CPT® Code 76970

Deleted

1. Indications

The follow-up ultrasound study represented by CPT® Code 76970 is indicated in various clinical scenarios where ongoing assessment is necessary. The following conditions may warrant the use of this code:

• Monitoring Progress This procedure is often performed to monitor the progression of a previously diagnosed condition, such as a tumor or cyst, to determine if there have been any changes in size or characteristics.
• Assessment of Treatment Efficacy A follow-up ultrasound may be indicated to evaluate the effectiveness of a treatment plan, allowing healthcare providers to make informed decisions regarding further management.
• Post-Operative Evaluation After surgical procedures, a follow-up ultrasound can be used to assess the surgical site for complications or to ensure proper healing.
• Symptom Evaluation If a patient presents with new or persistent symptoms related to a previously identified issue, a follow-up ultrasound may be necessary to investigate these symptoms further.

2. Procedure

The procedure for conducting a follow-up ultrasound study under CPT® Code 76970 involves several key steps that ensure the examination is thorough and consistent with the initial study. The following procedural steps are typically followed:

• Step 1: Patient Preparation The patient is prepared for the ultrasound examination, which may include positioning the patient appropriately and applying a conductive gel to the area of interest to facilitate sound wave transmission.
• Step 2: Equipment Setup The ultrasound equipment is set up according to the specifications used in the initial study, ensuring that the same type of transducer and settings are utilized to maintain consistency in imaging.
• Step 3: Conducting the Ultrasound The radiologist performs the ultrasound examination, carefully following the same protocol as the initial study. This includes capturing images and measurements that are directly comparable to those obtained previously.
• Step 4: Documentation After completing the ultrasound, the radiologist documents the findings in detail, including any observations that differ from the initial study. This documentation should include comparisons to the previous ultrasound, noting any changes or stability in the condition being monitored.

3. Post-Procedure

Following the completion of the follow-up ultrasound study, the radiologist will review the images and prepare a report that summarizes the findings. This report is then communicated to the referring physician, who will use the information to guide further patient management. Patients may be advised on any necessary follow-up appointments or additional tests based on the results of the ultrasound. It is important for the healthcare team to ensure that the findings are integrated into the patient's overall care plan, facilitating continuity of care and appropriate interventions as needed.