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Urology Coding Alert

Reader Questions:

Don't Rule Out 93975 With Ultrasound

Published on Thu Jan 10, 2008

Question: We do scrotal ultrasounds (CPT 76870 ) in the office. We bill them with the TC modifier because we send them out to be read by a radiology group. We are contemplating doing the Doppler studies as well. Will we report 93975 in addition to 76870?Georgia SubscriberAnswer: You should bill for both the sonogram and the Doppler study, if your urologist performs them during one session. First, report 76870 (Ultrasound, scrotum and contents) for the sonogram. Then code 93975 (Duplex scan of  arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study) for the Doppler study.Don't forget: Append modifier TC (Technical component) to both codes if you send both studies out to an external radiology group for interpretation.
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