An “ultrasound abdomen complete” (76700) is ordered with the indication of “Abdominal pain, evaluate for Umbilical Hernia.” The hernia images are not included in our protocol of abdomen complete, but we are adding them anyway. Should we be adding an abdominal limited code, one quadrant (76705), along with the abdomen complete code 76700, or does the
complete include an evaluation of hernia?
Our radiologist interpreted a right upper and lower quadrant (RUQ and RLQ) ultrasound ordered by the ER physician. The spleen was not examined so we cannot assign code 76700. Is it appropriate to code 76705 twice and add a 59 modifier to the second one?
It’s no secret that many CPT® codes for ultrasounds make a distinction between a ‘limited’ exam and a ‘complete’ exam. From a coding standpoint, it’s made fairly clear that in order to report a complete exam, all required components for the complete exam must be imaged and documented.