Ultrasound Documentation and Coding in Emergency Medicine

This webinar is AAPC-approved for 1 CEU and/or CEDC, CEMC, CDEO, CPMS specialty credits provided you score a 70% or higher on the post test. Test takers should read all test instructions, and complete the Required Information fields at the top of the test. This test consists of 10 questions. Please select one best answer for each test question by clicking on the square next to the answer you have selected. This test is not timed; however, the test must be taken in one sitting. When all 10 questions have been answered, please click on the Submit Test button. Your score, as well as logic-reach reasoning for answers to any test questions that you missed, will be displayed immediately following completion and successful transmission of this test.

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Complete the following statement: A limited ultrasound:

Does not include all of the defined required organs for use of the complete ultrasound codes (e.g. single organ)

May address multiple diagnostic problems

Includes all of the defined required organs

May address multiple quadrants

Complete the following statement: A complete ultrasound:

Includes only the required organ

Includes all of the major structures within the anatomic description of the code

May address a single diagnostic problem

May address a single quadrant

Appropriate documentation for proper coding of ultrasounds should include which of the following:

A final written report in the medical record with a description of the elements or organs reviewed

Permanently recorded images

Radiologist’s report or similar imaging specialist’s report

All of the above

When should a -26 modifier be used?

To indicate reduced services (partially reduced or eliminated at the physician’s discretion)

To indicate professional services were performed

To indicate a repeat procedure by same physician

To indicate that a procedure was not performed as described

Which of the following is the best example of proper utilization of a -77 modifier?:

Transvaginal ultrasound in a pregnant woman when a complete evaluation of the anatomic region is not performed

Search for foreign bodies in the right upper and lower extremities

Repeat procedure or service by a different physician or group

Repeat procedure by same physician or another in the ED group

Code 76705-26 is used to indicate a limited abdominal ultrasound and would be applied to an ultrasound of the:

Bladder

Pericardial fluid

Deep Venous Thrombosis

Pleural fluid

When is echocardiography used (93308-26)?

Pericardial effusion

Stone in cystic duct

Deep Venous Thrombosis

Gross liver pathology

When performing an abdominal/pelvic ultrasound, should an obstetrical code be used if it is indicated on the record that the patient is known to be pregnant?

An obstetrical code should be used if the patient is known to be pregnant

Never use an obstetrical code

None of the above

Which of the following are the three main categories for ultrasound guidance procedures?

Chest x-ray, contrast material, and IV

Needle placement, vascular access, and pericardiocentesis

CT, MRI, and X-ray

Stress imaging, X-ray, and CT

True or False? An obstetrical code should be used if a UCG test is negative.

True

False