Wiki Cpt 79642

[mvetanen]

HELP! Our office uses 79642 in conjunction with 36475 and 36471. I know majority of payors see 79642 as a bundled code and if you place a modifier on it, it will reject. It does not pay anyway as it's a bundled code, so how do we get paid on this code? Should we be using a different code for our Ultrasound guided RFA's and Sclero? Any guidance would be appreciated!

 

[CodingKing]

76942 is column 2 code to 36475 and the indicator is cannot be bypassed by Modifier. If you look at the code description for it states all imaging is included. If it was 36942 only then you could bill for imaging.