Ultrasound Question for the Week of August 1, 2016

Question:

Question:

What CPT code should be reported for ultrasound of the thyroid bed performed with mapping of the lymph nodes of the neck? Exams can be done pre- and post-thyroidectomy.

Answer:

Answer:

Report the following code:

76536 Ultrasound, soft tissues of head and neck (e.g., thyroid, parathyroid, parotid), real time with image documentation

If the exam is extensively greater than what you might typically use this code for, and you are doing professional fee billing, append modifier -22 (increased procedural service). If 3D post-processing is performed under concurrent supervision to produce the lymph node map and documented, add one of the following codes as appropriate.

76376 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation
76377 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation