Ultrasound billing questions
I had an ultrasound last month for an enlarged ovary. I had just changed insurance plans due to losing my job so I knew I’d get a bill. The ultrasound was both trans vaginal and trans abdominal. Doppler was used. In the report from the radiologist it says “Duplex Doppler was performed, consisting of integrated two-dimensional real time imaging, color flow Doppler and Doppler spectral analysis.” The code for using the Doppler was “93975 HC Scan Duplex Abd/Pelvis/Retroperitoneal Complete”. The charge was 979. First off 979 for 60 total seconds of Doppler sounds ridiculous. Second I had to go online to figure out that this even was for Doppler because the billing department had no idea. But when I googled I found this statement in a white paper on medical billing and coding. “To bill for a limited duplex scan the dictation must at least include: color and spectral Doppler. To bill for a complete duplex scan the dictation must include: Arterial inflow and Venous Outflow and color and spectral Doppler. Am I correct in thinking that this should be a limited scan and not complete?
submitted by /u/jonescarlin
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