How To Use CPT Code 76010

CPT 76010 describes the radiologic examination of a child’s gastrointestinal tract from the nose to the rectum to detect a foreign body. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 76010?

CPT 76010 can be used to describe the radiologic examination of a child’s gastrointestinal tract from the nose to the rectum to detect a foreign body. This code is used when a single image is taken to visualize the entire gastrointestinal tract in order to locate any foreign objects that the child may have ingested.

2. Official Description

The official description of CPT code 76010 is: ‘Radiologic examination from nose to rectum for foreign body, single view, child.’

3. Procedure

1. The provider takes a single image of the child’s gastrointestinal tract from the nose to the rectum using radiographic techniques.
2. This procedure helps to locate any foreign bodies that the child may have ingested.

4. Qualifying circumstances

CPT 76010 is used when a child requires a radiologic examination of their gastrointestinal tract to detect a foreign body. This procedure is typically performed when there is a suspicion that the child has ingested an object that may be causing harm or discomfort. It is important to note that this code specifically applies to children.

5. When to use CPT code 76010

CPT code 76010 should be used when a radiologic examination of a child’s gastrointestinal tract is necessary to detect a foreign body. It is important to ensure that the procedure is performed on a child and not an adult, as this code is specific to pediatric patients.

6. Documentation requirements

To support a claim for CPT 76010, the provider must document the following information:

• A clear description of the radiologic examination performed
• The specific views taken during the procedure
• The patient’s age and indication for the examination
• The presence or absence of any foreign bodies detected
• The provider’s interpretation of the radiographic image
• Any additional findings or observations

7. Billing guidelines

When billing for CPT 76010, ensure that the procedure is performed on a child and not an adult. It is important to accurately document the details of the examination and any findings in order to support the claim. If only the physician’s interpretation is being reported, append modifier 26 to the radiology code. If only the technical component is being reported, append modifier TC to the radiology code. However, be aware that payer policies may exempt hospitals from appending modifier TC. If both the professional and technical components are rendered by the same provider, do not append any modifiers to the radiology code.

8. Historical information

CPT 76010 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A child undergoes a radiologic examination from the nose to the rectum to detect a foreign body that they may have ingested.
2. A provider takes a single image of a child’s gastrointestinal tract to locate a foreign object that may be causing discomfort.
3. A radiologic examination is performed on a child to visualize their entire gastrointestinal tract and identify any foreign bodies.
4. A child is suspected of ingesting a foreign object, and a radiologic examination is performed to confirm its presence.
5. A provider uses radiographic techniques to image a child’s gastrointestinal tract and detect any foreign bodies that may be present.
6. A child undergoes a radiologic examination from the nose to the rectum to ensure there are no foreign objects in their gastrointestinal tract.
7. A provider performs a radiologic examination on a child to locate and remove a foreign body that they may have ingested.
8. A child is brought in for a radiologic examination to determine if they have swallowed a foreign object.
9. A provider takes a single image of a child’s gastrointestinal tract to identify any foreign bodies that may be causing symptoms.
10. A radiologic examination is performed on a child to rule out the presence of any foreign objects in their gastrointestinal tract.