AMA CPT® Assistant - 2017 Issue 9 (September)

Radiology: Diagnostic Ultrasound (Q&A) (September 2017)

September 2017 page 15 Radiology: Diagnostic Ultrasound Question: A complete prenatal fetal echocardiogram is performed (76825). A follow-up echocardiogram is performed at a later date, but this is a complete study as well. Is it appropriate to report code 76825, again, or must code 76826 be reported for this study? Answer: If all of the elements of the initial fetal echocardiogram are repeated and documented, it is appropriate to report code 76825, Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording, again, instead of code 76826, Echocardiography, fetal, cardiovascular system, real time with...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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