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  1. #1
    Default Mra/mrv
    Medical Coding Books
    A patient has an MRA & MRV ordered, the tech marks both and the radiologist dictates a separate report for the MRA & the MRV. The code is 70544, can I bill it twice with a 59 modifier for the second one?
    Manager, SIU

  2. #2
    I don't believe that you can. It is actually the same exam and the radiologist can see both the arteries and veins during one exam so the insurance would deny it as a duplicate even with documentation because there would be no need for a second exam.
    Lisa Scott, CPC, RCC

  3. Default
    I'd code 70544 only once

  4. #4
    Fort Smith, AR
    I agree. I would only use the code once. I believe, even with modifier 59 Medicare would still deny.

  5. #5
    Thanks, our outsource coding group coded it as two exams and I needed to be sure that it was only one.
    Manager, SIU

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