2025 CPT code 76705
(Active) Effective Date: N/A Revision Date: N/A Radiology - Diagnostic Ultrasound Procedures Radiology Feed
Limited abdominal ultrasound with real-time image documentation; single organ, quadrant, or follow-up.
Modifiers 26 (professional component only) and TC (technical component only) may be applicable depending on who performs the interpretation and the technical aspects of the examination.Other modifiers may be used as clinically indicated.
Medical necessity is established when there is a clinical indication for evaluating a specific abdominal organ or region due to symptoms, prior findings, or monitoring of a known condition. The documentation must support the clinical need for the limited examination.
The physician or qualified ultrasound technician performs the examination, acquiring and interpreting the images. A radiologist may review the images and provide a formal interpretation, depending on facility protocols.
In simple words: This code covers a focused abdominal ultrasound. The doctor uses sound waves to create pictures of a specific part of your abdomen (like one organ or a section) or to check on something previously seen.The images and a written report are kept in your medical file.
This CPT code encompasses a diagnostic abdominal ultrasound examination using real-time imaging and image documentation.The examination is limited in scope, focusing on a single organ, a specific abdominal quadrant, or serves as a follow-up study.The procedure involves the use of high-frequency sound waves to create images of the targeted abdominal area.A written report detailing the findings is required.
Example 1: A patient presents with right flank pain. A limited ultrasound of the right kidney is performed to assess for pathology., A patient with a known liver mass undergoes a follow-up ultrasound to monitor the size and characteristics of the mass., A patient presents with abdominal discomfort. A limited ultrasound of the gallbladder is performed to evaluate for gallstones or other abnormalities.
* Physician order specifying the reason for the examination.* Images clearly depicting the specific region or organ examined.* Measurements, if clinically significant.* A detailed written report interpreting the images and correlating with the clinical indication.
** If the examination extends beyond the scope of a limited abdominal ultrasound, code 76700 (complete abdominal ultrasound) may be more appropriate.Always refer to the most current CPT codebook and guidelines for the most accurate coding practices.
- Revenue Code: 0360, 0361 (Examples; specific revenue codes vary by payer)
- RVU: The RVUs for this code vary by geographic location and payer.Consult your local fee schedule for the most accurate information.
- Global Days: Not applicable; this is a diagnostic ultrasound, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be appended if only the technical component is billed.
- Fee Schedule: Fee schedules vary by payer and geographic location.Historical fee data is available through various sources, but it is not consistently provided within this response.
- Specialties:General Surgery, Gastroenterology, Urology, Internal Medicine
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Urgent Care Facility