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2025 CPT code 76975

Gastrointestinal endoscopic ultrasound, supervision and interpretation.

All diagnostic ultrasound examinations require permanently recorded images with measurements, when such measurements are clinically indicated. For those codes whose sole diagnostic goal is a biometric measure (ie, 76514, 76516, and 76519), permanently recorded images are not required. A final, written report should be issued for inclusion in the patient's medical record. The prescription form for the intraocular lens satisfies the written report requirement for 76519. For those anatomic regions that have "complete" and "limited" ultrasound codes, note the elements that comprise a "complete" exam. The report should contain a description of these elements or the reason that an element could not be visualized (eg, obscured by bowel gas, surgically absent). If less than the required elements for a "complete" exam are reported (eg, limited number of organs or limited portion of region evaluated), the "limited" code for that anatomic region should be used once per patient exam session. A "limited" exam of an anatomic region should not be reported for the same exam session as a "complete" exam of that same region. Evaluation of vascular structures using both color and spectral Doppler is separately reportable. To report, see Noninvasive Vascular Diagnostic Studies (93880-93990). However, color Doppler alone, when performed for anatomic structure identification in conjunction with a real-time ultrasound examination, is not reported separately. Ultrasound guidance procedures also require permanently recorded images of the site to be localized, as well as a documented description of the localization process, either separately or within the report of the procedure for which the guidance is utilized. Use of ultrasound, without thorough evaluation of organ(s) or anatomic region, image documentation, and final, written report, is not separately reportable.

Modifiers 26 (Professional Component) and TC (Technical Component) may be applicable. Modifier 52 (Reduced Services) may be used if the service is reduced or discontinued. Other modifiers may apply depending on the specific circumstances.

Medical necessity must be established for all diagnostic procedures. The documentation should clearly support the reason for the endoscopic ultrasound and how the results will impact the patient's treatment plan.

In simple words: This procedure uses a special endoscope with an ultrasound probe on the end to examine the digestive tract. The doctor guides the scope through the mouth or other opening to view internal organs on a monitor. This helps diagnose conditions like cancer or other abnormalities.

This code represents the physician's supervision and interpretation of images obtained during a gastrointestinal endoscopic ultrasound. An endoscopic ultrasound scope, which combines an endoscope with an ultrasound transducer, is advanced through the gastrointestinal tract to obtain images from within the lumen. This allows for detailed visualization and assessment of the GI tract and adjacent structures.

Example 1: A patient presents with difficulty swallowing and weight loss. An endoscopic ultrasound is performed to evaluate the esophagus and surrounding tissues for potential tumors or strictures., A patient with a history of pancreatic cancer undergoes an endoscopic ultrasound to assess for local recurrence or metastasis., A patient with abdominal pain and suspected choledocholithiasis undergoes an endoscopic ultrasound to visualize the biliary system and identify any blockages.

Documentation should include a detailed report of the procedure, including the indication, the areas examined, the findings (including measurements when applicable), and any relevant images. If a "limited" exam is performed, the reason for the limited scope should be documented.

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