Posts Tagged ‘Ultrasound’

National Government Services, Inc. (NGS) recently published a supplemental instructions article (SIA) with updated coding and other guidelines for the Abdominal and Pelvic Ultrasound Local Coverage Determination (LCD). 

Effective Sept. 1, bill claims submitted to NGS, all services/procedures on the same day for the same beneficiary by the physician/provider on the same claim.

The SIA adds the urgent care facility (20) as one of the places of service the following CPT® codes are payable for the global, technical, and professional components.

76700  Ultrasound, abdominal, real time with image documentation; complete

76705  Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)

76830  Ultrasound, transvaginal

76856  Ultrasound, pelvic (nonobstetric), real time with image documentation; complete

76857  Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)

Review the LCD and learn of other medical policy Parts A and B updates, revised LCDs, SIAs, and coverage articles effective Sept. 1. on the NGS Medicare University contractor Web site.

Florida, Puerto Rico, and U.S. Virgin Islands providers submitting claims to Part B Medicare Administrative Contractor (MAC) First Coast Service Options (FCSO) should become familiar with a number of Local Coverage Determinations (LCDs) in the works. Read more »

The rapid increase of ultrasound services nationwide has Medicare watchdogs on the alert. Health care practitioners who submit Part B claims for technical and professional ultrasound services can expect added scrutiny. A recent Office of Inspector General (OIG) report provides insight as to what Medicare Administrative Contractors (MACs) will soon be on the lookout for when reviewing imaging service claims.

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A literature review of comparison studies for medical imaging methods, published in the May/June issue of the Journal of Diagnostic Medical Sonography, puts ultrasound at the top of the list for accuracy and cost effectiveness.

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In a May 11 decision memo for screening computed tomography colonography (CTC) for colorectal cancer, the Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is inadequate to conclude that CTC is an appropriate colorectal cancer screening test and it remains noncovered.

Medical News Today has more on the story.