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CPT 76830: Transvaginal Ultrasound Pelvic Examination

CPT code 76830 denotes a diagnostic transvaginal ultrasound of the female pelvis to evaluate the uterus, fallopian tubes, ovaries, cervix, and vagina. This imaging code is widely used in gynecology and obstetrics for evaluation of pelvic pain, abnormal bleeding, infertility workups, and characterization of adnexal or uterine pathology. Nationally, transvaginal ultrasound is a common, noninvasive diagnostic tool that influences clinical decision-making and downstream resource use.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines how CPT code 76830 is processed by major payers and summarizes common billing considerations.

Readers will find a concise overview of clinical context and typical sites of service, a summary of payer coverage patterns and common modifiers encountered in billing, and related administrative details relevant to revenue-cycle staff and clinical administrators. The report highlights benchmarks and policy updates where available and provides practical context for coding workflows and documentation expectations. Data not available in the input will be noted where applicable.

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Billing Code Overview

CPT code 76830 describes a transvaginal ultrasound examination performed to assess the female reproductive organs, including the uterus, fallopian tubes, ovaries, cervix, and vagina. The procedure is an ultrasound-based pelvic imaging service using a transvaginal approach to obtain diagnostic images and measurements of gynecologic anatomy.

Service Type: Diagnostic imaging — transvaginal pelvic ultrasound

Typical Site of Service: Outpatient imaging centers, physician offices (gynecology or obstetrics), hospital outpatient departments

Data not available in the input.

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CPT 76830: Transvaginal Ultrasound Pelvic Examination

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Billing Code Overview

Service Type: Diagnostic imaging — transvaginal pelvic ultrasound

Typical Site of Service: Outpatient imaging centers, physician offices (gynecology or obstetrics), hospital outpatient departments

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 32-year-old female presents to an outpatient gynecology clinic with pelvic pain and irregular vaginal bleeding. The clinician obtains a focused history, performs a pelvic exam, and orders a diagnostic transvaginal ultrasound to evaluate the uterus, endometrium, ovaries, and adnexa. The ultrasound is performed by a sonographer or the provider using a transvaginal probe; images and cine loops are obtained and interpreted contemporaneously. Indications include suspected ovarian cyst, evaluation of abnormal uterine bleeding, assessment of early intrauterine pregnancy or ectopic pregnancy, and pelvic inflammatory disease. Typical workflow: patient preparation and informed consent, placement of a transvaginal probe with sterile cover and gel, systematic imaging of uterus and adnexa, documentation of measurements (endometrial thickness, follicles/cysts, ovarian size), capture of representative images, provider review and interpretation, and generation of a written report. Typical site of service is an outpatient radiology or gynecology clinic, ambulatory surgery center, or emergency department when clinically indicated.

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable evaluation and management (E/M) service by the same physician on the same day of the procedure	Use when a distinct E/M visit is performed and documented in addition to the transvaginal ultrasound on the same day
`26`	Professional component	Use when billing only the physician interpretation portion of the ultrasound separate from technical component
`TC`	Technical component	Use when billing only the technical component (equipment, technologist) of the ultrasound
`50`	Bilateral procedure	Use when bilateral procedures are reported and the payer requires explicit bilateral modifier (rare for this exam)
`52`	Reduced services	Use when the service performed is partially reduced or not completed as documented
`53`	Discontinued procedure	Use when the procedure is started but discontinued for patient safety or other documented reason
`59`	Distinct procedural service	Use to indicate a separate, distinct procedure or service not normally reported together with another service on the same day
`76`	Repeat procedure or service by same physician	Use when the procedure is repeated later the same day by the same physician
`77`	Repeat procedure by another physician	Use when the procedure is repeated later the same day by a different physician
`95`	Synchronous telemedicine service rendered via real-time interactive audio and video	Use when the ultrasound interpretation or real-time guidance is provided via telemedicine in accordance with payer policy

Taxonomy Code	Specialty	Notes
207Q00000X	Obstetrics & Gynecology	Primary specialty performing and interpreting transvaginal ultrasounds
207R00000X	Reproductive Endocrinology/Infertility	Performs transvaginal ultrasound for follicular monitoring and infertility evaluation
2084P0800X	Diagnostic Radiology	Radiologists may perform and interpret pelvic ultrasounds in outpatient or ED settings
363A00000X	Diagnostic Medical Sonography	Sonographers perform the imaging; billing often under supervising physician
261QM0800X	Maternal-Fetal Medicine	Performs specialized transvaginal ultrasound in early pregnancy or complex cases

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N92.6`	Irregular menstruation, unspecified	Common indication for transvaginal ultrasound to evaluate endometrium and uterine pathology
`N83.2`	Ovarian cyst	Transvaginal ultrasound is the primary imaging modality to characterize ovarian cysts
`N80.0`	Endometriosis of uterus	Used to evaluate adnexa and uterine appearance when endometriosis is suspected
`N72`	Inflammatory disease of cervix (cervicitis)	Ultrasound may be used to assess for pelvic inflammatory disease complications
`O00.9`	Ectopic pregnancy, unspecified	Transvaginal ultrasound is the diagnostic test of choice for suspected ectopic pregnancy
`O03.9`	Spontaneous abortion, incomplete or unspecified	Used to assess retained products of conception or incomplete abortion
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Evaluation of uterine cavity and endometrial thickness is performed with transvaginal ultrasound
`N91.2`	Amenorrhea, secondary	Used to evaluate structural causes of amenorrhea such as uterine anomalies or ovarian insufficiency

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`76856`	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	Companion obstetric transvaginal ultrasound used specifically in pregnancy evaluation; performed when early pregnancy or fetal assessment is indicated
`76857`	Ultrasound, pregnant uterus, real time with image documentation, transvaginal, in addition to CPT `76856`	Used when a more detailed transvaginal exam is performed following a limited or screening transvaginal study
`76641`	Ultrasound, breast, unilateral, real time with image documentation	Sometimes performed in the same visit when breast complaints accompany gynecologic concerns (workflow adjacency)
`76942`	Ultrasonic guidance for needle placement (e.g., cyst aspiration)	Performed when ultrasound guidance is required for procedures such as ovarian cyst aspiration or follicular aspiration
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Common E/M code billed the same day when a separate, documented E/M visit occurs in addition to the ultrasound (use modifier `25` when appropriate)

CPT 76831: Hysterosonography with Saline Infusion Ultrasound

CPT-76856-PELVIC-ULTRASOUND-DIAGNOSTIC-IMAGING

CPT 76856: Pelvic Ultrasound, Diagnostic Imaging

CPT-76857-PELVIC-ULTRASOUND-DIAGNOSTIC-IMAGING

CPT 76857: Pelvic Ultrasound, Diagnostic Imaging

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable evaluation and management (E/M) service by the same physician on the same day of the procedure	Use when a distinct E/M visit is performed and documented in addition to the transvaginal ultrasound on the same day
`26`	Professional component	Use when billing only the physician interpretation portion of the ultrasound separate from technical component
`TC`	Technical component	Use when billing only the technical component (equipment, technologist) of the ultrasound
`50`	Bilateral procedure	Use when bilateral procedures are reported and the payer requires explicit bilateral modifier (rare for this exam)
`52`	Reduced services	Use when the service performed is partially reduced or not completed as documented
`53`	Discontinued procedure	Use when the procedure is started but discontinued for patient safety or other documented reason
`59`	Distinct procedural service	Use to indicate a separate, distinct procedure or service not normally reported together with another service on the same day
`76`	Repeat procedure or service by same physician	Use when the procedure is repeated later the same day by the same physician
`77`	Repeat procedure by another physician	Use when the procedure is repeated later the same day by a different physician
`95`	Synchronous telemedicine service rendered via real-time interactive audio and video	Use when the ultrasound interpretation or real-time guidance is provided via telemedicine in accordance with payer policy

Taxonomy Code	Specialty	Notes
207Q00000X	Obstetrics & Gynecology	Primary specialty performing and interpreting transvaginal ultrasounds
207R00000X	Reproductive Endocrinology/Infertility	Performs transvaginal ultrasound for follicular monitoring and infertility evaluation
2084P0800X	Diagnostic Radiology	Radiologists may perform and interpret pelvic ultrasounds in outpatient or ED settings
363A00000X	Diagnostic Medical Sonography	Sonographers perform the imaging; billing often under supervising physician
261QM0800X	Maternal-Fetal Medicine	Performs specialized transvaginal ultrasound in early pregnancy or complex cases

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N92.6`	Irregular menstruation, unspecified	Common indication for transvaginal ultrasound to evaluate endometrium and uterine pathology
`N83.2`	Ovarian cyst	Transvaginal ultrasound is the primary imaging modality to characterize ovarian cysts
`N80.0`	Endometriosis of uterus	Used to evaluate adnexa and uterine appearance when endometriosis is suspected
`N72`	Inflammatory disease of cervix (cervicitis)	Ultrasound may be used to assess for pelvic inflammatory disease complications
`O00.9`	Ectopic pregnancy, unspecified	Transvaginal ultrasound is the diagnostic test of choice for suspected ectopic pregnancy
`O03.9`	Spontaneous abortion, incomplete or unspecified	Used to assess retained products of conception or incomplete abortion
`N93.9`	Abnormal uterine and vaginal bleeding, unspecified	Evaluation of uterine cavity and endometrial thickness is performed with transvaginal ultrasound
`N91.2`	Amenorrhea, secondary	Used to evaluate structural causes of amenorrhea such as uterine anomalies or ovarian insufficiency

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`76856`	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	Companion obstetric transvaginal ultrasound used specifically in pregnancy evaluation; performed when early pregnancy or fetal assessment is indicated
`76857`	Ultrasound, pregnant uterus, real time with image documentation, transvaginal, in addition to CPT `76856`	Used when a more detailed transvaginal exam is performed following a limited or screening transvaginal study
`76641`	Ultrasound, breast, unilateral, real time with image documentation	Sometimes performed in the same visit when breast complaints accompany gynecologic concerns (workflow adjacency)
`76942`	Ultrasonic guidance for needle placement (e.g., cyst aspiration)	Performed when ultrasound guidance is required for procedures such as ovarian cyst aspiration or follicular aspiration
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Common E/M code billed the same day when a separate, documented E/M visit occurs in addition to the ultrasound (use modifier `25` when appropriate)

CPT 76831: Hysterosonography with Saline Infusion Ultrasound

CPT-76856-PELVIC-ULTRASOUND-DIAGNOSTIC-IMAGING

CPT 76856: Pelvic Ultrasound, Diagnostic Imaging

CPT-76857-PELVIC-ULTRASOUND-DIAGNOSTIC-IMAGING

CPT 76857: Pelvic Ultrasound, Diagnostic Imaging

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 76830: Transvaginal Ultrasound Pelvic Examination

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Billing Code Overview

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CPT 76830: Transvaginal Ultrasound Pelvic Examination

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References