Re: experience with reimbursement for 3D ultrasound?

From: James Smeltzer (James.Smeltzer@wellstar.org)
Wed Jan 18 10:30:10 2006


Hi! Color flow mapping is 93325. Paid at about $4 when we get paid. Offline 3-D code I know about was developed for 3-D post-processed analysis of MRI & CTS. We have only used a few times. I only have one case of DS not diagnosed by 2-D but done by 3-D on facial morphology - which was quiet clear. What CPT are you talking about? JimS

--
James S. Smeltzer, MD, FACOG, SMFM
Consultant, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
787 Campbell Hill St
Marietta GA 30060
James.Smeltzer@wellstar.org
VM 678-290-3035
Off 770-528-0260
Page 404-318-3451

>>> sylultra@hotmail.com 1/15/2006 1:50:54 PM >>>

At Tue, 19 Jun 2001, phillipsbill wrote: > >Does anyone have experience with reimbursement for 3D ultrasound?

We have been billing the code for almost 3 years for Abd, OB/GYN, and small parts with success however Aetna and Cigna insurance companies are not paying for the code. Aetna states that as of 4/1/06 they will discontinue the new codes as they are incidental to the scan. Cigna states that the 3D is still investigational.

At the present one of our insurance companies is now requesting repayment of the code for the past 2 years even though it was done in conjunction with our regular code and not billed routinely for OB/GYN, Abdominal, or small parts. We only bill when the images we obtain give us diagnostic value and we are fighting this request. If you have any insight I would appreciate a response.

Do you have any specific questions? Also do you have any experience with color flow billing?

Thanks, Rose

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