Perhaps I am misinterpreting the ASIPP physician fee schedule incorrectly, but it appears that there is a professional fee for the use of ultrasound for needle placement an office setting. How about in an ASC? For example, if I do GON block with ultrasound in an ASC, can I bill for ultrasound use, adding to my professional fee?
Ultrasound in ASC
- Thread starter Lecithin5
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76942.
Be careful though. Some of the major carriers do not allow ASC location for peripheral nerve blocks ( cough MVP cough)
I do all my "nerve" injections in office with ultrasound...
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Be careful though. Some of the major carriers do not allow ASC location for peripheral nerve blocks ( cough MVP cough)
I do all my "nerve" injections in office with ultrasound...
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What type of nerve injections r you doing in office?
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Ilioinguinals, genfem, superficial or deep peroneals, post tib, sural, superficial saphenous, ulnar, a rare sciatic, suprascapular, occipital, and rarely a brachial plexus block...
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Nice. I am trying to implement more ultraasound in my clinic , what r u doing peroneals and saphenous for? And occipital, are u able to see the artery?
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both of those were for postsurgical pain.
the saphenous was also a postfracture pain s/p ORIF, with surgical incision across the anterior aspect of the calf and radiating pain down the front of the calf.
with occipitals - typically I do just with palpation, but I have a patient who had a repeat injection that didn't work (ie had successful ones previously) ill toss on the US to visualize. can see the artery, but I might be imagining it at times...
the saphenous was also a postfracture pain s/p ORIF, with surgical incision across the anterior aspect of the calf and radiating pain down the front of the calf.
with occipitals - typically I do just with palpation, but I have a patient who had a repeat injection that didn't work (ie had successful ones previously) ill toss on the US to visualize. can see the artery, but I might be imagining it at times...
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both of those were for postsurgical pain.
the saphenous was also a postfracture pain s/p ORIF, with surgical incision across the anterior aspect of the calf and radiating pain down the front of the calf.
with occipitals - typically I do just with palpation, but I have a patient who had a repeat injection that didn't work (ie had successful ones previously) ill toss on the US to visualize. can see the artery, but I might be imagining it at times...
Nice, where do I hit the saphenous? Adductor? What do u inject? Works well?
Lol same with my occipitals. trying them prone helps with seeing the artery better sometimes
