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When we bill dx code v72.42 and an E/M visit for a pregnancy confirmation visit along with ultrasound (76817) the ultrasound is being denied as part of the global and now UHC is also denying the pregnancy confirmation visit (even though the policy clearing states that the confirmation visit is not considered part of the global and is reimbursed separately) when an ultrasound 76817 is billed with it, UHC is stating we need a modifier -25 on the visit. But, when we bill the confirmation visit and ultrasound cpt 76830 they pay without a problem. Which ultrasound code should we bill with the E/M if the patient comes in for missed cycle(s) and we confirm a pregnancy?
PLEASE HELP!
Thanks
When we bill dx code v72.42 and an E/M visit for a pregnancy confirmation visit along with ultrasound (76817) the ultrasound is being denied as part of the global and now UHC is also denying the pregnancy confirmation visit (even though the policy clearing states that the confirmation visit is not considered part of the global and is reimbursed separately) when an ultrasound 76817 is billed with it, UHC is stating we need a modifier -25 on the visit. But, when we bill the confirmation visit and ultrasound cpt 76830 they pay without a problem. Which ultrasound code should we bill with the E/M if the patient comes in for missed cycle(s) and we confirm a pregnancy?
PLEASE HELP!
Thanks