What does CPT code 76856 mean?

non-obstetrical transabdominal ultrasound
CPT code 76856 represents a non-obstetrical transabdominal ultrasound, real time with image documentation; complete.

What is included in retroperitoneal ultrasound?

A complete ultrasound of the retroperitoneum consists of scans of the kidneys, abdominal aorta, common iliac artery origins and inferior vena cava, including any demonstrated retroperitoneal abnormality.

What is the difference between a limited and complete ultrasound?

Many emergency department ultrasounds are more focused than “complete.” As defined by CPT, a limited ultrasound exam is one in which less than the required elements for a complete exam are performed and documented.

What do you need to know about Radiology 76856?

76856 is a complete evaluation and must minimally include: Female: description and measurements of the uterus and adnexal structures, measurement of the endometrium and bladder, and a description of any pelvic pathology. Male: evaluation and measurement of the bladder, evaluation of the prostate and seminal vesicles and any pelvic pathology.

What’s the difference between the 76856 and 76857?

The 76856/76857 is performed transabdominally. The only difference is that the 76856 is complete and the 76857 is limited. Here is an example that AAPC has on both codes.

What is the CPT code for abdominal ultrasound?

76705 Ultrasound, abdominal, real time with image documentation; limited (ie, single organ, quadrant, follow-up) This “limited” CPT® code captures a focused examination in the assessment of 1 or more elements listed in the “complete” ultrasound above, such as the kidney(s) only.

What are the documentation requirements for an ultrasound?

The AUA provides information on ultrasound examinations used by urologists and the proper documentation requirements of Current Procedural Terminology® (CPT®) guidelines to report the codes for reimbursement. The AUA and the AIUM recommend adequate documentation of ultrasound exams to provide high-quality patient care.

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