CPT® Code 76812

Add-On Code

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)

The CPT® Code 76812 refers to a specific type of obstetric ultrasound procedure known as a real-time transabdominal ultrasound. This procedure is performed on a pregnant uterus and includes comprehensive image documentation. The primary purpose of this ultrasound is to evaluate both fetal and maternal conditions, with a particular focus on a detailed anatomical examination of the fetus. During the procedure, the healthcare provider assesses various aspects of the fetus, including its viability, gestational age, and anatomical structures. This evaluation is crucial for identifying multiple gestations, determining the position of the fetus and placenta, and surveying the fetal anatomy, which encompasses critical areas such as the brain, spine, abdomen, and heart. The procedure also involves evaluating the umbilical cord insertion site and assessing the volume of amniotic fluid, as well as examining the maternal uterus and adnexa when visible. To conduct the ultrasound, the mother is typically required to have a full bladder, which aids in obtaining clearer images. Acoustic coupling gel is applied to the skin of the lower abdomen, and a transducer is used to capture images by emitting ultrasonic wave pulses. These waves reflect off the fetus and surrounding structures, allowing for the visualization of any abnormalities. After the procedure, the physician reviews the captured images and provides a written interpretation of the findings. It is important to note that this code is specifically designated for each additional gestation in a multiple pregnancy, while code 76811 is used for the first gestation or a single gestation evaluation.