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Re: CPT code From: Joshua Copel (joshua.copel@yale.edu) Thu Nov 2 12:10:13 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Allen Worrall: "Re: Twins - Anencephalic" Previous message: K.Killough: "Twins - Anencephalic" Yes it is true that Medison has obtained a letter from HCFA confirming that 76375 can be used to code for 3D reconstruction of ultrasound images. Previously it had been applied to MR and CT only. HCFA does not assign dollar amounts, since there are regional practice cost adjustments to all codes, and every other insurer has its own fee schedule. That code has 3.91 RVUs assigned, divided as 3.71 technical and 0.2 professional. In other words if you bill global its a great deal. If you bill professional only (modifier -26) like we do its not very good for the doctors. It is also a lot more than a standard complete ob (76805). The challenge now for us all professionally will be to see if we can avoid uing this code to convert baby pictures into majhor revenue streams. Personally think that it should only be used in situations where a 3D picture is involved in diagnosis of anomalies. That can take a lot of time, though I think this is way out of proportion to what we get day in & day out for complex 2D fetal scans. This change was not initiated by AIUM or ACOG. Don't know if any professional groups were involved. I saw it confirmed in a letter to Medison from HCFA staff. Also don't know if other insurers will accept the change, because it's not an official change to the CPT book. That has to go through the AMA CPT committee. -- Joshua Copel. MD Yale Ob-Gyn, MFM Joshua.Copel@Yale.edu > ------------------------------ > > ------------------------------ > Date: Thu, 2 Nov 2000 04:43:36 -0600 (CST) > ------------------------------ > From: philipd@biomedicom.com (Philip Drachman) > To: ULTRASOUND@OBGYN.NET > Subject: CPTCode 76375 for 3D Ultrasound > Message-ID: <200011021043.EAA22895@mail.medispecialty.com> > > Has anyone heard that HCFA has added 3D ultrasound to CPT Code 76375? > If so, what are the details and how much is the reimbursement? Next message: Allen Worrall: "Re: Twins - Anencephalic" Previous message: K.Killough: "Twins - Anencephalic"

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