Ultrasound Question for the Week of February 13, 2017

Question:

When billed with an echocardiogram, LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use code Q9950 has pass-through status and is separately paid to outpatient hospitals. When billed with liver ultrasound code 76705, will it also be paid separately?

Ultrasound Question for the Week of January 30, 2017

Question:

I have been asked for coding help for a new diagnostic ultrasound procedure: liver ultrasound with injection of LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use contrast. For the radiologist to bill for his or her services in the hospital setting, do you recommend assigning only the following code?

76705 Ultrasound, abdominal, real time with image documentation; limited (e.g., single organ, quadrant, follow-up)

For the office place of service, do you recommend the above (76705) in addition to the following code:

Q9950 Injection, sulfur hexafluoride lipid microspheres, per mL

Are there any other codes that should be reported?

Ultrasound Question for the Week of January 23, 2017

Question:

The hospital outpatient prospective payment system (OPPS) Addendum B includes a new separately payable imaging procedure code C9744 for ultrasound of the abdomen with contrast, which became effective October 1, 2016.

Is the contrast they are referring to oral or must it be intravenous (IV), such as is required for computed tomography (CT) and magnetic resonance imaging (MRI)?

Ultrasound Question for the Week of January 16, 2017

Question:

 I have a question regarding CPT 76805 and 76811. Currently, we are charging 76811 for our second trimester ultrasounds, but I am not sure this is correct. The American Institute of Ultrasound Medicine (AIUM) suggests a more detail exam such as tongue, palate, ear position, superior vena cava (SVC)/inferior vena cava (IVC) etc. If this is true then we probably should only be charging CPT 76805. What is your opinion?