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Venous or arterial study billed with the extremity study

Carolyn Posted Tue 18th of March, 2014 13:14:45 PM

The extremity ultrasound is bundled into the venous and arterial study when is it ok to unbundle these studies and report both cpt codes 93971 or 93926 with 76882

SuperCoder Answered Wed 19th of March, 2014 03:47:09 AM

These codes are intended to identify either the upper or the lower extremities, and modifier 59 may be appended to denote that separate and distinct procedures were performed in separate extremities.

Carolyn Posted Wed 19th of March, 2014 10:30:41 AM

So if you are billing both for the same exremity one to look at a palpable mass the other to r/o DVT can these be unbundled?

SuperCoder Answered Wed 19th of March, 2014 20:14:01 PM

Use of these procedures codes with aspiration and/or injection procedures would not be expected unless a separate musculoskeletal diagnostic evaluation is indicated and documented as reasonable and necessary. BestBet- Check with your payor if they accept this unbundling.

Carolyn Posted Mon 24th of March, 2014 10:42:53 AM

I am not talking about an aspiration or an injection procedure. If one study was done for evaluation of a mass, and the other to r/o DVT (the vasculature) on the same extremity can the studies be unbundled?

SuperCoder Answered Mon 24th of March, 2014 13:04:46 PM

Yes in that case I agree.

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