2025 CPT code 76975
Effective Date: N/A Radiology - Diagnostic Ultrasound Feed
Gastrointestinal endoscopic ultrasound, supervision and interpretation.
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.
- Specialties:Gastroenterology, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center