• 1.  76817 with 76805

    Posted 05-13-2021 11:49
    regarding yesterdays zoom discussion(am a little unclear) about TVS with 76805:
    our provider routinely performs transvaginal ultrasounds on each patient at scheduled anatomy to detect PTL. can 76817, Z36.86 get billed at these visits although no abnormalities noted?

    Rachel Leifer

  • 2.  RE: 76817 with 76805

    Posted 05-13-2021 18:58
    Hi Rachel,
    It seems you are doing things correctly. If you have an indication to do a detailed fetal anatomy survey 76811, such as a fetal anomaly, then you would do/bill that. If you do not, you would do instead a standard fetal anatomy survey 76805. Either way, if a screening cervical length with vaginal scanning is also done, you would bill 76817 and attach ICD-10  Z36.86 to the vaginal study. A modifier is not usually necessary unless required by your payor.

    Fadi Bsat, MD
    Past Chair, SMFM Coding Committee