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Coding for groin ultrasound for possible inguinal hernias


If we perform bilateral groin ultrasounds for possible bilateral inguinal hernias, should I charge/code the patient for two studies, and do I have to use modifiers if I do so?  Which CPT code and which modifiers would I use?


When performing an ultrasound to check for inguinal hernias, that would be billed as a limited extremity, CPT code 76882. Depending on payor preference it could instead be 7688250, 76882RT and 76882LT, or 76882 x 2. At the time of writing, for Medicare you would need to code as 76882 x 2 because Medicare does not allow either modifier 50 or modifiers RT and LT with CPT code 76882.