Ultrasound guidance CPT 76937 and 76942

medaris

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Happy Monday,:)


If a thoracentesis is performed on the right and left lung along with ultrasonic guidance is it appropriate to bill for two guidances (CPT 76942)?

Also what if a throacentesis and a paracentesis is done on the same day along with ultrasound guidance (CPT 76942), are two ultrasounds allowed? I am also looking for any rules or guidelines on this issue as well.

Thanks in advance to all who reply.
 

medaris

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Ultrasound guidance

I forgot to add, we are currently billing for two however with modifiers RT and LT. Does anyone know the rule for Medi-Cal (Medicad)?
 
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if the thora is done on the rt and left I would code 32421 rt 76942 rt 32421 lt 76942 lt

it para and thora 32420 76942
32421-59 76942-59

I would also check your payor for your area to make sure they do not have any special rules or guidlines
 

medaris

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How would you code a parencentesis on RT (49080) with a thoracentesis (32421) on the rt along with ultrasound 76942 x2? Is this appropriate to code for both ultrasounds when it is not performed bilaterally?
 
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