2025 CPT code 76941

Ultrasound guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation.

According to CPT guidelines, permanently recorded images with measurements are required for all diagnostic ultrasound examinations, except for those whose sole diagnostic goal is a biometric measure.A final written report should be issued for inclusion in the patient's medical record.

Modifiers 26 (professional component) and TC (technical component) can be used to report the professional and technical components of the service separately. Modifier 52 can be used to indicate reduced services.

Medical necessity for this code is established by the medical necessity of the underlying procedure (fetal transfusion or cordocentesis).The use of ultrasound guidance is considered standard practice for these procedures to ensure accuracy and minimize risk.

The physician supervising and interpreting the ultrasound guidance is responsible for ensuring the safe and accurate placement of the needle during the procedure.They must document the localization process and provide a final written report.

IMPORTANT For the procedures themselves, see 36460 (intrauterine fetal transfusion) and 59012 (cordocentesis).

In simple words: The doctor uses ultrasound to guide a needle into the mother's womb during a fetal transfusion (giving blood to the baby) or cordocentesis (taking a blood sample from the baby's umbilical cord). This code covers the doctor's work in using the ultrasound to make sure the needle goes to the right place.Other doctors will bill separately for actually performing the transfusion or taking the blood sample.

This code represents the radiological supervision and interpretation of ultrasound guidance for either intrauterine fetal transfusion or cordocentesis.It involves real-time ultrasound imaging to guide the needle placement and monitor the procedure. The physician providing the imaging supervision and interpretation reports this code. The procedures themselves, intrauterine fetal transfusion (36460) and cordocentesis (59012), are reported separately.

Example 1: A fetus is diagnosed with severe anemia.An intrauterine fetal transfusion is required, and ultrasound guidance is used to direct the needle into the umbilical vein for the transfusion. The radiologist monitors the procedure via ultrasound and interprets the images, reporting 76941. The physician performing the transfusion reports 36460., A pregnant woman has an Rh incompatibility with her fetus.Cordocentesis is performed to assess the severity of fetal anemia. Ultrasound guidance is utilized to ensure accurate needle placement into the umbilical cord.The radiologist supervising and interpreting the ultrasound reports 76941. The physician performing the cordocentesis reports 59012., A fetus is suspected of having a genetic abnormality.Cordocentesis is performed under ultrasound guidance to obtain a fetal blood sample for genetic testing. The radiologist uses ultrasound to guide the needle and reports 76941 for the supervision and interpretation. The physician performing the cordocentesis reports 59012.

Documentation should include a detailed report of the ultrasound guidance, including the location of the needle placement, the visualization of relevant structures, and any difficulties encountered.A final written report summarizing the procedure and findings should be included in the patient's medical record.The report for the procedure itself (36460 or 59012) will be documented separately by the performing physician.

  • Payment Status: Active
  • Modifier TC rule: Modifier TC can be applied if only the technical component of the service was provided.
  • Specialties:Radiology, Maternal-Fetal Medicine, Obstetrics and Gynecology
  • Place of Service:Inpatient Hospital, Outpatient Hospital
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