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Contrast Enhanced Voiding Urosonogram (CEVUS)

Date: Feb 25, 2019

Question:

We will be performing CEVUS for vesicoureteral reflux. We will be using Lumason, and we're wondering if it is appropriate to charge 76978 [US targeted dynamic microbubble sonographic contrast characterization (non cardiac); initial lesion]. Our concern is that vesicoureteral reflux isn't a lesion. Would 76770 be more appropriate and then charge for the units of Lumason (Q9950) injected. Or charge 76770, 76978, and Q9950? Lumason has been approved for use in the urinary tract for vesicoureteral reflux.

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