Re: [echocardiography] Protocol for Contrast Echo
- In our office the nurse gives the injection (the nurse is also the one
who does the "treadmill portion" of the stress). We usually start with
1cc of optison at rest and go from there. I usually start with my " MI "
at 0.6 or less depending. It really varies from pt. to pt. We try to
inject the 1 cc over about 10 or 12 seconds..this helps to alleviate some
of the attenuation.
K Tobin Freeamn, RDCS, RT
GET INTERNET ACCESS FROM JUNO!
Juno offers FREE or PREMIUM Internet access for less!
Join Juno today! For your FREE software, visit:
- --- In firstname.lastname@example.org, NEV1974@A... wrote:
> From what I understand right now there is no reimbursement forcontrast echo
> in the hospital setting, it is absorbed in the cost of the echo.It is done
> in a outside facility, such as doctor office or diagnostic centerthen it is
> reimbursed, but I am not sure how much. If anyone has any otherinformation
> on this, I would very much appreciate it, seeing our hospital istrying to
> get started using contrast echo with regular echoes and stressechoes.
>I am hoping to try and answer this question to the best of my
knowledge without getting into too much trouble, so here goes:
In the hospital inpatient and outpaitnet settings for Medicare Part A
beneficiaries, payment for all contrast materials was considered in
the development of the allowable rates for applicable DRG or APC
payment categories; therefore, payment for Optison is bundled into
payment for the procedure and is not seperately payable. From what I
know, HCFA considered the use of "Albunex", within the general
population to be 25%. HCFA then calculated this usage and determined
the increase in reimbursement for echocardiography, and adjusted the
reimbursement through the APC categories. There has never been a
consistent coding mechanism to describe the use of Optison; however,
I would encourage all hospital labs to make sure that Optison use is
coded with HCPCS code A9700 on all relevant claims. This will allow
you and HCFA to track the usage of Optison and the costs associated
with its usage, and may provide valuable information during the
development of subsequent payment rates.
I forgot, A9700 is the latest code out of HCFA for contrast. This
HCPCS code should be used to describe the use of Optison from now
on. A9700 - SUPPLY OF INJECTABLE CONTRAST MATERIAL FOR USE IN
ECHOCARDIOGRAPHY,PER STUDY. This code is in effect as of 1 Jan. 01
and should be used for all contast studies, even in the physicians
office. The offices should check with their intermediaries as to
whether they will use this code or remain with codes suchas: Q0188,
S8060, J3490 etc..
I do feel that the reimbursement is there for the patients in the
hospitals. The inpatient (DRG's) will see the benefits through
reduction of redundent studies and the outpatients are already
absorbed within the new and increased reimbursement through the APC