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
Latest posts by John Verhovshek (see all)

About Has 601 Posts

John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering 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.

4 Responses to “76856 vs. 76857 Pelvic Ultrasound”

  1. Jeanne Bricker says:

    In my mind the 76857 is performed transabdominal, is this correct?

  2. M Copeland says:

    Does CPT code 76856 include Pre and Post void images of the bladder?

  3. Lakisha Andrews says:

    The 76856/76857 is performed transabdominally. The only difference is that the 76856 is complete and the 76857 is limited. Here is an example that AAPC has on both codes.
    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 follicle

  4. Carol Martinez says:

    does the 76856 require pre voiding images of the bladder?