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RUSH Exam Billing Question
Posted: Tuesday, February 9, 2016
Joined: 8/31/2011
Posts: 231


Quick question I thought of, slightly related to this email chain. I have just built all of our EPIC orders for Q-path based on the ACEP coding guidelines. Do you know how people are coding for the RUSH exam since it encompasses multiple codes, even more then the EFAST?  Are people billing this?


From: Strony, Robert J. []

Sent: Friday, January 29, 2016 10:31 AM

To: Marin, Jennifer

Subject: RE: Question about Vascular Access Billing

Posted: Tuesday, February 9, 2016
Joined: 8/31/2011
Posts: 231

Hi Rob, 

There is no all-encompassing code for the RUSH exam currently.  Therefore, the only option would be to code for multiple exams.  With that, it is important that folks note that billing multiple exams for a single visit within a short amount of time are often flagged by CMS/insurance companies.  Therefore, be sure to document medical necessity for EACH of the exams being billed. So, would be more documentation when doing the RUSH protocol, but still should be billed for and reimbursed.  

Here are the exams that should be coded for when doing the RUSH protocol:

-76705 (limited abdomen, which would account for the FAST +  IVC portion of the protocol) 

*Note: even though this is 2 separate exams, you cannot code for it twice.

-93308 (limited echo)

-76604 (limited chest/mediastinum which would account for the pneumothorax evaluation)

-76775 (limited retroperitoneal which would cover the AAA evaluation)

-93971 (limited DVT- if this is done as part of the evaluation for PE)

--Jen & Stan

--Jennifer Marin, MD, MSc

--Stan Wu, MD, MBA

Co-Chairs, Coding & Reimbursement Subcommittee, ACEP US Section

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