J190

PDF page 403 / G7

DIAGNOSTIC ULTRASOUND
 VASCULAR SYSTEM
                                                                                                     H      P
     Transcranial doppler assessment of intracranial circulation
   J189 Transcranial doppler assessment of intracranial circulation ...                              -      23.65
   J186      - assessment with power mode doppler ...............................                           32.50
   J187      - prolonged study requiring at least 50 minutes....................                            32.50
   J188      - follow-up study within 4 weeks of J186 or J187 requiring at
               least 50 minutes .................................................................           25.00
         Payment rules:
         1.J189 is not eligible for payment with J186, J187 or J188 same patient same day.
         2.Only one of J186, J187 or J188 are payable same patient, same physician, same day.
     Extra-cranial vessel assessment - above the aortic arch
       Bilateral carotid and/or subclavian and/or vertebral arteries only
   J190 - doppler scan or B scan, includes frequency/spectral
            analysis, if rendered ...........................................................       42.65   17.10
   J201      - duplex scan i.e. simultaneous real time, B-mode imaging
               and frequency/spectral analysis .........................................            55.05   24.65
       Note:
       Only one of J190 or J201 is eligible for payment per patient per day.
       Peripheral vessel assessment
       (distal to inguinal ligament or axilla), artery and/or vein evaluation per extremity.
       Not to be billed routinely with J190.
   J193 - doppler scan or B scan, includes frequency/spectral
            analysis, if rendered, unilateral........................................... 22.05 14.30
   J202      - duplex scan i.e. simultaneous real time, B-mode imaging
               and frequency/spectral analysis, unilateral ........................                 28.50   16.60
         Note:
         Only one of J193 or J202 is eligible for payment per extremity per patient per day.

Master, record 2582. Record Layout PDF, page 1.

J19020260401999999990000000000000000495500000000000000000017100000000171000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.