AMA CPT® Assistant - 2003 Issue 11 (November)

Radiology (November 2003)

November 2003 page 14c Coding Consultation:Questions and Answers Radiology, 76815 (Q&A) Question How would you report a limited OB ultrasound for multiple gestation (eg, triplets)? Would it be appropriate to append modifier '22'? AMA Comment CPT code 76815, Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses, should be reported only once per exam and not per fetus. Therefore, it would not be appropriate to append modifier '22' to code 76815, as the descriptor of the code indicates one or more...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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