Name: Ultrasound Exams & Diagnostic codes ID:
Ultrasound Exams & Diagnostic codes
Date: ___________________________ Name: __________________________ ID: ____________________________ Physician: _______________________
Ultrasound Exam
Abdomen complete Abdominal soft tissue Gallbladder Aorta Aorta/Iliac ultrasound Aorta/Iliac ultrasound (limited) Bladder w/ PVR Biophysical Profile Breast (unilateral or bilateral) Carotid Duplex arterial lower ext. bilateral Duplex arterial lower ext. unilateral Duplex arterial upper ext. unilateral Duplex arterial upper ext. bilateral Echocardiogram complete (adult) Extremity non-vascular (soft tissue)
CPT code (s)
76700 76705 76705 76775 93978 93979 76857 76819 76641 93880 93925,93922 93926,93922 93931,93922 93930,93922 93306 76881
Ultrasound Exam
Face, head, or neck (soft tissue) Intracranial Kidneys Mesenteric Arteries Pelvic Complete (male or female) Pelvic Limited (eg. Bladder, prostate) Pelvic Complete w/ transvaginal Pregnant Uterus (14 wks) Renal Artery Complete Testicle/Scrotum complete Thyroid Transcranial Doppler Transvaginal pregnant uterus Venous (lower or upper) bilateral Venous (lower or upper) unilateral
CPT code (s)
76536 76506 76770 93975 76856 76857 76856,76830 76801 76805 76775,93975-59 76870,93975-59 76536 93886 76817 93970 93971
Echocardiogram
I34.0
Mitral valve insufficiency (nonrheumatic)
I34.1
Mitral valve prolapse (nonrheumatic)
I34.2
Mitral valve stenosis (nonrheumatic)
I35.1
Aortic valve insufficiency (nonrheumatic)
I35.0
Aortic valve stenosis (nonrheumatic)
I35.2
Aortic valve stenosis with insufficiency (nonrheumatic)
I36.1
Tricuspid regurgitation (nonrheumatic)
I37.1
Pulmonary valve insufficiency (nonrheumatic)
I10
Essential (primary) hypertension
I11.0
Hypertensive heart disease with heart failure
I11.9
Hypertensive heart disease without heart failure
I11.9
Hypertensive heart disease NOS
I15.0
Renovascular hypertension
I20.0
Angina, Unstable
I25.2
Old myocardial infarction
I20.9
Angina pectoris unspecified
I27.2
Pulmonary hypertension NOS
I30.9
Acute pericarditis unspecified
I33.0
Endocarditis, bacterial (acute and subacute) e.g. SBE
I31.9
Pericardial effusion unspecified
I42.1
Hypertrophic obstructive cardiomyopathy
I42.0
Dilated cardiomyopathy
I42.5
Other restrictive cardiomyopathy
I42.8
Other cardiomyopathies
I42.9
Cardiomyopathy unspecified
I45.9
Conduction disorder unspecified
I47.1
Supraventricular tachycardia (SVT)
I49.01 Ventricular fibrillation (V-fib)
I48.91 Atrial fibrillation (A-fib)
I48.92 Atrial flutter
I49.1
Atrial premature beats (PAC's)
I49.3
Ventricular premature beats (PVC's)
I50.9
Heart failure unspecified
I50.1
Left heart failure
I50.20 Unspecified systolic (congestive) heart failure
I50.30 Unspecified diastolic (congestive) heart failure
I25.10 Atherosclerotic heart disease of native coronary artery without angina
I51.7
Cardiomegaly (cardiac dilatation, cardiac hypertrophy, ventricular dilatation)
G45.9 TIA
D86.9 Sarcoidosis
R55
Syncope and collapse
I95.1
Orthostatic hypotension
J96.00 Acute respiratory failure
J96.10 Chronic respiratory failure
Q23.1 Bicuspid aortic valve
Q21.1 Secundum ASD, persistent PFO
R00.2 Palpitations
R01.1 Undiagnosed cardiac murmurs (heart murmur NOS)
R01.2 Other abnormal heart sounds
R06.01 Orthopnea
R94.31 Abnormal EKG
R06.02 Shortness of breath
R07.9 Chest pain, unspecified
Abdominal
R10.9 R10.11 R10.12 R10.31 R10.32 R10.33 R10.84 R19.01 R19.02 K80.00 K80.20
Abdominal Pain, unspecified (also flank pain) RUQ Pain LUQ Pain RLQ Pain LLQ Pain Periumbilical pain Generalized abdominal pain Right upper quadrant abdominal swelling, mass, or lump Left upper quadrant abdominal swelling, mass, or lump Calculus of gallbladder with acute cholecystitis without obstruction Calculus of gallbladder w/o cholecystitis w/o obstruction
K70.0 K76.0 R16.0 R16.1 R94.5 R74.8 R18.8 B18.2 K70.3 I71.4
Alcoholic fatty liver Fatty liver Hepatomegaly Splenomegaly Abnormal results of liver function studies Abnormal levels of other serum enzymes Ascites (nonmalignant) Chronic viral hepatitis C Alcoholic cirrhosis of liver AAA without rupture
K35.2 R14.0 K85.9 R11.2 750.5 R63.4 K40.90
Acute appendicitis with generalized peritonitis Abdominal distention; bloating Acute Pancreatitis Nausea with vomiting Congenital hypertophic pyloric stenosis Loss of weight Inguinal hernia NOS
Breast
N64
Lump or mass in breast
N62
Gynecomastia
Kidneys
R10.9 N13.30 N20.0 N28.1 N39.0 N39.44 N18.6 N18.9 R30.0 R94.4 R39.14 R35.0 R31.9
Flank Pain Hydronephrosis Calculus of kidney Cyst of kidney, acquired Urinary tract infection, site not specified Nocturnal enuresis End stage renal disease Chronic kidney disease unspecified Dysuria (painful urination) Nonspecific abnormal results of kidney function studies Feeling of incomplete bladder emptying Frequent urination Hematuria, unspecified
1
Visceral Vascular Studies
Mesenteric arteries, Renal Artery, Aorta/Iliac
I10
Malignant essential hypertension
I11.9
Malignant hypertensive heart disease w/o heart failure
I11.0
Malignant hypertensive heart disease with heart failure
I12.9
Renovascular HTN (malignant) w/o renal failure
I12.0
Renovascular HTN (malignant) with renal failure
I70.1
Atherosclerosis of renal artery
I70.219 Atherosclerosis of extremities w/ intermittent claudication
I73.9
Peripheral vascular disease, unspecified
K55.0 Acute vascular insufficiency of intestine; acute mesenteric angina
K55.1 Chronic vascular insufficiency of intestine: mesenteric angina
R18.8 Ascites
K55.0 Atherosclerosis of other unspecified arteries
I71.4
AAA unruptured
N28.0 Vascular disorders of kidney
I77.1
Stricture of artery
I70.0
Atherosclerosis of aorta
Testicles
N43.40 N50.3 I86.1 N45.1 N50.8 N44.00 N43.3
Spermatocele Cyst of epididymis Scrotal varices Epididymitis Other specified disorders of male genital organs; pain Torsion of testis Hydrocele, unspecified
Carotid
H81.13 I65.21 I65.22 G45.9 I67.2 I69.998 H53.12_ H81.13
R55 R42 R09.89 I65.23 I63.8 R47.81 R47.02
Sudden visual loss Occlusion and stenosis of right carotid artery Occlusion and stenosis of left carotid artery TIA Cerebral atherosclerosis Disturbances of vision Transient visual loss (right 1, left 2, bilateral 3) Vertigo Syncope & collapse Dizziness and giddiness Bruit; other symptoms involving cardiovascular system
ICA stenosis bilateral CVA Slurred speech Dysphasia
Transcranial
433.1_ Carotid artery stenosis/occlusion (0= w/o mention of cerebral infarction)
433.2_ 433.3_
Vertebral artery stenosis/occlusion (0= w/o mention of cerebral infarction) Multiple and bilateral (5th digit: 0= w/o mention of cerebral infarction)
434.1_ Cerebral embolism (5th digit: 0= w/o mention of cerebral infarction)
434.9_ Cerebral artery occlusion, unspecified (0= w/o mention of infarction)
437.0 Cerebral atherosclerosis
435.3 Vertibrobasilar artery syndrome
435.9 Transient ischemic attack (TIA)
437.5 Moyamoya disease
Arterial
E11.51 G54.0 I70.0 I70.209 I70.213 I70.229 I70.25 I70.299 I70.20* I71.4 I73.00 I73.9 I77.1 R09.89
Diabetes with PVD Brachial plexus disorders, including thoracic outlet syndrome Atherosclerosis of aorta Atherosclerosis of extremity arteries, unspecified Atherosclerosis of native arteries with intermittent claudication bilateral Atherosclerosis of native arteries with rest pain Atherosclerosis of native arteries with ulceration Other Atherosclerosis of native arteries of the extremities Atherosclerosis of bypass graft (1-RLE, 2-LLE, 3-BLE) AAA, w/o mention of rupture Raynaud's syndrome Intermittent claudication NOS; PVD unspecified Stricture of artery Weak pulse, bruit
Venous
I80.20*
I80.0*
I82.62* I82.61* M79.60* M79.60*
I80.8 I83.009
I87.2 I87.329 M79.89
R22.3*
R22.4*
R60.0 M71.2*
Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremity *(1=right, 2=left, 3=bilateral) Phlebitis and thrombophlebitis of superficial vessels of lower extremity *(1=right, 2=left, 3=bilateral) Upper extremity deep vein thrombus *(1=right, 2=left, 3=bilateral) Upper extremity superficial vein thrombus *(1=right, 2=left, 3=bilateral) Pain in arm *(1=right, 2=left) Pain in leg *(4=right, 5=left) Phlebitis & thrombophlebitis of other sites Varicose veins of unspecified lower extremity veins with ulcer Venous insufficiency NOS Chronic venous hypertension with inflamation Swelling in limb Localized superficial swelling, mass, or lump upper extremity *(1=right, 2=left) Localized superficial swelling, mass, or lump lower extremity *(1=right, 2=left, 3=bilateral) Leg edema
Synovial cyst of popliteal space *(1=right, 2=left)
Pelvis
D25.9 D25.0 D25.1 D25.2 N83.20 N83.1 D39.11 D39.12 E28.2 N83.20 N94.0 N94.6 R10.2 R10.31 R10.32 R19.03 R19.02 R10.813 R10.814 N91.5 N92.6 N95.0
Leiomyoma of uterus, unspecified Submucous leiomyoma of uterus Intramural leiomyoma of uterus Subserosal leiomyoma of uterus Ovarian cyst Corpus luteum cyst Neoplasm of uncertain behavior of right ovary Neoplasm of uncertain behavior of left ovary Polycystic ovarian syndrome Other and unspecified ovarian cyst Mittelschmerz (intermenstrual pain, ovulation pain) Painful menstruation Pelvic Pain, perineal pain (male or female) RLQ Abdominal pain LLQ Abdominal pain Swelling, mass, or lump in RLQ Swelling, mass, or lump in LLQ Abdominal tenderness in RLQ Abdominal tenderness in LLQ
Oligomenorrhea Irregular Menses Postmenopausal bleeding
Thyroid
E04.9 E06.0 E04.1 R22.1 R94.6 D44.0
Goiter, unspecified (enlargement of thyroid) Acute Thyroditis Cyst of Thyroid Swelling, mass, or lump in head and neck Nonspecific abnormal results of thyroid function studies Neoplasm of uncertain behavior of thyroid gland
Soft Tissue
D17.1 Lipoma of head, face, or neck
D17.0 Lipoma of trunk D17.2* Lipoma of arm *(1=right, 2=left)
D17.2* Lipoma of leg *(3=right, 4=left) M79.89 Other disorders of soft tissue
2
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