Ultrasound-guided Musculoskeletal Procedures by Luca Maria Sconfienza download in iPad, ePub, pdf
Though they do not need to be submitted with the claim, documentation of the study must be available to the insurer upon request. In-depth discussion of each ultrasound procedure including pertinent technical details, indications and contraindications is provided. However, if billing for a procedure on the same day as an office visit, modifier must be used though not routinely.
Payers will not reimburse physicians for the technical component in the hospital setting. Adequate anatomic characterization of the intended joint space must be performed prior to arthrocentesis. Having said that, when compared to other imaging modalities, joint ultrasonography is of uncertain value for purely diagnostic purposes. Reimbursement Most medical insurance plans cover ultrasound studies when they are indicated as medically necessary.
Experienced medical billing and coding companies help providers take advantage of the increased payments by staying current with the latest appropriate use criteria and reporting guidelines. Tweet Safe and noninvasive, ultrasound is being increasingly used in various medical specialties.
This review summarizes the current literature describing common ultrasound-based musculoskeletal procedures. Documentation Requirements Physicians should provide documentation to support the medical necessity for the diagnostic ultrasound examinations including those which require ultrasound guidance. Physical examination and knowledge of anatomy are crucial to a safe and effective performance of arthrocentesis. Ultrasound providers face risk of denied claims and even audits if they are not knowledgeable about coding and billing rules and payer guidelines. The purpose of this review is to summarize the current literature for the most common ultrasound-based musculoskeletal procedures.
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