We have a question amongst us coders. When a report states both a transabdominal and transvaginal pelvic ultrasound are performed but doesn't give separate findings for each but hits all the elements of a complete pelvic (measurements of uterus, endo, and ovaries), would it be appropriate to bill a complete pelvic (76856) with a transvag (76830)? Or because the findings are not separate and we are unable to verify if all elements were seen only in the transabd, is it more appropriate to bill just a limited pelvic (76857) with a transvag (76830) instead? And does anyone have any documentation (from ACR for example) to clarify this?
Any feedback is appreciated. Thank you
Any feedback is appreciated. Thank you