04/27/18 – Ultrasound Guidance for TAP Blocks.

Question: We often use ultrasound guidance for placing TAP blocks. Is the guidance separately billable?

Answer: Ultrasound guidance is not separately billable when used for TAP blocks—this is because its description & guidance in the CPT book states, “includes imaging guidance when performed.” As a result, payment for ultrasound is factored into the reimbursement of the TAP code and is not separately billable.  Nonetheless, regardless of its reimbursement status, we advise always that to document its usage whenever performed.

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