Us axilla

RADCODER

Guru
Messages
146
Location
Monmouth
Best answers
0
An US tech and a radiologist are having a disagreement, perhaps someone else could shed some light on the situation? This is what the Tech e-mailed me..

"The patient presented with a palpable lump in her axilla. We charged as a non vascular extremity. Although it is near breast tissue, technically it is in the extremity. Can u please let me know what the correct charges for this would be."

I did look at my 2012 US Coder book from MEDLEARN and in the back there is a place for FAQ's. The question was..
Q. When performing an ultrasound of the axilla should we report code76882 or code 76645?
A. If the ultrasound is performed in conjunction with a breast ultrasound it would be included in 76645.

If performed to look at soft tissue mass/lipoma/abscess not related to the breast, report code 76882.”

Does anyone else have any input? I have been searching high and low for some credible documentation.
Thanks!
 

donnajrichmond

True Blue
Messages
518
Location
Alexandria, LA
Best answers
0
An US tech and a radiologist are having a disagreement, perhaps someone else could shed some light on the situation? This is what the Tech e-mailed me..

"The patient presented with a palpable lump in her axilla. We charged as a non vascular extremity. Although it is near breast tissue, technically it is in the extremity. Can u please let me know what the correct charges for this would be."

I did look at my 2012 US Coder book from MEDLEARN and in the back there is a place for FAQ's. The question was..
Q. When performing an ultrasound of the axilla should we report code76882 or code 76645?
A. If the ultrasound is performed in conjunction with a breast ultrasound it would be included in 76645.

If performed to look at soft tissue mass/lipoma/abscess not related to the breast, report code 76882.”

Does anyone else have any input? I have been searching high and low for some credible documentation.
Thanks!
The MedLearn FAQ is based on a Q & A in the ACR Radiology Coding Source, Jan/Feb 2008 (although the extremity code changed since that Q & A). Coding Source archives and search can be found at http://gm.acr.org/Hidden/Economics/FeaturedCategories/Pubs/coding_source/archives.aspx
 
Top