Wiki Billing for 76881 and 76882

[glomaxie]

As a rheumatology practice, we have recently begun billing for codes 76881 and 76882 (we own the ultrasound machine). We need clarification on something please---I realize each code is for "an extremity"---for code 76881---if the exam is done for more than one joint of the same extremity--(such as 3 different joints: wrist, finger and elbow)--can we bill more than 2 units allowed per Mcr MUE? Also---same question for 76882--where Mcr also allows 2 units per extremity--if the dr addresses more than one specific anatomic structure within the same extremity--- Or are we restricted to just 2 units maximum (or billing the code twice, in other words).

Thanks!

 

[OCD_coder]

The MUE is for 2 units total on a DOS, not 2 units per extremity. If you do an ultrasound on the LT arm and a contralateral ultrasound for comparison, then you bill 2 units and no more.

 

[pjenack@gmail.com]

Hello,
After reviewing this question and answer, I would like to ask if there should be a modifier 50 on this charge?
Thanks

 

[luhre]

No 50 modifier. 76881/76882X2 or two separate lines with modifier 59 on one. Also, You shouldn't charge for a comparison study, you only charge for the Diagnostic study.