Double Ultrasound Codes Spell Double Trouble With Auditors

Authorities scrutinize medical necessity for 76830 & 76856. The OIG is watching your ultrasound orders and code combinations — and it doesn’t like what it sees. Take note of these problem spots to keep your claims in the clear. An OIG audit of ultrasound services billed in 2007 found that nearly one in five ultrasound claims “had characteristics that raise [...] Related articles:

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Medical Coding Strategy Bundle

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Medical Coding Practice Exams

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Medical Coding Exam Preparation

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Medical Coding Test Preparation

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Medical Coding Practice Exam

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Medical Coding Practice Tests

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Medical Billing and Coding Practice Exam

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Coccygeal Fracture – Closed Treatment – Code 27200

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Carpal Scaphoid – 25622 – 25624

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Aspiration Ganglion Cyst – Code 20612

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Carpal Bone Fracture – Codes 25630-25635

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Arthrocentesis Small Joint – Medical Codes 20600 – 20605

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Anesthesia Coding Education: Sciatic Nerve Block & Same-Day General Anesthesia

Question: My anesthesiologist performed a sciatic nerve block for a patient with postoperative pain on the same day he provided general anesthesia for that patient’s knee surgery. How should I code this? Answer: Use modifier 59 (Distinct procedural service) when you need to show that your physician performed two distinct services on the same day. When [...] Related articles:

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Radiology Billing Checklist: Rules for Additional Tests without Treating Physician’s Order

Keep these additional test rules at your fingertips if your want to keep auditors out of your hair. The Office of Inspector General and Recovery Audit Contractors are out to audit non-compliant ultrasound claims, so knowing the rules is more important than ever. And we’ve got a link and a handy checklist to keep you out [...] Related articles:

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  3. 3 Big Fee Schedule Changes for Radiology Coding & BillingCapture additional $2,305 for Bilateral 50593 by Applying Fee Schedule...

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