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Code 76377 3D with Echo, CCTA

Date: Mar 14, 2014

Question:

The 2014 version of your Diagnostic & Interventional Cardiovascular Coding Reference it says (page 526, #3): "There is no code at this time to report 3D echocardiography. When 3D echocardiography is performed for medically indicated reasons and requested by the treating physician, report code 76376 or 76377 in addition to the echocardiogram code depending on whether an independent workstation is utilized for the 3D rendering."  Then page 557 indicates the following: "10. Do not report 3D reconstruction codes separately (76376 or 76377). 3D reconstruction is included in the basic procedure codes." I am billing for a diagnostic echo, and the above two statements seem to be contradictory. Is the second statement referring to surgical procedure vs. diagnostic procedures? Is code 76377 appropriate to bill with a diagnostic echo when medical necessity is documented? 

Question ID : 5467
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