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Until recently, they were just filing for reimbursement for one of the procedures, using cpt code 76830 for the transvaginal procedure This is not just a dry explanation for medical coders and billers. In the last several months though they have been billing for two separate procedures using code 76830 for the transvaginal and 76856 for the pelvic ultrasound.

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The medical record must contain clear documentation of medical necessity for performing pelvic ultrasonography (e.g., history, physical findings and/or laboratory/imaging studies). We will demystify the cpt codes for pelvic ultrasound, primarily 76856 and 76857 Navigating ultrasound billing can be tricky, especially when differentiating between cpt code 76817 and similar pelvic or abdominal ultrasound codes like 76830

This guide breaks down the 76817 cpt code description, usage, and billing rules to help providers avoid denials and maximize reimbursement.

Commonly used cpt codes include These codes support the assessment of uterine abnormalities, ovarian cysts, and other pelvic pathologies. Mostly the ultrasound cpt code 76856 is used for pelvic region This is the most frequently used ultrasound cpt code in radiology

Also, along with cpt 76856, we will be mostly coding. Cpt code 0567t is used when a provider performs a procedure to permanently block the fallopian tubes using a degradable biopolymer implant, with the help of transvaginal ultrasound guidance. I believe that cpts 76856 and 76857 are for transabdominal ultrasounds and cpt 76830 is used for transvaginal ultrasounds I also have been told that when the approach is not specified in a cpt code description (as is the case for cpt 76857), it is a transabdominal approach.

Cpt code 76856 describes only a transabdominal imaging study