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Melissa Posted Tue 27th of September, 2011 14:56:18 PM

The arterial location was mappped out using Doppler then the artery was dissected free from the surrounding tissues using a combination of sharp and blunt dissection. I found 37609 to be the closest in description. Can I also bill 93888 for the doppler and do I need a 26 modifier. This modifier always confuses me.

SuperCoder Answered Tue 27th of September, 2011 16:28:50 PM

You are absolutely right in coding 37609 for temporal artery biopsy, and also coding 93888-26.
Modifier 26:
Modifier 26 is for radiological supervision and interpretation of the procedure performed here, i.e, "Transcranial Doppler study of the intracranial arteries; limited study". A physician who performs the interpretation of ultrasound exam in the hospital outpatient setting may submit a chanrge for the professional component of the ultrasound service using a modifier -26 appended to the ultrasound code.
TC component:
You will find the TC component has higher Fee Value for being the service provided by the owner of the equipment, commonly used if the service is perfomred in an Independent Diagnostic Testing Facility.

Melissa Posted Tue 27th of September, 2011 16:36:54 PM

thank you

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