tci ED Coding & Reimbursement Alert - 2006 Issue 4

READER QUESTIONS: Slow Down When Coding FAST Exams

Question: What are FAST exams, and how should I  report one in the ED?Massachusetts Subscriber Answer: FAST (focused assessment by sonography for trauma) exams are two-part ultrasounds designed to measure abdominal trauma. Since there is no specific code for the procedure, you-ll need a couple of codes to fully report the procedure.During a FAST exam, the physician first searches for fluid around the heart via a limited transthoracic echocardiography. The second part of the FAST exam involves the physician looking for free fluid in the abdomen via a limited abdominal ultrasound. On your FAST exam claim, you...

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