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Ultrasound guidance CPT 76937 and 76942

  1. Default Ultrasound guidance CPT 76937 and 76942
    Medical Coding Books
    Happy Monday,

    If a thoracentesis is performed on the right and left lung along with ultrasonic guidance is it appropriate to bill for two guidances (CPT 76942)?

    Also what if a throacentesis and a paracentesis is done on the same day along with ultrasound guidance (CPT 76942), are two ultrasounds allowed? I am also looking for any rules or guidelines on this issue as well.

    Thanks in advance to all who reply.

  2. Default Ultrasound guidance
    I forgot to add, we are currently billing for two however with modifiers RT and LT. Does anyone know the rule for Medi-Cal (Medicad)?

  3. Default
    if the thora is done on the rt and left I would code 32421 rt 76942 rt 32421 lt 76942 lt

    it para and thora 32420 76942
    32421-59 76942-59

    I would also check your payor for your area to make sure they do not have any special rules or guidlines

  4. Default

  5. Default
    How would you code a parencentesis on RT (49080) with a thoracentesis (32421) on the rt along with ultrasound 76942 x2? Is this appropriate to code for both ultrasounds when it is not performed bilaterally?

  6. Default
    Lots of carriers do not accept 76942 bilateral...So do not be surprised when you get a rejection on the 2nd one..

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