Aorta is one of the main organs of abdominal region. It is the main artery from where all the small arteries arise. Arteries arising from the Aorta form Vascular Families. Vascular Families help us in Selective and Non-Selective catheterization coding. Ultrasound Procedure coding is very straight in radiology. We have already learned how to code abdominal ultrasound complete and limited in my previous post. But, in this article we will learn how to code single organ ultrasound separately with different payers. We will learn how to code Ultrasound Aorta in brief in this article
Ultrasound Aorta for Commercial payers
As we know we use normal numerical codes for commercial payers. Here, also for ultrasound Aorta we are using normal codes only. But, Aorta being a part of abdomen many coders get confuse how to code it. As per the coding guidelines, even Aorta, being major part of abdomen, should be coded as Ultrasound limited of retroperitoneal region (76775). Many coder tend to code Ultrasound Aorta as 76705, considered as a part of Abdominal region. But, we should not follow this and it should always be coded as 76775 .i.e. Ultrasound Retroperitoneal Limited. This code is coded almost all commercial payers except Medicare.
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76775– Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited
Ultrasound Aorta for Medicare
For Medicare patients who are above 65 years of old, have to follow different coding guidelines. Here, we are not supposed to code a numerical CPT code. But, we have to code an alphanumeric G code G0389. This code is used uniformly for all the Medicare patients. This is followed across all the location. Coders should always code G0389 as procedure code for ultrasound Aorta for Medicare patients. Coding a normal numerical CPT code 76775, for Medicare patient will not pay for the procedure. Such claims get denied for incorrect coding. Always follow the coding guidelines for proper coding.
G0389– Ultrasound B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening
ICD codes for Ultrasound Abdominal Aorta
Ultrasound Abdominal Aorta is done to find any abdominal aortic aneurysm in the artery. The common code used to her is 441.4, for abdominal aortic aneurysm. For Screening Abdominal Aorta ultrasound G0389, one has to code V81.2 primary, to get it paid from Medicare.
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