Cardiology Question for the Week of July 5, 2021

Question:

Can you please tell me if we can bill 93356 myocardial strain imaging on the facility side?

Answer:

It can and should be reported on the claim form, but it is packaged under OPPS and not separately paid. It is an add-on code and Medicare does not pay add-on codes separately to outpatient hospitals. Other payers may pay it, but Medicare does not. It should be reported on the claim even for Medicare because packaged codes are used for TOPs and outlier payments, and for future rate setting. Payers other than Medicare may allow it, but as an add-on code, it must be billed with one of the primary codes – 93303, 93304, 93306, 93307, 93308, 93350, 93351.