Billing for ultrasound for regional anesthesia

[cchoukal]

I know this topic has been addressed before, but we’ve recently received some new guidance for Medicare ( and others) about not paying for the use of ultrasound, even with a printed image and interpretation. Anybody find a workaround yet?

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[potcake76]

Not sure there is a “workaround.” This is an AMA/CPT rule, not a payer rule, so the changes apply across the board. The good news is that ultrasound guidance may still be separately reported for 64400, 64405, 64408, 64420-64421, 64425, 64430, 64435, 64449, 64450, and 64999.