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Required US Images
pererap
Posted: Tuesday, May 6, 2014
Joined: 8/31/2011
Posts: 231


Hello,
 
Does anyone have a list of the required images for each bedside ultrasound?  Required for billing purposes...
(ie.  Aorta limited ultrasound requires these images for billing the scan)
 
Thanks so much,
 
Connor Nickels
Ultrasound Co-director University of Florida, Gainesville
pererap
Posted: Tuesday, May 6, 2014
Joined: 8/31/2011
Posts: 231


See below courtesy of the work of our Reimbursement subcommittee. Further details can be found in their coding and reimbursement document '09, update '12, and faq's

Chris Raio

B. Image Documentation (archiving of images)

CPT requires that all diagnostic and procedure guidance ultrasounds have permanently recorded images in order to meet coding criteria. Previously the need for image retention has been a point of discussion however CPT has ended any debate. In short, when you code and bill any ultrasound study always archive an image. It is recognized that care of the emergency patient should not be delayed by the time consuming work of image archiving, however without an image these studies can be documented, but not coded or billed (note: there are several ophthalmic ultrasound biometric codes that are excluded from this requirement).

CPT does not indicate image documentation specifications, e.g. how many images, what views, what medium is utilized for storage or where images are stored. Image retention is subject to facility policy and may differ from department to department. A minimum of one image demonstrating relevant anatomy/pathology for each procedure coded should be retained and available for review. At some point in the future image retention requirements may be more clearly defined.
 
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