Device Interrogation billing

[Modanq]

For those of you who staff CT ICU we are often called upon to do a turn down examination under ultrasound guidance for BiVAD/ RVAD or optimization of LVAD speeds, or ECMO turndown examinations. Or Repositioning of impella alarming devices.

Do you guys first of all document this as a procedure or have a mechanism for coding this under ultrasound tte guidence procedure. It not as straight forward as "yup looks good." Any pointers to improve reimbursement?

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[CardiacIntensivist]

Interesting thought. I manipulate ECMO flows and VAD speeds often but never thought about billing. i am not sure even my HF colleagues bill formit either. Everyone seems to accept as bundled with ICU time.

 

[bigdan]

We’re asking our billers what they think of 93308 (limited TTE)...ASE defines it as “a focused clinical exam to answer a specific clinical question”. You have to clip images and document your interpretation of those images/the “clinical situation”.