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Thread: First OB visit - how to bill the ultrasound

  1. #1

    Exclamation First OB visit - how to bill the ultrasound

    AAPC: Back to School
    When a patient comes in for her first visit to establish her pregnancy, we bill an ultrasound. There has been debates in our office about whether the ultrasound should be billed as a GYN or an OB ultrasound. What do any of you bill? 76817 - pregnant ultrasound or 76856 - non obstetric ultrasound. Thanks!

  2. #2


    If the patient's pregnancy has been already determined you would use the 76817 Pregnancy ultrasound. (if patient had positive pregnancy test). If pregnancy is unknown you would use the 76856.

  3. #3


    Ok, so if she comes in and the urine pregnancy test says positive before the dr sees her then we bill the OB ultrasound? That's the problem we're having; some are saying we would bill a GYN ultrasound at that visit. But her first visit she's coming in because of a missed period and we do an ultrasound because her urine pregnancy test in the office comes up positive.

  4. #4
    Join Date
    Apr 2007


    I am under the assumption that you code according to what you know at the end of the exam, so if the patient has a viable pregnancy, you use a OB ultrasound code. If the patient was found to be missed ab or not confirmed pregnant, you use a GYN ultrasound code.

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