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Thread: Ultrasound guidance CPT 76937 and 76942

  1. #1

    Default Ultrasound guidance CPT 76937 and 76942

    AAPC: Back to School
    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. #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. #3


    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. #4



  5. #5


    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. #6


    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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