Kelly Posted Thu 19th of October, 2017 18:23:58 PM
Can 76700 and 76705 be charged together?
Please reference CMS guidelines in your answer.
The Radiologist comments on each organ in the documentation on the Radiology Report. I omitted the detail on each organ as all findings were normal.
REASON FOR EXAM: Post op with abdominal pain, R/o bowel loops
AORTA, INFERIOR VENA CAVA, LIVER,COMMON BILE DUCT, GALLBLADDER,
PANCREAS, SPLEEN, LEFT KIDNEY, RIGHT KIDNEY,
ADDITIONAL FINDINGS: No free fluid or abnormal fluid collections are
identified within the abdomen
The department believes they can charge both of these CPT codes since the "bowel" was visualized in addition to the other organs listed. The only reference to "bowel" is in the reason for exam.
SuperCoder Answered Fri 20th of October, 2017 03:07:54 AM
As per CMS, there is CCI edit between codes 76700 and 76705, which means you should not report both these codes together during the same session. You may either report complete (required elements to assess are: liver, gall bladder, common bile duct, pancreas, spleen, kidneys, upper abdominal aorta, and inferior vena cava) or report limited (if less than the required elements for a ‘complete' exam are reported.
You cannot report any of these codes for bowel exam.