ultrasound procedure notes
Note Guidelines
Please use a separate procedure note. This allows for better tracking with billing and QA.
Start a procedure note when you place your order. You will not forget this way.
If you do not know how to document what you are scanning, do not make up a note. This confuses our coders and it results in long email chains that take up time.
Diagnostic Exams of Shock and hypotension
rush exam
Rush Exam (Negative Study)
EFASt exam
efast exam (negative study)
FAST EXAM
FAST EXAM (Negative STUDY)
Limited Abdomen/evaluate for Free FluiD
limited abdomen/evaluate for free fluid (negative study)
Diagnostic Exams of the chest
Limited Chest/lung
Limited Chest/lung (Negative study)
Limited transthoracic Echocardiogram (TTE)
Limited transthoracic echocardiogram (TTE) (negative study)
limited transesophageal Echocardiogram (TEE)
limited transesophageal Echocardiogram (TEE) (negative study)
Diagnostic abdominal exams
limited abdomen RUQ Biliary Exam
limited abdomen RUQ biliary exam (negative study)
limited abdomen RLQ appendix
limited abdomen SBO
Diagnostic Retroperitoneal exams (Aorta/GU)
AORTA Exam
Aorta exam (negative study)
Renal exam
renal exam (negative study)
limited bladder ultrasound (Post void residual)
Diagnostic Pevlic exams / pregnancy
Limited Pelvic exam, obstetric - transabdominal
Limited pelvic exam, obstetric, transvaginal
limited pelvic exam, non obstetric - transabdominal
limited pelvic exam, non obstetric - transvaginal
Diagnostic Soft Tissue
Limited soft tissue ultrasound
Diagnostic Ocular Exam
limited ocular Ultrasound
limited ocular ultrasound (negative study)
Diagnostic Vascular Exams
Limited vascular lower extremity - venous
limited vascular lower extremity - Venous (Negative study)
Limited vascular upper extremity - venous
Limited vascular upper extremity - venous (negative study)
Ultrasound Fellows only
Generic diagnostic Ultrasound Note (fellowship trained only)
limited transesophageal Echocardiogram (TEE)
limited transesophageal Echocardiogram (TEE) (negative study)
ultrasound procedural guidance notes
Vascular Access
Generic non-Central Venous Access with Us guidance
Peripheral Venous access with US Guidance (20g IV)
Midline (cook micropuncture introducer) with us guidance
midline (PowerGlide Pro) with US guidance
Central line access (Triple lumen) with us guidance
arterial line (radial arrow 20g) with US Guidance
arterial line (femoral arrow 18g) with us guidance
procedural guidance
Paracentesis procedure with procedural guidance US
Thoracentesis Procedure with procedural guidance us
Arthrocentesis with US procedural guidance note
procedural guidance Us for lumbar pucture
Generic procedural guidance for needle placement
Regional Anesthesia
Erector Spinae Plane Block (ESPB) with Ultrasound guidance
Billing
2015 ACEP EUS CODING AND REIMBURSEMENT UPDATE
EFAST = Limited Chest, Limited Echo, Limited Abdomen
FAST = Limited Echo, Limited Abdomen
Free Fluid in abdomen = Limited Abdomen
Biliary = Limited Abdomen
Renal/GU = Limited Retroperitoneal
Aorta = Limited Retroperitoneal
Bladdler only = Limited Bladder