2016 CPT Codes
for Wound-Mapping®
Queries and responses from the American Medical Association on the clinical application of Wound-Mapping®
when imaging wounds using diagnostic ultrasound.
Three separate inquiries were made to the American Medical Association, CPT knowledge base, to determine the appropriate
CPT codes to use when performing diagnostic ultrasound imaging for cavernous and non-cavernous wounds (abdominal,
pelvic, and lower extremity). The procedure utilizes an ultrasound scanner, transducer, and coupling materials all of which have
been FDA approved for imaging wounds. The procedure and materials described to the AMA (Wound-Mapping® Ultrasound
Assessment Method) has received FDA approval. The method provides for an ultrasound film dressing as a barrier to eliminate
transmission of pathogens between the wound and the ultrasound transducer. An ultrasound transmission hydrogel which has
been approved by FDA to come in contact with open skin wounds completes the acoustic window for ultrasound waves to
be transmitted and captured for imaging.
The AMA (after conferring with the American College of Radiology) stated in emails dated 11/30/12, 12/10/12 and 2/20/13
that the appropriate anatomic specific codes listed below may be reported when imaging over an open wound using
Wound-Mapping® provided that all required elements of that code are included in the examination and; documented.
(Note: For the required elements of each code please refer to the CPT code book as published by the AMA).
The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule
for the ultrasound service discussed. Payment will vary by geographic region.
CPT Code Description
Global
Payment
Technical
Payment
(TC)
76700
Ultrasound, abdominal, real-time with image documentation; complete
$124.24
$83.07
$41.17
76705
Ultrasound, abdominal, real-time with image documentation; limited;
(e.g.,single organ, quadrant, follow-up), for the abdomen
$92.74
$62.66
$30.08
76856
Ultrasound, pelvic non-obstetric real-time with image documentation, complete
$111.35
$76.26
$35.09
76857
Ultrasound pelvic non-obstetric real-time with image documentation, limited or follow-up
$48.33
$22.91
$25.42
76881
Ultrasound, extremity, non–vascular, real-time with image documentation; complete
$116.01
$84.14
$31.87
76882
Ultrasound, extremity, nonvascular, real-time with image documentation; limited,
anatomic-specific
$36.52
$11.46
$25.06
76942
Ultrasonic guidance for needle placement (e.g.,biopsy, aspiration, injection,
localization device), imaging supervision and interpretation
$61.58
$27.57
$34.01
10022
Fine needle aspiration w/imaging
$143.22
-
Professional
Payment
(26)
-
When prepping the wound site for ultrasound scanning with Wound-Mapping®, modifier “-22” (increased procedural
services) should be added to the end of the CPT code (e.g. CPT 76882-22) to reflect the added work.
This guide provides coverage and payment information for diagnostic ultrasound and ultrasound guided procedures related
to musculoskeletal examinations. Hitachi Aloka provides this as a courtesy to assist providers in determining appropriate
codes for reimbursement purposes. It is the providers’s responsibility to determine and submit appropriate codes,
modifiers, and claims for services rendered. Hitachi Aloka makes no guarantees concerning reimbursements or coverage.
Ultrasound Solutions Clearly Defined™
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