Wiki CPT 76700 billed with 76775-XU

[RaeToll]

I have a facility claim denial for CPT code 76775-XU due to invalid modifier. I'm aware procedure code 76776 is considered to be a component of the comprehensive code 76700. However, I'm questioning if CPT 76775 should in fact be billed separately based on documentation. There are TWO SEPARATE reports. The first report completed at 11:08 for ultrasound imaging of the abdominal aorta including color and spectral doppler evaluation. The second report completed at 11:11 for ultrasound imaging of the complete abdomen including color doppler evaluation fo the main portal vein with representative images.

The first report list findings of the aorta and common iliac arteries.
The second report lists findings for the liver, biliary ducts, pancreas, spleen, kidneys, vasculature and peritoneal cavity.

Should only CPT code 76700 be reported, despite two separate reports with different details?
I appreciate any guidance.

 

[nickelclaw]

I agree with the charges you can look to see if the same radiologist read the report then, you could apply modifier 76 or 77 if a different radiologist after the XU. Or use mod 59 instead depending on insurance.

 

[CBLENNIE]

I understand that 2 separate reports were written with different time stamps, but were 2 separate ultrasounds performed? Since you are billing the facility's technical component, I don't see how you can justify billing 2 separate ultrasound technical components if only one ultrasound was performed.