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Re: experience with reimbursement for 3D 4D ultrasound?From: Terry J DuBose (DuBoseTerryJ@UAMS.edu)Fri Jan 19 10:09:48 2007
This reimbursment issue has come up again with our folks. Does anyone in the USA have anything new, or answers to the question: "Yes i have been searching AIUM and ACOG....but nothing.....as far as i know there is NO CPT code...... this is one thing we are working on: I guess we are going to make some kind of guideline maybe.....do you have any suggestions....." "I need for you to look up a good description of what thins we should allow the 3-d 4- us to be applied to. i.e. heart? Cleft lip palette? Spine? May be we could also limit it to AIUM certified labs. Judith wants this." Thanks, Terry ---------------------------
At Wed, 18 Jan 2006, James Smeltzer wrote:
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> -- --------------------------- >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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