Billing and Coding: Transesophageal Echocardiogram

Coverage for transesophageal echocardiography (TEE) is governed by the clinical reasonable and necessary criteria in LCD L33756; consult that LCD for specific indications and frequency limits. Billing requires accurate CPT/HCPCS and ICD-10 documentation, legible records with provider signature, and an order stating the reason per 42 CFR 410.32(a); professional cardiology services should be billed with CPT 93314 or 93317 with modifier 26, and non-covered services must be billed using the appropriate modifier.

"Coverage of transesophageal echocardiogram (TEE) is determined by the reasonable and necessary clinical criteria in Local Coverage Determination L33756; refer to LCD L33756 for specific covered ind..."

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