Radiology: Diagnostic Ultrasound (Q&A) (November 2011)

November 2011 page 10b Radiology: Diagnostic Ultrasound Question: Does code 76817, Ultrasound, pregnant uterus, real time with image documentation, transvaginal, include the valuation of both twin fetuses? Answer: Yes. Code 76817 describes obstetrical ultrasound evaluation via the transvaginal approach and includes evaluation of embryo(s) and gestational sac(s) and evaluation of maternal uterus, adnexa, and/or cervix. Code 76817 distinguishes between an obstetric transvaginal ultrasound and a non-obstetric transvaginal ultrasound (76830), and may be reported in addition to a transabdominal approach (76816) when necessary, to adequately view the structures. Code 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg...

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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 discusses diagnostic ultrasound coding questions in radiology, with emphasis on obstetric ultrasound scenarios and how different ultrasound approaches are differentiated in CPT guidance. It is useful for coders and billing staff who handle maternal-fetal imaging claims and need to understand how the article frames related ultrasound services and modifier use in a Q&A format.

Why This Topic Matters

Ultrasound reporting can vary based on the approach and clinical context, so this Q&A helps readers identify which CPT guidance is relevant to obstetric versus non-obstetric imaging claims.

Article Sections

  1. Question and Answer on obstetric ultrasound reporting

    A coding question is posed and answered in the context of diagnostic ultrasound for pregnancy-related imaging.

  2. Follow-up discussion of transabdominal and transvaginal ultrasound approaches

    The article further discusses how related ultrasound approaches are distinguished in CPT guidance and when modifier usage is mentioned in connection with repeated work across examinations.

  3. Non-obstetrical transvaginal ultrasound clarification

    A final clarification addresses ultrasound reporting when the transvaginal examination is performed for a non-obstetrical purpose.

What You Will Learn

  • How the article frames diagnostic ultrasound questions in an obstetric context
  • How the article distinguishes between obstetric and non-obstetric transvaginal ultrasound guidance
  • What categories of CPT ultrasound reporting issues are discussed
  • How the article presents modifier use in relation to repeated examination work

Who Should Read This

  • Radiology coders
  • Obstetric imaging billers
  • CPT coding professionals
  • Revenue cycle staff

Codes Discussed

Modifiers Discussed


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