Recently, I was asked about how physicians bill their IO Duplex "completion duplex" and how is it different than calling the sonographer from the department up to the Operating Room.
In our department we typically bill a limited examination when called to the operating room to assess vasculature during a procedure or immediately following.
My thoughts on this are that if the examination is for 'guidance' in the operating room, it is included in the surgical procedure. But if it is following completion of the procedure, a limited examination is an acceptable bill whether the physician does it or the sonographer (obviously with the difference of technical and professional codes but the CPT code would be the same). How does anyone else handle this?
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