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Echo billing for cardiology practices

Echocardiogram billing: every part you own, paid

Echocardiogram billing means getting paid for every part of the study you own. In your office, that is the scan and the read on 1 global claim. In a hospital, it is your read, billed with modifier 26.

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Echocardiogram billing: a cardiologist scanning a patient in his office echo room
93306 globalOffice echo · POS 11Paid
In your office, the scan and the read are both yours
01Coding

Complete, limited and follow-up echoes

Your complete echo with Doppler bills as 93306. Without Doppler it is 93307, and a limited study is 93308. Contrast goes on its own supply line, per mL.

Some hospital reads go unclaimed, add-ons get dropped, and a report without spectral Doppler can't support 93306. We reconcile your hospital reads against claims, so every read you sign gets billed.

Echocardiogram CPT codes
Coded from the note
CMS-1500 · Claim 10482Limited echo · POS 11
DOSPOSCPTModDx09/14/261193308A09/14/261193321A09/14/261193325A
Claim statusPaid
Limited echo, Doppler add-ons billed
02Stress echo and TEE

Stress echo and TEE

A stress echo is one study. In your office, 93351 covers the imaging, the stress test and your read.

In a hospital you bill 93351-26, or 93350-26 when another provider runs the stress. Most TEEs are hospital studies, billed 93312-26. Color Doppler on a TEE is its own add-on, 93325.

Stress tests
Office global, hospital 26
Claims 10517, 10518Stress echo · office and hospital
Office · POS 11Claim 10517

93351

Imaging, stress test and your read

Claim statusPaid
Hospital · POS 22Claim 10518

93351-26

Your supervision and reads

Claim statusPaid
Coded for where it was done
03Denials

What gets echo claims denied

5 things commonly deny your echo claims:

  • FrequencyA repeat echo inside the payer's limit.
  • DiagnosisA code that is not on the covered list.
  • BundlingDoppler add-ons billed with 93306.
  • SignatureA read billed before it was signed.
  • ComponentTC, 26 or global on the wrong claim.

We check all 5 on every echo claim before it goes out. When a denial still comes back, we appeal it with your note, not a resubmission.

Denials and appeals
Worked, not parked
Claim 10533Office echo 93306 · POS 11
  1. DeniedFrequency limit
  2. AppealedWith your note and the new symptoms
  3. Paid93306, global
A denial, worked to paid
04Codes

Echocardiogram CPT codes we bill

Each code pays only when your signed report supports it. In a hospital you bill the 26 for your read.

Strain, 93356, pays only where the plan covers it. Contrast given with a stress echo is its own add-on, 93352.

Every code with its rules
CodeStudy
93306Complete TTE with spectral and color Doppler
93307Complete TTE without Doppler
93308Limited or follow-up TTE
93320, 93321, 93325Doppler add-ons with 93308, TEE or stress echo
93350, 93351Stress echo, without and with the supervised stress test
93312, 93313, 93314TEE, complete and by component
93356Strain imaging add-on
05Get in touch

Send your last 90 days of echo claims

We show you, by payer, which parts you own were paid, and which were denied and why. Free, no strings.

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Free, no strings
Your 90-day echo reviewLast 90 days
  • Office: scan and read paidIncluded
  • Hospital: read paidIncluded
  • Denied, and whyIncluded