ULTRASOUND DOCUMENTATION REQUIREMENTS

Test Your Know ledge

Below is an example of a radiology report for a complete abdominal ultrasound Does this documentation meet the criteria for reporting a complete exam of the abdomen?

Answ er: No, this report does not meet the documentation criteria for reporting a complete abdominal ultrasound. There is no documentation of evaluation of the inferior vena cava (IVC), which is a component of a complete abdominal US. If the IVCwas evaluated, the radiologist should include this documentation in the report to support a complete study In this instance, an amended or corrected report could be issued to support charging a complete study

Conclusion

Code selection for diagnostic ultrasound is based on a variety of very specific documentation requirements. Clear documentation is extremely important to ensure proper coding and reimbursement Code descriptions and documentation should be reviewed carefully, and when unclear, the provider should be queried

CorroHealt h invit es you t o check out t he m lnconnect s page available from t he Cent ers For Medicare and Medicaid (CMS). It 's chock full of new s and inform at ion, t raining opport unit ies, event s and m ore! Each w eek PARA w ill bring you t he lat est new s and links t o available resources. Click each link for t he PDF!

Thursday, June 15, 2023

New s

- Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation

- CMSAnnounces Multi-State Initiative to Strengthen Primary Care

- Critical Access Hospitals: Annual Average Patient Length of Stay Requirement

- Skilled Nursing Facility Probe and Educate Review

- Billing Medicare Part B for Insulin with New Limits on Patient Monthly

Coinsurance

- ESRD Prospective Payment System: July Update

- Medicare Learning Network Web Refresh

- Men?s Health: Encourage Your Patients to Prioritize Their Health

Claim s, Pricers, & Codes

- ICD-10-PCSProcedure Codes: FY2024

MLN Mat t ers®Art icles

- DMEPOSFee Schedule: July 2023 Quarterly Update

- Hospital Outpatient Prospective Payment System: July 2023 Update

- New JZ Claims Modifier for Certain Medicare Part B Drugs