Ask Dr. Z

I have a claim that is editing for NCCI of 93975 with 76856. I would put a -59 modifier on 76856. Is this correct and why or why not? "Reason for Exam: Lower ABD/Femal Reproductive Organs lower abdominal pain, RLQ or LLQ Exam: Transabdominal Pelvice Ultrasound with Doppler Technique: Transabdominal real-time Duplex scan was performed using B/Mode/gray scale imaging, color flow and spectral Doppler analysis to include bilateral Evaluation of arterial and venous flow. Findings: Uterus 8.0 x 3.9 x 2.8cm No myometrial mass to suggest Leiomyoma. Endometrium: 7 mm Ovaries: Right ovary 4.2 x 2.3 x 2.3cm. Normal arterial and venous flow. No focal lesions Left Ovary: 3.7 x 2.3 x 2.9 Normal arterial and venous flow. No focal lesions small amount of cul-de-sac fluid Normal uterus, Normal Ovaries without evidence of torsion. Trace amount of cul-de-sac fluid, nonspecific."