Ultrasound Question for the Week of June 6, 2016

Question:

Question:

How do we code for a contrast-enhanced liver ultrasound using LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension?  

Answer:

Answer:

Since there is no special code for contrast-enhanced liver ultrasound, you would report the current limited abdominal ultrasound code 76705 (or 76700 if a complete abdominal ultrasound was performed).  In addition you would report Q9950 for the LUMASON® contrast agent.  Q9950 should be reported per ml given.  

Medicare also allows you to bill for discarded amounts for single-use products, so you would bill the amount given plus the discarded amount (usually Q9950 x 5 since the vial is 5 ml LUMASON®.)  Other payers may allow you to bill for the discarded amount, but you would need to check with your payers to confirm.  Some payers may allow you to also report 96374 for the administration of Lumason®.