Wiki Please help. I am new to radiology coding Sclerotherapy 36465 ect

[sherryjean27]

codes 36465, 36470 ect state include preliminary imaging, ultrasound guidance, and follow up imaging after therapy

My question is; Dr is doing initial consult and an ultrasound on Day 1
Day 4, pt comes in and has surgery.


What can Dr bill for on Day one? Does he only bill for the Consult code since the surgery code says"includes preliminary imaging" and he not bill for ultrasound even though ultrasound was done on patient? Or does he bill consult code and for ultrasound?


Thanks so much for your help,

Sherry

 

[lboomer]

36465

At the initial visit we charge the appropriate office visit as well as the ultrasound.

Also, most carriers require a precert. If no precert is required we obtain a predetermination.

Hope this helps.

 

[sherryjean27]

Thank you sooo much for your response! This is a brand new practice and I have studied, studied, and studied to get this right.
That makes sense.