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Ultrasound & fluoro guidance w/ gastrostomy tube

Date: Sep 11, 2018

Question:

If the doctor does an ultrasound and fluoroscopically guided placement of a percutaneous gastrostomy feeding tube, can the ultrasound guidance be billed? We have two separate opinions: 1) The procedure includes fluoro and CMS only allows one unit of these guidance codes for a service, and 2) code 76942 does not bundle and the procedure only says it includes fluoroscopic guidance.

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