AMA CPT® Assistant - 2009 Issue 2 (February)

Radiology/Diagnostic Ultrasound (February 2009)

February 2009 page 22a Radiology: Diagnostic Utrasound, 76856, 76830 (Q&A) Question: The nonobstetrical pelvic ultrasound section of the CPT codebook indicates the elements that make up a complete pelvic ultrasound. Code 76856 refers to a complete pelvic ultrasound and makes no statement about route of visualization. Would it be correct to conclude that, if the examiner begins by performing a transabdominal ultrasound but cannot visualize all pelvic structures adequately and therefore completes the examination vaginally, this would all be included in code 76856? If not, would the examiner have to report code 76857 for the incomplete examination plus...

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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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