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Ultrasonic guidance for aspiration of ova, as described by CPT® Code 76948, involves the use of ultrasound technology to assist in the retrieval of mature ova from the ovaries. This procedure is critical in the context of in vitro fertilization (IVF), where the aspiration of ova is necessary for fertilization outside the body. The process typically occurs approximately 35 hours after the administration of human chorionic gonadotropin (HCG), a hormone that triggers the final maturation of the ova. The procedure can be performed using various approaches, including transvaginal, transvesical, or percutaneous transabdominal methods, depending on the patient's anatomy and the physician's assessment. During the procedure, the physician utilizes an ultrasound probe to visualize the ovaries and guide the aspiration needle accurately to the follicles containing the mature ova. The aspiration process involves puncturing the follicle to extract the fluid, which contains the ova, and placing the retrieved ova in a sterile solution for further processing. The use of ultrasound guidance is essential for ensuring precision and safety during the aspiration, minimizing the risk of complications. The physician is also responsible for providing a written report that details the imaging component of the procedure, which is crucial for documentation and compliance purposes.
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Ultrasonic guidance for aspiration of ova is indicated in the following scenarios:
The procedure for ultrasonic guidance for aspiration of ova involves several key steps:
Post-procedure care involves monitoring the patient for any immediate complications, such as bleeding or infection. Patients may experience mild discomfort or cramping following the aspiration. It is essential to provide instructions regarding activity restrictions and signs of potential complications that should prompt immediate medical attention. The retrieved ova are then processed for fertilization as part of the IVF protocol, and the patient may be scheduled for follow-up appointments to assess their recovery and the next steps in their fertility treatment.
| Short Descr | ECHO GUIDE OVA ASPIRATION | Medium Descr | US GUIDANCE ASPIRATION OVA IMG S&I | Long Descr | Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation | 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 | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | I3B - Echography/ultrasonography - abdomen/pelvis | 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. | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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 |
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| 2011-01-01 | Changed | Short description changed. |
| 2001-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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