Results 1 to 5 of 5

Thread: CPT code 76645 and 76942

  1. #1

    Default CPT code 76645 and 76942

    Hello,

    A physician performs an ultrasound of the breast to identify the area of concern. Once identified he preps the skin and then makes a small surgical incision. Under ultrasound guidance he places the biopsy device. Can both 76645 and 76942 be billed?.

    Thank you for your help.

    Monika

  2. #2
    Join Date
    Apr 2007
    Location
    atlanta GA
    Posts
    98

    Default Ultrasound

    Only 76942............

    Quote Originally Posted by Monika Liddle View Post
    Hello,

    A physician performs an ultrasound of the breast to identify the area of concern. Once identified he preps the skin and then makes a small surgical incision. Under ultrasound guidance he places the biopsy device. Can both 76645 and 76942 be billed?.

    Thank you for your help.

    Monika

  3. #3
    Join Date
    Apr 2007
    Location
    Columbus GA
    Posts
    571

    Default

    I feel that since they are separate exams and not bundled according to the CCI edits that you can charge for the 76645 also.

  4. #4
    Join Date
    Apr 2007
    Location
    Alexandria, LA
    Posts
    518

    Default

    Quote Originally Posted by Monika Liddle View Post
    Hello,

    A physician performs an ultrasound of the breast to identify the area of concern. Once identified he preps the skin and then makes a small surgical incision. Under ultrasound guidance he places the biopsy device. Can both 76645 and 76942 be billed?.

    Thank you for your help.

    Monika
    localizing the area of concern is part of guidance. Do not code 76645 unless it is a separate diagnostic ultrasound that then prompted the need for a biopsy.

  5. #5

    Default Ultrasound

    I feel I should not be billing the 76645 because the pt had a previous US and that is the reason the pt is havign the biopsy. One of my physicians states he was told at a conference that he could and should be billing both. Does anyone have anything in writing indicating we should or should not bill the 76645.

    Thanks for your help.

Similar Threads

  1. CPT code 76645 & 76945
    By lharwood1 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-16-2012, 01:49 PM
  2. Cpt 76645
    By lharwood1 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-09-2012, 02:36 PM
  3. Breast US cpt code 76645
    By btalley in forum Interventional Radiology
    Replies: 2
    Last Post: 11-30-2011, 09:20 AM
  4. CPT code 76942
    By NESmith in forum Billing/Reimbursement
    Replies: 4
    Last Post: 03-29-2011, 05:25 AM
  5. CPT code 76942
    By Monika Liddle in forum General Surgery
    Replies: 6
    Last Post: 07-15-2010, 10:25 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?

Login

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.