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May 2006 · Vol. 18, No. 5

REIMBURSEMENT ADVISER

Payers discourage multiple sonograms

Melanie  Witt,  RN, CPC-OGS, MA

Independent coding and documentation consultant; former program manager, Department of Coding and Nomenclature, American, College of Obstetricians, and Gynecologists

Q

Can we bill for a 3-dimensional (3D) sonogram (76375), a transvaginal sonogram (76830), and a hysterosonogram at the same encounter or session? Our physicians do both the injection procedure (58340) and the ultrasound component (76831) and the 3D as well because they say they get a better picture.

A

Your question involves 3 issues that I will address separately.

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