Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Interventional Radiology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 05-22-2009, 03:48 PM
claudiak claudiak is offline
Networker
 
Join Date: Apr 2007
Posts: 39
claudiak is on a distinguished road
Question Ultrasound Extremity non-vascular for lesion in axilla?

Hello Radiology Coders and Happy Memorial Day Weekend to you!

I hope someone can help me with this. My radiologist dictated a report for a ultrasound extremity non-vascular (cpt 76880) for a nodular area in the axillary region.
Report reads " In the left axilla in region of palpable concern there is a hypoechoic oval, horizontally oriented nodule which appears to be intradermal. There is significant inreased vascularity associated with the periphery of this nodule.

Impression: vascular intradermal nodule in axilla. Clinical followup is recommended. She also stated that 'Ultrasound of the region of interest (axilla) ONLY was performed.

I usually group the axillary area more with the breast than with the extremity category. Do any of you agree? Couldn't she have dictated and coded this a ja 76645 (u/s breast/breasts with a modifier of 52 for reduced service for the exam of ONLY the region of interest? Or am I way off base here? What are your thoughts?

I would appreciate any and all opinions/advice.

Thanks
Claudia K, CPC
Networker
Reply With Quote
  #2  
Old 05-22-2009, 05:41 PM
martha35 martha35 is offline
Networker
 
Join Date: Apr 2007
Posts: 37
martha35 is on a distinguished road
Cool axilla

I would stick with the 76880. as it is specific to axilla palpabale abnormality
__________________
ceba
Reply With Quote
  #3  
Old 05-23-2009, 01:37 AM
joe_physio09 joe_physio09 is offline
Networker
 
Join Date: Apr 2007
Posts: 84
joe_physio09 is on a distinguished road
Default US axilla

Hi,

I agree with u that we use to group the axillary region with breast more than with the extremity, but in this case we can code this as 76880.

Please correct me if iam wrong.

Joseph Amalraj Antonisamy CPC-H
Reply With Quote
  #4  
Old 07-22-2009, 03:18 PM
Poodles Poodles is offline
Contributor
 
Join Date: Apr 2007
Posts: 14
Poodles is on a distinguished road
Default

Quote:
Originally Posted by claudiak View Post
Hello Radiology Coders and Happy Memorial Day Weekend to you!

I hope someone can help me with this. My radiologist dictated a report for a ultrasound extremity non-vascular (cpt 76880) for a nodular area in the axillary region.
Report reads " In the left axilla in region of palpable concern there is a hypoechoic oval, horizontally oriented nodule which appears to be intradermal. There is significant inreased vascularity associated with the periphery of this nodule.

Impression: vascular intradermal nodule in axilla. Clinical followup is recommended. She also stated that 'Ultrasound of the region of interest (axilla) ONLY was performed.

I usually group the axillary area more with the breast than with the extremity category. Do any of you agree? Couldn't she have dictated and coded this a ja 76645 (u/s breast/breasts with a modifier of 52 for reduced service for the exam of ONLY the region of interest? Or am I way off base here? What are your thoughts?

I would appreciate any and all opinions/advice.

Thanks
Claudia K, CPC
Networker
According to the Fall issue of the AMA/ACR Clinical Examples in Radiology, to code for soft tissues are as follows:

axilla- 76880
upper back- 76604-52
lower back- 76705
abdominal wall- 76705
groin- 76880
penis- 76857

there are others, but they (at least to me) seem to make more sense.

Hope that helps,

Patti Downing, RCC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 10:21 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC