Ob-Gyn Coding Alert
Find Out if You Can Report 2 Ultrasound Codes
Question: The ob-gyn placed Implanon in 2011. Patient is requesting removal. It has migrated, and two providers were unable to palpate it. Another provider suggested an ultrasound in the office to localize the implant for removal and then, once found, remove Implanon with ultrasound guidance. This was placed in her left arm. Would 76882 be correct for the ultrasound? The diagnosis is 996.30, V25.43. Guidance 76998?
Wyoming Subscriber
Answer: Were there permanent images produced? If not, you cannot bill the ultrasound code (76882, Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific).
Also, you should not report two ultrasound services for the same encounter focused on the same problem, so you should not report 76998 (Ultrasonic guidance, intraoperative) if you are intending to bill 76882. Keep in mind that a formal written report for the interpretation will also be required in order to bill 76882, and if you decide to go with the ultrasound guidance code instead, what was seen during the guidance must be described.
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