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Pelvic US + appendix (if possible)..per order

  1. #1
    Default Pelvic US + appendix (if possible)..per order
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    Pt bad both an US of the pelvis and an US of the appendix (2 separate reports)....should they be billed out as such 76856 (pelvic US) /76857 (appendix US)?????

  2. #2
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    Can someone answer my question????

  3. #3
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    Does any one know the answer to my question??? Thanks so much!!!

  4. #4
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    Help, please!!!

  5. #5
    Default Pelvic
    Well, can't give you a definitive answer, but according to NCCI you can bypass with a 59 modifier. But, I would make sure these are separately identifiable. Not sure if they will pay during the same session since 76856 is complete.

    Anyone else with more knowledge of radiology?

  6. #6
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    OAKBROOK CHAPTER, ILLINOIS
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    28
    Smile complete vs limited
    76856 -is a complete ultrasound of the pelvis. To apply this code, the uterus, endometrium and bladder should all be included. A limited ultrasound of the appendix is a 76857 with a 59 modifier to bypass the edits.

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