Cpt Code 76604 Descriptive Essay

Clinical Labor - Direct Expense

StaffStaff RatePre TimeIntra TimePost TimeTotal Time*
Diagnostic Medical Sonographer$0.50  / min## min## min## min## min

* Total Time may be greater than the displayed components.     

Equipment - Direct Expense

ItemPurchase PriceExpected LifeTotal Time
Technologist PACS workstation$##.#### years## min
Professional PACS Workstation$##.#### years## min
room, ultrasound, general$##.#### years## min

Supplies - Direct Expense

ItemUnit PriceQuantityUnitAmount
drape, non-sterile, sheet 40in x 60in$##.##  ##item$##.##
gloves, non-sterile$##.##  ##pair$##.##
gown, patient$##.##  ##item$##.##
paper, exam table$##.##  ##foot$##.##
underpad 2ft x 3ft (Chux)$##.##  ##item$##.##
ultrasound transmission gel$##.##  ##ml$##.##
disinfectant, surface (Envirocide, Sanizide)$##.##  ##oz$##.##
sanitizing cloth-wipe (patient)$##.##  ##item$##.##

Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.

PE RVU Components (by modifier)

ModifierNational Unadjusted PE RVUPE GPCIAdjusted PE RVU
(none)##.####.##1.95
26##.####.##0.19
26 (MPPR)##.####.##0.18
TC##.####.##1.76
TC (MPPR)##.####.##0.88

Question: Which ultrasound code applies for examining a mass on the back?

Answer: The answer depends on whether the physician documents the mass as being on the upper back or the lower back.

CPT® Assistant (May 2009) supports the following coding for ultrasound of a palpable soft-tissue mass:

  • Upper back: 76604, Ultrasound, chest (includes mediastinum), real time with image documentation
  • Lower back: 76705, Ultrasound, abdominal, real time with image documentation; limited (e.g., single organ, quadrant, follow-up).
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About barnalig

Barnali is a medical coding and billing writer at TCI who has worked in the healthcare industry since 2009. She holds a master’s degree in English literature and a diploma in advertising and marketing. She enjoys writing about ICD-10 and Medicare compliance.

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