Butterfly iQ Ultrasound Procedure For Primary Care Physician

[mimranbilling]

Hi Everyone,

We are primary care physician office in south Florida and thinking to start using Butterfly iQ Ultrasound mobile device in our practice. Before we order this device, we want to make sure that insurances will pay for the procedure performed in office. Does have any experience performing Ultrasound procedure in Primary Care Office and billing them to insurances with E/M codes? Is it approved by all insurances to perform?

Any advise or information is much appreciated.

"CPT
Codes"
10005
10006
20604
20606
20611
51798
76536
76604
76705
76706
76775
76815
76857
76881
76882
93308
93882

[shubham.123]

Hello

I do not have much experience in ultrasound billing, but I do know few things and I would like to share.

--You need to run EL with insurances to know which code covers under patient's plan.

--You can bill US in primary visit, but with some short of limitation. It depends on the diagnosis. Like CPT 10005 is for biopsy, and you can't run the biopsy in very first visit with out doctor comes to diagnose (and no doctors does that), take example of skin infection.

--On the other hand you can bill some codes like 76942 it's for ultrasound needle placement. take example of a patient comes with chest pain and doctors give a shoot to his hart with US, in this case you can bill, both EM for an emergency, and appropriate Injection code, US code, Drug code with NDC with proper diagnosis & modifier.

So if in second case insurance denied claim, you have patient's medical records and the emergency form can help you to pass it.

So you need to be litter more specific that what diagnosis you billed and need to came up with pretty good argument that why insurance needs to pay.

Like I said I do not have much experience with this, so if this helps then good, if not then please anyone can correct me and I will appreciate with words.

Best.