Wiki 76998 in office for IUD placement

Hello: The 76998 code states that the provider is using guidance during a surgical procedure. Clinical details is that he inserts the transducer through a previous incision made. Is the provider making an incision prior to inserting the IUD? My thoughts are that the best code to use is 76830. Lets see if anyone else chimes in. Great question!
 
Sorry, but no incision is required to bill an ultrasound guidance code. The transducer does not enter the body (usually). If the US was used to guide the instrument to the location of the IUD and that has been documented in the note, 76998 is correct. If instead, they did an ultrasound to view the location of the IUD before removing it without assistance of the US views, they 76830 would be correct, but there must also be a written report which details the findings. If that documentation is lacking, then nothing can be billed.
 
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