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GYN ultrasounds

  1. #1
    Default GYN ultrasounds
    Medical Coding Books
    I have a question regarding a repeat ultrasound when the full anatomy could not be visualized? The patient is brought back a few weeks later in order to be able to view the anatomy. I would like to bill 76816 for a repeat scan. How do others handle this scenario?

  2. #2
    I think it depends what was coded on the initial U/S. Not being albe to visualize all the anatomy still can get you a 76811. But, it should not be coded twice in a row, just because things couldn't be visualized the first time.
    I would go by the age of the fetus (< or > greater than 14 weeks), by what was documented, and check what was coded on the previous visit to avoid coding the same CPT twice.
    The Oracle

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