Results 1 to 6 of 6

Limited pelvic us

  1. #1
    Default Limited pelvic us
    Medical Coding Books
    A pregnant patient comes into the ER with abdominal pain. The ER physician wants to perform a limited US on the patient to look at the ovaries only to r/o ovarian torsion. They are not looking at anything else except the ovaries. The US is not related to the patient's pregnancy. Would you code this 76815 or 76857?
    Amanda Hollis, CPC, RCC, CIRCC

  2. #2
    Nashville AAPC Chapter
    I would still use the 73815-26 because the ED physician is still examining the pregnant uterus in addition to checking the ovary. He is checking to be sure that she there is no placenta previa. It is a better fit, not perfect, but it doe not fit the 76857-26 that well.

  3. Default
    How many weeks of pregnancy and was it transabdominal/trans vaginal or both?

  4. #4
    Not sure how many weeks. It is a hypothetical scenario. the ER physicians are wanting to know. They are asking our Radiologist how it should be ordered. It will be transabdominal. They are not looking at the pregnant uterus at all. They are only wanting to visualize the ovaries.
    Amanda Hollis, CPC, RCC, CIRCC

  5. Default
    How could we code without knowing the weeks of pregnancy? I would definitely quiry the Physician before assigning the code,
    because there are different codes for weeks of pregnancy- with FETAL AND MATERNAL STRUCTURAL EVALUATION IN ONE CODE,
    Well, your scenario looks like more for maternal anatomical structural evaluation only..; being a pregnant uterus it is needless to say that it goes with evaluation of the fetus also.
    If it is below 14weeks pregancy, i would go for 76801/ + 76802.
    If it is 14weeks above, 76805/ + 76810.

    [ In a retrospective review assessing the risk of torsion among pregnant patients with adnexal tumors > 4 cm, 51% of torsions occurred in tumors measuring 6 to 8 cm in diameter with an overall incidence of 22% in this group of patients. Furthermore, the highest hazard rate of torsion occurred between 15 and 16 weeks' gestation with 60% of torsions occurring between 10 and 17 weeks' [18]. ]
    That is one of the reason I wished to know the period of pregnancy, to assign the code.
    .................................................. .........

    Within the two codes you suggested, for the emergency nonobstetrical cause to be ruled out:
    The code 76815 go for limited US-limited with respect to fetal and placental. It does not mention/specify about maternal structural evaluation. So I would stay away from this code.

    If the doctor's documentation is as "limted and for ovarian pathology for assessment AND didi not mention about any details of the fetal examination , then
    the code 76857 limited can be given a merit for the non committal route but as 'pelvic US" for a "suspected non ostetrical condition" as a quick look limited assessment of the pelvic organs like ovaries,paraovarian, adenexal or tubal pathology. Why not?
    It says (eg) follicles but can include any structure on the way, within the area of assessment.
    The description "limited and nonobsterical cause" , is all that is important here I feel to assign the code, with the avaialble info.
    BUT above all, better try to assign acode, getting more details of the pregnancy and the diagnosis.
    Thank you .i hope this is just a note to help.

  6. #6
    if only the ovaries are looked at on a pregnant person the it is 76815 limited U/S . The patient is pregnant and that is priority. I see this often as docs are verifiying an ectopic or whatever else is wrong but are not meeting the requirements of other u/s codes. Weeks of gestation only come into play when you are doing a more detailed U/S.
    hope this helps.

Similar Threads

  1. COMPLETE vs LIMITED pelvic ultrasound
    By Kimberley in forum Urology
    Replies: 0
    Last Post: 10-30-2014, 12:18 PM
  2. Echo Pelvic Limited vs Office Visit
    By vnorman in forum Billing/Reimbursement
    Replies: 0
    Last Post: 04-23-2014, 09:46 AM
  3. Pelvic ultrasound - complete vs limited
    By tristate in forum Interventional Radiology
    Replies: 3
    Last Post: 03-09-2009, 01:36 PM
  4. Complete pelvis US/transvaginal and limited pelvic US
    By Kimberley in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-05-2008, 11:27 AM
  5. Renal US/Limited pelvic US
    By Kimberley in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 08-12-2008, 10:36 AM

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.