tci Part B Insider - 2006 Issue 13

RADIOLOGY: Learn How To Bill For Pelvic And Transvaginal Ultrasounds On Same Day

Carriers seek documentation that supports both exams on same dateYour carrier may not be up to date on the latest coding rules if it's denying transvaginal ultrasounds on the same date as pelvic ultrasounds.The Correct Coding Initiative deleted an edit that bundled CPT 76830 (Ultrasound, transvaginal) into 76856 (Ultrasound, pelvic [nonobstetric], B-scan and/or real time with image documentation; complete). But many coders still report receiving denials for 76830 when they try to bill it on the same date as 76856. You shouldn't even need to use the 59 modifier to bill 76830 separately from 76856, says Collette Shrader...

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