Results 1 to 6 of 6

76856 versus 76857

  1. #1
    Default 76856 versus 76857
    New Call-to-action
    When billing for a pelvic US, does the report need to mention the bladder?

  2. Default
    76856 is for pelvic complete
    76857 is for pelvic limited/follow-up

    for the complete it has to mention all of the pelvic anatomy ie. for females, ovaries, uterus, bladder, etc.

    if the limited pelvic U/S 76857 is For the bladder, then yes it has to be commented on. If it is for the Uterus alone or follow up ovarian cyst, etc. it does not have to be mentioned

  3. #3
    Does everyone agree that when billing a complete pelvic US, bladder MUST be documented?


  4. #4
    The reason I'm asking is because in CSI Navigator For: Diagnostic Radiology it states under

    The following elements must be documented for a complete non-obstetric ultrasound exam of the female pelvis:
    -Description and measurements of the uterus and adnexal structures
    -Measurement of the endometrium
    -Measurement of the bladder (WHEN APPLICABLE)
    -Description of any pelvic pathology

  5. Default
    In my openion , 76856 and also for 76857 it might be when it is applicable; applicable, meaning, 'the physician decides so for some medical reason or medical necessiity to visualize the bladder and document.
    No harm in reporting it but not necessarily (not a mandatory) when there was not an applicability. It could still be paid for, in full.

    By the way, the pelvic US in female obviates Transvaginal; in transvaginal US procedures, the bladder is completely emptied before the start, for better visualization of the pelvic organs esp reproductive organs and appendages. Actually the normal bladder would not be visualized in doing so.
    That is why the term "when it is applicable " is inserted in the description of the code guidelines.

    So it is not mandatory to report or interpret unless it is medically needed

  6. #6
    Still having some controversy brewing over whether 76856 REQUIRES documentation of the bladder. The description of the code reads "when applicable" do you know when it's applicable?

    Thanks again!

Similar Threads

  1. 76770, 76857 and 51798
    By tmr1965 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-20-2015, 05:22 AM
  2. Coding 76856/76857 with 76830
    By Daleyak in forum OB/GYN
    Replies: 0
    Last Post: 08-13-2014, 11:13 AM
  3. Urology 76857
    By sandujar123 in forum Urology
    Replies: 1
    Last Post: 08-23-2013, 09:20 AM
  4. 76856 or 76857
    By kathleenl in forum OB/GYN
    Replies: 0
    Last Post: 03-15-2012, 02:14 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.