tci ED Coding & Reimbursement Alert - 2014 Issue 6

Reader Question: Ultrasound Can Be Billed Separately When Documented

Question: A 26-year-old patient who is 24 weeks pregnant presents to the ED; “I been throwing up constantly for three days, she tells the nonphysician practitioner (NPP). During a level-four E/M service, the physician discovers that the patient is also experiencing abdominal cramping, but no diarrhea or fever.  He performed a limited transabdominal ultrasound to check on the fetus, which shows no signs of complications due to the mother’s condition.  The ED physician discharges the patient with prescriptions, and instructions to report to the obstetrician if her vomiting has not abated within two days. Final...

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