Basics about Hysterosalpingogram Cpt Code

Hysterosalpingogram or hsg scan is an x-ray study inside of the uterus and fallopian tubes. During this procedure a dye is injected through the vagina and into the uterus. The dye flows both into uterus and fallopian tubes. Images are obtained using fluoroscopy.  The image helps in finding any abnormality in the uterus or fallopian tubes. Uterus x ray exam in done especially on women who are having hard time to become pregnant. Hence, this exam also helps in finding any blockage which is preventing the egg moving from the fallopian tube to the uterus. The obstruction can prevent the sperm from joining with the egg and fertilizing it. We are here to learn Hysterosalpingogram Cpt Code used in interventional radiology coding. This CPT code is used frequently for patient coming with female infertility. Below are the Hysterosalpingogram Cpt Code used for studying uterus and fallopian tubes.


Awesome tips to code Hysterosalpingogram Cpt Code

58340Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography

76831Saline infusion sonohysterography (SIS), including color flow doppler, when performed

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74740Hysterosalpingography, radiological supervision and interpretation

The first primary code is always 58340 for Injection procedure coded with secondary Sonohysterography or Hysterosalpingogram Cpt Code. But, the secondary CPT code depends on the either hysterosonography (76831) or hysterosalphingography (74740). Hysterosonography or hsg exam uses ultrasound while hysterosalphingography uses fluoroscopy to take images for study.

Read also: Best coding Guide for  Twin pregnancy

Diagnosis related to Hsg scan Cpt Code

Hysterosalpingogram Cpt Code is always coded with diagnosis causing a blockage in uterus or diagnosis related to female infertility. The other problems which lead to perform hysterosalphingography are problems in uterus like polyps, fibroid, adhesions, abnormal shape or structure etc. So, next time you see a physician performing hysterosalphingography do check to search for these diagnosis in the report. These are the most common diagnosis found along Hysterosalpingogram Cpt Code.

Do and Don’t Hysterosalpingogram Cpt Code

Never code a Hysterosonograhpy code 76831 when the exam is performed under fluoroscopy i.e. hysterosalphingography 74740.

Do code supervision and interpretation code 74740, which is always performed with Hysterosalphingogram CPT Code.

Do not code hysterosonography 76831 and hysterosalphingogram S&I code 74740 together unless the documentation support.

Hope you would have understood how to use Hysterosalphingogram cpt code in IVR procedures. If you would have liked it do share it.