|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: billing pelvic sonograms with endovaginal procedureFrom: James S Smeltzer MD (gaperina@mindspring.com)Sat Sep 25 10:52:47 1999
Sergio, Anything that is done for a specific medical indication for the benefit of the patient as an additional procedure should be billed, with the applicable specific indication as the ICD9 for the additional procedure on the HCFA-1500. What they pay for is another matter, entirely. Some payers may require a prior authorization for this. If it is medically indicated you should do it & then worry about payment. For example, We do a lot of "free" biophysical profiles with our later sonograms as an adjunct to a regular sonogram. When we are doing a study for IUGR, we code & bill for this service, but also give juice and wait 20 min for breathing and perform a nonstress test if needed. If you cannot see the cervix well and do a vaginal examination for a history of preterm, then you should perform and code for the vag study using V23.4 as the indication. If there is no specific indication we do not bill for it, but neither are the sonographers required to do it, as they are with a positive history. In general each and every procedure that is an accepted procedure performed for a medical indication performed for the purpose of a defined benefit to the patient is billable. Jim Smeltzer, MD
At 04:17 PM 9/17/1999 -0500, you wrote:
>our faciliy in california performs both endovag and transabdominal
|
|
Return to
|
Mail a New Message to the Forum: ultrasound@obgyn.net Forum Administrator: terry.dubose@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:40:18 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.