Coding Quiz Case

Coding Quiz Case Clinical Indication Pregnancy for dating Procedure Ultrasound of the pregnant uterus; transabdominal Findings Ultrasound scans demonstrate a 22-week intrauterine pregnancy in breech presentation. The placenta is posterior. Amniotic fluid volume is adequate. No fetal abnormalitiesare observed. Impression 22-week intraterine pregnancy in breech lie. How would you code this procedure? (See below for answer) Discussion Since this is a second trimester pregnancy it is inappropriate to use the first trimester codes 76801 and 76802 . Of the post-first trimester codes, it would be inappropriate to code 76805 or 76810 since each and every element required for these procedures...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a coding quiz case involving an obstetrical ultrasound in pregnancy dating, with emphasis on how the written report is evaluated against CPT obstetric ultrasound categories. It is intended for coders and radiology billing staff who need to understand documentation-dependent ultrasound coding at a high level. The discussion summarizes why certain ultrasound code groups are considered or excluded and highlights the documentation elements expected in the report.

Why This Topic Matters

Obstetrical ultrasound coding depends heavily on the level of documentation in the imaging report. Understanding how report detail affects code selection helps support accurate coding and consistent review of similar radiology cases.

Article Sections

  1. Clinical Indication

    Introduces the reason for the examination in a pregnancy-related setting.

  2. Procedure

    Identifies the type and approach of the ultrasound examination performed.

  3. Findings

    Summarizes the documented imaging observations from the exam.

  4. Impression

    Provides the overall radiology impression from the report.

  5. Discussion

    Explains the documentation-based coding review and compares the report to obstetrical ultrasound code categories in CPT.

  6. Coding Tips

    Offers general documentation guidance for selecting among obstetrical ultrasound levels.

  7. References

    Lists supporting coding references and related publication sources.

  8. Answer

    States the reported code outcome for the case.

What You Will Learn

  • How a pregnancy ultrasound report is reviewed at a broad level for coding relevance.
  • What types of documentation are discussed for obstetrical ultrasound coding.
  • How quiz-style radiology coding articles present their case analysis and final answer.
  • The role of report completeness in supporting code selection for obstetric ultrasound exams.

Who Should Read This

  • Medical coders
  • Radiology coding staff
  • OB/GYN billing teams
  • Compliance reviewers
  • Coding educators

Codes Discussed


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