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Kidney Ultrasound

Tanya Posted Tue 04th of January, 2011 19:55:49 PM

For a Renal Ultrasound to count as code 76770 how much of the bladder has to be documented. We have conflicting information. Some Radiologist are putting they observed the bladder as being full or empty XX cc's and others are actually documenting size and discription. Is observing the bladder enough to count as a complete?

SuperCoder Answered Wed 05th of January, 2011 20:45:48 PM

When performing a complete ultrasound evaluation of the urinary tract, transverse and longitudinal images of the distended urinary bladder and its wall should be included, if possible. Bladder lumen or wall abnormalities should be noted. Dilatation or other distal ureteral abnormalities should be documented.
Transverse and longitudinal scans may be used to demonstrate any postvoid residual, which may be
quantitated and reported.

Cathy Answered Mon 17th of January, 2011 18:55:52 PM

What is the best way to explain to a patient the difference between '93975' and '76770'?

SuperCoder Answered Tue 18th of January, 2011 07:08:28 AM

Code 76770 is used for a complete retroperitoneal ultrasound, which includes real time scanning of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava. This code is appropriate for an ultrasound and real time for a complete retroperitoneal exam whereas 93975 denotes a complete study, duplex ultrasound scan of the arteries and veins in the abdominal, pelvic, or genitorectal areas.

CPT code 76770, full retroperitoneal study, should be only used if the urologist views sonographically and documents examining the kidneys, aorta, bifurcation of the aorta and common iliac vessels, vena cava, and any abnormalities, masses or nodes in the retroperitoneum.

CPT code 93975 can be used whether single or multiple organs are studied. It is a "complete" procedure in that all major vessels supplying blood flow (inflow and outflow, with or without color flow mapping) to the organ are evaluated.

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