Reimbursement Advisor

New 3D ultrasound codes are not for routine use

Author and Disclosure Information


Q Is there a code for a 3D gyn ultrasound, for example, to detect endometriosis? Or can you only bill the 76856 code (ultrasound, pelvic [nonobstetric], B-scan and/or real time with image documentation; complete)?

A As it happens, CPT added new codes this year to allow billing for 3D ultrasound: 76376 and 76377 (right). The 3D code is billed in addition to the basic service, which in your example is 76856. However, keep in mind that many payers still consider 3D investigational and will not pay without strong medical necessity. You should not be routinely billing for this technology.

Next Article: