AMA CPT® Assistant - 1997 Issue 6 (June)

Radiology, 76857 (Q&A) (June 1997)

June 1997 page 10d Coding Consultation Radiology, 76857 (Q&A) Question Could you please explain when it is appropriate to append the -26 modifier to code 76857, when a clinician and a radiologist are involved? AMA Comment If the same clinician performs the initial interpretation of the ultrasound and prepares the report without the assistance of a radiologist, then he/she reports 76857-26. However, if a radiologist or a second physician examines the film and informs the first physician of the interpretation, then the first physician does not code for these services. Even though the first physician may examine the...

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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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