What Modifiers Are Necessary?

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September 4, 2014

Question:

Our sports medicine surgeon performed a joint injection (20610) and ultrasound guidance (76942). What modifiers are needed to submit this code combination?

Answer:

Thanks for your inquiry. The answer is dependent on the place of service. Modifiers are not required if the service is performed in the office. Append modifier 26 to CPT code 76942 if the place of service is a Facility location.

Remember, regardless of location, a separate report is required for the professional interpretation of the ultrasound guidance.