AAPC - Back to school
Results 1 to 7 of 7

Thread: OB Ultrasounds-Twin gestation

  1. #1

    Default OB Ultrasounds-Twin gestation

    AAPC: Back to School
    I'm second guessing myself and need input. I have a patient with twin gestation in for a transvaginal ultrasound which the sonographer has documented as 76817. I can only charge for the 76817 once as instructions in the CPT shows nothing about using a modifer -59 for the additional fetus, correct?

  2. #2


    just the 76817 is correct for a single or multiple gestation

  3. #3


    Thank you so much!

  4. #4
    Join Date
    Apr 2007


    If you add a modifer 76 to it, you can code 76817 for each fetus

  5. #5


    I am pretty sure that is incorrect. This is ACOG documentation.

    For limited ultrasounds, CPT says to report 76815 once, regardless of the number of fetuses. Similarly, report 76817 only once for transvaginal ultrasound, even when there is more than one gestation.

    "The reason for that is that in order to bill this code, the ObGyn must examine the fetus, uterus and other maternal pelvic structures," Rasmussen says. "Even when the ObGyn looks at each fetus separately using this approach, you can only bill the code once because only one evaluation of the uterus, cervix and other maternal structures is performed."

  6. #6


    Would this be the same for 76816? We bill 76816 x2 with 59 mod on the second when twin gestation as it says in the coding book for the transabdominal, "Code also mod 59 for exam of each additional fetus in multiple pregnancy" BUT we keep getting denials even with hardcopy documentation! We didnt used to get denials, and I am using 2010 books, help! THANK YOU!!!
    Last edited by ljhr@juno.com; 03-10-2010 at 11:41 AM.

  7. #7

Similar Threads

  1. Gestation Code
    By 1diva in forum OB/GYN
    Replies: 1
    Last Post: 12-14-2015, 07:30 PM
  2. dx: early quickening & history twin gestation
    By dsimmons in forum OB/GYN
    Replies: 1
    Last Post: 11-25-2010, 07:17 AM
  3. Dx code for suspected twin gestation
    By LTibbetts in forum OB/GYN
    Replies: 3
    Last Post: 08-25-2010, 05:47 AM

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.