CPT® Code 76987

Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; including placement and manipulation of transducer, image acquisition, interpretation and report

The CPT® Code 76987 refers to an intraoperative epicardial cardiac ultrasound, specifically designed for the diagnosis of congenital heart disease. This procedure involves the use of an ultrasound probe that is strategically placed on the surface of the heart during cardiac surgery. The primary purpose of this ultrasound is to assess the condition of the coronary arteries, particularly to determine which arteries may require bypass grafting. The procedure is performed in a sterile environment, ensuring that all necessary precautions are taken to maintain patient safety and prevent infection. The ultrasound probe, which operates at ultra-high frequencies, is inserted into a sterile sheath that is filled with saline or ultrasound transmission gel, ensuring optimal contact and image quality by eliminating air pockets. Once positioned in the opened surgical field, the probe allows for detailed imaging of the coronary arteries, enabling the surgical team to visualize the surface anatomy of the heart and make informed decisions regarding graft targets. The procedure is collaborative, often involving both a probe operator and an echocardiographer, who work together to capture and interpret the ultrasound images, providing real-time feedback to the cardiac surgeon. This dynamic interaction is crucial for the successful planning and execution of cardiac surgical interventions.