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Wiki Multiple U/S, Same DOS, Payor is Mcal

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165
Location
San Diego, CA
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Hi All,

Is anyone having any luck with getting Mcal to pay for multiple u/sounds (cpt 76816) when done during the same encounter?

We are following all Mcal guidelines; including Box 19 comments, etc. We are also using a -59 Modifiers as advised by Mcal Reps/CSU. And, we're still beign denied as "duplicate".

We are going to attempt to bill the 2nd code with a -77 modifier as it is a "repeat/same physician" for the 2nd fetus.

Any feedback is appreciated.:D
 
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