How To Use CPT Code 76885

CPT 76885 describes the procedure for performing an ultrasound examination of the hips of an infant while manipulating the patient’s leg and hips during the test. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 76885?

CPT 76885 can be used to describe the ultrasound examination of an infant’s hips while the provider manipulates the patient’s leg and hips during the procedure. This test is performed to detect any abnormalities in the hip, such as developmental dysplasia of the hip (DDH).

2. Official Description

The official description of CPT code 76885 is: ‘Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)’

3. Procedure

1. The provider performs an ultrasound examination of the infant’s hips using a standard B mode ultrasonic imager.
2. The provider manipulates the patient’s leg and hips during the procedure to obtain dynamic images of the hip.
3. Gel is applied to the ultrasound transducer head, which is then placed on the hip.
4. The provider slowly moves the transducer over the area, allowing the sound waves to pass through the tissues and create real-time, two-dimensional images of the hip.

4. Qualifying circumstances

CPT 76885 is used when the provider performs a dynamic ultrasound examination of an infant’s hips, requiring manipulation of the leg and hips during the procedure. This code is typically used to evaluate the hips for developmental dysplasia of the hip (DDH).

5. When to use CPT code 76885

CPT code 76885 should be used when the provider performs a real-time ultrasound examination of an infant’s hips, with manipulation of the leg and hips during the procedure. This code is appropriate for evaluating the hips for developmental dysplasia of the hip (DDH) or any other abnormalities.

6. Documentation requirements

To support a claim for CPT 76885, the provider must document the following information:

• Indication for the ultrasound examination
• Details of the manipulation performed during the procedure
• Date and time of the procedure
• Images obtained during the examination
• Interpretation of the images, if applicable
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 76885, ensure that the provider performs a dynamic ultrasound examination of the infant’s hips with manipulation. This code should not be reported with other codes unless the provider performs a limited static ultrasound of the hip, in which case CPT code 76886 should be used. Modifier 26 should be appended to the radiology code if reporting only the physician’s interpretation, and modifier TC should be appended if reporting only the technical component. However, payer policies may exempt hospitals from appending modifier TC.

8. Historical information

CPT 76885 was added to the Current Procedural Terminology system on January 1, 1998. The code has undergone changes in 2002 and 2013, with updates to the description and terminology used.

9. Examples

1. A provider performs a dynamic ultrasound examination of an infant’s hips, manipulating the leg and hips during the procedure to evaluate for developmental dysplasia of the hip (DDH).
2. During an ultrasound examination of an infant’s hips, the provider manipulates the patient’s leg and hips to obtain real-time images and assess for any abnormalities.
3. A provider performs a dynamic ultrasound examination of an infant’s hips, with manipulation, to evaluate for hip dysplasia.
4. During an ultrasound examination of an infant’s hips, the provider manipulates the leg and hips to assess for any abnormalities or dislocations.
5. A provider performs a real-time ultrasound examination of an infant’s hips, manipulating the leg and hips during the procedure to detect any developmental dysplasia of the hip (DDH).
6. During an ultrasound examination of an infant’s hips, the provider performs manipulation of the leg and hips to obtain dynamic images and evaluate for any abnormalities.
7. A provider performs a dynamic ultrasound examination of an infant’s hips, manipulating the leg and hips during the procedure to assess for hip dysplasia.
8. During an ultrasound examination of an infant’s hips, the provider manipulates the patient’s leg and hips to evaluate for any abnormalities or dislocations.
9. A provider performs a real-time ultrasound examination of an infant’s hips, with manipulation, to detect any developmental dysplasia of the hip (DDH).
10. During an ultrasound examination of an infant’s hips, the provider performs manipulation of the leg and hips to obtain dynamic images and assess for any abnormalities.