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Information herein was obtained from third-party sources and is subject to change without notice. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for service rendered and to ensure any services provided to patients and submitted for reimbursement are medically necessary.</p>\n<p><strong>Step 1. Determine which path of reimbursement to use by defining the circumstances under which your exam was performed:</strong></p>\n<ul>\n<li>Ultrasound examinations using handheld ultrasound systems may be reported using the same CPT codes applicable to traditional ultrasound systems provided that all applicable requirements are met. These requirements include documentation in the patient record, the appropriate level of completeness, medical necessity (determined by the payer), and accurate CPT code selection.</li>\n<li>If these requirements are not met, and/or a follow-up ultrasound exam is ordered to determine the diagnosis, the ultrasound exam is considered part of the patient’s initial Evaluation and Management (E/M) examination and can be billed accordingly.</li>\n</ul>\n<p><strong>Step 2. Ensure all personnel qualification and documentation criteria are met, per American Medical Association and your local Medicare contractor and/or payer guidelines:</strong></p>\n<ul>\n<li>Personnel Qualification [1]. These criteria tend to be distinct to Medicare, local payer/s as well as individual institutions and should be followed in strict accordance. In general, guidelines require that the examinations be performed within the scope of the physician’s license. Note that some insurers require physicians to submit applications requesting ultrasound be added to their list of services performed at that institution.</li>\n<li>Documentation [2]. The ultrasound procedure/s should be recorded in the permanent patient record, including the reason for the exam, and findings. Images should be appropriately labeled and appropriately identified.</li>\n</ul>\n<p><strong>Step 3. Billing occurs according to Current Procedural Terminology Coding (CPT and ICD-10)</strong>[3] </p>\n<ul>\n<li>Select the code/s that most appropriately reflects the service performed. Following are some examples, accurate as of 2022, that provide a frame of reference.</li>\n</ul>\n<hr>\n<p><em>[1] Medicare National Coverage Determinations Manual, Ch. 1, Part 4, § 220.5, Ultrasound Diagnostic Procedures (Effective May 22, 2007) (Rev. 173, Issued: 09-04-14, Effective: Upon Implementation: of ICD-10, Implementation: Upon Implementation of ICD-10)</em>\n<em>[2] CPT 2019 Professional Edition, American Medical Association</em>\n<em>[3] Current Procedural Terminology ( CPT) is copyrighted 2017 American Medical Association</em></p>"}}},{"__typename":"ContentfulDropdownCopy","id":"27de51d4-7f5f-5cfe-886f-198398fea764","collapsed":true,"label":"Anesthesiology","content":{"childMarkdownRemark":{"html":"<p><img src=\"//images.ctfassets.net/ofxr6aa043ks/78JANGEUl4pyxRDcQ5exE5/14bb9e260108db8f478bb0ab5c64a946/Anesthesiology.png\" alt=\"Anesthesiology\"></p>"}}},{"__typename":"ContentfulDropdownCopy","id":"1007b206-bad4-5009-b396-1d49b59a1150","collapsed":true,"label":"Regional 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