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Ultrasound Guidance

  1. Default Ultrasound Guidance
    Medical Coding Books
    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

  2. #2
    Default 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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