"I agree with Salavatore, we look at the pancreas, liver, gb, rt.kidney, and ducts when ruq is ordered. I was trained that you must assess the echogenicity of the liver compared to the rt. kidney."
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Karin Sorge BS, RDMS, RVT
- Dansville, NY
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Karin Sorge BS, RDMS, RVT's Groups
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Laura Burke replied to Karin Sorge BS, RDMS, RVT's discussion RUQ sonography in the group Sonography Community
Dr MM Nurus shafi replied to Karin Sorge BS, RDMS, RVT's discussion RUQ sonography in the group Sonography Community
"This is a tricky situation . Ordering a RUQ US is a good option for the pHysician but some times put the sonographers in a difficult situation . In a hypothetical situation eg Rt hydronephrosis or …"
Salvatore LaRusso replied to Karin Sorge BS, RDMS, RVT's discussion RUQ sonography in the group Sonography Community
"Karen,
As you probably know CPT code for a limited abdomen is single organ, quadrant, or follow up.
I don't know how you could look at the liver and not evaulate the Rt kidney
If a RUQ is ordered we do Liver, GB, Ducts, Panc, and…"
Karin Sorge BS, RDMS, RVT added a discussion to the group Sonography Community
RUQ sonography
What does everyone include on a RUQ only abdominal ultrasound? We are receiving more requests for this by our MD's. I know some places do liver, gb and ducts, while others do liver, gb, ducts, rt kidney and pancreas.
geri clausen commented on Karin Sorge BS, RDMS, RVT's blog post BILLING AND DOCTORS REQUISITIONS
"Since the bladder is included in the Renal protocol, I don't believe you can bill separately for the bladder; it would be considered "up-coding". As far as the pelvic, we require the ordering physicians to include TA/EV for all…"
Karin Sorge BS, RDMS, RVT posted a blog post
BILLING AND DOCTORS REQUISITIONS
We are an AIUM accredited facility and follow the AIUM renal protocols which require you to evaluate the bladder as well as the kidneys. My question is, how do other facilities deal with the billing. Some doctors will send a requisition that says "renal" and we have been calling them and making them send us a new req that says bladder too. Can you bill for a bladder and/or Doppler if the MD req has just "renal" on it since it is the AIUM protocol to include bladder or do you have to have orders…See More
Jessica J Budd, RDMS replied to Karin Sorge BS, RDMS, RVT's discussion Renal billing in the group General & Abdominal Ultrasound Community
"My facility includes the bladder for a retroperitoneal ultrasound. If the MD wants a PVR or renal Doppler, we require the script to specifically state such, or we have to call the office."
Karin Sorge BS, RDMS, RVT added a discussion to the group General & Abdominal Ultrasound Community
Renal billing
We are an AIUM accredited facility and follow the renal protocol which includes evaluating the bladder. We often receive requisitions from the ordering MD's that say "renal ultrasound" . We have been calling the offices back and having them send us a new req that has bladder (and Doppler) on it. My question is, do we have to do this? Can you bill for the bladder and/or Doppler if the MD order says "renal ultrasound"? Any input is appreciated!See More
Karin Sorge BS, RDMS, RVT joined AIUM's group
General & Abdominal Ultrasound Community
The General & Abdominal Ultrasound Community represents professionals that are involved in general abdominal imaging, including areas of the abdomen and retroperitoneum, as well as superficial parts of the body.See More
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Karin Sorge BS, RDMS, RVT's Blog
BILLING AND DOCTORS REQUISITIONS
We are an AIUM accredited facility and follow the AIUM renal protocols which require you to evaluate the bladder as well as the kidneys. My question is, how do other facilities deal with the billing. Some doctors will send a requisition that says "renal" and we have been calling them and making them send us a new req that says bladder too. Can you bill for a bladder and/or Doppler if the MD req has just "renal" on it since it is the AIUM protocol to include bladder or do you have to have…
ContinuePosted on October 28, 2010 at 10:54am — 1 Comment
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