Forum - Questions & Answers

Aug 27th, 2010 - Longevity10

Radiology - Early detection screenings.

My company is a mobile screening company - we offer our services to Companies in Southern California and Employees opt to pay for our 5 test screening package - which includes: echocardiogram; carotid ultrasound; abdominal aorta ultrasound, abdominal ultrasound that includes kidney, liver, gallbladder, pancreas and the spleen; as well as a take home fecal blood screening.
Some of the insurance companies are now offering some reimbursement to the Employee for participating in our program. The issue is, we need to have the right CPT codes.

I've been trying to figure this out for almost 2 weeks!!!

Is there anyone there that can help me. All I need is 5 codes - our screenings are not for diagnostic purpose. The participant generally follows up with their primary care doctor.

Help!

Peggi

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Aug 27th, 2010 - jschmutz   323 

Early Detection Screening

I'm not completely sure how these should be reported, but here are my thoughts.

Since these are non-diagnostic I would suggest reviewing the following procedures and making sure you use a screening ICD9 code:

ECG:

G0403 Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

G0404 Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

G0405 Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination


Carotid US:

G0389 Ultrasound B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening


Abdominal US (includes abdominal aorta):
76700 Ultrasound, abdominal, real time with image documentation; complete

76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)


FOBT screening:

82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)

82272 Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening

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