76856 vs. 76857 Pelvic Ultrasound

76856 vs. 76857 Pelvic Ultrasound

Question: What is the difference between a limited pelvic ultrasound (76857) and a complete (76856) pelvic ultrasound?

Answer: Per the American Urological Society, elements of a complete pelvic ultrasound (76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete) go beyond examination of the ovaries, to include medically necessary examination with a description and measurement of the uterus and adnexal structures, endometrium, bladder, and of any pelvic pathology (e.g., ovarian cysts, uterine leiomyomata, free pelvic fluid). Proper coding for a limited or follow-up exam is 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles).

John Verhovshek

John Verhovshek

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.
John Verhovshek

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John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.

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