Radiology Coding Alert

Reader Question:

76870 Is One Option for Groin Ultrasound

Question: Which CPT® code is used to report the ultrasound examination of a palpable mass in the groin?  There is a discussion going on in a medical coding forum about it, with some saying it should be 76870 quoting CPT® Assistant and others saying 76882 is correct quoting a professional society. Who is right? New Jersey SubscriberAnswer: The code choice will depend on documentation of the soft tissue mass's location. By medical definition, the groin is the fold or depression marking the juncture of the lower abdomen and the inner part of the thigh, or the region of that line. There is room for reasonable people to disagree what is meant by groin.A soft tissue mass in the groin could actually be located in the lower abdomen, the upper thigh, or the scrotum. CPT® offers ultrasound codes dealing with each of those locations.Lower abdomen: 76705, Ultrasound, abdominal, real time with image [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.