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The appropriate code for a follow-up ultrasound with image documentation for a pregnant female is 76816. This code specifically refers to a detailed ultrasound examination of the fetus, typically performed after an initial examination, which includes the interpretation and reporting of images. It is important to note that this code is used for follow-up purposes when there is a clinical indication, such as confirming the status of a previously detected abnormality or monitoring a high-risk pregnancy.

In the context of other available codes, 76815 is used for a limited or less comprehensive ultrasound, while 76817 is for a comprehensive ultrasound but may not emphasize the follow-up aspect as specifically as 76816. Code 76819 refers to ultrasound procedures that do not fit the comprehensive or targeted criteria often associated with fetal imaging in pregnancy. Thus, given the need for detailed evaluation and documentation as stated in the question, 76816 is the most appropriate choice.