Ultrasound Guidance code 76942

missyah20

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Minneapolis
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I have a MD that is doing blocks for post-op pain and is using Ultrasound Guidance(76942-26). Our Doc does a good job of documentation with a separate post-op pain block record and an Ultrasound guidance record. Most insurances(such as Medicare and BCBS) have been paying however I am getting denials from Aetna and some from UHC stating this code is bundled. I haven't had any luck finding anything on either website. Does any one have any information or experience with this?


Thanks!
 

mbort

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If my memory serves me correctly, UHC does not use the NCCI edits they use something else. You may want to check with them to find out what they are using.
 
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