Guidelines for billing 76816 with e/m

RHENZ06ily

Contributor
Messages
15
Best answers
0
HI,

Our clinic owns the equipment and so we bill 76816 as tc/26 full. However, provider also bills an E/M with only stating counseling done and 50% of time spent. Can this be billed with an e/m when only interpreting what was seen in the ultrasound? Please advise. Thanks.
 

tefranklin57

Networker
Messages
58
Best answers
0
I say yes, if the provider documents that face-to-face counseling was rendered after the U/S findings with a plan of care for future treatment. Add modifier 25 to E/M
 
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