September 2017 page 15
Radiology: Diagnostic Ultrasound
Question: A complete prenatal fetal echocardiogram is performed (76825). A follow-up echocardiogram is performed at a later date, but this is a complete study as well. Is it appropriate to report code 76825, again, or must code 76826 be reported for this study?
Answer: If all of the elements of the initial fetal echocardiogram are repeated and documented, it is appropriate to report code 76825, Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording, again, instead of code 76826, Echocardiography, fetal, cardiovascular system, real time with...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article addresses a coding question in radiology diagnostic ultrasound, focusing on how to classify a later fetal echocardiogram when a full study is repeated and documented. It is intended for coders, billers, and imaging professionals working with prenatal cardiac ultrasound documentation and CPT guidance.
Why This Topic Matters
Ultrasound coding in fetal cardiology depends on matching the documented exam to the appropriate CPT category. This article helps readers understand the scope of the guidance discussed in the CPT Assistant Q&A format.
Article Sections
Question and answer on fetal echocardiography follow-up
A coding question is presented about a repeat prenatal fetal echocardiogram and how the study should be considered in relation to CPT guidance. The response discusses the general documentation elements associated with the exam.
What You Will Learn
The article’s focus within diagnostic ultrasound coding
How the Q&A format addresses fetal echocardiography documentation
The general subject of repeat or follow-up prenatal cardiac ultrasound studies
The type of CPT guidance discussed in relation to fetal imaging
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