CPT® Code

RADIOLOGY REPORT

LOCATION: Hospital, Outpatient

PATIENT: Dan Diel

ORDERING PHYSICIAN: Daniel G. Olanka, MD

ATTENDING/ADMIT PHYSICIAN: Daniel G. Olanka, MD

RADIOLOGIST: Morton Monson, MD

PERSONAL PHYSICIAN: Ronald Green, MD

EXAMINATION: Gallbladder ultrasound.

CLINICAL SYMPTOMS: Increased bilirubin.

GALLBLADDER ULTRASOUND: Examination was technically difficult with some limitations due to overlying leads. Large right pleural effusion identified. Gallbladder is visualized. No obvious gallstones or gallbladder wall thickening. Only short portions of the common hepatic duct and common bile duct are visualized. Common hepatic duct measures 3.6 mm, and common bile duct measures 5.2 mm. These values are within normal limits. There is limited assessment of the liver, which is grossly unremarkable.

IMPRESSION: Gallbladder ultrasound with limitations as discussed above. Grossly unremarkable sonographic appearance of the gallbladder. No obvious dilatation of the common duct. Large right pleural effusion identified.


What code range is reviewed to select the appropriate CPT® code? ____________________

re: CPT® Code

I hope this is a fake report (school work), and that is not a real patient name!

You are coding the procedure- a gallbladder ultrasound. If you go to the CPT® index and look up ultrasound, and then abdomen it will tell you to go to 76700-76705.
You'll want to read through that section and find the code that fits...hint "single organ"