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The CPT® Code 76885 refers to a specific ultrasound procedure performed on infant hips, which is crucial for diagnosing conditions such as developmental dysplasia of the hip joints. This procedure involves obtaining real-time ultrasound images that provide a dynamic view of the hip joint structures. During the examination, the infant is positioned on an exam table, and a coupling gel is applied to the hip area to facilitate the transmission of sound waves. A trained ultrasound technician, known as a sonographer, utilizes a hand-held transducer to capture these images, which are then displayed on a computer screen for immediate review. The transducer is carefully maneuvered over the hip region to ensure comprehensive imaging of both hip joints. This process is repeated on the opposite side to obtain a complete assessment. The dynamic nature of the images captured in this procedure necessitates the manipulation of the hip joint by a physician or another qualified healthcare professional, distinguishing it from similar procedures that only require static images. A written interpretation of the ultrasound findings is subsequently provided, which is essential for guiding further clinical decisions and management of the infant's condition.
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The ultrasound procedure described by CPT® Code 76885 is indicated for infants who are suspected of having developmental dysplasia of the hip joints. This condition may present with various symptoms or risk factors that warrant further investigation through imaging. The following are specific indications for performing this ultrasound:
The procedure for CPT® Code 76885 involves several key steps to ensure accurate imaging of the infant's hips. The following outlines the procedural steps:
Post-procedure care for the infant typically involves monitoring for any immediate reactions to the ultrasound, although the procedure is non-invasive and generally well-tolerated. The coupling gel used during the ultrasound is wiped off, and the infant can resume normal activities shortly after the procedure. The written interpretation of the ultrasound findings will be provided to the referring physician, who will discuss the results with the infant's caregivers and determine any necessary follow-up actions or additional interventions based on the findings.
| Short Descr | US EXAM INFANT HIPS DYNAMIC | Medium Descr | US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ | Long Descr | Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I3F - Echography/ultrasonography - other | MUE | 1 | CCS Clinical Classification | 197 - Other diagnostic ultrasound |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | LT | Left side (used to identify procedures performed on the left side of the body) | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician |
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| 2013-01-01 | Changed | Description Changed |
| 2011-01-01 | Changed | Short description changed. |
| 2002-01-01 | Changed | Code description changed. |
| 1998-01-01 | Added | First appearance in code book in 1998. |
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