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Effective for commercial HMO, POS, and PPO
members for dates of service on or after
May 1, 2014, providers will need to obtain
precertification for outpatient echocardiography
services, which include:
- stress echocardiography
- resting transthoracic echocardiography
- transesophageal echocardiography
The CPT® codes to which the precertification applies
are listed in the table below.
Precertification for outpatient echocardiography
services can be obtained through the NaviNet®
web portal using the AIM Specialty Health® (AIM)
ProviderPortalSM. To do so, select AIM from the
Authorizations option in the Plan Transactions menu.
It is very important that providers use NaviNet to
verify member-specific requirements or refer to the
precertification list on our
website. Failure to obtain
precertification for any of the services or drugs that
require it may result in a reduction in payment or
nonpayment for the services not authorized.
Please call 1-800-ASK BLUE if you have any questions
about this upcoming change.
Note: These changes will go into effect for
Medicare Advantage HMO and PPO members
on January 1, 2015.
Echocardiography service
CPT® code
Description
93350
Transthoracic stress echo, complete
Stress echocardiography (SE)
93351
Transthoracic stress echo, complete w/cont EKG
93303
Transthoracic echo cardiac anomalies
93304
Transthoracic echo cardiac anomalies, limited
93306
Transthoracic echo complete w/color & spectral
93307
Transthoracic echo complete w/o color & spectral
Resting transthoracic echocardiography (TTE)
93308
Transthoracic echo limited
93312
Transesophageal echo
93313
Transesophageal echo probe only
93314
Transesophageal echo interpretation
93315
Transesophageal echo congenital
93316
Transesophageal echo congenital, probe only
Transesophageal echocardiography (TEE)
93317
Transesophageal echo congenital interpretation
93320*
Doppler echo complete
93321*
Doppler echo limited
93325*
Doppler echo flow velocity
Add-on codes
93352*
Echo contrast agent (SE only)
AIM is an independent company contracted with
Independence Blue Cross to perform precertification for select diagnostic
imaging services for most managed care members.
NaviNet® is a registered trademark of
NaviNet, Inc., an independent company.
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