CPT^® 76856, Under Diagnostic Ultrasound Procedures of the Pelvis Non-Obstetrical

The Current Procedural Terminology (CPT^®) code 76856 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Ultrasound Procedures of the Pelvis Non-Obstetrical.

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Summary

A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal vesicles in males. Images are displayed on a monitor and also recorded for a permanent record.

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payment included in allowance for another service

I have a claim that was submitted to the carrier with 99212 and 76856/26. The carrier processed the claim, and paid the 99212 and denied the 76856/26 as payment included in another service. How is t... [ Read More ]

Ultrasounds - gyne vs OB

[QUOTE="nielynco, post: 510198, member: 10563"] Quite right Tracy. In fact, the AMA CPT Assistant had an article a few years back (about an ultrasound performed in the ER) that supports this. You co... [ Read More ]

SIS saline infusion sonohysterography, pelvic US and transvaginal US

There’s a patient who received an SIS saline infusion sonohysterography, pelvic US and transvaginal US. Would you include three distinct CPT codes for this: 76830, 76831, 76856? I found a few websit... [ Read More ]

Deleted NCCI edits

We have been questioning the "definition" of deleted in NCCI edits. We have received a denial from Wellcare for 76856 on the same date as 76830. They did pay 76830. The NCCI table shows the edit was... [ Read More ]

Trying to find a resource

[QUOTE="nielynco, post: 502414, member: 10563"] The CPT Assistant address this issue many years ago (October 2001) and the gist is that you use the code that represents the reason for the exam, not th... [ Read More ]

Trying to find a resource

[QUOTE="MFMcoder, post: 501694, member: 9663"] I am trying to find a resource that explains when you do or when you don't bill a 76830 versus a 76817. I know the difference is one is non-ob and the o... [ Read More ]

3d & 2d ultrasounds

2D ultrasounds are regular standard ultrasounds. You would code depending on the type of ultrasound and the body area being scanned. Here would be some common ones: [B]76830 [/B]Ultrasound, transva... [ Read More ]

Ultrasound Denial denials help ultrasounds

We are billing an 93976 with 76705 59 mod and 76856 but the 93976 is being denied can you help as to what we may be doing wrong? Thank you in advance.... [ Read More ]

OBGYN Ultrasound billing question 76830 76856 obgyn

I have a Provider who is billing 76830 and and 76856 together. I show these are billable because and there is no CCI edits w/these two codes. Now some payer may bundle which to my understanding, it s... [ Read More ]

Ultrasound 76700,76856 and 76770

76700 - Ultrasound, abdomen complete, including liver, gall bladder, common bile duct, pancreas, spleen,[COLOR=rgb(85, 57, 130)][B] [/B][/COLOR][COLOR=rgb(184, 49, 47)][B]kidneys, upper abdominal aort... [ Read More ]

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