cpt 76805, cpt code 76805, 76805 cpt code

CPT 76805 | Ultrasound Procedure For Fetal & Maternal Evaluation

CPT code 76805 refers to an ultrasound procedure used to examine a fetus’s development and assess the mother’s health, performed after the first trimester of pregnancy.

What Is CPT Code 76805?

CPT code 76805 is a medical code that refers to an ultrasound procedure used to examine a fetus’s development and assess the mother’s health.

During the procedure, the provider uses an ultrasound machine to create images of the fetus and female pelvic structures by emitting high-frequency sound waves that pass through the mother’s abdomen and reflect the device.

To perform the ultrasound, the provider applies gel to the ultrasound transducer and places it on the patient’s abdomen, moving it slowly to transmit the sound waves.

This procedure is typically performed after the first trimester of pregnancy, around 14 weeks, using a transabdominal approach, meaning the transducer is placed on the abdomen. It may be performed for single or multiple gestations.

Description

The CPT book describes CPT code 76805 as: “Ultrasound, pregnant uterus, real-time with image documentation, fetal and maternal evaluation, after the first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation.”

Procedure

A pregnancy ultrasound is an imaging test in which an ultrasound machine obtains images using ultrasound waves to examine the development of a fetus in the womb. Ultrasound waves are high-frequency sound waves that pass through tissues of different densities and reflect the receiving unit.

The provider also uses ultrasound in this service to examine the female pelvic organs. An ultrasound of the pregnant uterus after the first trimester is essential to monitor the growth and development of the fetus.

In this procedure, the provider applies gel to the ultrasound transducer head and places it on the patient’s abdomen. The provider then slowly moves the transducer over the mother’s abdomen. 

Ultrasound waves transmit into the uterus and reflect the receiving unit, which receives these waves in images of the developing fetus and female pelvic structures.

How To Use CPT 76805

CPT code 76805 for an ultrasound examination of the developing fetus and mother after 14 weeks of pregnancy.

Add-on code CPT 76810 may be used for each additional gestational sac or fetus after the first trimester.

CPT code 76801 may be used for a transabdominal ultrasound during the first trimester for a single or first fetus.

CPT code 76811 may be used for a transabdominal ultrasound for fetal and maternal evaluation with additional analysis of fetal anatomy.

CPT code 76813 may be used for a transabdominal or transvaginal ultrasound to measure fetal nuchal translucency.

CPT code 76815 may be used for a limited ultrasound of the pregnant uterus to examine specific parameters.

CPT code 76816 may be used for a transabdominal ultrasound for a follow-up study of standard fetal growth parameters after an abnormal or suspect finding.

CPT code 76817 may be used for a transvaginal ultrasound to study the fetus during pregnancy.

Modifiers may be appended to these codes to indicate whether the service includes:

  • Only the professional component (modifier 26).
  • Only the technical component (modifier TC).
  • Both the professional and technical components (global service).

However, payer policy may exempt hospitals from using modifier TC for technical component services.

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