Wiki doppler arterial inflow/outflow

RADCODER

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Everyone please feel free to respond... I apologize that I am not very technical

15year old female came into outpatient US Dept a day after visiting her Pediatrician. Her RX states, "Sonogram of the abdomen and pelvis. DX Abdominal pain/ hematuria."

US Tech asks the patient why she is there, patient tells her diffuse abdominal pain and hematuria. Based on patient complaint the tech adds on (93975/93976) Doppler Arterial inflow/outflow to rule out ovarian torsion.

I understand they should not be added routinely, however only when medically necessary. Does this vary from state to state? I am in NJ and we have a protocol for these types of exams and would like to make sure we are maintaining compliance. How does everyone else handle these in their outpatient hospital settings?

Thank you very much!
 
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