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Posted By angie on 01-21-2019, 18:25:18 in Ob-Gyn
Can we bill for a limited ultrasound done by a physician? For example, if Dr. X uses the ultrasound to check fetal heart tones. What is needed in order to bill or can we not bill?
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Posted By Melanie Witt on 01-22-2019, 15:26:26
Yes, you can bill using the limited code with no modifier if it is being done by your physician using your equipment. If done using the facility's equipment you can only bill using the -26 modifier (assuming this is documentation as to the indication for the US and a written report and interpretation of the results) as there is no compensation for the TC component even if your physician personally did the scan. The TC component covers the person who did it and the payment for the equipment and the two cannot be separated if your physician does not own the equipment.
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