AAPC - Back to school
Results 1 to 4 of 4

Thread: Us extremity non-vascular vs us breast limited

  1. #1

    Question Us extremity non-vascular vs us breast limited

    AAPC: Back to School
    Hello Radiology coders! Happy Memorial Day weekend!

    I have a slight dilemma. A referring Dr ordered a us breast for an axillary lump but our radiologist dictated it as US extremity non vascular exam (cpt 76880). She states "In the left axilla in region of palpable concern there is a hypoechoic oval, horizontally oriented nodule wihch appears to be intradermal. There is significant increased vascularity associated with the periphery of this nodule.
    Impression: vascular intradermal nodule. Clinical followup is recommended. She also stated that ultrasound of the region of interest ONLY was performed.

    I usually group the axillary area more with the breast that with extremity. Do
    any of you agree. Couldn't she have coded this a 76645 with a modifer 52 for reduced service for the exam of ONLY the region of interest??? Or am I way off base here? What are your thoughts?\

    I would appreciate any and all opinions.

    Claudia K, CPC, Networker

  2. #2
    Join Date
    Apr 2007
    Central Indiana


    I agree with you Claudia. A breast us cannot be billed as an extremity study.

    Keri H, CIRCC

  3. #3

    Default Breast us vs extremity us

    Thanks so much! I am glad you agree. It seems my doctor is out of her comfort zone on some of her exams and is not sure what to code axillary problems with.
    Claudia K, CPC

  4. #4


    I know that this is a gray area for many of us, but according to CSI, the axilla alone should be billed as 76880.

Similar Threads

  1. Replies: 1
    Last Post: 12-31-2013, 11:55 AM
  2. New Vascular Order on Upper Extremity
    By dcollick in forum Interventional Radiology
    Replies: 1
    Last Post: 01-21-2010, 04:46 PM
  3. Limited Breast Ultrasound
    By klwilson in forum Interventional Radiology
    Replies: 1
    Last Post: 10-09-2009, 07:23 AM
  4. Ultrasound Extremity non-vascular for lesion in axilla?
    By claudiak in forum Interventional Radiology
    Replies: 3
    Last Post: 07-22-2009, 03:18 PM
  5. Us extremity non vascular soft tissue back????
    By claudiak in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-15-2009, 10:24 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.