Ultrasound Reimbursement

Sample Ultrasound Reimbursement
Place of Service - OFFICE
Each Week 0 Neuroma Examination(s) 76881   $127.55 x 0 $0.00       0   $0.00
  1 Forefoot Capsulitis 76881   $127.55 x 1 $127.55       1   $60.00
0 Ganglion or Fibroma or 76882 $38.71 x 0 $0.00 0 $0.00
    lipoma, or Soft Tissue Mass                        
  1 Plantar Fasciitis / Tear 76882   $38.71 x 1 $38.71       1   $60.00
  0 Peroneal Tendonitis 76882   $38.71 x 0 $0.00       0   $0.00
  1 Posterior Tibial Tendonitis 76882   $38.71 x 1 $38.71       1   $60.00
  1 Achilles Tendonitis 76882   $38.71 x 1 $38.71       1   $60.00
0 Injection of Bursa or Joint 20604 $77.67 x 0 $0.00 Procedure Includes Imaging No E&M
    (Includes Ultrasound)                          
0 Neuroma Steroid Injection 64455 $48.50 x 0
$0.00 Procedure No E&M
0 Ultrasound Guidance 76942* $72.52 x 0 $0.00 PLUS Imaging
               
 
             
1 Fascia Steroid Injection 20550 $63.00 x 1 $63.00 Procedure No E&M
1 Ultrasound Guidance 76942* $72.52 x 1 $72.52 PLUS Imaging
 
                     
 
     
Totals 6 PROCEDURES/Week $379.20 $240.00 $619.20
Less Lease Payment = $391.00 $1,125.80 $960.00 $2,085.80
$13,509.60
$11,520.00 $25,029.60

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