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Old 07-31-2009, 08:22 AM
Kimberley Kimberley is offline
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Default Renal US ?

Is is correct coding to bill a complete Renal Ultrasound ( 76770) with just kidneys and bladder documented, hx/clinical is “Flank Pain”?


Thanks:-)

Kimberley Tober, CPC
Franklin, TN
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Old 08-03-2009, 08:03 AM
Kimberley Kimberley is offline
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Any info/reponses to my question would be greatly appreciated:-)

Thanks so much

Kimberley Tober, CPC
Franklin, TN
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Old 08-11-2009, 06:44 AM
Kimberley Kimberley is offline
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Does anyone know the answer to my question?
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Old 08-11-2009, 08:00 AM
Anna Weaver Anna Weaver is offline
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Default 76770

Quote:
Originally Posted by Kimberley View Post
Is is correct coding to bill a complete Renal Ultrasound ( 76770) with just kidneys and bladder documented, hx/clinical is “Flank Pain”?


Thanks:-)

Kimberley Tober, CPC
Franklin, TN
Here's what CPT assistant has to say:

Ultrasound of bladder, kidneys and ureters
CPT Assistant, May 1999 Page: 10 Category:
Note from 3M:
As of January 1, 2007
Ÿ 76536, 76604, 76645, 76700, 76770, 76856 and 76880 have been revised. They no longer include B-scan.


Diagnostic Ultrasound

Question

What are the appropriate CPT codes to report ultrasound of the bladder, ultrasound of the kidney, and ultrasound study of the bladder, kidneys and ureters?

AMA Comment

You should report CPT code 76775, Echography, retroperitoneal (eg, renal, aorta, nodes), B-scan and/or real time with image documentation; limited, if an ultrasound examination of a single organ (eg, kidney or urinary bladder) is performed. CPT code 76770, Echography, retroperitoneal (eg, renal, aorta, nodes), B-scan and/or real time with image documentation; complete, would be reported if a complete ultrasound examination of the urinary tract (eg, kidneys, ureters, and urinary bladder) is performed.




CPT Assistant © Copyright 1990–2009 American Medical Association. All Rights Reserved

So, unless all areas are performed, I wouldn't code the 76770. I would use the 76775, it's listed as: ultrasound, retroperitoneal; limited.
According to CPT "A complete ultrasound examination of the retroperitoneum (76770) consists of real time scans of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava, including any demonstrated retroperitoneal abnormality."

Anyone else?
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Old 09-15-2009, 07:04 AM
Kimberley Kimberley is offline
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Any more comments on my question....still have controversy going on at work. Thanks!!!
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Old 09-15-2009, 10:11 AM
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RADCODER RADCODER is offline
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Default Per ACR

According to the ACR...

"How should an order for an ultrasound of the kidneys be performed and coded? Unless the referring physician specifically asks for a renal size assessment only, we evaluate for an intrarenal or postrenal cause of the patient’s symptoms. Our standard scanning protocol involves images of the kidneys and bladder and often evaluation for ureteral jets within the bladder. This leads me to believe, therefore, that we should actually bill for a complete retroperitoneal ultrasound.


Radiologists should always tailor their examinations on the basis of the clinical information received, and services should be coded on the basis of both medical necessity and the details of the examination performed.


According to Current Procedural Terminology® (CPT) guidelines, p. 248 of the standard version of the CPT code book: A complete ultrasound examination of the retroperitoneum (76770) consists of real-time scans of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava, including any demonstrated retroperitoneal abnormality. Alternatively, if clinical history suggests urinary tract pathology, complete evaluation of the kidneys and urinary bladder also comprises a complete retroperitoneal ultrasound.
Therefore, if only the kidneys are medically indicated and evaluated, then a limited retroperitoneal code, 76775, should be reported."

http://www.acr.org/Hidden/Economics/...aspx?css=print

Hope that helps!
Jessica O'Donnell CPC
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Old 12-03-2009, 11:01 AM
Kimberley Kimberley is offline
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Default Renal US

If clinical indication/history states 'FLANK PAIN'....does this justify being examined for a uninary tract problem? therefore being able to bill a complete 76770 if the kidneys and urinary bladder are documented?

Thanks.

Kimberley Tober, CPC
Franklin, TN
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Old 12-03-2009, 01:26 PM
AuntJoyce AuntJoyce is offline
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It does by virtue of the kidneys being in the flank area and the kidneys are directly involved in the urinary tract...ever feel like you're playing "here we go round the maypo" with coding?

Have a great day

Joyce
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