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Cpt 76775

We have patients come into the office and we perform the Ultrasound, Retroperitoneal-Limited (CPT 76775).
Some times we will have a copy of the results to view, but the provider also always states that it was done in the office and states their findings/results.
What are the documentation guidelines to be able to bill this code? Do we have to have images available for view or can the provider stating they performed this along with the results sufficient to bill?

Medical Billing and Coding Forum