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Thread: Perinatologist interpreting an OB ultrasound and does consult

  1. #1

    Default Perinatologist interpreting an OB ultrasound and does consult

    AAPC: Back to School
    There are times that our perinatologist while interpreting an OB ultrasound she may consult and manage a patient's on-going risks. How is the best way to code for this? I thought of a 22 modifier on the ultrasound code, but I understand that slows down processing by the insurance company as they usually want notes to acompany the claims. A low level E&M with face to face documented will probably be bundled with the global pregnancy. I'm outta ideas...help.

    Thank you!

  2. #2

    Default ob ultrasound - 2nd request

    Does anyone have any suggestions? PLease..
    Thank you.

  3. #3


    At our office, we were told that seeing the perinatologist here is not considered routine ob care and that a seperate office visit can be billed out. Usually he selects a 99213 or 99214. Hope that helps.

  4. #4


    We charge the appropriate E&M with modifer 25 and use modifer 26 on the ultrasound charge.

  5. #5


    Thank you!

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