AMA Clinical Examples in Radiology - 2014 Issue 1 (Winter)
Radiology Test Case Answer
Radiology Test Case Answer 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal Discussion Current Procedural Terminology (CPT® ) code 76811 was established to describe an extensive fetal ultrasound evaluation and detailed anatomic survey required for pregnancies at elevated risk of congenital abnormalities of fetal development (birth defects). This code also includes maternal uterine and adnexal evaluation. Code 76811 is reported for the ultrasound examination of the first or single gestation. Add on-code 76812...
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Article Overview
This article reviews obstetric ultrasound coding topics in radiology, with emphasis on CPT-based reporting for fetal and maternal ultrasound evaluation, transabdominal and transvaginal approaches, and related documentation concepts. It is useful for coders, radiology staff, and revenue cycle professionals who need to understand how the article frames ultrasound case selection and supporting clinical documentation in a maternity imaging context.
Why This Topic Matters
Obstetric ultrasound studies are common and can require careful alignment between the documented exam and the applicable CPT framework. This article helps readers understand the scope of the discussed imaging services and the documentation themes emphasized for accurate reporting.
What You Will Learn
- How the article frames obstetric ultrasound coding topics in radiology
- The general scope of fetal and maternal ultrasound evaluation discussed in the CPT context
- What kinds of documentation themes are highlighted for maternity ultrasound reporting
- How transabdominal and transvaginal obstetric ultrasound approaches are presented at a high level
Who Should Read This
- Radiology coders
- Obstetric imaging staff
- Certified professional coders
- Revenue cycle and billing teams
- Compliance reviewers
Codes Discussed
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