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Which Ultrasound Code Is Best for Bladder Volume?

Posted on 26. Dec, 2008 by in Coding Challenge, Hot Coding Topics




Question: A urologist wants to bill for an ultrasound on the bladder to check volume, done in a clinical setting. Which ultrasound code is best?

Answer: You should report 51798 (Measurement of postvoiding residual urine and/or bladder capacity by ultrasound, non-imaging) for this service. If your urologist does the bladder sonogram primarily to determine the postvoid residual urine (PVR), use 51798 no matter what equipment the urologist uses and whether or not he derives an image from the equipment.

Pitfall: If the urologist uses the sonogram primarily to view the anatomy or architecture of the bladder, and the PVR is only part of–but not the main reason for–the study, bill 76857 (Ultrasound, pelvic [nonobstetric], real time with image documentation; limited or follow-up [e.g., for follicles]).

This is the only circumstance in which you should bill 76857. Most urologists, however,...

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