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In their December Newsletter, Xact Medicare Services, the Medicare Part B
carrier for Pennsylvania and several other states, has released new payment
policy that will require personnel certification or facility accreditation
for the radiology diagnostic ultrasound CPT codes effective 1/1/2000 (see
quote below).

Furthermore, Focused Medical Review has determined that procedure codes
76700 (Echography, abdominal, B-scan and/or real time with image
documentation; complete) and 76705 (limited) are aberrant in comparison to
national statistics.  Consequently, the newsletter includes a statement
regarding appropriate utilization of these CPT codes.


<SNIP>
"Effective January 1, 2000, all procedures performed by sonographers must be
either (1) performed by, or under the direct supervision of, persons that
have demonstrated minimum entry level competency by being credentialed in
the specific type of procedure being performed, or (2) performed in
facilities accredited in the specific type of evaluation. Direct supervision
requires the credentialed sonographer to be physically present in the
facility during the examination.
Sonographers should receive their personal certification through the
American Registry for Registered Diagnostic Medical Sonographers (RDMS).
Appropriate facility accreditation includes the American College of
Radiology (ACR) Ultrasound Accreditation or the American Institute of
Ultrasound in Medicine (AIUM) Accreditation."
<SNIP>

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Franklin W. West
PVI
18702 North Creek Parkway, Suite 212
Bothell, Washington   98011
425.483.4058 (voice)
425.486.8976 (fax)
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