Does anyone know how to bill the ultrasonic guidance for needle placement bilaterally? The sports medicine doctor I work for will use US guidance for carpal tunnel injections (20526). The injection with a 50 modifier will get paid but the only one or the US guidance is paid, the other 76942 is denied. The system we use won't let us use a 50 on the 76942 so I have tried LT and RT. Any suggestions? Would a 76 modifier be appropriate?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Ultrasonic giudance fro needle placement 76942
- Thread starter Sultan72
- Start date
danskangel313
True Blue
- Messages
- 809
- Best answers
- 0
20526 has an MUE of 1, so you'd have to use the 50 mod and 1 unit.
76942 also has an MUE of 1, so agan, you'd use the 50 mod 1 unit. The payment will not be 150%; the payment for the two sides is the lower of either the total actual charge for both sides or 100% of the fee schedule amount for a single code. So let's say you bill $150 for this line and the fee schedule amount is $75, you'll get paid $75 as it's the lower amount (between $150 and $75).
76942 also has an MUE of 1, so agan, you'd use the 50 mod 1 unit. The payment will not be 150%; the payment for the two sides is the lower of either the total actual charge for both sides or 100% of the fee schedule amount for a single code. So let's say you bill $150 for this line and the fee schedule amount is $75, you'll get paid $75 as it's the lower amount (between $150 and $75).