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76770

Ultrasound, retroperitoneal, complete

Radiology Ultrasound 3.77 Total RVUs
Quick Reference
For complete retroperitoneal ultrasound

Relative Value Units (RVUs)

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Work RVU
0.70
Physician effort
PE RVU
3.00
Practice expense
MP RVU
0.07
Malpractice
Total RVU
3.77
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 complete retroperitoneal ultrasound

Time Requirement
20-30 minutes typical procedure time

Common Scenarios

Retroperitoneal mass evaluation
Complete retroperitoneal evaluation
Kidney evaluation
Retroperitoneal pathology evaluation
Aorta evaluation

Documentation Requirements

  • Indication for retroperitoneal ultrasound
  • Complete retroperitoneal evaluation
  • 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 complete retroperitoneal ultrasound
  • Includes interpretation and report
  • Limited retroperitoneal ultrasound coded separately
  • Abdominal ultrasound coded separately
  • CT abdomen coded separately

Exclusions

  • 76775 (ultrasound, retroperitoneal, limited)
  • 76700 (ultrasound, abdominal, complete)
  • 76705 (ultrasound, abdominal, limited)
  • 76805 (ultrasound, pregnant uterus, complete)

Coding Notes

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

Clinical scenarios

Retroperitoneal mass evaluation
Retroperitoneal mass evaluation
When to use:For complete retroperitoneal ultrasound
  • Indication for retroperitoneal ultrasound
  • Complete retroperitoneal evaluation
  • Findings and interpretation
Complete retroperitoneal evaluation
Complete retroperitoneal evaluation
When to use:For complete retroperitoneal ultrasound
  • Indication for retroperitoneal ultrasound
  • Complete retroperitoneal evaluation
  • Findings and interpretation
Kidney evaluation
Kidney evaluation
When to use:For complete retroperitoneal ultrasound
  • Indication for retroperitoneal ultrasound
  • Complete retroperitoneal evaluation
  • Findings and interpretation

Who are you?

Code Details

Code 76770
Category Radiology
Subcategory Ultrasound
Total RVUs 3.77

Medicare Pricing

PFS
2025 National Rate
$104.48
Facility
$104.48
Non-Facility
$104.48
RVU Breakdown
Work RVU:0.74PE RVU:2.43MP RVU:0.06Total RVU:3.23CF:$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 76770?

CPT 76770 is the billing code for "Ultrasound, retroperitoneal, complete". For complete retroperitoneal ultrasound

How much does Medicare pay for CPT 76770?

Medicare pays approximately $104.48 for CPT 76770 (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 76770?

CPT 76770 has a total RVU of 3.77, broken down as: Work RVU 0.70, Practice Expense RVU 3.00, and Malpractice RVU 0.07. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 76770?

Key documentation requirements for CPT 76770 include: Indication for retroperitoneal ultrasound; Complete retroperitoneal evaluation; 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 76770 be billed with other codes?

Bundling considerations for CPT 76770: Includes complete retroperitoneal ultrasound. Includes interpretation and report Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 76770?

Common modifiers for CPT 76770 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 76770?

The typical time requirement for CPT 76770 is 20-30 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.

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