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Partial Mastectomy Question

  1. #1
    Location
    St. Louis, Missouri
    Posts
    262
    Default Partial Mastectomy Question
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    Partial mastectomy with ultrasound guidence. This was performed at the hospital. The physician makes a note in his operative report that the ultrasound was used. Can I code for the ultrasound guidence? I code the physician side not facility side.

    Melissa Blow, CPC

  2. Default
    I think you could use 76998 w/ the 26 modifier

  3. #3
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    Do you have to do a separate radiology report in order to bill this or is just mentioning the ultrasound in the body of the operative report enough documentation?

    Melissa Blow, CPC

  4. Default
    Any time you use -26 you should have a separate report with indications and findings. .

  5. #5
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    Thats what I thought. So if my physician only dictated an operative report and not a radiology report, I can only bill for the mastectomy even if an ultrasound was used....correct??

    Melissa Blow, CPC

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