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Wiki Echo Pelvic Limited vs Office Visit

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vnorman

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The practice I work for is Urology based, however we perform most of our own CT Scans, X-rays, and Ultrasounds. We have noticed an increase in Office Visit denials from Medicare when an Echo Pelvic Limited (76857) is billed at the same time. As code 76857 is not a "Procedure" I am very confused on the reason the office visit is being denied and I can not seem to find anything on CMS.gov. Is anyone else seeing this? Does anyone else have information as to why? When I run the codes through a claim check system both are valid and allowed. Any assistance would be greatly appreciated.

Thank you... :)
Valarie Norman, CPC, CPPM
 
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