Modifier 26

MKESSINGER

Contributor
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Location
Roanoke, VA
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Hi, can anyone tell me what the documentation requirements are to bill modifier 26 with ob ultrasound? I have a physician who only documents "breech presentation" only and wants to bill for reading the ultrasound, I want to make sure I am coding correctly. Thank you
 

csperoni

True Blue
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1,973
Location
Selden
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3
If I was being audited, I could not look the auditor in the eye and say there was an interpretation of a full OB ultrasound if all that is documented is "breech presentation". I would consider it for the limited OB ultrasound 76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses
 
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