HELP with 76805 and 76811

mhissy18

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Hi,

The patient (who is AMA-advanced maternal) was REFERRED to our office for a fetal anatomy scan. However, I couldn't bill 76811 because our sonographer was not able to get a FULL DETAILED scan. So, I charged 76805 for this visit. Now, the patient was REFERRED back to our office and we were able to obtain a full detailed fetal anatomy scan. The question is...can I bill 76811 for this visit? or will this have to be a 76816 (follow-up)? Our doctor says we can not as this would be "double dipping" if we bill 76811 for the 2nd visit.

Any input would be greatly appreciated!

Thank you,
Grace
 
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