CPT code for abdominal ultrasound with doppler is very essential in medical coding. In medical coding, we have separate cpt codes for each anatomic location. Further, we have CPT codes for number of view or complete/limited exams. Here, also we will learn how to code the CPT code 76700 for abdominal ultrasound with doppler. The CPT code for abdomen is a direct code for complete (CPT code 76700) and limited exam(CPT code 76705). 

The coding for abdomen ultrasound depends on the number of organs studied. It happens we code Doppler exam with ultrasound abdomen. We have separate code for limited and complete exam for Doppler as well. The general signs and symptoms for abdomen ultrasound are abdominal pain , nausea , vomiting, diarrhea etc.

CPT code 76700 for abdominal ultrasound with Doppler

How to reach out to CPT code 7600 for abdominal ultrasound

We have two CPT code for abdominal ultrasound, 76700 and 76705. The complete ultrasound of abdomen is codes 76700. The complete ultrasound of abdomen will include eight organs. The eight organs include gallbladder, common bile duct (CBD), liver, pancreas, spleen, inferior vena cava (IVC), aorta and two kidneys. When the exam is complete, we will have documentation of all the eight organs.

This complete ultrasound exam of abdomen leads to CPT code 76700. Abdomen is divided into four quadrants. Four quadrants are right upper quadrant (RUQ), left upper quadrant (LUQ), right lower quadrant (RLQ) and left lower quadrant (LLQ). When the exams is limited to only one organ or quadrant of abdomen will lead to limited cpt code 76705. Since, we are limited the exam to only one organ or quadrant we will code ultrasound limited exam code. So, in short we are using following CPT codes for ultrasound abdomen

76700- Complete ultrasound of abdomen
76705- Limited Ultrasound of abdomen

cpt code for abdominal ultrasound with doppler
Eight organs of abdomen

Sometimes, the physician while performing the limited exam, he can perform complete ultrasound exam of abdomen. However, we are not allowed to code for complete exam even if eight organs are not documented. This kind of coding is up coding. If we code complete ultrasound of abdomen, we are billing more.

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Use CPT code 76700 for abdominal ultrasound with Doppler

Doppler is also refer as duplex in medical coding. The Doppler exam is generally performed on the vascular portion of abdomen area. The arterial and venous structure is examined while performing Doppler exam. Hence, while coding the CPT code for abdominal ultrasound with Doppler we have to check for finding of both ultrasound as well as Doppler exam. If both the exam is done, we have to code as per their both RVU value and dollar value. The Doppler exam generally includes the real time ultrasound exam. Therefore, while coding the cpt for Doppler and ultrasound we have CCI edit between them.

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CCI edit between CPT code for ultrasound abdominal and Doppler exam

When we are coding CPT code for both ultrasound abdomen and Doppler ultrasound, we have CCI edit between them. Since, we know the ultrasound exam includes in the Doppler exam cpt code, we should use modifier to bill both Cpt. We can code both ultrasound and Doppler exam performed only with supported documentation.

If the exam says the Doppler exam was performed with ultrasound abdomen without any finding documented for Doppler we cannot code Doppler CPT code. The document should mention about arterial and venous finding with spectral waveform recording. Then only we can go ahead and code Doppler CPT code. The following CPT codes are used for Doppler or duplex exam for abdomen region.

93975– Duplex exam for abdominal arterial inflow and venous outflow, complete
93976 – Duplex exam for abdominal arterial inflow and venous outflow, limited

93980 – Duplex scan of arterial inflow and venous outflow of penile vessels; complete study

93981 – Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study

Now, when are having CCI edit between Doppler codes and ultrasound abdomen CPT Code 76700 and 76705, we use modifier 59 with ultrasound CPT Codes. Modifier 59 is used for distinct procedures. The ultrasound, which is included with Doppler exam, should not be code with Doppler exam. However, we have an ultrasound procedure performed separately with Doppler with supporting documentation we have to code them together. When we bill them together without a 59 modifier, ultrasound abdomen CPT Code will not be paid. The simple reason is that ultrasound abdomen is included with Doppler. However, when we code ultrasound abdomen with 59 modifier along with Doppler exam CPT Code, both the procedures are paid. The simple reason is that modifier 59 with ultrasound abdomen modifies the code as distinct procedure. The distinct procedure helps in the showing the procedure was performed separately and not included with Doppler exam. Hence, both procedures are paid. Therefore, we have to report with both ultrasound abdomen and Doppler exam with supported documentation we will CPT code 93975/93976 with 76700/76705 with 59 modifier.

Related ultrasound CPT codes in Radiology

76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete

Pelvic ultrasound codes are used for both female and male anatomy.

Elements of a complete female pelvic examination include a description and measurement of the uterus and adnexal structures, endometrium, bladder, and of any pelvic pathology (eg, ovarian cysts, uterine leiomyomata, free pelvic fluid).

Elements of a complete male pelvic examination include the evaluation and measurement (when applicable) of the urinary bladder, prostate, and seminal vesicles to the extent they are visualized transabdominally, and any pelvic pathology (eg, bladder tumor, enlarged prostate, free pelvic fluid, pelvic abscess).

76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (ie, for follicles)

This “limited” CPT code covers a focused examination in the assessment of 1 or more elements listed in the “complete” pelvic ultrasound CPT code 76856. Use this code if an ultrasound of the bladder only is performed but not to obtain a post voiding residual urine only. It also covers the reevaluation of 1 or more pelvic abnormalities previously demonstrated on ultrasound. A separate written report should be dictated and included in the patient’s medical chart.

This code should be selected if the urinary bladder alone (not including the kidneys) is imaged (real time). Do not use CPT code 76770. If post-voiding residual urine is obtained and the imaging of the bladder is obtained but not medically necessary, use CPT code 51798 instead.

ICD 10 diagnosis covered for CPT code 76700

R10.11

Right upper quadrant pain

R94.5

Abnormal results of liver function studies

 R78.71

Abnormal lead level in blood

R79.89

Other specified abnormal findings of blood chemistry

R79.9

Abnormal finding of blood chemistry, unspecified

R10.13

Epigastric pain

R10.12

Left upper quadrant pain

R11.0

Nausea

K75.81

Nonalcoholic steatohepatitis (NASH)

K76.0

Fatty (change of) liver, not elsewhere classified

K76.89

Other specified diseases of liver

R74.8

Abnormal levels of other serum enzymes

R74.9

Abnormal serum enzyme level, unspecified

R11.2

Nausea with vomiting, unspecified

N18.3

Chronic kidney disease, stage 3 (moderate)

R19.06

Epigastric swelling, mass or lump

R10.33

Periumbilical pain

R14.0

Abdominal distension (gaseous)

R14.3

Flatulence

N15.9

Renal tubulo-interstitial disease, unspecified

R17

Unspecified jaundice

R16.1

Splenomegaly, not elsewhere classified

R16.2

Hepatomegaly with splenomegaly, not elsewhere classified

R19.02

Left upper quadrant abdominal swelling, mass and lump

K80.20

Calculus of gallbladder without cholecystitis without obstruction

K80.80

Other cholelithiasis without obstruction

R19.01

Right upper quadrant abdominal swelling, mass and lump

R93.5

Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum

R11.10

Vomiting, unspecified

R11.11

Vomiting without nausea

R11.12

Projectile vomiting

R10.811

Right upper quadrant abdominal tenderness

R10.821

Right upper quadrant rebound abdominal tenderness

R74.0

Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]

B18.2

Chronic viral hepatitis C

FREE CEUs

R16.0

Hepatomegaly, not elsewhere classified

K76.5

Hepatic veno-occlusive disease

K77

Liver disorders in diseases classified elsewhere

K81.9

Cholecystitis, unspecified

R19.05

Periumbilic swelling, mass or lump

R18.8

Other ascites

R77.8

Other specified abnormalities of plasma proteins

R77.9

Abnormality of plasma protein, unspecified

D64.9

Anemia, unspecified

G93.3

Postviral fatigue syndrome

R53.0

Neoplastic (malignant) related fatigue

R53.1

Weakness

R53.81

Other malaise

R53.83

Other fatigue

R59.0

Localized enlarged lymph nodes

R59.1

Generalized enlarged lymph nodes

R59.9

Enlarged lymph nodes, unspecified

R10.83

Colic

B17.10

Acute hepatitis C without hepatic coma

K40.90

Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

K74.0

Hepatic fibrosis

K74.60

Unspecified cirrhosis of liver

K74.69

Other cirrhosis of liver

K52.2

Allergic and dietetic gastroenteritis and colitis

K52.89

Other specified noninfective gastroenteritis and colitis

R19.7

Diarrhea, unspecified

R10.816

Epigastric abdominal tenderness

R10.826

Epigastric rebound abdominal tenderness

D18.03

Hemangioma of intra-abdominal structures

D37.6

Neoplasm of uncertain behavior of liver, gallbladder and bile ducts

D69.6

Thrombocytopenia, unspecified

K21.9

Gastro-esophageal reflux disease without esophagitis

K59.00

Constipation, unspecified

K75.0

Abscess of liver

K76.9

Liver disease, unspecified

K80.31

Calculus of bile duct with cholangitis, unspecified, with obstruction

K80.33

Calculus of bile duct with acute cholangitis with obstruction

K80.35

Calculus of bile duct with chronic cholangitis with obstruction

K80.37

Calculus of bile duct with acute and chronic cholangitis with obstruction

K80.51

Calculus of bile duct without cholangitis or cholecystitis with obstruction

K82.4

Cholesterolosis of gallbladder

K85.1

Biliary acute pancreatitis

K85.2

Alcohol induced acute pancreatitis

K85.3

Drug induced acute pancreatitis

K85.8

Other acute pancreatitis

K85.9

Acute pancreatitis, unspecified

M79.3

Panniculitis, unspecified

R63.5

Abnormal weight gain

R63.4

Abnormal weight loss

R19.8

Other specified symptoms and signs involving the digestive system and abdomen

R76.0

Raised antibody titer

R76.8

Other specified abnormal immunological findings in serum

R76.9

Abnormal immunological finding in serum, unspecified

R10.819

Abdominal tenderness, unspecified site

R10.829

Rebound abdominal tenderness, unspecified site

R10.812

Left upper quadrant abdominal tenderness

R10.822

Left upper quadrant rebound abdominal tenderness

R10.813

Right lower quadrant abdominal tenderness

R10.823

Right lower quadrant rebound abdominal tenderness

R10.815

Periumbilic abdominal tenderness

R10.825

Periumbilic rebound abdominal tenderness

R10.817

Generalized abdominal tenderness

R10.827

Generalized rebound abdominal tenderness

 

ICD 10 diagnosis covered for CPT code 93975

I70.0 Atherosclerosis of aorta

R09.89 Other spec symptoms and signs involving the circulatory and respiratory systems

I10 Essential (primary) hypertension

I71.4 Abdominal aortic aneurysm, without rupture

N17.9 Acute kidney failure, unspecified

N19 Unspecified kidney failure

N18.3 Chronic kidney disease, stage 3 (moderate)

I70.1 Atherosclerosis of renal artery

N27.0 Small kidney, unilateral

I13.10 Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

I70.8 Atherosclerosis of other arteries

N28.0 Ischemia and infarction of kidney

N27.1 Small kidney, bilateral

 

Hope, now you can code the CPT code 76700 for abdominal ultrasound with Doppler exam after reading this article. If you like the article please share it.