AAPC - Back to school
Results 1 to 2 of 2

Thread: Cpt 76536

  1. #1

    Default Cpt 76536

    AAPC: Back to School
    Can anyone please confirm me, whether we can code CPT 76536 along with 76942 for the below procedure as CPT 76536 is most often getting denied with 76942?

    Sonographic attention is targeted to the thyroid as follows:
    1. Well-defined relatively avascular complex cystic mass
    essentially replacing the right lobe measuring 4.2 x 3.0 x 3.7 cm
    with irregular soft tissue internal reticulations and innumerable
    punctate echogenicities suggestive for colloid. Superimposed
    microcalcification is less favored but not entirely excluded. 2.
    Fairly well-defined mildly vascular heterogeneously isoechoic
    nodule with a mild amount of coarse spongelike cystic change at
    the posterior mid to lower lobe measuring 9 x 6 x 7 mm.

    Under direct ultrasound guidance fine needle aspiration of the
    above-stated lesions was performed by the Doctor at the pathology
    service. A total of one pass through each of the above-stated
    lesions was obtained. Needle tip positioning within each focus is


    Ultrasound guidance provided for the above FNA procedure.
    Prabha CPC

  2. #2
    Join Date
    Apr 2007


    My thoughts
    If soft tissue ultrasound performed before the procedure states preliminary it is not codable.
    In case the real time ultrasound interprets only about the targeted nodule or interventional area to be performed it is not billable.
    is it understood?
    Last edited by Rajebpt; 03-08-2011 at 04:03 AM.

Similar Threads

  1. Billing 10022, 76536 & 76942
    By OliviaPrice in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-01-2016, 11:01 AM
  2. 76536 with a 22 Modifier
    By trohr26 in forum Modifiers
    Replies: 0
    Last Post: 01-15-2015, 07:00 AM
  3. 76536 x 2?
    By JREDLINE in forum Interventional Radiology
    Replies: 1
    Last Post: 12-27-2012, 07:20 AM
  4. CPT codes 10022, 76536, & 76942
    By bwruiz in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 01-11-2010, 11:05 AM
  5. 76536
    By Earnose in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 09-08-2009, 06:52 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.