Results 1 to 4 of 4

76098 specimen via radiology and u/s

  1. #1
    New Haven, CT
    Default 76098 specimen via radiology and u/s
    Medical Coding Books
    Examining (breast) surgical specimen first via radiology/mammo and then the same specimen examined under U/S . . can 76098 be charged twice for examining the same specimen, different modalities ?

    Thanks !

  2. #2
    You can charge 76098 for the radiograph however u/s of a specimen is not covered under 76098. You would have to bill a UPC for that specimen. And yes, you definitely can charge twice for the same specimen if performed under2 different techniques.
    Hope this helps!
    Anita W, CIRCC, RCC, CPMA, CPC

  3. Default biospy specimen
    76098 is the correct code for a breast specimen. You should not code 76942 even if your looking to see if the calcifications are in the specimen

  4. #4
    Columbus, Ohio
    Default Breast specimen US and Rad
    I had the same issue a couple weeks ago. All in my team are saying the US exam of the breast specimen should also be billed with 76098 and the Radiological exam of the breast specimen is also a 76098; and I disagree.
    Can you assist me further to convince them that that US exam of the breast specimen will be an UPC?
    Thanks for your help in advance.
    Last edited by meenal; 09-27-2011 at 09:39 AM. Reason: want to add a subject/title

Similar Threads

  1. Bx specimen billing
    By nkorab in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 12-18-2015, 02:18 PM
  2. Does Medicaid pay for 76098?
    By serenas in forum Interventional Radiology
    Replies: 0
    Last Post: 04-07-2015, 08:18 AM
  3. No specimen in bottle
    By kamper420 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-10-2012, 07:49 AM
  4. No specimen in bottle
    By kamper420 in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 08-28-2012, 02:13 PM

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.