Reinforce revenue by strengthening ultrasound coding and compliance accuracy through expert education.
The challenges will not cease in 2025. Faced with the threat of potential annual reimbursement cuts and confusing coding changes, the coming year cannot be underestimated. Reinforce revenue by strengthening ultrasound coding and compliance accuracy through expert education.
Confused by conflicting guidance for ultrasound coding? Struggling with gray areas in documentation, frequency limitations, and billing requirements? Wondering about new codes and how to incorporate them into your coding workflow? Unsure about coding for duplex and doppler studies?
Resolve these areas of uncertainty and confusion with the help of Ultrasound Coder. Fully updated for 2025, this resource delivers the guidance you need to avoid missed revenue opportunities and non-compliant practices. Plus, you get actionable instruction covering what each code means, its correct usage, and documentation requirements.
Features and Benefits
- Explanations and the practical application of coding changes including any new, revised, and deleted codes for 2025
- Guidance with parenthetical guideline revisions
- Tips, guidance, and FAQs, based on commonly asked questions and chronic problem areas, including fine-needle aspiration (FNA), ultrasound elastography, contrast-enhanced ultrasound and noninvasive vascular ultrasound
Our experts address common questions, concerns, and problem areas:
- In-depth coding guidance with noninvasive vascular studies, including what constitutes a complete vs. limited study
- Special help with areas of confusion, such as coding for:
- Duplex exams
- OB ultrasound and non-OB pelvic ultrasound
- Soft-tissue ultrasound
- Breast ultrasound
- Elastography
- Contrast-enhanced ultrasound
- Bone density ultrasound
- Echocardiography
- Testicular ultrasound
- Intravascular ultrasound (IVUS)
- FNA biopsy
- Instruction to help you avoid costly miscoding of abdominal aortic aneurysm (AAA) ultrasound screening, ankle brachial index (ABI) assessments and other recurring trouble spots
Clear, step-by-step guidance through the tasks you perform every day:
- Coding for a full range of ultrasound procedures, including diagnostic ultrasound, ultrasound guidance procedures, echocardiography (fetal and non-fetal), noninvasive vascular diagnostic studies and IVUS
- Covers code assignments by both hospital (technical) and physician (professional) entities
- How to accurately interpret physician documentation, including key words to look for, critical omissions and subtle word variations that can lead to substantially different results
A proven quick-reference approach for busy professionals:
- Codes are grouped for fast navigation: by body system (e.g., head and neck) and then by CPT® code sequence
- Each section includes general coding guidelines; tables with CPT/HCPCS codes, modifier information, RVUs and hospital OPPS payment rates; definition of each procedure with its corresponding CPT code; and billing tips
- Case examples, augmented with insightful commentary, throughout the book, to reinforce correct code selection and identification of key terms in documentation
Looking for more valuable coding education and news? Check out our new Diagnostic Radiology All-Access Pass and/or our Comprehensive Radiology All-Access Pass for a full range of comprehensive resources.
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For certain MedLearn Publishing publications, you will see an ‘AMA Royalty Fee’ in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.
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Introduction
- Ultrasound Defined
- Doppler Defined
- Duplex Defined
- How to Use the Payment Tables
- National Correct Coding Initiative
- Medically Unlikely Edits
- Medically Unlikely Edit Adjudication Indicator (MAI)
- PTP Edits
- NCCI PTP Modifier Indicators
- Modifier Descriptions
- Modifier 59
- JW Modifier Guidance Issued by CMS
- The ICD-10 Coding System
- Abbreviations Used in This Book
Chapter 1: Diagnostic Ultrasound
- General Guidelines
- Head and Neck
- Chest
- Abdomen and Retroperitoneum
- Spinal Canal
- Obstetrical
- Non-obstetrical (Non-OB)
- Genitalia
- Extremities
- Other Diagnostic Ultrasound Procedures
- 3-D Image Rendering
Chapter 2: Ultrasound Guided Procedures
- Fine Needle Aspiration (FNA) Biopsy (Image-Guided)
- Core Biopsy Other Than Breast
- Core Biopsy of Breast
- Breast Cyst Aspiration
- Needle Localization, Breast
- Other Ultrasound Guided Procedures
Chapter 3: Echocardiography: Fetal and Non-Fetal
- Part 1: Fetal Echocardiography
- Part 2: Non-Fetal Echocardiography
Chapter 4: Noninvasive Vascular Diagnostic Studies
- General Guidelines
- Required Documentation for Duplex Studies
- Cerebrovascular Arterial Studies
- Extremity Arterial Studies (Including Digits)
- Extremity Venous Studies (Including Digits)
- Visceral and Penile Vascular Studies
- Extremity Arterial-Venous Studies
- Unlisted Noninvasive Vascular Diagnostic Study
Chapter 5: Intravascular Ultrasound
Chapter 6: Frequently Asked Questions
- Diagnostic Ultrasound
- Ultrasound Guided Procedures
- Echocardiography: Fetal & Non-Fetal
- Noninvasive Vascular Diagnostic Studies
- Other
Appendix A: Ordering Diagnostic Tests
Appendix B: Reporting ICD Diagnosis & Procedure Codes
Appendix C: Coding for Non-Covered Services and Services Not Reasonable and Necessary [Modifiers GY and GZ]
Appendix D: NCD for Ultrasound Diagnostic Procedures
Appendix E: A Note About COVID-19
