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OB ultrasound

R

rleif1sun

Guru
Messages
122
Location
Monroe, NY
wonder how you guys code when patient is seen by sonographer for BPP, NST and gorwth. coded 76818 and 76816 and payer wont pay both. I don't see any exclusions between these 2 codes. do I need to add a modifer?
 
It may also be payer specific. We have some Medicaid payers such as Sunshine State Medicaid and Staywell that will not pay that procedure combo so we have to NC one or the other
 
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