AAPC - Back to school
Results 1 to 2 of 2

Thread: Billing for Endoscopic Ultrasounds

  1. #1

    Exclamation Billing for Endoscopic Ultrasounds

    AAPC: Back to School
    Has anyone had their GI docs perform EUS at the hospitals? If so, do you bill for the supervision and interpretation (76975 or 76942) ?? Most of the information that I have researched states that these codes are included in the GI codes (43259, 43242, 45341, 45342, 45391, 43231, 43238). If this is the case, what would the radiologist bill (if they do) when this is done at the hospital?

    Any feedback would be appreciated.

    Thank you!

  2. #2


    We code for a few physicians that perform EUS/EUS FNAs at the hospitals. We send through only the CPT for the appropriate EUS/EUS FNA. The CPT book specifically states not to use those S&I codes with certain CPTs.

    I've never seen a separate radiological report at the hospital from a radiologist so I'm not sure if the hospital bills out anything. As far as I'm aware, our physicians interpret the ultrasound solely themselves.

    ERCPs on the otherhand... we run into problems when the hospital radiologists bill out the S&I before we do. Our physicians do the S&I during the procedure. Their radiologist reads the images that are automatically routed to them afterwards and if they bill first, we get denied our payment.
    Redditor? Come join our coding/billing discussions on Reddit.

Similar Threads

  1. Billing Carotid Ultrasounds
    By nancy.anselmo@ccrheart.com in forum Cardiology
    Replies: 0
    Last Post: 11-13-2013, 09:13 AM
  2. Ultrasounds billing for MLP's
    By seniar in forum Billing/Reimbursement
    Replies: 0
    Last Post: 02-01-2013, 03:33 PM
  3. Billing for OB Ultrasounds
    By kte01a in forum OB/GYN
    Replies: 0
    Last Post: 03-08-2010, 10:48 AM
  4. ultrasounds billing requirements
    By mfournier in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-27-2008, 12:12 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.