Wiki multiple ultrasounds in one visit

scurtis7189

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If a patient has a trans-vag ultrasound and then a post-void residual bladder ultrasound done within the same visit, would it be appropriate to use the 51 modifier or the 59 modifier?

I was coding it as 51798 with an ICD 9 code of 596.51 (over-active bladder) and on this ultrasound, an abnormality was seen so a trans-vag ultrasound was done. I added 76830 with the ICD 9 code of 218.9 (uterine leiomyoma, the findings on ultrasound).

Here is where I am unsure. Which modifier is the correct one to use so I can show that the patient came for one ultrasound exam, and then a second was done as well.
 
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