Results 1 to 3 of 3

Ultrasound for high risk twins

  1. Cool Ultrasound for high risk twins
    Medical Coding Books
    Patient presents for an ultrasound of twins; she and twins are considered high risk.
    Can I bill for two ultrasounds; do I bill for one with a modifier; if I need a modifier which is appropriate?

  2. #2
    Salt Lake City
    how many weeks is the mother and is the first ultrasound?
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Wichita, KS
    It may depend on the insurance company.

    I usually add 59 because I believe the twins are two separate anatomical sites.(They each have their own anatomy and may have different medical issues). However, BCBS of Kansas is insisting I use modifier 22. I think they want both bundled into one sono with a 22 so they can pay at a lower reimbursment.

    Yes, the work is increased, but you still have to view and measure the multiple fetuses as if they are singletons. To me that is more than increased work, it is two separate and distinct procedures.

    I also add into 'box 19' notes such as " 59 shows 2nd procedure for 2nd of twin fetuses." I also attach the documentation at that time.

Similar Threads

  1. Ob ultrasound for twins
    By downtownvb in forum OB/GYN
    Replies: 2
    Last Post: 08-04-2014, 08:24 AM
  2. High risk Rx ???
    By Orthocoderpgu in forum E/M
    Replies: 3
    Last Post: 07-31-2012, 04:42 AM
  3. High risk?
    By ktews in forum Gastroenterology
    Replies: 4
    Last Post: 01-19-2012, 09:34 AM
  4. Replies: 1
    Last Post: 02-16-2010, 01:59 PM

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.