tci ED Coding & Reimbursement Alert - 2005 Issue 12

READER QUESTIONS: Back Up US Code With Report

Question: What documentation is required to bill ultrasounds that the ED physician performs?Delaware Subscriber Answer: According to information issued by the American College of Emergency Physicians (ACEP), you-ll need four things: a separately identifiable written interpretation and report of the ultrasound, documentation of medical necessity for the test, a description of the organs or structures the physician studied, and a permanently recorded image.The written interpretation and report can take the form of a separate procedure note within the ED medical record, such as those that accompany lumbar puncture or central line placement, or a separate note that...

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