the facility side C8925 would apply (even though that includes ALL components). Which is the correct way to report the hospital side? 93312, 93320, 93325 for non-Medicare and C8925, 93320, 93325 for Medicare? Or would it be 93313 for the hospital and 93314 for the physician?

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