Pediatric echocardiography coding is based on the type and purpose of the echocardiography performed. Codes indicate whether the study was complete or limited and for evaluation of a congenital anomaly or other indication. In addition, some echocardiography codes include spectral Doppler echocardiography and color-flow velocity mapping, while these services are separately reportable with other studies. This article reviews appropriate codes for each type of echocardiography.

The first consideration for selection of codes for pediatric echocardiography is whether the study included evaluation of a congenital cardiac anomaly. Codes for study of congenital anomalies are reported only when a congenital anomaly is evaluated.

The standard echocardiogram is transthoracic echocardiography (TTE). However, when necessary to obtain different views of the heart and blood flow, transesophageal echocardiography (TEE) is performed. Codes for each type of echocardiography are reported when performed. (This article does not address stress echocardiography. Please watch for an article on this...

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