CPT Knowledgebase - Apr 3, 2009

The nonobstetrical pelvic ultrasound section of the CPT codebook indicates the elements that make up a complete pelvic ultrasound. Code 76856 refers to a complete pelvic ultrasound and makes no statement about route of visualization. Would it be correct to conclude that, if the examiner begins by performing a transabdominal ultrasound but cannot visualize all pelvic structures adequately and therefore completes the examination vaginally, this would all be included in code 76856? If not, would the examiner have to report code 76857 for the incomplete examination plus code 76830 for the vaginal examination?

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