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Question:
What diagnosis code(s) should we use for an echocardiogram performed with contrast?
Answer:
There really isn’t a special code. Where there are LCDs, the diagnosis codes (over 1000 in some cases) include regular 933xx codes as well as the C89xx codes for contrast ultrasound in the same groupings. Since there is usually a requirement that at least two continuous segments of the left ventricular border cannot be seen before contrast echo is covered, you may want to add R93.1 (abnormal findings on diagnostic tests of heart and coronary arteries) as a secondary diagnosis to indicate that.
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