Wiki Ultrasound Guidance

[aschaeve]

When an anesthesiologist uses Ultrasound Guidance to place a line. What documentation requirements are needed? Discription of procedure and images? Are you keeping the images permanent in the patient record?

Alicia, CPC

 

[NIENAJADLY]

Ultrasound guidance requirements

Hi Alicia,

He needs to note that he used it, his findings (landmarks, seeing injectate, etc) and a permanent copy of the image must be kept in the record. We have our docs make 2 copies - one for the chart and one for the billing office so we don't have to keep asking them if they kept a copy. In lieu of a 2nd copy, notating the record that they kept a copy of the image in the chart would suffice.

We use -26 modifier and actually have started adding -59 as well since there are some carriers that were trying to include it in the procedure itself.

Hope that helps

Kellie