Your opinion sounds on par to me, if you wanna bill for a complete study, you better do a complete study.  I’ve also heard that some are reluctant to treat renal artery stenosis when the RI suggests significant, intrinsic kidney disease.




From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Steve Knight
Sent: Thursday, May 06, 2010 07:27
To: [log in to unmask]
Subject: Re: Renal artery Doppler, partial study If positive?


Hey everybody, In doing a quick search of this to back myself up I may have been too quick to deliver my opinion. I need to browse the lit. a bit more. Seems to be a controversy in the recent literature over this issue. More to follow. If anybody who's up to speed on this wants to chime it go right ahead and correct me. I still stand on my issue re billing and performing of complete vs limited studies.

On Wed, May 5, 2010 at 10:36 PM, Steve Knight <[log in to unmask]> wrote:

Norm. I attempt to do a complete study of the kidney. Research has shown that revascularizing a kidney with intrinsic vascular disease has limited impact on improving renal function. For that reason I think its important to gather all of that data. Plus if billing for a full study, to do less would be fraudulent. Wouldn't it be like just getting a CCA and a peak ICA velocity in the carotid?

Sent from my Verizon Wireless BlackBerry

-----Original Message-----
From:         Norman Paley <[log in to unmask]>
Date:         Wed, 5 May 2010 21:07:37
To: <[log in to unmask]>
Subject: Renal artery Doppler, partial study If positive?

After a conversation that I had today with a general ultrasound technologist I have a question.  Does anybody here who does renal artery Doppler studies consider the study for that kidney completed and stop upon determining that the renal/aortic ratio is > 3.5, or, do you continue and try to get all of the additional data and views that are generally obtained in a complete renal artery study?  Thank you for any response.

Norman Paley, BS, RVT
Technical Director Vascular Laboratory
Richmond University Medical Center
Staten Island, New York

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Steve Knight BSc RVT RDCS
Specialists In Ultrasound, Inc.

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