Ultrasound guidance reporting allowed once only per examination session:
The beginning sentence of Page 322 of the CPT Manual says‚ÄĚ if less than the REQUIRED ELEMENTS FOR A ‚ÄúCOMPLETE‚ÄĚEXAM ARE REPORTED(EG, LIMITED NUMBER OF ORGANS OR LIMITED PORTIONS OF REGION EVALUATED ), THE LIMITED CODE FOR THAT ANOTOMICAL REGION SHOULD BE USED ONCE PER PATIENT EXAM SESSION. A limited exam of an anatomic region should not be reported for the same exam session as a‚ÄĚcomplete‚ÄĚ exam of that same region.
For( eg ) 76942, 76945 (those codes series), the exam session is not complete. They are only diagnostic Guidance which is a component or a portion of the ‚Äúcomplete‚ÄĚ Exam session. It makes sense just as the term ‚Äúlimited‚ÄĚ portion of the region evaluated. They are not noted as separate procedure too.
Please see the notes just down the code76945 description in parenthesis, ( For procedure, use 59015).
So procedure is yet another required element. The examination becomes ‚ÄúCOMPLETE‚ÄĚ only when the procedure is also reported or listed along with.
So long as the Ultrasound diagnostic guidance does not ‚Äúcomplete‚Äô the exam requirements, as per the guideline rules , it can be used ONCE only per patient exam session.
I hope I make the right sense of the quote!
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