Ultrasound Question for the Week of February 27, 2017
Question:
May the limited obstetric ultrasound code 76815 be used for transvaginal and transabdominal exams? It does not specify this in the CPT book.
Question:
May the limited obstetric ultrasound code 76815 be used for transvaginal and transabdominal exams? It does not specify this in the CPT book.
Question:
How do you code automated breast ultrasound? Can we code 3D?
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?
Question:
How do we code for a contrast-enhanced liver ultrasound using LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use?
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?
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)?
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?
Question:
When billing for a prostate ultrasound that is not transrectal, would it be more appropriate to use 76775 (limited retroperitoneal) or 76857 (limited non-OB pelvis)?
Question:
Does the new HCPCS code C9744 for abdominal ultrasound with contrast equate with 76705?
C9744 Ultrasound, abdominal, with contrast
76705 Ultrasound, abdominal, real time with image documentation; limited (e.g., single organ, quadrant, follow-up)
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?