Coding and Reimbursement

Purpose: To provide updated information to section members on ultrasound reimbursement and coding questions.

Stan Wu, MD, FACEP - Co-Chair

Joshua Guttman, MD, FACEP - Co-Chair

Goals for the year:

  1. Updates to CPT ultrasound and procedural codes/requirements
  2. Contributing to the section update in Ultrasound Guidelines with a valuation of point of care ultrasound (POCUS).
  3. Discussion of a POCUS CPT code
  4. Individualized responses to coding and reimbursement questions on the EM ultrasound list serve
  5. Keeping the section website updated with archived and current information

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 ACEPs Reimbursement Committee, last updated, September 2019.

2016 Emergency Ultrasound Guided Procedure Codes

2016 Separately Billable CPT Codes for US Guided Procedures

2016 Advanced EUS Codes