[optimal] More information on Echography coding from Denice Barsness

  • From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
  • To: <optimal@xxxxxxxxxxxxx>
  • Date: Thu, 26 Apr 2012 08:23:39 -0700

"Normal" or diagnostic B Scan is 76512

76510 implies diagnostic B scan pared with standardized A scan.  Using this 
code is sure to trigger some pushback as it is not a commonly used combination. 
  Putting the Vector A scan into the B scan is not the same thing.

76511 is for standardized A scan only, generally the code employed when doing 
oncology echography.

Use 76512 for those 10MHz examinations of dense ocular media, retinal 
detachment, vitreous hemorrhage, etc.

Be mindful that all CPT codes for echography are tightly linked to proper ICD.9 
codes.  You cannot just "do" a B scan and get paid for it.    

The most obvious and common use of B scan is for the dense cataract, pre IOL 
surgery.  Alas, that is the trickiest Dx to use.  You will not get paid for a 
routine screening B scan just because they have a cataract.  You must justify a 
strong suspicion based on history, previous records, etc that something more 
ominous is suspected.

Respectfully,
Denice

Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937   FAX (415) 600-6563


-----Original Message-----
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Debbie Kanduch
Sent: Thursday, April 26, 2012 7:43 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: b-scan code?

Ok, so there are several

B-scan   76512
B-scan & A-scan (diagnostic)  76510
Diagnostic A-scan   76511

Hope this helps,  

Deb

-----Original Message-----
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx]
On Behalf Of Peterson John C
Sent: Thursday, April 26, 2012 8:17 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] b-scan code?

Anyone know a CPT code for B-scan only (no A-scan)?

Thanks,

John

********
John C. Peterson, BS, CRA
Director of Ophthalmic Photography Services UW Health Eye Clinic
2880 University Ave., Rm. 246
Madison, WI 53705
(608) 263-7163

"If you want to go fast, go alone. If you want to go far, go together."




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