ultrasounds billing requirements


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Hello everyone,

I was wondering if someone can give me some directions as far as when is it correct to bill out ultrasounds.

We have patients who have ultrasound guided biopsies at our office all the time. We do not own the equipment and there is no seperate dictation/note to cover the ultrasound. The equipment is owned by the hospital.

At first we were told that we can use cpt 76645 with mod 26 and now we are told we cannot use this cpt unless there is written report.

Also, there are times when our surgeons use an ultrasound to do other biopsies or insertions of port a caths. These procedures are done as an outpatient. Again there is no separate dictation for the ultrasound.

Can anyone help me.

Thank you.
Miriam F.