CPT® Code 76857

A real-time pelvic (non-obstetric) ultrasound, designated by CPT® Code 76857, is a diagnostic imaging procedure that utilizes high-frequency sound waves to create images of the pelvic organs. This ultrasound is specifically performed to evaluate structures such as the uterus, cervix, ovaries, fallopian tubes, and bladder. The procedure is typically indicated for patients experiencing symptoms such as pelvic pain, abnormal bleeding, or the presence of palpable masses, which may include ovarian cysts, uterine fibroids, or other types of pelvic masses. During the examination, the patient is required to have a full bladder, which enhances the visibility of the pelvic organs. To conduct the ultrasound, an acoustic coupling gel is applied to the skin of the lower abdomen to facilitate the transmission of sound waves. A transducer, which is a handheld device, is then pressed firmly against the skin and moved back and forth across the lower abdomen. This movement allows for the collection of images of the uterus, ovaries, and surrounding pelvic structures. The ultrasound machine emits ultrasonic wave pulses directed at these pelvic structures, and the echoes produced are recorded to create real-time images. Any abnormalities detected during the procedure are carefully evaluated by the physician, who subsequently reviews the ultrasound images and provides a written interpretation of the findings. It is important to note that CPT® Code 76857 is specifically used for limited or follow-up studies, while CPT® Code 76856 is designated for initial or complete pelvic ultrasounds.