CPT code 76857 refers to a medical test that involves using sound waves to create images of the pelvic area. This procedure is limited, meaning it’s focused on a specific area or issue, and it includes real-time imaging and documentation. CPT 76857 represents “Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles).”
Procedure Explanation:
This procedure is a type of ultrasound scan specifically aimed at examining parts of the pelvic region, but not related to pregnancy. The term “limited” indicates that the scan targets a particular part or issue, such as checking the reproductive organs or monitoring any changes. What’s included is capturing images during the scan and documenting these findings. It does not cover a full check of the whole pelvic area, which would be a comprehensive ultrasound.
Common Names:
- Pelvic Ultrasound
- Pelvic Sonogram
- Limited Pelvic Scan
Relative Value Units (RVU):
The RVUs associated with this code are 0.5.
How This Procedure Appears:
- Operating Room Schedule Name: Limited Pelvic Ultrasound
- Surgical Consent Form Name: Ultrasound Examination of the Pelvis
Typical Patients and Diagnoses:
This procedure is often performed for women who need a closer look at specific parts of their pelvic area, such as their ovaries or uterus. For example, it may be used to track the development of follicles in the ovaries, check for cysts, or investigate any pelvic pain. Typically, patients experiencing symptoms like unexplained pelvic discomfort or suspected reproductive issues may undergo this ultrasound.
Associated ICD-10 Codes:
- N83.0: Represents ovarian cysts, which are fluid-filled sacs in the ovary that can cause pain or affect fertility.
- N94.6: Refers to dysmenorrhea, or painful periods, which sometimes necessitate further exploration through imaging like this ultrasound.
- N97.9: Indicates female infertility, a condition that this limited ultrasound might help to investigate by examining reproductive organs.
Summary
In summary, code 76857 describes a focused ultrasound examination of the pelvis, intended for situations that require looking at specific areas or issues rather than a full assessment. Typical ICD-10 codes associated with 76857 include N83.0 (Ovarian Cysts) and N94.6 (Painful Periods).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.