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When to use CPT code 76856, 76857 and 76830 for Pelvic Ultrasound complete & limited


In radiology, we have a big list of Ultrasound procedure codes. We have already discussed about the abdominal and renal ultrasound CPT codes. There are few ultrasound procedure codes used only for female patients.

Yes, for pelvic ultrasound exam we have separate codes for female patients. The transabdominal (CPT code 76856) and Endovaginal ultrasound (CPT code 76830) exam are coded frequently in radiology facility.

76856 Ultrasound Pelvic, real time with image documentation, Complete

76857 Ultrasound Pelvic (Nonobstetric), real time with image documentation; limited or follow-up (Eg. for follicles)

76830 Ultrasound, Transvaginal

When to use CPT code 76856, 76857 and 76830 for Pelvic Ultrasound complete & limited

Read also: New updated CPT codes for 2018 for Medical coders

Difference between Pelvic and Endovaginal ultrasound exam


Pelvic ultrasound helps in investigation of pelvic structures.

We have complete and limited CPT code for pelvic ultrasound. In complete exam, an attempt is made to visualize all of the structures or organs within the anatomic description, with a majority of the included structures actually being diagnostically evaluated. CPT code 76856 is used for complete study for pelvic exam. The documentation should clearly support for the complete study.

On the other side, limited study only includes a single quadrant or a possible single diagnostic problem (i.e., cholecystitis or cyst of the liver, ovarian disease, unilateral study). The documentation should support the limited study (CPT code 76857) for reevaluating a problem after the initial interpretation has been completed to clarify a finding of the initial study. 

Endovaginal or transvaginal ultrasound (CPT code 76830) helps  in depicting abnormalities of the uterus or the adnexa and the surrounding spaces and tissues.

 Read also: ICD 10 coding tips for Antenatal Screening of mother for Medical coders

Indication for CPTcode 76856, 76857 and 76830


Pelvic pain
Dysmenorrhea
Menorrhagia
Metrorrhagia
Menometrorrhagia
Postmenopausal bleeding





This post first appeared on Interventional Radiology Medical Coding - Learn How To Code, please read the originial post: here

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When to use CPT code 76856, 76857 and 76830 for Pelvic Ultrasound complete & limited

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