Cardiology Question for the Week of November 11, 2019

Cardiology Compliance Question of the Week


Do you have any guidance on the required documentation for duplex scans?


In the Ultrasound Coding User’s Guide, the American College of Radiology (ACR) specifically states “Assessing flow with color, recording a waveform and reporting the findings in a medically indicated examination are the key elements to look for in a report.”

Note: Both spectral analysis and color flow must be documented to assign one of the duplex codes and a report should document the velocity measurements of blood flow. Several terms that indicate spectral analysis are: acceleration rate, monophasic, biphasic or triphasic waveforms, peak systolicvelocity, resistive index (RI), velocity, waveform analysis.

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