Oncology & Hematology Coding Alert

Reader Question:

76705, 76870, and 76882 Are Groin US Options

Question: Which CPT® code is used to report the ultrasound examination of a palpable mass in the groin? There is a discussion going on in a medical coding forum about it, with some saying it should be 76870 quoting CPT® Assistant and others saying 76882 is correct quoting a professional society. Who is right?New Jersey SubscriberAnswer: The code choice will depend on documentation of the soft tissue mass location. By medical definition, the groin is the fold or depression marking the juncture of the lower abdomen and the inner part of the thigh, or the region of that line. There is room for reasonable people to disagree what is meant by groin.A soft tissue mass in the groin could actually be located in the lower abdomen, the upper thigh, or the scrotum. CPT® offers ultrasound codes dealing with each of those locations.Lower abdomen: 76705, Ultrasound, abdominal, real time with image [...]
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