CPT 76770 vs 76775

allisonm6383

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Can someone please help me determine when to use the retroperitoneal complete ultrasound vs. the limited? I was trained that if ultrasound of right and left kidney is done (with or w/out bladder), that CPT 76775 should be used; however, if above is done along with renal pelvis, ureters, bladder then the complete would be used (76770). Does this sound correct?
 
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the guidelines have changed and all 8 organs have to be documented to be considered to be complete.
 

srinivas r sajja

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If the clinical history suggests urinary tract pathology, a complete evaluation of the kidneys and urinary bladder also comprises a complete retroperitoneal ultrasound
 

jgf-CPC

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You were correct in your thinking but also remember that a complete includes the kidneys, abdomina, aorta, common iliac artery origins and inferior vena cava. Anything less would be limited.
 

srinivas r sajja

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scenario 1
A complete ultrasound of the retroperitoneum consists of B-mode scans of: the kidneys, abdominal aorta, common iliac artery origins and inferior vena cava, including any demonstrated retroperitoneal abnormality
scenario 2
If the clinical history suggests urinary tract pathology, a complete evaluation of the kidneys and urinary bladder also comprises a complete retroperitoneal ultrasound
 
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If the reportt states that the bladder is decompressed or has a foley does this give enough information for a complete? For complete evaluation of the bladder what needs to be documented?
 
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