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Re: Ultrasound forum??! Help Me! Stir the pot!From: jworrall@alaska.netFri Mar 7 09:32:30 2008
OK, I shall stir a bit. I do NT but find it is very time consuming. As our patients become more obese, it becomes more and more difficult. I have not bothered becoming certified in the nasal bone, because I did not think it was worth the money and effort, and it would just make scans all the more time consuming. And while I am at it, let me ask a question. Do you recognize that 76813 and 76817 are different? If a patient is sent to you for "nuchal translucency", or "first trimester genetic screen", do you do anything besides CRL and NT? Do you ever charge both 76813 and 76817? If we are not allowed to discuss these things, then do not respond. I do not check all cervices at 18-32 weeks. I do not require a full bladder for transabdominal obstetrical scans and I do not see the cervix well transabdominally in most patients. I am of the school that the only way to look at the cervix is transvaginally. I also am of the feeling that I should not charge for exams that were not formally requested by the referring provider. I do not want to do a transvaginal scan routinely, without compensation of some sort. It is quite a bit of work and time for my nurse to sterilize the transvaginal probe. I agree that the cervix should be checked, but isn't it up to the obstetrical provider to order that? I guess if one has all obstetrical patients arrive with a very full bladder, you will be able to evaluate the cervix transabdominally in many patients. Then it is not a problem. Still, there is hardly a week goes by that I do not have to scan at least one patient that weighs 250-300 lbs. The vast majority of pregnant patients I see weigh more than I do. It is becoming a huge problem. I have missed your always-significant contributions, Jim. Please do not give up on this forum. Another forum to look at is Yahoo Group's Medical Imaging forum. http://health.groups.yahoo.com/group/medicalimaging/?yguid=7595043 Allen -------------------------------------------------- From: "James Smeltzer" <James.Smeltzer@wellstar.org> -------------------------------------------------- Sent: Friday, March 07, 2008 5:48 AM -------------------------------------------------- To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.obgyn.net> Subject: Ultrasound forum??! Help Me! Stir the pot!
> This used to be a place I loved to go to. Things got very busy. Personal
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