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Wiki Renal US ?
- Thread starter Kimberley
- Start date
Anna Weaver
Guest
76770
Here's what CPT assistant has to say:
Ultrasound of bladder, kidneys and ureters
CPT Assistant, May 1999 Page: 10 Category:
Note from 3M:
As of January 1, 2007
Ÿ 76536, 76604, 76645, 76700, 76770, 76856 and 76880 have been revised. They no longer include B-scan.
Diagnostic Ultrasound
Question
What are the appropriate CPT codes to report ultrasound of the bladder, ultrasound of the kidney, and ultrasound study of the bladder, kidneys and ureters?
AMA Comment
You should report CPT code 76775, Echography, retroperitoneal (eg, renal, aorta, nodes), B-scan and/or real time with image documentation; limited, if an ultrasound examination of a single organ (eg, kidney or urinary bladder) is performed. CPT code 76770, Echography, retroperitoneal (eg, renal, aorta, nodes), B-scan and/or real time with image documentation; complete, would be reported if a complete ultrasound examination of the urinary tract (eg, kidneys, ureters, and urinary bladder) is performed.
CPT Assistant © Copyright 1990–2009 American Medical Association. All Rights Reserved
So, unless all areas are performed, I wouldn't code the 76770. I would use the 76775, it's listed as: ultrasound, retroperitoneal; limited.
According to CPT "A complete ultrasound examination of the retroperitoneum (76770) consists of real time scans of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava, including any demonstrated retroperitoneal abnormality."
Anyone else?
Is is correct coding to bill a complete Renal Ultrasound ( 76770) with just kidneys and bladder documented, hx/clinical is “Flank Pain”?
Thanks
Kimberley Tober, CPC
Franklin, TN
Here's what CPT assistant has to say:
Ultrasound of bladder, kidneys and ureters
CPT Assistant, May 1999 Page: 10 Category:
Note from 3M:
As of January 1, 2007
Ÿ 76536, 76604, 76645, 76700, 76770, 76856 and 76880 have been revised. They no longer include B-scan.
Diagnostic Ultrasound
Question
What are the appropriate CPT codes to report ultrasound of the bladder, ultrasound of the kidney, and ultrasound study of the bladder, kidneys and ureters?
AMA Comment
You should report CPT code 76775, Echography, retroperitoneal (eg, renal, aorta, nodes), B-scan and/or real time with image documentation; limited, if an ultrasound examination of a single organ (eg, kidney or urinary bladder) is performed. CPT code 76770, Echography, retroperitoneal (eg, renal, aorta, nodes), B-scan and/or real time with image documentation; complete, would be reported if a complete ultrasound examination of the urinary tract (eg, kidneys, ureters, and urinary bladder) is performed.
CPT Assistant © Copyright 1990–2009 American Medical Association. All Rights Reserved
So, unless all areas are performed, I wouldn't code the 76770. I would use the 76775, it's listed as: ultrasound, retroperitoneal; limited.
According to CPT "A complete ultrasound examination of the retroperitoneum (76770) consists of real time scans of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava, including any demonstrated retroperitoneal abnormality."
Anyone else?
Per ACR
According to the ACR...
"How should an order for an ultrasound of the kidneys be performed and coded? Unless the referring physician specifically asks for a renal size assessment only, we evaluate for an intrarenal or postrenal cause of the patient's symptoms. Our standard scanning protocol involves images of the kidneys and bladder and often evaluation for ureteral jets within the bladder. This leads me to believe, therefore, that we should actually bill for a complete retroperitoneal ultrasound.
Radiologists should always tailor their examinations on the basis of the clinical information received, and services should be coded on the basis of both medical necessity and the details of the examination performed.
According to Current Procedural Terminology® (CPT) guidelines, p. 248 of the standard version of the CPT code book: A complete ultrasound examination of the retroperitoneum (76770) consists of real-time scans of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava, including any demonstrated retroperitoneal abnormality. Alternatively, if clinical history suggests urinary tract pathology, complete evaluation of the kidneys and urinary bladder also comprises a complete retroperitoneal ultrasound.
Therefore, if only the kidneys are medically indicated and evaluated, then a limited retroperitoneal code, 76775, should be reported."
http://www.acr.org/Hidden/Economics...g_source/archives/SeptOct07/QA.aspx?css=print
Hope that helps!
Jessica O'Donnell CPC
According to the ACR...
"How should an order for an ultrasound of the kidneys be performed and coded? Unless the referring physician specifically asks for a renal size assessment only, we evaluate for an intrarenal or postrenal cause of the patient's symptoms. Our standard scanning protocol involves images of the kidneys and bladder and often evaluation for ureteral jets within the bladder. This leads me to believe, therefore, that we should actually bill for a complete retroperitoneal ultrasound.
Radiologists should always tailor their examinations on the basis of the clinical information received, and services should be coded on the basis of both medical necessity and the details of the examination performed.
According to Current Procedural Terminology® (CPT) guidelines, p. 248 of the standard version of the CPT code book: A complete ultrasound examination of the retroperitoneum (76770) consists of real-time scans of the kidneys, abdominal aorta, common iliac artery origins, and inferior vena cava, including any demonstrated retroperitoneal abnormality. Alternatively, if clinical history suggests urinary tract pathology, complete evaluation of the kidneys and urinary bladder also comprises a complete retroperitoneal ultrasound.
Therefore, if only the kidneys are medically indicated and evaluated, then a limited retroperitoneal code, 76775, should be reported."
http://www.acr.org/Hidden/Economics...g_source/archives/SeptOct07/QA.aspx?css=print
Hope that helps!
Jessica O'Donnell CPC
Renal US
If clinical indication/history states 'FLANK PAIN'....does this justify being examined for a uninary tract problem? therefore being able to bill a complete 76770 if the kidneys and urinary bladder are documented?
Thanks.
Kimberley Tober, CPC
Franklin, TN
If clinical indication/history states 'FLANK PAIN'....does this justify being examined for a uninary tract problem? therefore being able to bill a complete 76770 if the kidneys and urinary bladder are documented?
Thanks.
Kimberley Tober, CPC
Franklin, TN
Us renal pathology
Hi,
For ultrasound kidney what are all signs and symptoms coming under Renal Pathology? Except below mentioned,
incomplete bladder emptying (R39.14)
nocturia (R35.1)
straining on urination (R39.16)
urinary frequency (R35.0)
urinary hesitancy (R39.11)
urinary incontinence (N39.4-)
urinary obstruction (N13.8)
urinary retention (R33.8)
urinary urgency (R39.15)
weak urinary stream (R39.12)
Flank pain(R10.9)
Hi,
For ultrasound kidney what are all signs and symptoms coming under Renal Pathology? Except below mentioned,
incomplete bladder emptying (R39.14)
nocturia (R35.1)
straining on urination (R39.16)
urinary frequency (R35.0)
urinary hesitancy (R39.11)
urinary incontinence (N39.4-)
urinary obstruction (N13.8)
urinary retention (R33.8)
urinary urgency (R39.15)
weak urinary stream (R39.12)
Flank pain(R10.9)