Coding for transvaginal and transabdominal pelvic ultrasound performed on the same day

Q.

Can we order/charge/code for both a transvaginal and transabdominal Pelvic ultrasound on the same day if a doctor specifically requests both?

A.

Yes, most insurances will pay for both CPT^® codes 76856 and 76830 performed on the same day/same session. There might be an occasional payer who does not allow both, but generally they do (even Medicare allows both!). The codes and full descriptions are as follows:

76856  Ultrasound, pelvic (nonobstetric), real time with image documentation; complete

76830  Ultrasound, transvaginal