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97035 - Ultrasound time unit

  1. #1
    Location
    Minneapolis (MN)
    Posts
    17
    Default 97035 - Ultrasound time unit
    Medical Coding Books
    The PT that I code for says that when she uses ultrasound on a patient, it is only for a max of 5-6 min. According to the CPT book, this code is billed in 15 min increments. Can she charge for the set-up time, which may bring her up to 15 min, and thus charge 1 unit of US?

    Thanks,
    Sara Faltinson

  2. Default
    I don't believe set up time is included. I don't know if this varies by state or is a CMS guideline, but we can't bill unless there is a minimum of 8 minutes. So, for:

    Unit Time
    1 8-22 mintues
    2 23-37 mintues
    3 38-53 minutes

    etc.

    I am in Oregon

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