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Thread: Ultrasound billing for codes 76815 and 76820

  1. #1
    Join Date
    Apr 2007
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    Missoula, MT
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    1

    Default Ultrasound billing for codes 76815 and 76820

    Does anyone have any knowledge on billing codes 76815 and 76820 on the same day for the same patient? CPT does not give any direction. According to ACOG these codes cannot be billed together in the same day. Any help would be greatly appreciated.
    Susan Bomar, CPC

  2. #2

    Default Ultrasound billing for codes 76815 and 76820

    Hi,
    When i checked CCI it said, "CPT Codes 76815 and 76820 may be billed together". I think there is no problem if they billed together on the same day.

  3. #3

    Default

    Quote Originally Posted by bomar View Post
    Does anyone have any knowledge on billing codes 76815 and 76820 on the same day for the same patient? CPT does not give any direction. According to ACOG these codes cannot be billed together in the same day. Any help would be greatly appreciated.
    Susan Bomar, CPC
    Hello,
    My idea - 76815 allowed
    76820- though not clearly established by edits, will remain questionable; limits some payers principle- check please-

  4. #4

    Default

    Hi,
    for breach presentation of fetus - sometimes they reimburse velocimetry- may be you can try in such instances with a 59 modifier, supporting the medical necesssity with breach presentation dx-

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