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Pre-Operative Ultrasound for Assessing Adequate Saphenous Vein Conduit


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This is a question for all CT surgery PA's out there.

 

In our practice, we currently perform a brief ultrasound of the saphenous vein in the operating room, while the patient is being prepped for surgery. This helps us determine which leg to harvest from based on size, patency, consistency, etc. However, this is not something that we can currently bill for, as it is not a proper "Saphenous Vein Mapping" by a certified US technician.

 

I'm wondering if there is a shorter certification/CME class available for Physician Assistants for US vein mapping?

 

Any information you can provide would be great!

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Vascualr ultrasound certifications fall into three main bodies:

ARDMS- RVT coveres artery, veins, noninvasive testing. Need to pass physics exam and specilty exam can qualify based upon OJT (12 months experience)

ARRT- VS not an option for a PA unless also have ARDMS, CNMT, RT®, or RT(T) certificaiton

CCI- has RVS similar to RVT, they also have RPhS which is venous ultrasound only. OJT is an option requiring 6-12 months experience based on your previous education.

 

You would need to have images stored and dictate a report same as any other imaging examination you are billing for.

 

Jeremy

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