Ultrasound Question for the Week of December 26, 2016

Question:

Question:

There are correct coding initiative (CCI) edits for a Doppler ultrasound (US) when a pelvic US is ordered to rule-out torsion during the same encounter. The technologist feels that it is justified to over-ride the edit if they have an order for the Doppler. Is she correct?

Answer:

Answer:

The first question is whether they are doing a duplex scan or just turning on color Doppler. It is unusual to see a complete duplex scan with ovarian and scrotal ultrasounds. Generally, color is turned on to see if there is blood flow to rule out torsion and that’s it. If that’s what they are doing, there is no additional code; no Doppler or duplex would be coded.

If the treating physician or the radiologist orders a true duplex scan, and the radiologist interprets the duplex (grayscale imaging of the vascular structure, color flow, and spectral analysis), it is appropriate to report the duplex scan with the pelvic ultrasound.