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76705

Ultrasound, abdominal, limited (eg, single organ, quadrant, follow-up)

Radiology Ultrasound 2.50 Total RVUs
Quick Reference
For limited abdominal ultrasound

💬 Plain Language Explanation

What this means

This is an ultrasound of your pelvis - an imaging test that uses sound waves to create pictures of your pelvic organs (uterus, ovaries, bladder, etc.).

Why you might see this

This is a common imaging test, especially for women. Your doctor likely ordered this to check your pelvic organs, often done for gynecological concerns, pregnancy, or pelvic pain.

Common context

Common imaging test for checking pelvic organs, often used for gynecological concerns or pelvic pain.

What to ask your provider

"'What did the ultrasound show? Were there any abnormalities in my pelvic organs?'"

Relative Value Units (RVUs)

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Work RVU
0.45
Physician effort
PE RVU
2.00
Practice expense
MP RVU
0.05
Malpractice
Total RVU
2.50
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

For limited abdominal ultrasound

Time Requirement
10-20 minutes typical procedure time

Common Scenarios

Single organ evaluation
Quadrant evaluation
Follow-up abdominal ultrasound
Limited abdominal evaluation
Specific organ focused evaluation

Documentation Requirements

  • Indication for limited abdominal ultrasound
  • Area(s) imaged
  • Findings and interpretation
  • Comparison to prior studies if available
  • Report documentation

Coding Guidelines

Common Modifiers

26 Professional component only (interpretation)
TC Technical component only (equipment/staff)
59 Distinct procedural service if performed separately

Bundling Rules

  • Includes limited abdominal ultrasound
  • Includes interpretation and report
  • Limited area only
  • Complete abdominal ultrasound coded separately
  • CT abdomen coded separately

Exclusions

  • 76700 (ultrasound, abdominal, complete)
  • 76770 (ultrasound, retroperitoneal, complete)
  • 76775 (ultrasound, retroperitoneal, limited)
  • 76805 (ultrasound, pregnant uterus, complete)

Coding Notes

No global period - diagnostic procedure
Limited abdominal evaluation
Professional and technical components may be separate
Document indication and findings

Clinical scenarios

Single organ evaluation
Single organ evaluation
When to use:For limited abdominal ultrasound
  • Indication for limited abdominal ultrasound
  • Area(s) imaged
  • Findings and interpretation
Quadrant evaluation
Quadrant evaluation
When to use:For limited abdominal ultrasound
  • Indication for limited abdominal ultrasound
  • Area(s) imaged
  • Findings and interpretation
Follow-up abdominal ultrasound
Follow-up abdominal ultrasound
When to use:For limited abdominal ultrasound
  • Indication for limited abdominal ultrasound
  • Area(s) imaged
  • Findings and interpretation

Who are you?

Code Details

Code 76705
Category Radiology
Subcategory Ultrasound
Total RVUs 2.50

Medicare Pricing

PFS
2025 National Rate
$84.10
Facility
$84.10
Non-Facility
$84.10
RVU Breakdown
Work RVU:0.59PE RVU:1.97MP RVU:0.04Total RVU:2.60CF:$32.3465Global Days:XXX
OPPS Details
APC:5522Status:Q3Copayment:—
ⓘ Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 76705?

CPT 76705 is the billing code for "Ultrasound, abdominal, limited (eg, single organ, quadrant, follow-up)". For limited abdominal ultrasound

How much does Medicare pay for CPT 76705?

Medicare pays approximately $84.10 for CPT 76705 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

What are the RVUs for CPT 76705?

CPT 76705 has a total RVU of 2.50, broken down as: Work RVU 0.45, Practice Expense RVU 2.00, and Malpractice RVU 0.05. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 76705?

Key documentation requirements for CPT 76705 include: Indication for limited abdominal ultrasound; Area(s) imaged; Findings and interpretation; Comparison to prior studies if available. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 76705 be billed with other codes?

Bundling considerations for CPT 76705: Includes limited abdominal ultrasound. Includes interpretation and report Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 76705?

Common modifiers for CPT 76705 include: 26 (Professional component only (interpretation)), TC (Technical component only (equipment/staff)), 59 (Distinct procedural service if performed separately). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 76705?

The typical time requirement for CPT 76705 is 10-20 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.

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