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Cardic Stress Test (93017) with MPI (78542)in hospital owned Physicians office

Hello I am a Cardiac Administrator and I am looking for some insight on physician billing for a Cardiac treadmill Stress test with a Nuc Med MPI Scan performed in a physician’s office.

We are currently in the process of acquiring a physician group that currently performs these services in their office. We are purchasing the group and all the equipment and the physicians will still perform these procedures in their office. Could you provided some recommendations on how this will now be billed since all physicians, staff and equipment will be hospital owned? Additionally we are considering using a Nuc Med mobile services while we update the scanners in the building. I would appreciate your insight on how this differs from procedures being performed in an outpatient setting in a hospital.

My initial thoughts are that the hospital owned physician’s office will bill 93016 and 93018 and 75842-26 for their services and the facility would bill 93017 and 75842-TC.

I would appreciate any feedback. I like to get perspective from different sources.

Thank you

Medical Billing and Coding Forum

93017 Technical Component

Our practice performs nuclear stress tests in the office. We normally have Dr. A in the office while the test is being performed, so we bill the 93016 under Dr. A. We bill 78452 and 93018 under Dr. B. He is not in the office while the test is being performed, but performs the interpretation of the testing. Should we bill the technical component, 93017 under Dr. A or Dr. B?

Medical Billing and Coding Forum