AAPC - Back to school
Results 1 to 2 of 2

Thread: Non-OB ultrasounds

  1. #1
    Join Date
    Apr 2007

    Angry Non-OB ultrasounds

    AAPC: Back to School
    We are finding that insurance companies are now bundling our non-ob ultrasounds (76830) with any E/M service billed. They are instructed us that this began in Feb 2011 and we should append modifier 25 to the E/M code. Otherwise, the insurance pays the u/s and denies the E/M service.
    Anyone else having this problem? Do we know where/why this originated?

  2. #2
    Join Date
    Apr 2007


    We're having the same issue with UHC. I believe it's one of the changes that came about with most recent NCCI edit. If I remember correctly an E/M visit is now considered a intregral component of the U/S procedure, so unless the visit if for something unrelated-they're going to bundle it.

Similar Threads

  1. Ultrasounds - I have a physician
    By suekp in forum Interventional Radiology
    Replies: 1
    Last Post: 05-15-2014, 11:35 AM
  2. ultrasounds
    By kbfcoder in forum Orthopaedics
    Replies: 0
    Last Post: 01-10-2014, 10:26 AM
  3. OB Ultrasounds
    By Rgreen0118 in forum OB/GYN
    Replies: 2
    Last Post: 04-27-2010, 10:36 AM
  4. ultrasounds
    By wahmcoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-19-2010, 11:51 AM
  5. Ultrasounds
    By lkeithcpc in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-21-2009, 07:55 AM

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.