Thanks Steve- I'll pass it on

> ----------
> From:         Steve Knight[SMTP:[log in to unmask]]
> Reply To:     UVM Flownet
> Sent:         Wednesday, November 20, 2002 12:15 PM
> To:   [log in to unmask]
> Subject:      Re: Transcranial Doppler
>
> Tom, I don't have the book open in front of me but wouldn't 93888 cover
> limited and follow up studies?
>
> Steve
>
>
> ----- Original Message -----
> From: "Rosendahl, Thomas, RN" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, November 20, 2002 1:13 PM
> Subject: Re: Transcranial Doppler
>
>
> > I have a question regarding billing procedures.  How do you bill for
> > Transcranial Imaging studies when performed on a daily basis . Sometimes
> > we'll do over 30 studies for vasospasm monitoring and I'm sure our
> > compensation is not sufficient.
> >                                                       Thanks,
> >                                                                 Tom
> > Rosendahl, RN BS RVT
> >
> Cedars-
> > Sinai Medical Center
> >
> Los
> > Angeles
> > > ----------
> > > From:         kathryn sorrell4[SMTP:[log in to unmask]]
> > > Reply To:     UVM Flownet
> > > Sent:         Tuesday, November 19, 2002 6:28 PM
> > > To:   [log in to unmask]
> > > Subject:      Re: Transcranial Doppler
> > >
> > > we started TCD in 1987 or 88 with the "blind" pulsed TCD systems and
> > > converted
> > > to color duplex TCD in the early 1990's - have never looked back nor
> > > regretted
> > > the switch to the imaging modality.  TCD performed by a duplex system
> is
> > > equally sensitive (once you get over the training hurdles) and much
> more
> > > reassuring to the performing technologists.  There are bony and soft
> > > tissue
> > > landmarks which make identification of the intracranial arteries more
> > > certain
> > > and reproducible.  It's much easier to teach new techs the technique
> > > because
> > > they can see landmarks where they can direct their search.  That
> > > said....it
> > > does take a command of color doppler to perform these studies
> effectively;
> > > specifically, the technologist should have excellent knowledge of the
> > > secondary
> > > and tertiary color doppler controls so they can optimize visualization
> of
> > > blood
> > > vessels where acoustic windows are limited.  Side benefits of the
> imaging
> > > technique include visuzlation of some aneurysms, AVM's, 3-D images of
> > > vascular
> > > structures (newer software) and other general brain pathology.  I
> believe
> > > most
> > > major ultrasound vendors sell a low frequency 2 - 2.5 mhz phased probe
> > > with
> > > software on board to perform TCD.  I certainly woulnd't invest in a
> > > dedicated
> > > non imaging system unless you need it for extended TCD monitoring or
> don't
> > > have
> > > sufficient duplex systems to cover your TCD demand.  Make sure you
> have
> > > the
> > > proper software on the duplex system to perform the time averaged
> "peak"
> > > mean
> > > value.  This is different from the time-averaged velocity which many
> > > systems
> > > calculate as part of volume flow calcs.
> > > Kathryn
> > >
> > > "John K. Jain" wrote:
> > >
> > > > Hello Friends, Colleagues and Fellow Countrymen,
> > > >
> > > > I have a technical question for you all. Is there anyone who is
> doing
> > > > transcranial with only a duplex scanner? If so what frequency
> transducer
> > > > are make/model of equipment are you using.
> > > > Our old transcranial machine went to the boneyard years ago and
> without
> > > > ever having a significant volume of patients to justify replacing it
> we
> > > let
> > > > the program go. Now of course there are new nuerosurgeons who are
> > > banging
> > > > the TCD drum and I am trying to evaluate our options.
> > > >
> > > > Thank you  ahead of time for your help,
> > > >
> > > > John K Jain
> > > >
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> > >
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> > >
> >
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