Jesskatcurry
New
Hello! I work for an OBGYN as a newer coder and recently a coworker told us that we need to add a 52 modifier on any 76817 that didn't have the cervical length measured. We all started doing it but after doing some research I'm a bit confused as to why. I completely understand the 52 modifier and use it for other circumstances for reduced services. However, I can't find out solid proof as to what anatomical sites need to be documented for a TVU to be considered complete vs "limited" and needing the 52.
I know ACOG's guidelines state that a 76817 may include:
- Evaluation of the embryo and gestational sac(s)
- Evaluation of the maternal uterus, adnexa, and/or cervix.
I know that ACOG also says 76817 is the universal screening for cervical length but is it necessary? Is there any proof I can provide as to why or why not the modifer is necessary without a cervical length? I just want to code as clean as possible.
Thank you so much in advance!
I know ACOG's guidelines state that a 76817 may include:
- Evaluation of the embryo and gestational sac(s)
- Evaluation of the maternal uterus, adnexa, and/or cervix.
I know that ACOG also says 76817 is the universal screening for cervical length but is it necessary? Is there any proof I can provide as to why or why not the modifer is necessary without a cervical length? I just want to code as clean as possible.
Thank you so much in advance!