Complete Ultrasound CPT Codes List and Reimbursement Rates - POCUS 101 (2023)

If you are performing Point of Care Ultrasound (POCUS) in your department and have an official review process (QA/QI), then you should really consider coding and billing for your ultrasound scans. This will require knowledge of the different ultrasound CPT codes and how much you may potentially bill and get reimbursed. Below I have tables with CPT codes listed and approximately reimbursement rates to get you started.

CPT® five-digit codes, nomenclature, and other data are Copyright American Medical Association. Ultrasound Reimbursement Rates are approximate and based on the National Average of the Medicare Physician Fee Schedule. (I can not guarantee the accuracy of all reimbursement rates, please double-check yourself if needed).

The Ultrasound CPT Codes and Reimbursement lists below are completely searchable and sortable by column to make it easier for you to find any Ultrasound CPT Code for 2021 or 2022. Whether you are billing for ultrasounds in the emergency department, clinic, office, outpatient, or inpatient settings we hope you find this helpful.

Table of Contents

Definition of Professional versus Technical Fees/Payments For Ultrasound CPT Codes and Reimbursement

We hear “Professional” versus “Technical” fees and payments all of the time. It may seem confusing sometimes but it’s actually pretty simple. I want to go over the differences between them and some ultrasound coding guidelines before you start looking at the CPT code list.

(Video) Billing & Coding for POCUS

Professional Fees or Payment of a charge covers the cost of the PHYSICIAN or PROVIDER’s professional services. Basically you are charging for your time and expertise for performing the ultrasound exam. For the most part, you should be able to bill for this, assuming you have a process to archive and QA/QI your scans. The Professional Fee/Payment will be received by your physician group directly.

The Technical Fees or Payment of a charge addresses the use of the equipment, facilities, non-physician medical staff, supplies, etc. Basically it is the fees for the equipment cost. Usually, this payment will go to the hospital or institution that purchased the ultrasound machines. Unfortunately, many institutions don’t realize the importance of billing for technical fees and only bill for professional fees. However, we’ve found in our practice that billing for technical fees is very important when it comes time to purchase new ultrasound machines. If you can show the hospital that you are generating revenue for them through technical fees it is much easier to get them to put new ultrasound machines in the budget!

Point of Care Ultrasound (POCUS) CPT Codes List and Reimbursement Rates

These are the most common Point of Care Ultrasound (POCUS) CPT Codes and Reimbursement Rates for ultrasound billing. I put in the non-technical version of the study in the first column so it would be easier for you to use and browse through.

Point of Care Ultrasound (POCUS) Diagnostic Exam CPT Codes List

Ultrasound StudyCPT CodeCPT Code DescriptionProfessional PaymentTechnical PaymentTotal/Global Payment
eFAST Scan: Cardiac, Lung, Abdomen93308, 76604, 7670593308: Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study; 76705: Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up); 76604: Ultrasound, chest, B-scan (includes mediastinum) and/or real time with image documentation$83.46$241.81$325.30
Cardiac93308Echocardiography, transthoracic, real time with image documentation (2D) includes M-mode recording when performed; follow up or limited$26.15$99.60$125.76
Thoracic/Pulmonary76604Ultrasound, chest (includes mediastinum), real time with image documentation$27.58$61.97$89.56
Gallbladder76705Ultrasound, abdominal, real time with image documentation limited (e.g., single organ, quadrant, follow-up)$29.73$80.24$109.98
Kidney/Renal76775Ultrasound retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; limited$29.52$29.88$59.40
Aorta (AAA)76775Ultrasound retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; limited$29.52$29.88$59.40
Focused DVT Study93971Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study (DVT Ultrasound)$22.93$91.71$114.63
MSK/Soft Tissue76882Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific$25.20$33.84$59.04
Ocular76512Ophthalmic ultrasound, diagnostic; B-scan (withor without superimposed non-quantitative A-scan)$52.30$72.38$124.68
Pregnant Transabdominal76815Ultrasound, pregnant uterus, real time with image documentation, limited (e.g., fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses$33.48$53.28$86.76
Pregnant Transvaginal76817Ultrasound, pregnant uterus, real time with image documentation, transvaginal$38.88$60.84$99.72
Non-pregnant Transvaginal (ovaries, uterus, pelvic)76830Ultrasound, transvaginal (Non-Obstetrical)$35.64$89.64$125.28
Post Void Residual (Bladder)76857Ultrasound, pelvic (non-obstetric), or real time with image documentation; limited or follow-up$25.56$24.12$49.68

Point of Care Ultrasound (POCUS) Ultrasound-Guided Procedures CPT Codes List

Ultrasound StudyCPT CodeCPT Code DescriptionProfessional PaymentTechnical PaymentTotal/Global Payment
Ultrasound-Guided Vascular Access (PIV, Central Line, etc)76937Ultrasonic guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real time ultrasound visualization of vascular needle entry, with permanent recording and reporting; Additional CPT code: 36400, 36410, 36555, 36556, 36568, 36569$14.76$17.28$32.04
Ultrasound-Guided Thoracentesis76942Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection localization device), imaging supervision and interpretation; Additional CPT code: 32421$33.12$28.08$61.20
Ultrasound-Guided Paracentesis76942Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 49080$33.12$28.08$61.20
Ultrasound-Guided Abscess Drainage76942Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 10160 or 10161$33.12$28.08$61.20
Ultrasound-Guided Peritonsillar Abscess Drainage76942Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 42700$33.12$28.08$61.20
Ultrasound-Guided Foreign Body Removal76942Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 10120 or 10121$33.12$28.08$61.20
Ultrasound-Guided Suprapubic Aspiration76942Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 51100$33.12$28.08$61.20
Ultrasound-Guided Lumbar Puncture76942Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 62270$33.12$28.08$61.20
Ultrasound-Guided Joint Aspiration76942Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 20600, 20605, or 20610$33.12$28.08$61.20
Ultrasound-Guided Pericardiocentesis76930Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 33010$33.12$28.08$61.20

Add-on CPT Codes for Ultrasound-Guided Procedures

CPT CODECPT CODE DESCRIPTION
10120INCISION AND REMOVAL FOREIGN BODY SIMPLE
10121INCISION AND REMOVAL FOREIGN BODY COMPLICATED
10160INCISION AND DRAINAGE OF ABSCESS SIMPLE
10061INCISION AND DRAINAGE OF ABSCESS COMPLICATED
20600ARTHROCENTSIS SMALL JOINT
20605ARTHOCENTESIS MEDIUM JOINT
20610ARTHROCENTSIS LARGE JOINT
32421THORACENTESIS, PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION, INITIAL OR SUBSEQUENT
33010PERICARDIOCENTESIS, INITIAL
36400VENIPUNCTURE REQUIRING PHYSICIAN SKILL AGE < 3 YO
36410VENIPUNCTURE REQUIRING PHYSICIAN SKILL AGE >3 YO
36555INSERTION OF NON-TUNNELED CENTRAL VENOUS CATHETER AGE < 5 YO
36556INSERTION OF A NON-TUNNELED CENTRAL VENOUS CATHETER AGE > 5 YO
36557INSERTION OF A PERIPHERALLY INSERTED NON-TUNNELED CENTRAL VENOUS CATHETER AGE <5 YO
36558INSERTION OF A PERIPHERALLY INSERTED NON-TUNNELED CENTRAL VENOUS CATHETER AGE > 5YO
49080ABDOMINAL PARACENTESIS
51100ASPIRATION OF BLADDER BY NEEDLE

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Complete Ultrasound CPT Codes List and Reimbursement Rates - POCUS 101 (2)

Cardiac Ultrasound and Echocardiogram/Echocardiography CPT Codes List and Reimbursement Rates

CPT CodeCPT Code DescriptorProfessional PaymentTechnical PaymentTotal/Global Payment
93306Echocardiography, transthoracic, real time with image documentation (2D) includes M-mode recording when performed; complete, with spectral Doppler and color flow Doppler.$64.49$165.52$230.02
93307Echocardiography, transthoracic, real time with image documentation (2D) includes M-mode recording when performed; complete, without spectral Doppler or color flow Doppler.$45.86$85.63$131.49
93308Echocardiography, transthoracic, real time with image documentation (2D) includes M-mode recording when performed; follow up or limited$26.15$99.60$125.76
93303Transthoracic echocardiography for congenital cardiac anomalies, complete$64.85$175.91$240.76
93304Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited$37.26$119.31$157.28
93350Echocardiography, transthoracic, real-time with image documentation (2D, with or without M-mode recording), during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report$72.01$170.90$242.91
93320Doppler Echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for 2D echocardiographic imaging); complete.$18.63$36.90$54.82
93321Doppler Echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for 2D echocardiographic imaging); follow up or limited.$7.52$20.06$27.59
93325Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)$3.22$22.57$25.80

Pulmonary/Lung Ultrasound CPT Codes List and Reimbursement Rates

CPT CodeCPT Code DescriptorProfessional PaymentTechnical PaymentTotal/Global Payment
76604Ultrasound, chest (includes mediastinum), real time with image documentation$27.58$61.97$89.55
32555Thoracentesis, needle or catheter, aspiration of the pleural space, with image guidance$117.14$117.14
32557Pleural drainage, percutaneous, with insertion of indwelling catheter, with image guidance$171.59$171.59

Obstetrics Ultrasound CPT Codes List and Reimbursement Rates

CPT CodeCPT Code DescriptorProfessional PaymentTechnical PaymentTotal/Global Payment
76801Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks O days), trans abdominal approach; single or first gestation$51.11$75.58$126.68
76802each additional gestation (List separately in addition to code for primary procedure)$43.55$23.03$66.58
76805Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks, 0 days), trans abdominal approach; single or first gestation$51.83$94.29$146.12
76810each additional gestation (List separately in addition to code for primary procedure)$51.47$44.27$95.73
76811Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, trans abdominal approach; single or first gestation$100.41$87.46$187.87
76812each additional gestation (List separately in addition to code for primary procedure)$94.29$115.53$209.82
76813Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, trans abdominal or transvaginal approach; single or first gestation$62.26$62.98$125.25
76814each additional gestation (List separately in addition to code for primary procedure.)$55.91$30.23$83.14
76815Ultrasound, pregnant uterus, real time with image documentation, limited (e.g., fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses$33.47$53.27$86.74
76816Ultrasound, pregnant uterus, real time with image documentation, follow-up (e.g., revaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), trans abdominal approach, per fetus$44.99$73.78$118.77
76817Ultrasound, pregnant uterus, real time with image documentation, transvaginal$38.87$60.82$99.69
76818Fetal biophysical profile; with non-stress testing$55.78$70.90$126.68
76819Fetal biophysical profile; without non-stress testing$40.31$51.83$92.13
76820Doppler velocimetry, fetal, umbilical artery$26.27$23.03$49.31
76941Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation$69.82No PaymentNo Payment
76942Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation$33.11$28.07$61.18
76945Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation$34.91No PaymentNo Payment
76946Ultrasonic guidance for amniocentesis, imaging supervision and interpretation$20.15$13.32$33.47
76948Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation$35.63$37.43$73.06

Gynecology Ultrasound CPT Codes List and Reimbursement Rates

CPT CodeCPT Code DescriptorProfessional PaymentTechnical PaymentTotal/Global Payment
76830Ultrasound, transvaginal$35.63$89.62$125.25
76831Hysterosonography, with or without color flow Doppler$37.79$84.94$122.73
76856Ultrasound, pelvic (non-obstetric), real time with image documentation; complete$35.27$77.74$113.01
76857limited or follow-up (e.g., for follicles)$25.55$24.11$49.67

Surgery Ultrasound CPT Codes List and Reimbursement Rates

CPT CodeCPT Code DescriptorProfessional PaymentTechnical PaymentTotal/Global Payment
76536Ultrasound of soft tissues of head and neck (e.g., thyroid, parathyroid, parotid), real time with image documentation$28.66$94.93$123.59
76645Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation$27.94$72.00$99.95
76705Ultrasound, abdominal, real time with image documentation limited (e.g., single organ, quadrant, follow-up)$29.73$80.24$109.98
76942Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation$34.03$40.12$74.15
76998Ultrasonic guidance, intraoperative$65.91No Payment$65.91
93880Duplex scan of extracranial arteries; complete bilateral study$30.45$161.56$192.01
93882unilateral or limited study$20.78$103.53$124.31
93970Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study$35.82$152.96$188.79
93971unilateral or limited study$22.93$91.71$114.63
G0365Vessel mapping of vessels for hemodialysis access (Services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)$12.54$190.84$203.38
10022Fine needle aspiration; with imaging guidance$141.14$67.35$208.49
19000Puncture aspiration of cyst of breast$113.20$45.14$158.34
19083Biopsy, breast, with placement of breast localization device(s) when performed and imaging of biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance$677.14$100.71$777.85
19084each additional lesion$543.43$83.83$627.26
19285Placement of breast localization device(s), percutaneous;, first lesion, including ultrasound guidance$472.14$89.92$562.06
19286each additional lesion$395.84$43.35$439.19
60100Biopsy, thyroid, percutaneous core needle$114.99$81.68$196.67

Vascular Surgery Ultrasound CPT Codes List and Reimbursement Rates

CPT CodeCPT Code DescriptorProfessional PaymentTechnical PaymentTotal/Global Payment
76998Ultrasonic guidance, intraoperative$65.91No Payment$65.91
93880Duplex scan of extracranial arteries; complete bilateral study$30.45$161.56$192.01
93882Duplex scan of extracranial arteries; unilateral or limited study $172.21$20.78$103.53$124.31
93886Transcranial Doppler study of the intracranial arteries complete study$49.08$190.84$239.92
93888Transcranial Doppler study of the intracranial arteries limited study$31.88$90.05$121.93
93925Duplex scan of lower extremity arteries or arterial bypass grafts, complete bilateral study$40.48$190.84$231.32
93926Duplex scan of lower extremity arteries or arterial bypass grafs, unilateral or limited study$25.43$116.78$142.22
93970Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study$35.82$152.96$188.79
93971Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study$22.93$91.71$114.63
93975Duplex scan of arterial inflow and venous outflow ofabdominal, pelvic, scrotal contents and or retroperitoneal organs; complete study$90.99$190.84$281.83
93976Duplex scan ofarterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; limited study$61.62$151.89$213.50
93978Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts, complete study$32.96$190.84$223.80
93979Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study$21.85$134.57$156.42
93980Duplex scan ofarterial inflow and venous outflow of penile vessels; complete study$63.05$60.54$123.59
93981Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study$22.21$52.66$74.87
93990Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)$12.90$134.57$147.47
G0365Vessel mapping of vessels for hemodialysis access (Services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)$12.54$190.84$203.38
G0389Ultrasound, real time with image documentation; for abdominal aortic aneurysm (AAA) screening.$29.37$36.90$66.27
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Complete Ultrasound CPT Codes List and Reimbursement Rates - POCUS 101 (11)
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FAQs

What are the CPT codes for ultrasound? ›

Diagnostic Ultrasound Procedures CPT® Code range 76506- 76999. The Current Procedural Terminology (CPT) code range for Diagnostic Ultrasound Procedures 76506-76999 is a medical code set maintained by the American Medical Association.

What is the CPT code for abdominal ultrasound complete? ›

We have two CPT code for abdominal ultrasound, 76700 and 76705. The complete ultrasound of abdomen is codes 76700. The complete ultrasound of abdomen will include eight organs. The eight organs include gallbladder, common bile duct (CBD), liver, pancreas, spleen, inferior vena cava (IVC), aorta and two kidneys.

What is the difference between CPT 76815 and 76816? ›

RE: CPT code 76816 vs 76815

If you are only checking the fluid volume, you would bill 76815. If you are also evaluating some of the fetal anatomy, you would bill 76816.

What CPT codes can be billed with 76942? ›

CPT Code 76942, Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection and localization device), imaging supervision and interpretation, is an appropriate code for certain procedures when performed. In these cases, the primary injection code is billed in addition to 76942 for ultrasound guidance.

Can you bill for pocus? ›

Billing for POCUS

There are specific reporting and documentation requirements for POCUS. The requirements are (1) test indication, (2) written report, and (3) interpretation [13]. The ultrasound exam must be medically necessary and the signs, symptoms or diagnoses prompting the ultrasound must be recorded in the EMR.

Is CPT code 93925 an ultrasound? ›

Additional/Related Information. The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to assess the presence of blockage in the lower extremity arteries.

What is included in a complete abdomen ultrasound? ›

An abdominal ultrasound is a noninvasive procedure used to assess the organs and structures within the abdomen. This includes the liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta. Ultrasound technology allows quick visualization of the abdominal organs and structures from outside the body.

What is the difference between limited and complete ultrasound? ›

Abdominal ultrasounds can be ordered a complete or limited. The abdomen limited includes images of the pancreas, liver, gallbladder, and right kidney. The abdomen complete includes imaging the aorta, IVC, pancreas, liver, gallbladder, right and left kidneys, and spleen.

What does a complete ultrasound examination of the abdomen consist of? ›

During the procedure

The provider gently presses the device against the belly, moving it back and forth. The device sends signals to a computer. The computer creates images that show how blood flows through the structures in the belly area. An abdominal ultrasound exam takes about 30 minutes to complete.

How many times can you bill 76811? ›

CPT code 76811 will be reimbursed two times per pregnancy if billed by two different providers. If 76811 is billed multiple times by the same provider, claim(s) will be denied and provider will need to resubmit claim(s) with the correct CPT code (76815 or 76816).

Can 76816 and 76815 be billed together? ›

Code 76815 and code 76816 are considered “bundled” with each other. Code 76817 transvaginal ultrasound code is not bundled with 76815 or 76816 so be sure to document for and bill for both scans when performed at the same encounter.

What is included in CPT 76819? ›

The Current Procedural Terminology (CPT®) code 76819 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Ultrasound Procedures of the Pelvis Obstetrical.

How many times can you bill CPT 76942? ›

76942 can only be billed once per encounter per CMS.

Can CPT code 76942 be billed twice? ›

Report 76942 in addition to the code for the underlying procedure. Under the National Correct Coding Initiative, NCCI, which sets CMS payment policy as well as many private payers, one unit of service is allowed for CPT code 76942 in a single patient encounter regardless of the number of needle placements performed.

What does CPT 76770 include? ›

CodeDescription
76770ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE
76775ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; LIMITED
76776ULTRASOUND, TRANSPLANTED KIDNEY, REAL TIME AND DUPLEX DOPPLER WITH IMAGE DOCUMENTATION

Is POCUS cost effective? ›

The aforementioned studies evaluating POCUS in trauma consistently demonstrated cost savings.

What can POCUS be used for? ›

POCUS has been widely used in many disciplines as a rapid diagnostic tool, especially in emergency medicine. POCUS has been used to aid the diagnosis of multiple medical conditions ranging from acute appendicitis, airway compromise, abdominal aortic aneurysm, traumatic injury assessment [2].

Who can Bill 99453? ›

Providers can get paid for their Remote Patient Monitoring work by using CPT Codes. For CPT Code 99453, billing for the initial set-up of RPM, the primary physician or clinician of the patient must order the set-up. Providers can then bill for this code once per patient.

How often can you bill 93925? ›

Billing Frequency Limitations

For CPT codes 93880 through 93888, 93925 through 93931, 93970 through 93979, 93985 and 93986, billing frequency is limited to two per consecutive 12-month period, per code, by any provider, for the same recipient.

What is the difference between 93922 and 93925? ›

Understand that codes 93925 and 93926 are imaging studies, whereas 93922–93924 are non-imaging studies. For iliac artery imaging only, assign code 93978 or 93979 as appropriate.

Is CPT 93971 an ultrasound? ›

Basics about CPT code 93970 & 93971

An ultrasound study is performed to evaluate veins in the extremities. For coding 93970 & 93971, a duplex scan is performed which used both B-mode and Doppler studies. A B-mode transducer is placed on the skin and real-time images of the veins are obtained.

What is a complete ultrasound? ›

A complete abdominal ultrasound examines those three organs and adds the: Kidneys. Spleen. Bladder. Abdominal blood vessels (such as the inferior vena cava and the aorta).

Does complete abdominal ultrasound include bladder? ›

An ultrasound machine sends sound waves into the abdominal area and images are recorded on a computer. The black-and-white images show internal structures such as the appendix, intestines, liver, gall bladder, pancreas, spleen, kidneys, and bladder.

Why would a doctor order a complete abdominal ultrasound? ›

It may be ordered to investigate pain, swelling, or other symptoms, and can be the first step in determining the cause for symptoms affecting the soft tissues of the body. For example, in the abdomen it can help check for kidney stones, liver disease, tumours, and the cause of stomach pain or bloating.

What are the 3 types of ultrasounds? ›

Types of Ultrasound
  • Endoscopic ultrasound.
  • Doppler ultrasound.
  • Color Doppler.
  • Duplex ultrasound.
  • Triplex ultrasound (color-flow imaging)
  • Transvaginal ultrasound.

How long does a complete ultrasound take? ›

How long does an ultrasound take? Generally, an ultrasound examination will take approximately 30 minutes. Some examinations, especially vascular imaging (blood vessel-related), may take longer because of the detailed imaging that is required, and the number and size of the organ or organs being examined.

Can 76700 and 76705 be billed together? ›

A complete exam (76700) consists of liver, gallbladder, common bile duct, pancreas, spleen, kidneys, aorta and ivc. Anything less than all of those is limited (76705) and would be reported only once. It would be incorrect to report 76700 with a 52 modifier.

Is uterus included in whole abdomen ultrasound? ›

An ultrasound, also named sonography, of the abdomen and the pelvic makes it possible to see your abdominal and pelvic organs: liver, gallbladder, kidneys, bladder, uterus, ovaries, prostate and seminal vesicles.

What are the 3 most basic components of the ultrasound machine? ›

Any ultrasound system has three basic components: a transducer, or probe; the processing unit, including the controls; and the display.

What are the four primary components of the ultrasound system? ›

THE MAIN COMPONENTS OF THE ULTRASONIC DEVICES

Ultrasound device, essentially, consists of a transducer, transmitter pulse generator, compensating amplifiers, the control unit for focusing, digital processors and systems for display.

What is the difference between 76805 and 76811? ›

Q Are CPT 76805 and 76811 different? Both are for fetal and maternal ultrasound evaluation, yet 76811 includes a detailed fetal anatomic exam.

What ICD 10 code to use when billing 76811? ›

For late prenatal care with unsure dating, meaning fetal growth retardation cannot yet be reliably ruled out, one may bill 76811 using the ICD-10 indication from the consensus O36. 59_# (maternal care for known or suspected poor fetal growth).

What CPT code is 76811? ›

CPT® Code 76811 - Diagnostic Ultrasound Procedures of the Pelvis Obstetrical - Codify by AAPC.

What is the difference between 76815 and 76817? ›

In the last paragraph of the Obstetrical guidelines (before the 76801 description) it states "Code 76817 describes a transvaginal obstetric ultrasound performed separately or in addition to one of the transabdominal examinations described above." 76815 is one of the exams listed "above", therefore 76815 is a ...

What is the difference between 76805 and 76815? ›

A standard (CPT code 76805) or follow up (CPT code 76816) examination is a more thorough and comprehensive fetal study. However, in acute situations, or to provide only focused information, a limited exam (CPT code 76815) may be the more appropriate study.

How often can CPT 76816 be billed? ›

Obstetrical Transabdominal Limited and Follow-up Ultrasound CPT® 76815 and 76816. FirstCare considers CPT 76815 and 76816 medically necessary every 3 to 6 weeks to evaluate the fetus(s) if a pregnancy is high risk. Ultrasound imaging may be repeated earlier than seven days if there are new or worsening symptoms.

What is the difference between 76818 and 76819? ›

Code 76819 is reported per fetus. A biophysical profile performed along with a nonstress test is coded 76818. A nonstress test performed without a biophysical profile is coded 59025.

What does CPT 59430 include? ›

The Current Procedural Terminology (CPT®) code 59430 as maintained by American Medical Association, is a medical procedural code under the range - Vaginal Delivery, Antepartum and Postpartum Care Procedures.

What is included in CPT 59425? ›

Primary care physicians providing only prenatal care should bill for the prenatal visits they have provided using CPT Code 59425 (antepartum care only; 4 to 6 visits) or CPT Code 59426 (antepartum care only; 7 or more visits), and will be reimbursed according to Aetna's fee schedule.

Does CPT 76942 require a modifier? ›

Only report 76942 with modifiers 59 or –X{EPSU} if the ultrasonic guidance for needle placement is unrelated to the laparoscopic liver tumor ablation procedure. Don't report CPT code 76000 with or without modifiers 59 or –X{EPSU} for fluoroscopy in conjunction with a cardiac catheterization procedure.

Can CPT code 76942 be billed with 76872? ›

Although AMA Guidelines state it is appropriate to bill CPT codes 76942, 77002, 77012 or 77021 if imaging is performed with 55700, NCCI lists 76942 as a column 2 code for 76872. You should not bill 76942 when 76872 is performed during the same session.

Can 20611 and 76942 be billed together? ›

For example, the parenthetical note following CPT code 20611 states: “(Do not report 20610, 20611 in conjunction with 27370, 76942)”. Thus, CPT codes 27370 and 76942 should not be reported with arthrocentesis procedures described by CPT codes 20610 and 20611.

How many times can 88305 be billed? ›

For the following gastrointestinal conditions, up to a maximum of eight (8) units of CPT code 88305 shall be considered for reimbursement for the same patient on the same date of service: Malignant neoplasm of colon (ICD-10 codes C18-C18. 9)

Can modifier 59 be used for ultrasound? ›

Modifier 59 is recognized as appropriate when billed with obstetrical ultrasounds, CPT® procedures codes 76813 through 76828.

Does CPT code 20526 include ultrasound guidance? ›

The CPT code descriptions for 20550, 20551, and 20526 do not include the terms “with ultrasound guidance, with permanent recording and reporting” in their definitions.

What is the difference between CPT 76770 and 76775? ›

I was trained that if ultrasound of right and left kidney is done (with or w/out bladder), that CPT 76775 should be used; however, if above is done along with renal pelvis, ureters, bladder then the complete would be used (76770).

What is included in CPT 93975? ›

The complete study code (CPT code 93975) describes duplex evaluation of arterial supply and venous drainage of an organ(s) in the abdomen, retroperitoneum, and/or pelvis. The code is the same whether one or more organs are evaluated.

What does CPT 76705 include? ›

CPT® Code 76705 - Diagnostic Ultrasound Procedures of the Abdomen and Retroperitoneum - Codify by AAPC.

› Billing-coding-RETRACTION ›

Based upon further input, First Coast Service Options Inc. (First Coast), the Medicare administrative contractor (MAC) for jurisdiction. 9 (J9) is retracting pr...
Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the ...
CPT code 76942 describes the ultrasound guidance for major or minor surgical procedures like breast nodule biopsies, aspiration, and localising device placement...

What is the difference between 76805 and 76811? ›

Q Are CPT 76805 and 76811 different? Both are for fetal and maternal ultrasound evaluation, yet 76811 includes a detailed fetal anatomic exam.

Is CPT 93975 an ultrasound? ›

Abdominal ultrasound examinations (CPT codes 76700-76775) and abdominal duplex examinations (CPT codes 93975, 93976) are generally performed for different clinical scenarios, although there are some instances where both types of procedures are medically reasonable and necessary .

Is CPT code 93971 an ultrasound? ›

Basics about CPT code 93970 & 93971

An ultrasound study is performed to evaluate veins in the extremities. For coding 93970 & 93971, a duplex scan is performed which used both B-mode and Doppler studies. A B-mode transducer is placed on the skin and real-time images of the veins are obtained.

What is the difference between 76881 and 76882? ›

New description of CPT code 76881 and 76882

As you can see the below description, CPT code 76881 exam includes the joint space and the surrounding soft tissues. While CPT code 76882 is a limited exam which involves a joint space or surrounding soft tissues such as tendons or nerves.

How many times can you bill 76811? ›

CPT code 76811 will be reimbursed two times per pregnancy if billed by two different providers. If 76811 is billed multiple times by the same provider, claim(s) will be denied and provider will need to resubmit claim(s) with the correct CPT code (76815 or 76816).

Can 76805 and 76815 be billed together? ›

CPT® 76815 should never be reported with complete studies CPT® 76801/ CPT® 76802 and CPT® 76805/ CPT® 76810. pregnancy) or Detailed anatomy scan CPT® 76811 (high-risk pregnancy).

Can 76811 and 76817 be billed together? ›

Most of the codes used are high risk pregnancy codes. Codes 76811 and 76817 usually get billed together.

What does CPT 76775 include? ›

CodeDescription
76770ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE
76775ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; LIMITED
76776ULTRASOUND, TRANSPLANTED KIDNEY, REAL TIME AND DUPLEX DOPPLER WITH IMAGE DOCUMENTATION

What is the difference between CPT code 93975 and 93976? ›

An ACR Q&A also states that CPT code 93975 can be used whether single or multiple organs are studied. It is a complete procedure in that all major vessels supplying blood flow to the organ are evaluated. If the study is only a partial eval, then the limited code 93976 is billed.

What CPT code is 76882? ›

According to CPT guidelines, “Code 76882 represents a limited evaluation of a joint or an evaluation of a structure(s) in an extremity other than a joint (eg, soft-tissue mass, fluid collection, or nerve[s]).

What is the difference between 93970 and 93971? ›

The CPT code 93970 is described as a “complete bilateral study.” The CPT code 93971 states: “unilateral or limited study.” Both codes can be used for bilateral studies; 93970 for complete, and 93971 for limited.

How Much Does Medicare pay for 93970? ›

During that year Medicare paid about $122 per test. The fee for 93970 (Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study) was about $200.

What is CPT G0365? ›

2022 HCPCS Code G0365 : Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) 2021/2022 Codes.

What are the 3 types of ultrasounds? ›

Types of Ultrasound
  • Endoscopic ultrasound.
  • Doppler ultrasound.
  • Color Doppler.
  • Duplex ultrasound.
  • Triplex ultrasound (color-flow imaging)
  • Transvaginal ultrasound.

What does CPT 76770 include? ›

Per CPT, “A complete ultrasound examination of the retroperitoneum (76770) consists of real time scans of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava, including any demonstrated retroperitoneal abnormality.” Alternatively, if clinical history suggests urinary tract pathology, ...

What does TIB mean on an ultrasound? ›

The thermal index for bone (TIB). This is used when the ultrasound beam impinges on bone at or near its focal region, as, for example, in any fetal scan more than 10 weeks after LMP.

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