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Official Description

Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 76886 refers to a specific ultrasound procedure performed on the hips of infants, particularly aimed at assessing conditions such as developmental dysplasia of the hip joints. This procedure involves obtaining real-time ultrasound images that are documented for further analysis. During the examination, the infant is positioned on an examination 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 images of the hip region. The transducer is carefully moved over the hip area to obtain comprehensive images of all structures associated with the hip joints. This process is conducted on both sides to ensure a thorough evaluation. The resulting ultrasound images are then reviewed, and a written interpretation of the findings is generated. It is important to note that this code specifically pertains to the acquisition of static images, which do not involve any manipulation of the hip joint by a physician or other qualified healthcare professional, distinguishing it from related procedures that require dynamic imaging techniques.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The ultrasound procedure coded as CPT® 76886 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:

  • Developmental Dysplasia of the Hip Infants exhibiting signs or risk factors for developmental dysplasia of the hip, which may include abnormal physical examination findings or family history.
  • Hip Joint Abnormalities Infants with suspected abnormalities in the hip joint structure that require imaging for diagnosis.

2. Procedure

The procedure for CPT® 76886 involves several key steps to ensure accurate imaging of the infant's hips. The following outlines the procedural steps:

  • Step 1: Patient Preparation The infant is placed on an examination table in a comfortable position to facilitate access to the hip area. Proper positioning is crucial for obtaining clear images.
  • Step 2: Application of Coupling Gel A coupling gel is applied to the hip region. This gel is essential as it helps to eliminate air pockets between the skin and the transducer, allowing for better transmission of ultrasound waves.
  • Step 3: Image Acquisition The sonographer uses a hand-held transducer to capture real-time images of the hip joints. The transducer is moved over the hip area to obtain comprehensive views of all hip joint structures. This process is repeated for the opposite hip to ensure a complete assessment.
  • Step 4: Image Review and Interpretation After the images are obtained, they are reviewed by the sonographer. A written interpretation of the findings is then generated, summarizing the results of the ultrasound examination.

3. Post-Procedure

Post-procedure care for the infant following the ultrasound is generally minimal. The coupling gel used during the procedure can be easily wiped off the skin. There are typically no restrictions on the infant's activities following the ultrasound, and the infant can resume normal activities immediately. The results of the ultrasound will be communicated to the referring physician, who will discuss the findings and any necessary follow-up actions with the infant's caregivers.

Short Descr US EXAM INFANT HIPS STATIC
Medium Descr US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ
Long Descr Ultrasound, infant hips, real time with imaging documentation; limited, static (not 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.
RT Right side (used to identify procedures performed on the right side of the body)
Date
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Notes
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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