USJC 05.21.25 – Documentation, Coding & Billing, Workflow

This Week’s Topic: Documentation, Coding & Billing, Workflow

By the end of this session, participants will be able to:

  • Understand the practical considerations for implementing and optimizing point-of-care ultrasound (POCUS) in the emergency department, including appropriate documentation, billing, and image archiving practices.

  • Apply the Billing I-AIM framework to enhance ultrasound billing efficiency and accuracy.

  • Evaluate strategies to improve adherence to POCUS documentation and billing standards through targeted interventions.

  • Navigate the updated 2023 Evaluation and Management (E/M) guidelines to ensure optimal and compliant ultrasound billing in emergency medicine.


Article 1
Practical Aspects of Point-of-Care Ultrasound: From Billing and Coding to Documentation and Image Archiving. Adv Chronic Kid Dis (2021)

Article 2
Billing I‑AIM: a novel framework for ultrasound billing. The Ultrasound Journal (2020)

Article 3 
Evaluation of Adherence to Emergency Department Point‑of‑Care Ultrasound Documentation and Billing Following Intervention. The Journal of Medical Ultrasound (2022)

Article 4 
American College of Emergency Physicians’ Ultrasound Section Webinar – Navigating the 2023 Evaluation and Management Guidelines: Strategies for Optimal Ultrasound Billing in Emergency Medicine

Fellows and rotators please supplement reading with Ma and Mateers Chapter 4: Point-of-Care Ultrasound Coding, Billing, and Reimbursement

*** EXTRAS ***





SCP – Common Bedside US CPT Codes w/ RVU

SCP – EM Documentation Tips for US-FAST Exam

SCP – EM Documentation Tip for Bedside US

EM US FAQs and Answers