Pharmacy Question for the Week of April 15, 2019
MedLearn Publishing
April 15, 2019
When do retroactive payment corrections occur for certain drugs?
When do retroactive payment corrections occur for certain drugs?
When is it appropriate to use modifier 59?
Our radiologist interpreted a right upper and lower quadrant (RUQ and RLQ) ultrasound ordered by the ER physician. The spleen was not examined so we cannot assign code 76700. Is it appropriate to code 76705 twice and add a 59 modifier to the second one?
It’s no secret that many CPT® codes for ultrasounds make a distinction between a ‘limited’ exam and a ‘complete’ exam. From a coding standpoint, it’s made fairly clear that in order to report a complete exam, all required components for the complete exam must be imaged and documented.
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