Awareness : Did You Know?

Did You Know? Weekly Educational Series #5

For the Week of February 6, 2017-Abdominal Aortic Aneurysm Screening

A new CPT Category I code (76706) was established to bill abdominal aortic aneurysm (AAA) screening. An AAA is a weakening in the wall of the infrarenal aorta that typically results in an increased anteroposterior diameter of 3 cm or greater in the adult population. AAAs are often undiagnosed because a large proportion of patients are asymptomatic until the development of rupture, which is generally acute and often fatal. Screening is recommended to identify those patients who may be at increased risk and to assist in early detection.

The U.S. Preventive Services Task Force recommends one-time screening for AAA with ultrasonography in men ages 65 to 75 years who have smoked, and recommends screening for AAA be offered selectively to men ages 65 to 75 who have never smoked. Code 76706 will replace HCPCS code G0389, Ultrasound B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening, which is deleted for 2017.

In addition, it is inappropriate to report code 76770, Ultrasound, retroperitoneal (for example, renal, aorta, nodes), real time with image documentation; complete, or code 76775, Ultrasound, retroperitoneal for example, renal, aorta, nodes), real time with image documentation; limited, for AAA screening. Rather, use the following code:

  • 76706, Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)