Home » Categories » Imaging/Radiology Coding

Bladder Ultrasound


Question

Physician ordered a bladder ultrasound in the ER to check Foley cath placement.  We billed with CPT 76856.  Would there be a more appropriate CPT, i.e. 76857 or 76775?

Answer

According to the CPT manual, code 76856 includes the complete evaluation of the female pelvic anatomy. Elements of this examination include a description and measurements of the uterus and adnexal structures, measurement of the endometrium, measurement of the bladder (when applicable), and a description of any pelvic pathology (eg, ovarian cysts, uterine leiomyomata, free pelvic fluid). Code 76856 is also applicable to a complete evaluation of the male pelvis. Elements of the examination include evaluation and measurement (when applicable) of the urinary bladder, evaluation of the prostate and seminal vesicles to the extent that they are visualized transabdominally, and any pelvic pathology (eg, bladder tumor, enlarged prostate, free pelvic fluid, pelvic abscess).

Code 76857 represents a focused examination limited to the assessment of one or more elements listed in code 76856 and/or the reevaluation of one or more pelvic abnormalities previously demonstrated on ultrasound. Code 76857, rather than 76770, should be utilized if the urinary bladder alone (ie, not including the kidneys) is imaged, whereas code 51798 should be utilized if a bladder volume or post-void residual measurement is obtained without imaging the bladder.

Disclaimer: All articles intended for general guidance only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Bladder Scan
Viewed 3651 times since Wed, Nov 17, 2010
Computer Aided Detection
Viewed 1224 times since Thu, Mar 3, 2011
Coding Multiple Levels of Spine During Surgery one View
Viewed 1006 times since Thu, Dec 20, 2012
Mammogram Single Breast
Viewed 4837 times since Thu, Jan 13, 2011
76942/76872
Viewed 2415 times since Thu, Jan 19, 2012
Transvaginal and Pelvic Sonogram
Viewed 1320 times since Thu, Mar 10, 2011
CT Order With or Without Contrast
Viewed 5621 times since Sun, Feb 17, 2013
Bilateral Dictation
Viewed 932 times since Tue, Sep 18, 2012
Port Access Prior to CT Scan
Viewed 1503 times since Wed, Nov 17, 2010
Lumbar Puncture in Radiology
Viewed 52687 times since Wed, Nov 17, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506