tci Outpatient Facility Coding Alert - 2019 Issue 2

You Be the Coder: Check for Specific Criteria on Duplex Scan Reports

Question: On a scrotal ultrasound (US) with duplex scan, the provider documents in the duplex scan technique “duplex Doppler of the scrotal contents was performed.” In the findings, the provider documents “normal arterial flow and waveform analysis bilaterally.” The provider also states in the US findings, which is a combined report with the duplex scan, “symptoms and abnormal color Doppler, therefore duplex performed.” Lastly, the impression and findings document no bilateral venous flow. Is this sufficient documentation to report a duplex code with the US? Rhode Island Subscriber Answer: In order to report...

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