Hi Elizabeth,
The coding committee does not give clinical advice, so we cannot provide a list of ICD-10 for which a limited study would be indicated.
On L&D, if an ultrasound is performed when indicated and all the element of that study are obtained (structures, distinct report, report sent to ordering provider, etc.), the ultrasound should then be billed separately and would not be included as part of the E/M encounter.
Fadi
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Fadi Bsat, MD
Past Chair, SMFM Coding Committee
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Original Message:
Sent: 04-27-2021 16:50
From: Elizabeth Coviello
Subject: Billing US on L&D
Hi--we recently reviewed our billing and coding for ultrasound on L&D and discovered only 2% of our triage visits were reimbursed for ultrasound last year despite the majority of our triage patients receiving at minimum a limited ultrasound--76815. There are clear indications for BPP in triage, however less clear indications for a limited ultrasound. Do you know what ICD 10 code would be eligible for reimbursement for for a limited US on L&D? Is it true that a limited ultrasound on L&D for someone who is admitted (SROM, labor etc) is included in the E/M charge and cannot be billed as a separate procedure?
Thank you!
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Elizabeth Coviello
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