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Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
A57029
First Coast Service Options, Inc. (J09)
Effective: October 1, 2022
Updated: December 31, 2025
See LCD L34027Policy Summary
This billing and coding article references LCD L34027 and states that ultrasound of the soft tissues of the head and neck is covered only when reasonable and necessary per that LCD. Providers must not bill Medicare for services not covered by the LCD and must use appropriate modifiers for non-covered services; complete, legible medical records with patient identifiers, provider signature, and documentation supporting the selected ICD-10-CM and CPT/HCPCS codes are required.
Coverage Criteria Preview
Key requirements from the full policy
"Ultrasound of soft tissues of the head and neck is covered when it is reasonable and necessary as defined by Local Coverage Determination L34027."
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