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Question:
When a hysterosalpingogram is performed, can 76830 and 76831 be billed if documented, or is the 76830 inclusive?
Answer:
Code 76830 (ultrasound, transvaginal) should not be reported as part of the hysterosalpingogram. It may only be reported with 76831 if a diagnostic ultrasound is ordered, medically necessary, performed, and documented separately from the hysterosalpingogram. As its description states, code 76831 includes all imaging necessary for the hysterosalpingogram: Saline infusion sonohysterography (SIS), including color flow Doppler, when performed.
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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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