Print | ShareCPT Code: 76512 Region: 05
States covered: Florida, Puerto Rico, Virgin Islands
Title: B-scan Ophthalmic Ultrasound With or Without Non-quantitative A-scan
Category
Ophthalmic Ultrasound
Description
B-scan with or without superimposed non-quantitative A-scan
Ophthalmic ultrasounds involve the transmission of high-frequency sound waves through the eye and the measurement of their reflection from ocular structures. An A-scan converts the resulting echoes into waveforms whose crests represent the position of different structures. The B-scan converts the echoes into patterns of dots that form a two-dimensional, cross-sectional image of the ocular structure.
Ocular and orbital echography and sonography, jointly referred to as ultrasonography, are medically appropriate diagnostic tools to diagnose and/or follow ocular and orbital pathologies.
Identification and/or follow-up for the following:
- Disorders of the globe
- Retinal defects and detachments
- Other retinal disorders
- Disorders of the choroid
- Disorders of the iris and ciliary body
- Cataract
- Corneal scars and opacities
- Other corneal disorders
- Disorders of the orbit
- Disorders of the optic nerve
- Other disorders of the eye
- Disorders of the vitreous
- Disorders of the lens
- Congenital anomalies of corneal size and shape
- Neoplasm of the eye
- Injury to the eye
- Systemic disease
ICD-10 Diagnosis Codes
Medical record documentation maintained by the ordering/referring physician must indicate the medical necessity for performing the test and the test results. This information is usually found in the history and physical, office/progress notes, or test results.
If the provider of the service is other than the ordering/referring physician, that provider must maintain hard copy documentation of test results and interpretation, along with copies of the ordering/referring physician’s order for the studies. The physician must state the clinical indication/medical necessity for the study in his order for the test.
Report a B-Scan ophthalmic ultrasound procedure with CPT code 76512.
B-scan implies a two-dimensional ultrasonic scanning procedure with two-dimensional display.
A B-scan is done for the purpose of evaluating the interior of the eye. Medicare payment will be allowed only for services which are medially reasonable and necessary for the patient’s condition.
It is expected that these services would be performed as indicated by current medical literature and/or standards of practice. When services are performed in excess of established parameters, they may be subject to review for medical necessity.