CPT Knowledgebase - Oct 2, 2007

The guidelines for nonobstetrical ultrasound state that the use of ultrasound without thorough evaluation of organ(s) or anatomic region, image documentation, and final, written report is not separately reportable. When reporting code 76857, Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles), does image documentation mean that a photograph of the adnexa was taken and stored for every follicle or for every ultrasound? What does image documentation consist of?

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