New 3D ultrasound codes are not for routine use

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June 2006 · Vol. 18, No. 6

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New 3D ultrasound codes are not for routine use

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New CPT codes for 3D ultrasound

76376 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation
76377 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; requiring image postprocessing on an independent workstation

Melanie Witt, RN, CPC-OGS, MA

Independent coding and documentation consultant; former program manager, Department of Coding and Nomenclature, American College of Obstetricians and Gynecologists

Is there a code for a 3D gyn ultrasound, for example, to detect endometriosis? Or can you only bill the 76856 code (ultrasound, pelvic [nonobstetric], B-scan and/or real time with image documentation; complete)?

As it happens, CPT added new codes this year to allow billing for 3D ultrasound: 76376 and 76377 (right). The 3D code is billed in addition to the basic service, which in your example is 76856. However, keep in mind that many payers still consider 3D investigational and will not pay without strong medical necessity. You should not be routinely billing for this technology.

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