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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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