ultrasound

  1. T

    Wiki How would you code physician Performed 76817 and a sonographer performed 76817 TC Billed Same Day, under Same Provider

    We have added on-site Ultrasounds to our clinic recently and are trying to determine how to code this scenario properly: The OB/GYN provider sees a patient for a Transvaginal ultrasound to confirm pregnancy or estimate gestational age (document requirements for 76817) and finds either twin...
  2. M

    Wiki Intraoperative ultrasound coding

    Hello! This question is related to intraoperative radiologic guidance in surgery. I work in neurosurgery where we do craniotomies/craniectomies, spinal decompressions/fusions, shunts, etc. We typically code for microscopes 69990 and/or stealth navigation 61781 along with procedures. Recently...
  3. K

    Wiki Billing for 76705 or 76604 in the ED

    Our ED physicians are wanting to do the Ultrasounds at bedside. the physicians would be doing the US, not the US techs. Is the hospital able to bill the facility (technical) side of the US since he is using our equipment and the physician bill for the professional side for doing the read?
  4. Y

    Wiki nurse dating ultrasound

    need coding help I currently bill for an OBGYN clinic for medical the nurse is performing initial dating ultrasound with no provider in the office (billing 76817 and 76815 with Mod 59) we send the ultrasound to the dr to review and write a report, my question is can i bill with E&M code...
  5. N

    Wiki 93975 vs 78761 vs 76870?

    I work in a very small outpatient clinic and we don't have a coder who specializes in radiology. We saw a patient who received an ultrasound of the testicles, and the radiology department is requesting we bill 93975, 78761, and 76870. I don't understand the difference between these? 93975 in...
  6. A

    Wiki Limited Vs. Complete Kidney Ultrasound

    Hello... I am reaching out for guidance and advise of the coding of a complete Vs. Limited Kidney US. Per the CPT book it states "if clinical history suggests urinary tract pathology, complete evaluation of the kidneys and urinary bladder also comprises a complete retro peritoneal ultrasound."...
  7. S

    Wiki 76641 Breast Ultrasound Female Only?

    AAPC Coder shows that 76641 is a female only CPT code. Can anyone confirm if this is correct? I have a male patient that had bilateral breast ultrasounds, I'm wondering if I would need to use 76604 for the male??
  8. S

    Wiki Automated Breast Ultrasound

    We have been debating the use of 76641/76642 when an automated breast ultrasound is performed. Is it best to use an unlisted code 76999? Or is it acceptable to use the ultrasound CPT? Some are worried about using the ultrasound code since the exam is automated, however, the CPT description for...
  9. spatterson8317

    Wiki Ultrasound: abdomen & renal coding help

    I have a few questions on an issue we are seeing on Ultrasound’s that are done. Our Cardio Docs will do the reading on abdominal aorta and the renal ultrasounds. Our question is this… 1) The dictation states “Complete Duplex Scan of abdominal aorta with 2D Imaging, color flow and spectral...
  10. M

    Wiki Ultrasound Supervision/Billing

    I need some advice regarding ultrasound billing in our office when our physician is on vacation. We have a certified ultrasound tech that is contracted to perform the scans. We also have 2 midlevel providers in the office at the time (just the MD is out). How do we/can we bill for this? We...
  11. D

    Wiki Coding transvaginal ultrasound

    Hello, Can you please tell me which CPT you all use for a transvaginal ultrasound being done for a confirmation of pregnancy. I am thinking it is 76801?? Or would it be a 76830 because we don't know yet if they are pregnant. Thank you!
  12. R

    Wiki Sacroiliac joint injection WITH ULTRASOUND GUIDANCE

    How would you post a sacroiliac joint injection WITH ULTRASOUND GUIDANCE. This was a joint injection using ultrasound guidance, and is documented. Our physician does ultrasound guided injections in an office setting. Comments would be greatly appreciated.
  13. C

    Wiki Dx code for determination of gender of fetus.

    Does anyone know the ICD 10 diagnosis code for having an ultrasound to determine the sex for a fetus?
  14. P

    Wiki facility billing for SI joint with ultrasound

    Can anyone tell me if we are to use G0260 if the SI joint injection is using ultrasound for outpatient facilities and ASC? I understand physicians use 20611 but I can not find anything about the hospitals and ASC's.
  15. P

    Wiki SI joint injection using ultrasound

    Can anyone tell me if we are to use G0260 if the SI joint injection is using ultrasound for outpatient facilities and ASC? I understand physicians use 20611 but I can not find anything about the hospitals and ASC's.
  16. P

    Wiki outpatient hospital code for SI joint using ultrasound

    Can anyone tell me if we are to use G0260 if the SI joint injection is using ultrasound for outpatient facilities and ASC? I understand physicians use 20611 but I can not find anything about the hospitals and ASC's.
  17. M

    Wiki Peripheral line via saphenous and venogram

    Guys, How would you code this one? Would it be...36568, 77001, and 76937 only, as the venogram was done via saphenous, and saphenous was the insertion site. Dr. doesn't document tunneling in saphenous vein. PROCEDURE: A limited ultrasound of the right groin was performed to choose a site for...
  18. K

    Wiki 76857 Included in 76770?

    Is there any guidelines or updates that Prostate Ultrasound included in KUB Ultrasound? May i know how USA coders are billing this either separately or 76770 Thanks in advance
  19. D

    Wiki 93970 vs 93971 - bill cpt code

    Can someone tell me exactly what is required to be scanned to be able to bill cpt code 93970? We have been billing 93970 for ALL bilateral duplex ultrasound and I think this has been incorrect. I think some should have been coded as 93971. With that said if we are doing a limited bilateral...
  20. D

    Wiki 93970 vs 93971

    Can someone tell me exactly what is required to be scanned to be able to bill cpt code 93970? We have been billing 93970 for ALL bilateral duplex ultrasound and I think this has been incorrect. I think some should have been coded as 93971. With that said if we are doing a limited bilateral...
  21. Z

    Wiki billing for the read of ob ultrasound 76816

    Dr. E goes to an outreach clinic, the outreach does the 76816 TC portion on the 5th (date of the appointment). Dr. E comes back to his clinic and does the "read" on the 7th. What date is used for billing the "read" the 5th or 7th.
  22. P

    Wiki Unsuccessful removal of Mediport catheter

    Need help with this. Thanks is advance Pre-Op/Post Op Diagnosis: Fractured MediPort Catheter OPERATION: 1. Central venogram with interpretation and unsuccessful attempt at snaring MediPort catheter 2. Left upper extremity ultrasonography with interpretation. ACCESS...
  23. L

    Wiki Ultrasound Guided Injections

    Hello, Doctor did an Ultrasound in the office to see what was going on with the shoulder Then he did an ultrasound guided injection into the tendon sheath. How would I code this? 76942 20550 - LT (Injection tendon sheath) J1030 - 40 mg Depo Medrol Or would I use 76881 with the above...
  24. T

    Wiki Coding

    Can you bill together 20610 with 20611 or do you just bill 20611 alone to state an ultrasound was used for the injection?
  25. C

    Wiki How to code SI joint injections with ultrasound done in the office?

    My providers do SI joint injections in the office, and I know that CPT states to use 20552 which is presumed that the injections are being done into tissue and not into the actual joint. My providers are using ultrasound to visualize the actual sacroiliac joint and injecting into the joint...
  26. D

    Wiki OBGYN Modifier 25 Question

    Can someone please help. Patient comes in with suspicion of being pregnant. OBGYN does the exam to determine pregnancy then does an ultrasound to determine viability. When billing if you don't use the 25 modifier on the e/m the ultrasound gets paid and the e/m gets denied as bundled. My...
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