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Pelvic Ultrasound

  1. #1
    Default Pelvic Ultrasound
    Medical Coding Books
    Payers are denying 76830 and 76817 (transvaginal U/S) when performed with 76856 and 76801 (transabdominal U/S), but there are no edits between the code pairs.

    The edits were deleted years back. Any suggestions will be greatly appreciated.

  2. #2
    Location
    Kansas City, MO
    Posts
    751
    Default
    Actually, you probably need to check with your payer and see if they follow the ACR (American College of Radiology) Appropriateness Guidelines. If they do, you probably need to make your physician aware. I have attached the link to the guidelines. It has to do with certain procedures being more appropriate for a diagnosis.

    http://www.acr.org/SecondaryMainMenu...nsImaging.aspx
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

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