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Performing diagnostic TEE while providing anesthesia

Discussion in 'Anesthesiology' started by anumama, May 10, 2018.

  1. anumama

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    Hey all,

    Sorry if this is a repost, I wasn't successful in finding an answer on SDN and google search. I was scheduled in EP today for AFib ablations, was requested by EP doc to drop TEE probe to r/o LAA clot. However, I'm taking care of this patient solo, so is it kosher medicolegally to perform a diagnostic TEE while providing anesthesia? I realize that in the cardiac rooms we do this on a daily basis, but I was under the impression that was different because of the continuous monitoring component.
     
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  3. sevoflurane

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    I believe you can bill as it’s part of your anesthetic to r/o LAA clot/monitoring for tamponade if it’s and EP procedure. Obviously need a report.

    I don’t think you can bill for anesthesia AND TEE if the procedure is TEE.

    At least that’s the way I understand it.
     
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  4. Twiggidy

    Twiggidy ASA Member

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    Basically dropping the probe is and "add on", ie, as if you placed an A-line, CVP, etc. If you do the exam and report that's another unit (or two). It's justified because placing a probe and r/o clot is vital to whether or not to continue with the procedure.
     
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  5. T-burglar

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    You SHOULD be able to bill for this for the same reason you can bill a TEE for cardiac surgery
     
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  6. AdmiralChz

    AdmiralChz ASA Member

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    Similar billing as rescue TEE. Make sure a full report with saved images for full reimbursement.
     
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  7. anumama

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    Makes sense, thank you guys for your responses.
     

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