How To Use CPT Code 76975

CPT 76975 describes the supervision and interpretation of gastrointestinal endoscopic ultrasound procedures. 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 76975?

CPT 76975 can be used to describe the supervision and interpretation services provided by a healthcare provider during a gastrointestinal endoscopic ultrasound procedure. This code is used when the provider uses an endoscopic ultrasound scope to examine the gastrointestinal tract and obtain images to determine the extent and depth of cancer or other conditions.

2. Official Description

The official description of CPT code 76975 is: ‘Gastrointestinal endoscopic ultrasound, supervision and interpretation.’

3. Procedure

1. The provider passes an endoscopic ultrasound scope into the mouth and advances it to the duodenum.
2. Using the ultrasound scope, the provider examines the gastrointestinal tract and obtains images to determine the extent and depth of cancer or other conditions.

4. Qualifying circumstances

Patients eligible to receive CPT 76975 services are those who require a gastrointestinal endoscopic ultrasound procedure to diagnose or manage their condition. The provider must perform the supervision and interpretation of the procedure using an endoscopic ultrasound scope.

5. When to use CPT code 76975

CPT code 76975 should be used when a healthcare provider performs the supervision and interpretation of a gastrointestinal endoscopic ultrasound procedure. It should not be reported in conjunction with certain other codes, as specified in the notes.

6. Documentation requirements

To support a claim for CPT 76975, the provider must document the following information:

• Details of the gastrointestinal endoscopic ultrasound procedure
• Extent and depth of cancer or other conditions determined from the images obtained
• Signature of the provider who performed the supervision and interpretation

7. Billing guidelines

When billing for CPT 76975, ensure that the provider performs the supervision and interpretation of a gastrointestinal endoscopic ultrasound procedure using an endoscopic ultrasound scope. Be aware of the specific codes that should not be reported in conjunction with CPT 76975. Use the appropriate modifiers if necessary.

8. Historical information

CPT 76975 was added to the Current Procedural Terminology system on January 1, 1994, with a code change on January 1, 2001. There have been no further updates to the code since then.

9. Examples

1. A gastroenterologist performing the supervision and interpretation of a gastrointestinal endoscopic ultrasound procedure to determine the extent of a pancreatic tumor.
2. An oncologist overseeing the examination of the gastrointestinal tract using an endoscopic ultrasound scope to assess the depth of colorectal cancer.
3. A surgeon interpreting the images obtained from a gastrointestinal endoscopic ultrasound procedure to guide the surgical management of esophageal cancer.
4. A radiologist supervising the examination of the gastrointestinal tract using an endoscopic ultrasound scope to evaluate the extent of liver metastases.
5. A gastroenterologist interpreting the images obtained from a gastrointestinal endoscopic ultrasound procedure to assess the depth of gastric cancer.
6. A physician performing the supervision and interpretation of a gastrointestinal endoscopic ultrasound procedure to determine the extent of a submucosal tumor in the small intestine.
7. An interventional radiologist overseeing the examination of the gastrointestinal tract using an endoscopic ultrasound scope to guide the placement of a drainage catheter for a pancreatic pseudocyst.
8. A gastroenterologist interpreting the images obtained from a gastrointestinal endoscopic ultrasound procedure to assess the depth of a rectal tumor.
9. A surgeon performing the supervision and interpretation of a gastrointestinal endoscopic ultrasound procedure to determine the extent of a bile duct obstruction.
10. An oncologist overseeing the examination of the gastrointestinal tract using an endoscopic ultrasound scope to assess the depth of a gastric lymphoma.