Emergency Ultrasound Section Forum
Coding and Reimbursement
How do I approach coding and reimbursement for point-of-care ultrasound?
Billing for point-of-care ultrasound by definition involves coding the study as a limited ultrasound exam, in contrast to the comprehensive exams billed by many of our imaging colleagues in Radiology or Cardiology, for example. In fact, it is quite permissible in most states to submit a limited code for the point-of-care exam initially performed, and then for Radiology or Cardiology to later bill a comprehensive exam on the same patient. One may also bill for a subsequent repeat limited exam in the same patient (particularly in the case of a change in clinical condition) using a modifier to designate the study as a repeat examination.