A trusted guide to coding and billing compliantly amid constant change
Ultrasound is a notoriously difficult area of medicine for coders and billing departments. First, you must keep pace with advancing technologies for both diagnostic and interventional ultrasound procedures (as if ultrasound coding and billing weren't complicated enough already!) On top of that, many years — 2019 included — bring substantial code changes, which you must understand and correctly apply. Is it any wonder that hospitals and physician practices are struggling to bill compliantly? Relax! We have you covered with this tried-and-true resource: a font of practical information on coding, billing and documentation for a full range of ultrasound procedures.
Features and Benefits
- Updated and NEW information:
- Many new and deleted codes for reporting ultrasound procedures, including:
- Ultrasound elastography
- Contrast-enhanced ultrasound
- Bone density ultrasound
- Fine need aspiration
- Answers to common questions regarding soft tissue ultrasound and ultrasound elastography
- New guidance through the confusion surrounding code selection for complete vs. limited retroperitoneal ultrasound and coding for nonvascular extremity ultrasound
- Help with coding for FAST exams — when the exam is performed in the ED and then the patient is moved to imaging for a more thorough exam
- Step-by-step through coding for a full range of ultrasound procedures, including diagnostic ultrasound, ultrasound guidance procedures, echocardiography (fetal and non-fetal), noninvasive vascular diagnostic studies and intravascular ultrasound
- Easy to navigate — codes are grouped by body system (e.g., head and neck) and then by CPT® code sequence
- Covers code assignments by both hospital (technical) and physician (professional) entities
- Each section includes:
- General coding guidelines
- Table with the appropriate CPT/HCPCS codes, modifier information, RVUs and hospital OPPS payment rates
- Definition of each procedure with its corresponding CPT code
- Billing tips
- Case studies throughout the book help reinforce coding and billing instruction
- Special help with common areas of confusion and noncompliance, such as:
- Coding for non-invasive peripheral duplex and Doppler vascular procedures, including ankle brachial index (ABI) assessments
- Coding and documentation for OB ultrasound
- Ultrasound-guided breast biopsy and device placement, including when you should report primary vs. add-on codes
- How to avoid over-coding for soft tissue ultrasound
- Inappropriate use of modifier 59
CPT® is a registered trademark of the American Medical Association.
For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.
When will my book ship? We will begin publishing our 2019 books immediately after the CMS releases the 2019 Final Rule. We anticipate this will be in early November, and estimate our books will begin shipping in December.