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Re: Level three sonogramFrom: Dianne Walkup (diannewalkup@hotmail.com)Thu Jul 18 23:12:50 2002
Greetings, The level one, two and three labels are old and never made any sense in the first place. Im my opinion, a level one is an simply a poor excuse for not knowing what you are doing. The old monikers, however, meant that a level two was a comprehensive anatomy survey, and a level three was a fetal echocardiogram. Regarding the charges for these exams; as an expert high risk obstetrics Sonographer working for perinatologists that know OB ultrasound, we get reimbursed no more than the people who have no business picking up a transducer do. As two cases in point from this week alone: one was a referral because " the fetus is breathing and may be in serious distress", this was a 35 week normal fetus. Breathing motion is of course a welcome occupation for a 35 week fetus. Another this week was the one where the OB doc told the patient a week ago that both of her twins were "doing just fine, and here is one sucking his thumb and the other one grabbing its foot". We found only one baby at 18 weeks gestation with no evidence of a second. The referring doc said simply "I made a mistake." Needless to say, I will welcome being able to charge (and maybe even be properly reimbursed) for my standard exam which is always a comprehensive anatomic survey when the new CPT codes are in effect. Dianne Walkup, RDMS, RDCS mitakuye oyasin
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