llsnyder
New
Good Afternoon,
I have a question regarding the number of units that should be charged for imaging when coding breast procedures. (I code the professional portion of breast care procedures performed at a hospital. The HIM dept codes the technical portion.) I was taught to report 76942 twice only if 2 or more lesions are located bilaterally. So, if 3 u/s guided bxs were performed on the right breast I would report 76942 once. If 3 u/s guided bxs were performed, 2 on the right and 1 on the left, I would report 76942 twice. Correct? My question is pertaining to the technical portion of this claim. I noticed in the billing system that for 3 bxs performed on a right breast, 3 charges for 76942 were reported on the UB04. Is this correct? I thought the technical charges should coincide with the professional charges. Any comments would be greatly appreciated.
Thanks, Lori
I have a question regarding the number of units that should be charged for imaging when coding breast procedures. (I code the professional portion of breast care procedures performed at a hospital. The HIM dept codes the technical portion.) I was taught to report 76942 twice only if 2 or more lesions are located bilaterally. So, if 3 u/s guided bxs were performed on the right breast I would report 76942 once. If 3 u/s guided bxs were performed, 2 on the right and 1 on the left, I would report 76942 twice. Correct? My question is pertaining to the technical portion of this claim. I noticed in the billing system that for 3 bxs performed on a right breast, 3 charges for 76942 were reported on the UB04. Is this correct? I thought the technical charges should coincide with the professional charges. Any comments would be greatly appreciated.
Thanks, Lori
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