Ultrasound

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CPT 76813 NT Ultrasound

  • 1.  CPT 76813 NT Ultrasound

    Posted 05-17-2019 10:30
    Medicaid Humana and Medicaid Staywell/WellCare in the state of Florida is denying our NT ultrasounds when billed with diagnosis Z36.82.  Medicaid states high-risk diagnosis must be primary.  Ideas? Thoughts?

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    Tamra Davis
    Physician Coding Supervisor
    UF Health OB/GYN Shands
    Gainesville, Fl
    352-273-7582
    Tamra
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  • 2.  RE: CPT 76813 NT Ultrasound

    Posted 10-31-2019 12:42
    Have you posted this to the billing/coding community?  I'm sure the Coding Committee would be able to weigh in on this.
    TL

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    Thomas Lee
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  • 3.  RE: CPT 76813 NT Ultrasound

    Posted 10-31-2019 20:55
    Z36.82 is the correct ICD-10 code in this situation. However check your contract with the payer or speak with their medical director for alternatives. Your contract may specify other codes to use for screening NT.

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    Fadi Bsat
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