Compliance Question of the Week – Question of the Week

Radiology Question for the Week of February 12, 2018

If we have an ultrasound of the back (soft tissue) or any part of the body (not including head, neck or extremities), we use code 76999—unlisted ultrasound procedure (e.g., diagnostic, interventional). We have one today looking at a mass on the soft tissue area of the T-spine. Last week we had a soft tissue of the chest. Just making sure there is not another code you feel we should be using.

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Radiology Question for the Week of February 5, 2018

The patient had a right breast ultrasound, and we billed the following CPT® code with
modifier -RT:

76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete

The insurer denied this claim due to the modifier. Doesn’t the breast ultrasound require a modifier?

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