In your February 9 question of the week, you state that a hospital can bill code 93351 for stress echo when it is performed per its description.
February 23, 2009
As this is a global code, as referenced in the original question, what would the correct billing be if a hospital and clinic were to split the charges into technical and professional components? Our thinking is that we would go back to the 93350-26 and -TC, with a 93016 and 93018 for the professional side and 93017 for the hospital/technical side. We have had much debate over this issue; any guidance you could provide would be greatly appreciated.
Professional providers should bill according to the service delivered. If they only provide 93016 and 93018, then this is what is billed and the other physician bills 93350. If one provider does all, code 93351 should be assigned.
The hospital bills 93351, which is a comprehensive procedure that includes both 93350 and 93017. The reason is that these codes describe both of the technical services, and the charges cannot be unbundled on the claim.
It is important not to confuse the two payment systems for providers.