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Old 08-30-2011, 09:10 AM
Monika Liddle Monika Liddle is offline
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Default CPT code 76645 and 76942

Hello,

A physician performs an ultrasound of the breast to identify the area of concern. Once identified he preps the skin and then makes a small surgical incision. Under ultrasound guidance he places the biopsy device. Can both 76645 and 76942 be billed?.

Thank you for your help.

Monika
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Old 08-30-2011, 09:29 AM
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drspatil drspatil is offline
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Default Ultrasound

Only 76942............

Quote:
Originally Posted by Monika Liddle View Post
Hello,

A physician performs an ultrasound of the breast to identify the area of concern. Once identified he preps the skin and then makes a small surgical incision. Under ultrasound guidance he places the biopsy device. Can both 76645 and 76942 be billed?.

Thank you for your help.

Monika
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Old 08-30-2011, 10:07 AM
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jgf-CPC jgf-CPC is offline
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Default

I feel that since they are separate exams and not bundled according to the CCI edits that you can charge for the 76645 also.
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Old 08-30-2011, 07:20 PM
donnajrichmond donnajrichmond is offline
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Default

Quote:
Originally Posted by Monika Liddle View Post
Hello,

A physician performs an ultrasound of the breast to identify the area of concern. Once identified he preps the skin and then makes a small surgical incision. Under ultrasound guidance he places the biopsy device. Can both 76645 and 76942 be billed?.

Thank you for your help.

Monika
localizing the area of concern is part of guidance. Do not code 76645 unless it is a separate diagnostic ultrasound that then prompted the need for a biopsy.
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Old 08-31-2011, 06:23 AM
Monika Liddle Monika Liddle is offline
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Default Ultrasound

I feel I should not be billing the 76645 because the pt had a previous US and that is the reason the pt is havign the biopsy. One of my physicians states he was told at a conference that he could and should be billing both. Does anyone have anything in writing indicating we should or should not bill the 76645.

Thanks for your help.
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