We are following guidelines on billing echocardiogram based on results. E.g. mild mitral insufficiency (I34.0), mild aortic insufficiency (I35.1).

However, if patient has indications that makes the echocardiogram medically necessary, e.g. shortness of breath, murmur, CHF, etc.. doesn’t it make a stronger case to code the indications rather than the "mild" results?

We usually code both the indications and results but technically which one would make it "more" correct in the eyes of Medicare and other insurances?

Thanks!