2025 CPT code 76830
(Active) Effective Date: N/A Revision Date: N/A Radiology - Diagnostic Ultrasound Feed
Transvaginal ultrasound for non-obstetrical evaluation of the female pelvic organs.
Modifiers 26 (professional component) and TC (technical component) can be used with 76830 if appropriate. Modifier 52 may be used if the procedure is reduced. Other modifiers, like 53 or 76/77 might apply based on circumstance.
Medical necessity for 76830 must be established by documenting the patient's symptoms, signs, or relevant medical history that justifies the need for the transvaginal ultrasound examination. This ensures that the procedure is performed for a clinically valid reason.
The physician or a qualified technician performs the procedure, which includes applying conductive gel, inserting the transducer, and capturing the ultrasound images. The physician then interprets those images to assess any abnormalities of the pelvic region.
In simple words: A transvaginal ultrasound is a procedure where a small probe is inserted into the vagina to create images of the female reproductive organs, like the uterus and ovaries. It helps doctors diagnose problems not related to pregnancy.
This code represents a transvaginal ultrasound performed for diagnostic purposes to examine the female pelvic organs, excluding any obstetrical evaluations. The procedure involves inserting a transducer into the vagina to obtain images of the uterus, fallopian tubes, ovaries, cervix, and vagina. It's used to assess various conditions affecting these organs but not for monitoring pregnancy.
Example 1: A 40-year-old woman experiences irregular bleeding. A transvaginal ultrasound (76830) is performed to evaluate the endometrium for any abnormalities such as polyps or fibroids., A 25-year-old woman presents with pelvic pain. A transvaginal ultrasound (76830) is conducted to rule out ovarian cysts, ectopic pregnancy, or other pelvic pathologies., A patient is undergoing infertility evaluation. 76830 is used to assess the uterus and ovaries, to check for any structural abnormalities that may be contributing to infertility.
Documentation should include the indication for the exam, a detailed description of the ultrasound findings (including measurements when applicable), and the physician’s interpretation of those findings.
- Specialties:Obstetrics and Gynecology, Radiology, Urology (in specific cases)
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, and other outpatient settings