![]() I) To evaluate obstruction in symptomatic patients and for guidance of percutaneous nephrostomy tubes. Inferior vena cava- Ultrasound is useful in detection of invasion by adjacent tumors and identification of obstruction levels. Abdominal aorta - Ultrasound is accurate for aortic measurement and may be used to follow patients with aneurysms.ģ. Retroperitoneal ultrasonography may be considered reasonable and necessary for the diagnosis and treatment of the following areas:Ģ. A limited study involves a single quadrant or a single diagnostic problem or an evaluation of an organ of interest. Retroperitoneal ultrasound studies represent the ultrasonic imaging of retroperitoneal organs for the diagnosis and management of abnormalities that occur in the retroperitoneum.Ī complete study visualizes all the structures or organs within the anatomic description of that study. Indications and Limitations of Coverage and/or Medical Necessity However, readers are encouraged to check with their individual carrier or private payers for updates and to confirm that this information conforms to their specific rules.76770 - Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation complete - Average fee amount $100 - $130ħ6775 - Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation limitedħ6776 - Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation The information in this column is designed to be authoritative, and every effort has been made to ensure its accuracy at the time it was written. ![]() Questions of general interest will be chosen for publication. ![]() If you have a payer requesting billing of services that do not agree with CPT nomenclature requirements, we strongly recommend that you obtain these instructions in writing.ġ. We have heard there are some payers that will not allow for billing of code 76770 for this service and have requested the codes for kidney and bladder ultrasound to be reported separately when supported. We agree with the AUA for coding in this regard as it follows CPT nomenclature and coding guidance. CPT code 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation, complete should be billed if the clinical history suggests urinary tract pathology, and evaluation of both kidneys & bladder.” 1 “You cannot bill for both a 76705 Ultrasound abdominal, real time with image documentation limited (eg, single organ, quadrant, follow-up) and a 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation, limited or follow-up (eg, for follicles) when each of these organs is evaluated. The second question has been answered previously by the American Urological Association (AUA): ![]() In these cases, based on diagnosis restrictions and the chief complaint, we have recommended reporting code 51798. For several questionable cases we have reviewed, the need for a PVR is supported by the chief complaint and the procedure note has included a full bladder scan image including pre- and post- void imaging and a full and separate report interpretation. ![]()
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