Forum - Questions & Answers

Aug 23rd, 2011 - ltingley 3 

screening diagnosis code for 76770

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Aug 23rd, 2011 - youngblood 278 

re: screening diagnosis code for 76770

Your provider wants the US for a reason. Code the complaint.

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Aug 23rd, 2011 - ltingley 3 

re: screening diagnosis code for 76770

he ordered a screening abdominal aorta for Medicare. pt has a history of smoking

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Aug 23rd, 2011 - youngblood 278 

re: screening diagnosis code for 76770

Who is your MAC? Go see if they have an LDC/NDC for the CPT®. That will give you the covered Dx codes.

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Aug 25th, 2011 - jschmutz   323 

re: screening diagnosis code for 76770

You can't code to get paid, which means you shouldn't go to the LDC to find a payable code.

Why is the screening being done? He has to be looking for something, what is he screening for? Is he screening for malignant tumors, is he screening for an infectious disease or is he screening for a condition that wasn't found, etc?

You need to be more specific. If that is the only reason for the service documented then this is a non-billable exam due to lack of documentation/medical necessity.

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Aug 26th, 2011 -

re: screening diagnosis code for 76770

Medicare covers a screening Ultrasound of the aorta as part of the Welcome to Medicare benefit. The patient must be at risk, the test must be ordered during the Welcome to Medicare exam, use G0389 as the CPT®. Diagnosis would be V81.2

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