August 2016 page 10a
Radiology: Diagnostic Ultrasound
Question: Is it appropriate to report code 93975, Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study, with code 76856, Ultrasound, pelvic (nonobstetric), real time with image documentation; complete, for a duplex scan only of the ovarian vessels? What makes a study complete, as opposed to limited?
Answer: The complete study code (93975) describes duplex evaluation of arterial supply and venous drainage of an organ(s) in the abdomen, retroperitoneum, and/or pelvis. The code is the same whether one or more organs are evaluated...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This CPT Assistant Q&A from August 2016 addresses diagnostic ultrasound reporting for duplex studies in the abdomen, retroperitoneum, and pelvis. It explains the broad distinction between complete and limited duplex studies, notes when grayscale ultrasound may be reported separately, and highlights coding edit considerations involving pelvic ultrasound and duplex scanning. The article is aimed at coding professionals, radiology billers, and compliance staff who need to understand how the guidance applies to ultrasound documentation and claim submission.
Why This Topic Matters
Diagnostic ultrasound coding often depends on whether the study is complete or limited and whether related services can be reported together. This article helps readers understand the scope of the guidance and the presence of coding edits that may affect claim reporting.
Article Sections
August 2016 page 10a
Introduces the radiology diagnostic ultrasound Q&A topic for this issue and frames the coding question addressed in the article.
What You Will Learn
How the article frames complete versus limited duplex ultrasound studies
What general documentation themes are discussed for reporting related ultrasound services
Which broader ultrasound coding and claim-edit topics are addressed in the Q&A
How the article situates diagnostic ultrasound guidance within CPT Assistant content
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