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Official Description

Radiologic examination, osseous survey, infant

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 77076 refers to a radiologic examination specifically designed for conducting an osseous survey in infants. This procedure involves the use of X-ray technology to assess the skeletal system, focusing on the bones of the infant's body. The osseous survey is crucial for identifying various conditions that may affect bone health and integrity. It is particularly significant in pediatric care, where the detection of abnormalities can be vital for early intervention. The examination may be indicated in cases where there is a suspicion of child abuse, as it can reveal fractures or other injuries that are not easily visible. Additionally, this procedure can be utilized to investigate suspected diseases or to identify bone lesions associated with known medical conditions. Unlike other codes that pertain to limited or complete osseous studies in older patients, code 77076 is specifically tailored for infants, acknowledging the unique considerations and potential pathologies that may arise in this vulnerable population.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The indications for performing a radiologic examination using CPT® Code 77076 include the following:

  • Child Abuse Investigation This procedure may be performed to look for evidence of child abuse, particularly in cases where there are unexplained injuries or fractures.
  • Suspected Disease The osseous survey can be indicated when there is a suspicion of a disease that may affect the bones, allowing for early diagnosis and management.
  • Bone Lesions This examination is also utilized to identify bone lesions that may occur in the context of known illnesses, helping to assess the extent of the disease and guide treatment decisions.

2. Procedure

The procedure for conducting a radiologic examination using CPT® Code 77076 involves several key steps:

  • Preparation of the Infant Prior to the examination, the infant is positioned appropriately to ensure optimal imaging of the skeletal structures. Care is taken to minimize discomfort and ensure safety during the procedure.
  • Radiographic Imaging X-ray images are captured of the infant's bones, focusing on both the axial skeleton, which includes the head and trunk, and the appendicular skeleton, which encompasses the limbs. The radiologist ensures that all necessary views are obtained to provide a comprehensive assessment of the skeletal system.
  • Image Review After the imaging is completed, the radiologist reviews the X-ray images for any signs of fractures, lesions, or other abnormalities. This step is critical for identifying potential issues that may require further investigation or intervention.

3. Post-Procedure

Post-procedure care for an infant following a radiologic examination using CPT® Code 77076 typically involves monitoring the infant for any immediate reactions to the procedure. Parents or guardians are usually provided with information regarding the results of the examination and any necessary follow-up actions. If any abnormalities are detected, further diagnostic testing or referrals to specialists may be recommended to address the identified issues. It is important to ensure that the infant is comfortable and that any concerns from the caregivers are addressed promptly.

Short Descr RADEX OSSEOUS SURVEY INFANT
Medium Descr RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT
Long Descr Radiologic examination, osseous survey, infant
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) I1B - Standard imaging - musculoskeletal
MUE 1
CCS Clinical Classification 226 - Other diagnostic radiology and related techniques
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.
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
Date
Action
Notes
2025-01-01 Changed Short Description changed.
2011-01-01 Changed Short description changed.
2007-01-01 Added First appearance in code book in 2007.
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