2025 CPT code 76886
(Active) Effective Date: N/A Revision Date: N/A Radiology Procedures - Diagnostic Ultrasound Radiology Feed
Ultrasound of infant hips, real-time with imaging documentation; limited, static (not requiring physician manipulation).
Modifiers 26 (professional component only), TC (technical component only), RT (right hip), and LT (left hip) are applicable.
Medical necessity is established when there is clinical suspicion of developmental dysplasia of the hip (DDH), asymmetry in thigh folds, or other clinical findings suggesting hip pathology in infants.The ultrasound helps to rule out or confirm the presence of DDH or other hip conditions.
The clinical responsibility involves performing the ultrasound examination using a standard B-mode ultrasonic imager, applying gel to the transducer, and moving the transducer over the hip area to obtain images. Interpretation of the images and generation of a written report are also part of the clinical responsibility.
In simple words: This test uses sound waves to create pictures of a baby's hips.It's a quick and painless way to check for any problems with the hip joint. The images are saved, and a doctor writes a report explaining what they found.
This CPT code represents a limited, static ultrasound examination of an infant's hips, performed without physician manipulation.The procedure utilizes real-time, two-dimensional B-mode imaging to capture longitudinal, transverse, and oblique views of the hip joint.Permanently recorded images and a written report detailing the findings are required.This code is distinct from dynamic ultrasound examinations (requiring physician manipulation) that are coded separately.
Example 1: A newborn infant presents with a family history of developmental dysplasia of the hip (DDH). A static ultrasound of the hips is performed to assess for hip abnormalities., A 2-month-old infant displays asymmetry in the thigh folds during a routine examination. A limited ultrasound examination is performed to evaluate for DDH. , A 6-month-old infant is being monitored for potential hip dysplasia after a previous limited ultrasound.A repeat static ultrasound examination is performed to assess for improvement.
The documentation should include the patient's demographics, date of service, indication for the study, and a detailed description of the ultrasound findings, including measurements when applicable. Images of the hip joint should be permanently recorded and included in the report.
** Ultrasound guidance procedures, if performed in conjunction with this code, require separate coding and documentation.Color Doppler evaluation, when used solely for anatomical identification, is not separately reportable.
- Revenue Code: I3F (ECHOGRAPHY - OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC can be used to indicate that only the technical component of the service was performed.
- Specialties:Orthopedics, Radiology, Neonatology, Pediatrics
- Place of Service:Office, Hospital, Outpatient Clinic