We are a pcp that has an outside company come in to perform ultrasounds. Should we only use the TC modifier, since we do not interpret the results?
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Tag Archives: Ultrasounds
Modifier for multiple ultrasounds
Hello all,
OBGYN does 4 different us for a pregnant patient but only does the tc part for each us. which modifier would be the correct one 51 or 59? would the modifier go on all 4 us cpt codes?
Thanks 
Ultrasounds
Hi, can anyone tell me why cpt 76821 Echo exam of the heart is included in an NST and Doppler velocimetry.
Thanks!!!
Nuchal translucency ultrasounds
Can anyone tell me if a patient gets a nuchal translucency ultrasound and doesn’t get any genetic lab work such as the Integrated Screening labs at the same time, can you still bill 76813?
Thank you
Ob ultrasounds vs non-ob
I am having a difficult time finding references on how to code the following scenarios.
1)Patient comes in with abdominal pain, provider orders a NON-OB. Summary of report, no abnormal findings; however there is a single intrauterine fetus of approximately 6 weeks. Would you change the CPT to OB ultrasound?
1)Patient comes in with abdominal pain, provider orders a NON-OB. Summary of report, no abnormal findings; however there is a single intrauterine fetus of approximately 6 weeks. Would you change the CPT to OB ultrasound?
2) 6 weeks pregnant patient comes in with abdominal pain; the provider orders an OB US. Summary, inflammation of gallbladder, no products of conception seen. Would you change it to NON-OB?
Thanks in advance for your help.
Ultrasounds
We are currently looking into getting an ultrasound machine in our Women’s Clinic. The Gynecologist would perform trans-vaginal and trans-abdominal ultrasounds in the office to keep from having to refer patients out for those. I work in a student health center on a college campus. Does anyone know if the provider has to have special credentials to be able to perform and bill for those ultrasounds?
https://aium.org/officialStatements/58
This article seems like it is recommended but not a requirement but we are trying to determine this before we invest in the machine.
Thanks
Ultrasounds 76816 and 76819
I have a provider that is doing an ultrasound 76816 for EFW and also doing a BPP for uterine size/date discrepancy. She is using the same report for both. Is that ok or does she need two separate reports?
Ultrasounds
Hello,
Our Midwifery department just received an ultrasound machine and will start doing ultrasounds. Does anyone do this? Just looking for some general information. I am not sure if the midwives will be performing the ultrasounds themselves or if a tech will be hired to do so. If a tech does it, how does the billing and coding work?
Thanks!
Leah
Ultrasounds and E/M codes
I work for a Michigan-based surgeon. Our physician performs his own ultrasounds during his consultation visits for ESRD patients requiring an access for dialysis.
Is it possible bill both the Ultrasound code (93970, 93971, 93990, G0365) along with the e/m code on the same claim?
Is a modifier required if not occurring during the global period?
Denials for dx Z36 for Multiple Ultrasounds when we also use Z36 for NT Screening
Is anyone else having trouble with Medicaid paying for multiple ultrasounds billed with the Z36 diagnosis when you also use the Z36 diagnosis for an NT Screen as well?
We perform an initial screening ultrasound with the dx of Z36. Then perform an NT Screening with the Z36 and if we can’t see all the fetal anatomy we also perform an additional ultrasound to follow up anatomy.
What diagnosis code are you using for follow up anatomy screening, because the first ultrasound the fetal anatomy can not be viewed? Medicaid is denying this ultrasound when billed with Z36.
I appreciate any advice you can give.
Thanks!