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Wiki Ultrasound Guidance

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aschaeve

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When an anesthesiologist uses Ultrasound Guidance to place a line. What documentation requirements are needed? Discription of procedure and images? Are you keeping the images permanent in the patient record?

Alicia, CPC
 
Ultrasound guidance requirements

Hi Alicia,

He needs to note that he used it, his findings (landmarks, seeing injectate, etc) and a permanent copy of the image must be kept in the record. We have our docs make 2 copies - one for the chart and one for the billing office so we don't have to keep asking them if they kept a copy. In lieu of a 2nd copy, notating the record that they kept a copy of the image in the chart would suffice.

We use -26 modifier and actually have started adding -59 as well since there are some carriers that were trying to include it in the procedure itself.

Hope that helps :)

Kellie
 
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