AAPC - Back to school
Results 1 to 4 of 4

Thread: 2nd REQUEST

  1. #1
    Join Date
    Apr 2007

    Default 2nd REQUEST

    AAPC: Back to School
    Where do I go to find out, or does anyone know, if a Physician Assistant can perform CPT 76942, Ultrasonic guidance for needle placement, imaging supervision and interpretation?

    We are an orthopedic practice in Illinois with two MD's and two PA's.

    Thanks for any information you can provide.

  2. #2


    I am thinking this is based on the credentialing for your clinic. Many states accept PA as totally priviledged and has the same abilities as physicians.

  3. #3

    Default code 76942

    According to the Medicare guidelines reimbursement is acquired when the services provided are within the scope of the provider's license and the services are deemed medically necessary. So if I were you I would contact the insurance company and find out what their guidelines are for coverage on this procedure. I am a rookie so I really dont know, I just googled the code and this is what was provided. I hope this helps you in some way.

  4. #4

    Default Cpc-a biller

    In my experience this is related to credentialing but also may be insurance specific. For example, in CT, Medicaid does NOT credential PAs at all but they do credential APRNs. Call the insurance company for that patient and ask about PA credentialing. You may need ask if it was denied as not credentialed for ultrasound as part of radiology. Certain insurances require non-radiiology specialist credentialing in addition to the standard provider credentialing. For assists there are often modifiers (AS,81,82) specific to the insurance, and also for certain surgical assists, a PA bills only 20% compared to the full cost of a 2nd surgeon.
    Last edited by Wicherki; 11-29-2010 at 09:25 AM. Reason: added more info

Similar Threads

  1. 2nd Request...Please Help!!
    By Lisa A in forum Orthopaedics
    Replies: 0
    Last Post: 07-27-2012, 08:31 AM
  2. 2nd request dx help please?
    By BFAITHFUL in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-10-2010, 07:29 AM
  3. 2nd Request
    By kibbit99 in forum Orthopaedics
    Replies: 0
    Last Post: 10-22-2009, 09:47 AM
  4. 2nd Request!! Please Help!!
    By Lisa A in forum Orthopaedics
    Replies: 1
    Last Post: 07-30-2009, 08:54 AM
  5. 2nd request
    By kdahlen in forum Orthopaedics
    Replies: 1
    Last Post: 05-18-2009, 03:45 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.