Coding and Reimbursement

Joshua Guttman, MD, FACEP - Co-Chair

Dillon W. Casey, MD - Co-Chair

Mission: To provide up-to-date information to section members on billing and coding for reimbursement within emergency medicine with a focus on ultrasound.

Goals for the year:

  1. Develop/Publish a curriculum for attendings/fellows/residents on billing/coding/reimbursement basics within emergency medicine with an emphasis on ultrasound.
  2. Update to CPT for pertinent emergency medicine codes with a focus on ultrasound requirements for diagnostics and procedures.
  3. Contribute to section update in Ultrasound Guidelines with a value on point of care ultrasound.
  4. Discuss/educate members about CPT coding in regards to POCUS for diagnostic and procedural ultrasound.
  5. Respond promptly to any individual queries about billing, coding, reimbursement from our members or members or the EM ultrasound list serve.
  6. Provide expertise to the ACEP Emergency Ultrasound Section for any billing/coding/reimbursement related questions/inquiries.
  7. Keep section website updated and archived and up to date with current information.

ACEP Emergency Ultrasound Section Webinar on POCUS and the New Coding Criteria, May 2023  Synopsis of the Webinar

Coding and Reimbursement Documents

2009 ACEP EUS Coding and Reimbursement Document
This is the core document (100+ pages). Appendix A containing the CPT codes, is updated yearly. Please choose the Attachment A update from the list below. (Previous years are provided for reference)

Information provided by the ACEP Reimbursement Committee

Template Letters for Appealing Denied Claims
These letters were prepared to assist in appealing some of the most common denials experienced by emergency medicine practices.

Ultrasound FAQs
These FAQs were prepared by ACEP's Reimbursement Committee, last updated, September 2019.

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