AMA Clinical Examples in Radiology - 2024 Issue 2 (Spring)
Obstetric Ultrasound
Spring 2024 pages 16-18
DOCUMENTATION CHALLENGE:
Reports that fail to adequately support the coding for the procedure performed not only have serious implications for fraud
and abuse but also may negatively affect how the physician can report the procedure. In each issue, you will be provided with
a documentation challenge. This documentation challenge will serve as a learning tool for both coders and physicians.
Obstetric Ultrasound
CLINICAL INDICATION
A 24-year-old pregnant female with uncertain dates.
PROCEDURE
Obstetric ultrasound <14 weeks with transvaginal imaging.
COMPARISON
None.
TECHNIQUE
Multiple transabdominal and transvaginal longitudinal and transverse two-dimensional (2D) real-time ultrasound images through...
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