Hello, I was thinking of getting a diagnostic ultrasound machine for my office.  I've heard you can bill insurance for ultrasound guided injections for neuroma and plantar fasciitis and studies show better results occur with ultrasound guided injections.  Also, ultrasound can be used to diagnose plantar plate injuries, measure thickness of plantar fascia, find foreign objects.  

Prices I've seen are about $5000 for an ultrasound.  Does anyone use this in their office?  Are there CPT codes for ultrasound guided injections and for diagnostic ultrasound for fasciitis, etc?  I was wondering if insurances would let me bill for that if I'm not an ultrasound trained technologist.  Billing for this pays well?  

  • Comments (9)
  • Dieter -,you got the codes right, I also use 76882 when examining without giving an injection, I.e. Looking for neuroma or a plantar fascia tear.

    Good luck on your lecture.
  • Quote:

    Yes, Dr. Dale does need to join APAC (was that the name we decided on?) Speaking of Dieter, did you ever make a crest for us? I don't recall seeing one.

    I would like to add that I was just this weekend at the Podiatry conference in Manhattan and New ultrasounds machines that are excellent quality images are not 5,000 they are way more expensive than that unless you are referring to a used machine that is old. (and likely not up to the quality of the newer machines.

    I bought a used machine many years ago. The image quality is way more advanced today.

     

    Jeff,

    My apologies ... the crest is on the back burner. I'm using up my spare time shuffling together some slides for a talk I am giving this Thursday.

    Jeff, do you use other CPT codes? Took me a while to figure out which codes are appropriate...

  • Yes, Dr. Dale does need to join APAC (was that the name we decided on?) Speaking of Dieter, did you ever make a crest for us? I don't recall seeing one.

    I would like to add that I was just this weekend at the Podiatry conference in Manhattan and New ultrasounds machines that are excellent quality images are not 5,000 they are way more expensive than that unless you are referring to a used machine that is old. (and likely not up to the quality of the newer machines.

    I bought a used machine many years ago. The image quality is way more advanced today.

     

  • Quote:

    Dr. Dale - Can you please repeat your comments on X-rays.....I am not sure I am understanding you correctly. You can't take xrays??? But, a Podiatric Assistant can? Did I read that correctly?

    Jeez ... if that's the case I'm never moving to WV. What's next, the dental assistant can drill a tooth but the dentist can't?

    Sounds like a bad case of the tail wagging the dog ... Jeff, Dr. Dale needs a political action committee - post-haste! 

  • Quote:

    What brand of ultrasound do you use in your office Dr. Bernstein?  A colleague in another state says they use cpt code 76882 for diagnostic ultrasound component, and 76942 for therapeutic ultrasound.  That what you use too for coding?  

    I'm concerned in my state that insurance may deny billing for this since I don't have ultrasound technologist degree.  My state of WV is overregulated.  I have to have a certified podiatry assistant in order to bill for x-rays for blue cross even though I had classes in that in podiatry school.

    Here's what I code:

    US guidance for needle placement 76942

    Tendon Sheath Injection 20550

     

    Where did I get the codes from? I surfed the internet and found a piece in PM Management ....

  • Dr. Dale - Can you please repeat your comments on X-rays.....I am not sure I am understanding you correctly. You can't take xrays??? But, a Podiatric Assistant can? Did I read that correctly?

  • What brand of ultrasound do you use in your office Dr. Bernstein?  A colleague in another state says they use cpt code 76882 for diagnostic ultrasound component, and 76942 for therapeutic ultrasound.  That what you use too for coding?  

    I'm concerned in my state that insurance may deny billing for this since I don't have ultrasound technologist degree.  My state of WV is overregulated.  I have to have a certified podiatry assistant in order to bill for x-rays for blue cross even though I had classes in that in podiatry school.

  • I have been using Ultrasound in both on my offices for diagnosing and performing procedures for over two years. In many situations I can see soft tissue injures, retrieve foreign bodies and generally improve our quality if care. Patients are very impressed with this "new to them" technology. And yes, it also pays well. David Bernstein, DPM