tci ED Coding & Reimbursement Alert - 2014 Issue 2

Reader Question: Read Slowly and Carefully Or You Miss Out On Accurate FAST Exam Coding

Question: I have a chart that indicates that the ED physician treated a patient with contusions to his chest and abdominal wall following a traffic accident. The physician notes say that he performed a FAST exam and found no pericardial fluid or abdominal fluid. I have heard about the FAST exam and cannot find the code anywhere in CPT®. Is it in the Ultrasound section? Tennessee Subscriber Answer: There is no single code for a FAST (focused abdominal sonography for trauma) exam; the procedure involves two steps, and coding for it requires a pair of CPT® codes only one...

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