AMA Clinical Examples in Radiology - 2011 Issue 3 (Summer)
Questions and Answers
Questions and Answers Question: Answer: What are the guidelines for reporting a transvaginal ultrasound of the pregnant uterus when there are multiple gestations? Is code 76817 reported once or once per gestation? It is appropriate to report CPT code 76817 , Ultrasound, pregnant uterus, real time with image documentation, transvaginal , once per study not once per gestation. In the transvaginal examination, there is no requirement for the performance of fetal measurements. This reflects the fact that fetuses quickly achieve a size that cannot be fully measured due to the limited field of view afforded by the transvaginal approach. However, transabdominal...
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Article Overview
This Questions and Answers article covers coding guidance in radiology and interventional radiology, with emphasis on how reporting may differ by study type, procedure completion status, and service reduction. It is useful for coders, radiology billing staff, and compliance professionals who need to understand the scope of the guidance and the code sets involved before reviewing the full article.
Why This Topic Matters
The article addresses practical reporting questions that affect radiology and interventional radiology claim accuracy, including study-level reporting, procedure termination, and use of modifiers. It helps readers identify whether the content is relevant to coding workflow, compliance review, or staff education.
Article Sections
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Transvaginal ultrasound in multiple gestations
This section discusses reporting considerations for pregnancy ultrasound studies and distinguishes between transvaginal and transabdominal approaches in the context of multiple gestations.
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Lower extremity revascularization when the procedure is discontinued
This section addresses interventional radiology reporting when a lower extremity revascularization attempt is not completed as planned and touches on related procedure reporting concepts.
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AP and lateral abdominal views and modifier 52
This section reviews reporting of abdominal radiographs in a limited-view scenario and discusses how the service is identified in relation to a broader radiologic examination.
What You Will Learn
- The general reporting approach for pregnancy ultrasound studies in multiple gestation cases.
- How an unsuccessful or discontinued revascularization attempt is discussed in coding guidance.
- How a reduced radiology service is referenced in the context of abdominal imaging.
- Which radiology and interventional radiology topics are covered in the question-and-answer format.
Who Should Read This
- Medical coders
- Radiology coders
- Interventional radiology billing staff
- Compliance professionals
- Coding educators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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