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If a practitioner orders a complete abdominal echo (76700) and the patient’s gallbladder has been removed, would we then charge for a limited (76705)?
For complete ultrasound exams, each of the required elements must be imaged and documented or the radiologist must document why an element cannot be seen. With a complete abdominal ultrasound, if the radiologist dictates within his report the gallbladder has been removed, you can count the gallbladder as one of the documented elements. When the radiologist does not mention absence of the gallbladder because it has been removed, or “gallbladder not seen” then you must code 76705. Within the report, the radiologist may say “patient is status post cholecystectomy” or “gallbladder has been removed.”
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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