We are a rheumatology practice and have just recently encounter issues with Optima Health and Coventry no longer accepting 76882, billed with 59 modifier---in addition to any of the arthrocentesis codes with ultrasound. In other words: 20604, 20606 and 20611. They continue to insist that 76882 is inclusive with those codes, and even with documentation, they will not pay it. Medicare does allow us to bill this way and they pay us!! And yet both Optima Health and Coventry presumably follow Medicare guidelines!! Has anyone else encountered this issue? None of this was occurring in 2015. Thanks!