Diagnostic Limited ultrasound

procedure notes

 

 

Note Guidelines

  • Please use a separate procedure note. This allows for better tracking with billing and QA.

  • Start a procedure note when you place your order. You will not forget this way. 

  • If you do not know how to document what you are scanning, do not make up a note. This confuses our coders and it results in long email chains that take up time. 

 

 

Exams of Shock and hypotension

rush exam

Rush Exam (Negative Study)

EFASt exam

efast exam (negative study)

FAST EXAM

FAST EXAM (Negative STUDY)

Limited Abdomen/evaluate for Free FluiD

limited abdomen/evaluate for free fluid (negative study)

 

Exams of the chest

Limited Chest/lung

Limited Chest/lung (Negative study)

Limited transthoracic Echocardiogram (TTE)  

Limited transthoracic echocardiogram (TTE) (negative study)

limited transesophageal Echocardiogram (TEE)

limited transesophageal Echocardiogram (TEE) (negative study)

 

abdominal exams

limited abdomen RUQ Biliary Exam

limited abdomen RUQ biliary exam (negative study)

limited abdomen RLQ appendix

limited abdomen SBO

 

Retroperitoneal exams (Aorta/GU)

AORTA Exam

Aorta exam (negative study)

Renal exam

renal exam (negative study)

limited bladder ultrasound (Post void residual)

 

Pevlic exams / pregnancy

Limited Pelvic exam, obstetric - transabdominal

Limited pelvic exam, obstetric, transvaginal

limited pelvic exam, non obstetric - transabdominal 

limited pelvic exam, non obstetric - transvaginal

 

Soft Tissue

Limited soft tissue ultrasound

 

Ocular

limited ocular Ultrasound

limited ocular ultrasound (negative study)

Vascular

Limited vascular lower extremity - venous

limited vascular lower extremity - Venous (Negative study)

Limited vascular upper extremity - venous

Limited vascular upper extremity - venous (negative study)

 

 

Fellows only

Generic diagnostic Ultrasound Note (fellowship trained only) 

limited transesophageal Echocardiogram (TEE)

limited transesophageal Echocardiogram (TEE) (negative study)

 

ultrasound procedural guidance notes

 

Vascular Access

Generic non-Central Venous Access with Us guidance

Peripheral Venous access with US Guidance (20g IV) 

Midline (cook micropuncture introducer) with us guidance

midline (PowerGlide Pro) with US guidance

Central line access (Triple lumen) with us guidance

arterial line (radial arrow 20g) with US Guidance

arterial line (femoral arrow 18g) with us guidance

 

procedural guidance

Paracentesis procedure with procedural guidance US

Thoracentesis Procedure with procedural guidance us

Arthrocentesis with US procedural guidance note

procedural guidance Us for lumbar pucture

Generic procedural guidance for needle placement

 

 

Billing

 

2015 ACEP EUS CODING AND REIMBURSEMENT UPDATE

 

EFAST = Limited Chest, Limited Echo, Limited Abdomen

FAST = Limited Echo, Limited Abdomen 

Free Fluid in abdomen = Limited Abdomen 

Biliary = Limited Abdomen

Renal/GU = Limited Retroperitoneal 

Aorta = Limited Retroperitoneal

Bladdler only = Limited Bladder