ultrasound guidance

  1. G

    Wiki Medicare is not paying 76937-26 for 93503

    I work with Palmetto and Noridian. I cannot find any literature for why Medicare is stating that 93503 is not a valid primary procedure code for 76937-26. They pay when we also bill 36620 or 36625, so does anyone have any insight for how we can get the ultrasound guidance paid for just the 93503...
    • Gordon2020
    • Thread
    • anesthesia coding bundling medicare billing swan ganz ultrasound guidance
    • Replies: 1
    • Forum: Anesthesia
  2. Y

    Wiki nurse dating ultrasound

    need coding help I currently bill for an OBGYN clinic for medical the nurse is performing initial dating ultrasound with no provider in the office (billing 76817 and 76815 with Mod 59) we send the ultrasound to the dr to review and write a report, my question is can i bill with E&M code...
    • ymendez2020
    • Thread
    • obgyn coding ultrasound ultrasound guidance
    • Replies: 9
    • Forum: OB/GYN
  3. A

    Wiki 64611 and 76942

    The doctor did an ultrasound guided botox injection of the submandibular and parotid gland. I'm getting conflicting information as to whether or not I can code 64611 and 76942 together. Do I just code 64611 for the injection or do I also code 76942 for the ultrasound guidance? Thanks!
  4. B

    Wiki Correct Coding for Renal Artery Doppler

    Good morning! I'm having trouble figuring out the correct code for a patient who came in for a Renal Artery Doppler. The code that I thought was correct, my boss disagreed with. She also presented the question to the provider, and he agreed with her. I guess I'm not fully grasping the way the...
  5. M

    Wiki Breast Biopsy or Lymph Node Biopsy???

    Hello AAPC members!! I have a question in regards to billing a procedure that I have come across! First of all, I am new to coding and I only have my CPB! Example: The patient has a biopsy of the breast (usually coded 19083), but the biopsy is of a lymph node of the breast! There is a separate...
  6. H

    Wiki 76942 (ultrasound guidance) denied with nerve block

    Hi All, Ultrasound guidance (76942) is being denied by Oxford when billed with a nerve block code (64413, 64445, etc.). We have tried to appeal saying you need the guidance to ensure precision of the needle however, they are still denying it. :mad: Anyone run into this problem and found a...
  7. B

    Wiki Medicare denying Ultrasound Guidance used with Regional Block Placement

    Since January, CMS has been denying about 85% of our claims for ultrasound guidance 76942-26. Our anesthesiologists use ultrasound guidance when placing nerve blocks for post-operative pain control (sciatic/femoral/etc). Some of our appeals have resulted in the claim being reprocessed, but...
    • Billing500
    • Thread
    • 76942 anesthesia denial nerve block ultrasound guidance
    • Replies: 3
    • Forum: Anesthesia
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