Ultrasound Extremity non-vascular for lesion in axilla?

claudiak

Networker
Messages
39
Best answers
0
Hello Radiology Coders and Happy Memorial Day Weekend to you!

I hope someone can help me with this. My radiologist dictated a report for a ultrasound extremity non-vascular (cpt 76880) for a nodular area in the axillary region.
Report reads " In the left axilla in region of palpable concern there is a hypoechoic oval, horizontally oriented nodule which appears to be intradermal. There is significant inreased vascularity associated with the periphery of this nodule.

Impression: vascular intradermal nodule in axilla. Clinical followup is recommended. She also stated that 'Ultrasound of the region of interest (axilla) ONLY was performed.

I usually group the axillary area more with the breast than with the extremity category. Do any of you agree? Couldn't she have dictated and coded this a ja 76645 (u/s breast/breasts with a modifier of 52 for reduced service for the exam of ONLY the region of interest? Or am I way off base here? What are your thoughts?

I would appreciate any and all opinions/advice.

Thanks
Claudia K, CPC
Networker
 

martha37

Networker
Messages
38
Best answers
0
axilla

I would stick with the 76880. as it is specific to axilla palpabale abnormality:cool:
 

joe_physio09

Networker
Messages
82
Best answers
0
US axilla

Hi,

I agree with u that we use to group the axillary region with breast more than with the extremity, but in this case we can code this as 76880.

Please correct me if iam wrong.

Joseph Amalraj Antonisamy CPC-H
 

Poodles

Guest
Messages
14
Best answers
0
Hello Radiology Coders and Happy Memorial Day Weekend to you!

I hope someone can help me with this. My radiologist dictated a report for a ultrasound extremity non-vascular (cpt 76880) for a nodular area in the axillary region.
Report reads " In the left axilla in region of palpable concern there is a hypoechoic oval, horizontally oriented nodule which appears to be intradermal. There is significant inreased vascularity associated with the periphery of this nodule.

Impression: vascular intradermal nodule in axilla. Clinical followup is recommended. She also stated that 'Ultrasound of the region of interest (axilla) ONLY was performed.

I usually group the axillary area more with the breast than with the extremity category. Do any of you agree? Couldn't she have dictated and coded this a ja 76645 (u/s breast/breasts with a modifier of 52 for reduced service for the exam of ONLY the region of interest? Or am I way off base here? What are your thoughts?

I would appreciate any and all opinions/advice.

Thanks
Claudia K, CPC
Networker
According to the Fall issue of the AMA/ACR Clinical Examples in Radiology, to code for soft tissues are as follows:

axilla- 76880
upper back- 76604-52
lower back- 76705
abdominal wall- 76705
groin- 76880
penis- 76857

there are others, but they (at least to me) seem to make more sense.

Hope that helps,

Patti Downing, RCC
 
Top