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Ultrasound Guidance code 76942

  1. #1
    Default Ultrasound Guidance code 76942
    Medical Coding Books
    I have a MD that is doing blocks for post-op pain and is using Ultrasound Guidance(76942-26). Our Doc does a good job of documentation with a separate post-op pain block record and an Ultrasound guidance record. Most insurances(such as Medicare and BCBS) have been paying however I am getting denials from Aetna and some from UHC stating this code is bundled. I haven't had any luck finding anything on either website. Does any one have any information or experience with this?


    Thanks!
    Missy Heuer CPC, CANPC

  2. #2
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    is it the ultrasound thats being denied, the block or both?

  3. #3
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    Just the ultrasound is being denied.
    Missy Heuer CPC, CANPC

  4. #4
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    If my memory serves me correctly, UHC does not use the NCCI edits they use something else. You may want to check with them to find out what they are using.

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