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Modifiers needed for endometrial cryoablation?

Q Our doctor performed an endometrial cryoablation with ultrasonic guidance (code 0009T). The hospital tech performed the ultrasound, while our doctor supervised. Do we still charge for the global component of 0009T?

A Actually, for the Category III code 0009T, I am not sure anyone thought about creating a professional and technical component, since ultrasonic guidance is integral to the procedure.

So long as the physician supervised the procedure, I would bill the code with no modifiers attached. The hospital can bill separately for the use of the machine and the hospital tech.

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MELANIE WITT, RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9CM coding. When in doubt on a coding or billing matter, check with your individual payer.

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OBG Management - 15(07)
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MELANIE WITT, RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9CM coding. When in doubt on a coding or billing matter, check with your individual payer.

Author and Disclosure Information

MELANIE WITT, RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9CM coding. When in doubt on a coding or billing matter, check with your individual payer.

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Q Our doctor performed an endometrial cryoablation with ultrasonic guidance (code 0009T). The hospital tech performed the ultrasound, while our doctor supervised. Do we still charge for the global component of 0009T?

A Actually, for the Category III code 0009T, I am not sure anyone thought about creating a professional and technical component, since ultrasonic guidance is integral to the procedure.

So long as the physician supervised the procedure, I would bill the code with no modifiers attached. The hospital can bill separately for the use of the machine and the hospital tech.

Q Our doctor performed an endometrial cryoablation with ultrasonic guidance (code 0009T). The hospital tech performed the ultrasound, while our doctor supervised. Do we still charge for the global component of 0009T?

A Actually, for the Category III code 0009T, I am not sure anyone thought about creating a professional and technical component, since ultrasonic guidance is integral to the procedure.

So long as the physician supervised the procedure, I would bill the code with no modifiers attached. The hospital can bill separately for the use of the machine and the hospital tech.

Issue
OBG Management - 15(07)
Issue
OBG Management - 15(07)
Page Number
75-76
Page Number
75-76
Publications
Publications
Topics
Article Type
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Modifiers needed for endometrial cryoablation?
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Modifiers needed for endometrial cryoablation?
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