CPT code 76817 is essential for gynecologic and early obstetric imaging, but confusion with abdominal codes (e.g., liver/gallbladder exams) can lead to claim denials. Here’s how to use 76817 accurately and avoid costly mistakes.
CPT 76817 describes a transvaginal ultrasound, where a probe is inserted into the vagina to obtain detailed pelvic images. It’s commonly used for:
Avoid mix-ups with these related codes:
Yes, if both exams are medically necessary and documented (e.g., Trans abdominal + transvaginal for ectopic pregnancy evaluation). Use modifier -59 if required.
CPT 76817 is critical for pelvic diagnostics, but confusion with abdominal codes like 76700 (liver/gallbladder) or 76801 (limited OB) risks denials. Always document the transvaginal approach, justify medical billing necessity, and follow payer guidelines. When in doubt, ask: “Was this exam internal (vaginal) or external (abdominal)?”
No—use 76700 (complete) or 76705 (limited) for abdominal organs.
No, but it’s rarely used in pediatric patients unless medically justified (e.g., congenital anomalies).
CPT 76830 is a Tran’s abdominal pelvic ultrasound—use 76817 for internal imaging.
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