Hello Radiology Coders and Happy Memorial Day Weekend to you!
I hope someone can help me with this. My radiologist dictated a report for a ultrasound extremity non-vascular (cpt 76880) for a nodular area in the axillary region.
Report reads " In the left axilla in region of palpable concern there is a hypoechoic oval, horizontally oriented nodule which appears to be intradermal. There is significant inreased vascularity associated with the periphery of this nodule.
Impression: vascular intradermal nodule in axilla. Clinical followup is recommended. She also stated that 'Ultrasound of the region of interest (axilla) ONLY was performed.
I usually group the axillary area more with the breast than with the extremity category. Do any of you agree? Couldn't she have dictated and coded this a ja 76645 (u/s breast/breasts with a modifier of 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/advice.
Claudia K, CPC
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