Ultrasound Exams & Diagnostic codes - Moore Sound Imaging

Ultrasound Exams & Diagnostic codes

Date: _________________________________ Name: ________________________________ ID: __________________________________ Physician: _____________________________

Ultrasound Exam

Abdominal complete Abdominal (upper) Abdominal Soft Tissure Abdominal Ltd. 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) Echocardiogram complete (child)

CPT code (s)

76700 76705 76705 76705 93978 93979 76775 76819 76645 93880 93925,93923 93926,93923 93931,93923 93930,93923 93306 93306

Ultrasound Exam

Extremity non-vascular (soft tissue) Face, head, or neck (soft tissue) Intracranial Kidneys Mesenteric Arteries Pelvic Complete 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)

76881 76536 76506 76770 93975 76856 76856,76830 76801 76805 93975 93975 76536 93886 76817 93970 93971

Echocardiogram

396.2 Mitral valve insufficiency and aortic valve stenosis

396.3 Mitral valve insufficiency and aortic valve insufficiency

396.8 Multiple involvement of mitral and aortic valves

401.0 Malignant essential hypertension

401.9 Unspecified essential hypertension

402.90 Unspecified hypertensive disease w/o mention of heart failure

402.10 Benign hypertensive disease w/o mention of heart failure

404.10 Benign hypertensive heart and renal disease w/ mention of CHF

404.90 Unspecified hypertensive heart and renal disease w/ mention of CHF or renal failure

405.01 Renovascular secondary HTN

411.1 Angina, Unstable

412

Old myocardial infarction

413.9 Other & unspecified angina pectoris

416.8 Other chronic pulmonary heart diseases (secondary HTN)

416.9 Chronic pulmonary heart disease, unspecified

420.90 Pericarditis, acute

421.0 Endocarditis, bacterial (acute and subacute) e.g. SBE

423.9 Pericardial effusion

394.0 Mitral valve stenosis

424.0 Mitral valve regurgitation

424.1 Aortic valve regurgitation; stenosis

424.2 Tricuspid valve regurgitation; stenosis

424.3 Pulmonary valve regurgitation; stenosis

425.1 Hypertrophic obstructive cardiomyopathy; hypertrophic subaortic stenosis

425.4 Other primary cardiomyopathies (dilated, idiopathic, hypertrophic, congestive,

NOS)

426.50 Bundle branch block, unspecified

426.9 Conduction disorder, unspecified

427.0 Paroxysmal supraventricular tachycardia (SVT)

427.41 Ventricular fibrillation (V-fib)

427.31 Atrial fibrillation (A-fib)

427.32 Atrial flutter

427.61 Atrial premature beats (PAC's)

427.69 Ventricular premature beats (PVC's)

277.3 Amyloidosis

135

Sarcoidosis

428.0 CHF unspecified

428.1 Left heart failure

428.20 Systolic heart failure, unspecified

428.30 Diastolic heart failure, unspecified

428.9 Heart failure, unspecified (Heart failure NOS)

429.2 Cardiovascular disease, unspecified (ASCVD)

429.3 Cardiomegaly

435.9 TIA

440.20 Atherosclerosis of the extremities, unspecified

458.0 Orthostatic hypotension

518.81 Acute respiratory failure (respiratory failure NOS)

518.82 Other pulmonary insufficiency, not elsewhere classified (Acute respiratory distress, adult respiratory distress syndrome NEC)

518.83 Chronic respiratory failure

674.84 Postpartum cardiomyopathy

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710.0 Systemic lupus erythematosus 746.4 Bicuspid aortic valve 745.5 Secundum ASD, persistent PFO 780.6 Fever 785.1 *Palpitations 785.2 Undiagnosed cardiac murmurs (heart murmur NOS) 785.3 Other abnormal heart sounds 786.02 Orthopnea 786.50 Chest pain, unspecified 786.51 Precordial pain 794.31 *Abnormal EKG 786.05 *Shortness of breath *ICD-9 codes that DO NOT support medical necessity

Abdominal

789.00 789.01 789.02 789.03 789.04 789.05 789.09 789.3_ 789.06 789.07

574.0_

574.2_ 571.0 571.8 789.1 789.2 573.8 794.8 790.5 789.5 571.2 571.4 540.0 540.9 441.4 750.5 787.01 787.1 787.3 783.21 285.9 577.0

Abdominal Pain, unspecified (also flank pain) RUQ Pain LUQ Pain RLQ Pain LLQ Pain Periumbilic pain Pain in multiple sites Abdominal or pelvic swelling, mass, or lump (5th digit required) Epicgastric pain Generalized abdominal pain Gallbladder w/ stones & acute cholecystitis (0=w/o obstruction, 1=w/ obstruction) Gallbladder w/ stones w/o cholecystitis (0=w/o obstruction, 1=w/ obstruction) Alcoholic fatty liver Fatty liver Hepatomegaly Splenomegaly Liver cyst Abnormal Liver Function studies; abnormal liver scan Nonspecific abnormal serum enzyme levels Ascites Alcoholic cirrhosis of liver Chronic hepatitis Acute appendicitis with generalized peritonitis Acute appendicitis w/o mention of peritonitis Abdominal aneurysm w/o mention of rupture Congenital hypertophic pyloric stenosis Nausea with vomiting Heartburn Abdominal distention; bloating Loss of weight Anemia Unspecified Acute Pancreatitis

577.1 Chronic Pancreatitis

Breast

611.72 Lump or mass in breast

611.1 Gynecomastia

Kidneys

789.00 Flank Pain

591

Hydronephrosis

592.0 Calculus of kidney

593.1 Hypertrophy of kidney

593.2 Cyst of kidney, acquired

593.9 Unspecified disorder of kidney and ureter

599.0 Urinary tract infection, site not specified

599.6 Urinary obstruction, unspecified type

788.36 Nocturnal enuresis

794.4 Nonspecific abnormal results of kidney function studies

590.0 Chronic pyelonephritis

590.1 Acute pyelonephritis

753.12 Polycystic Kidney, unspecified type

584.9 Acute renal failure, unspecified

586

Renal Failure, unspecified

788.0 Renal colic

788.1 Dysuria (painful urination)

788.21 Incomplete bladder emptying

788.30 Urinary incontinence, unspecified

599.7 Hematuria

793.6 Nonspecific abnormal findings on Radiology exam

788.5 Oliguria and anuria

Visceral Vascular Studies

Mesenteric arteries, Renal Artery, Aorta/Iliac

401.0 402.00 402.01 403.00

Malignant essential hypertension Malignant hypertensive heart disease w/o heart failure Malignant hypertensive heart disease with heart failure Renovascular HTN (malignant) w/o renal failure

403.01 Renovascular HTN (malignant) with renal failure 403.90 Renovascular HTN unspecified w/o renal failure

403.91 Renovascular HTN w/ renal failure

440.0 Atherosclerosis of aorta

440.1 Atherosclerosis of renal artery

440.21 Atherosclerosis of extremities w/ intermittent claudication

443.9 589.0

Peripheral vascular disease, unspecified Unilateral small kidney unknown cause

557.0 557.1 789.5 440.8

Acute vascular insufficiency of intestine; acute mesenteric angina Chronic vascular insufficiency of intestine: mesenteric angina Ascites Atherosclerosis of other unspecified arteries

441.4 AAA unruptured

593.81 Vascular disorders of kidney 620.8 Other noninflamatory disorders of ovary, fallopian tubes

447.1 Stricture of artery

Testicles

608.1 456.4

Spermatocele Scrotal varices

604.90 Orchitis and epididymitis, unspecified 608.9 Scrotal pain

608.2 Torsion of testis

608.89 Scrotal/Testicular mass; cyst unspecified

603.9 Hydrocele, unspecified

Carotid

368.11 Sudden visual loss

368.12 Transient visual loss; fading

368.10 433.1_ 435.9

Subjective visual disturbance, unspecified Carotid artery stenosis/occlusion (5th digit: 0= w/o mention of cerebral infarction)

TIA

437.0 437.1

Cerebral atherosclerosis Other generalized ischemic cerebrovascular disease

438.7 Disturbances of vision

438.85 vertigo 780.2 Syncope & collapse

780.4 781.2

Dizziness and giddiness Abnormality of gait

781.3 781.4

Lack of coordination Transient paralysis of limb

447.1 785.9

Stricture of artery Bruit; other symptoms involving cardiovascular system

784.3 Aphasia

784.5 Other speech disturbance

Transcranial

433.1_ 433.2_ 433.3_ 434.1_ 434.9_

Carotid artery stenosis/occlusion (0= w/o mention of cerebral infarction)

Vertebral artery stenosis/occlusion (0= w/o mention of cerebral infarction) Multiple and bilateral (5th digit: 0= w/o mention of cerebral infarction) Cerebral embolism (5th digit: 0= w/o mention of cerebral infarction)

Cerebral artery occlusion, unspecified (0= w/o mention of infarction)

437.0 Cerebral atherosclerosis

435.3 435.9 437.5

Vertibrobasilar artery syndrome Transient ischemic attack (TIA) Moyamoya disease

Arterial

250.70 353.0 440.0 440.20 440.21 440.22 440.23 440.29 440.31 440.32 441.4 442.3 443.0 443.9 447.1 447.0 442.2 442.3 785.9

Venous

451.0

451.11 451.19 451.81

451.82

451.83 451.89 454.0 ? 454.2 459.81 459.32 707.10 707.11 707.12 707.13 707.14 729.5 729.81 782.2 782.3 415.11 786.50 707.12 707.13 727.51

Pelvis

218.0 218.1 218.2 218.9 614.9 617.9 620.0 620.1 620.2 620.5 621.0 621.4 625.2 625.3 626.0 626.1 626.2 626.4 626.5 626.7 789.03 789.04 789.33 789.34 789.63 789.64 789.5

Thyroid

240.9 245.0 246.2 241.0 682.0 682.1 784.2 794.5

Soft Tissue

214.1 729.99

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 Atherosclerosis of native arteries with rest pain Atherosclerosis of native arteries with ulceration Other Atherosclerosis of native arteries of the extremities Atherosclerosis of autologous vein bypass graft Atherosclerosis of nonautologous biological bypass graft AAA, w/o mention of rupture Aneurysm of artery of lower extremity Raynaud's syndrome Intermittent claudication NOS; PVD unspecified Stricture of artery A/V fistula Aneurysm iliac artery Aneurysm CFA, PFA, SFA, POPA Weak pulse, bruit

Phlebitis & thrombophlebitis of superficial vessels of lower extremities (saphenous vein ? greater or lesser) DVT of the femoral vein (deep or superficial) DVT of popliteal or calf veins DVT iliac vein Phlebitis & thrombophlebitis of superficial veins of upper extremities (basilic vein, cephalic vein, antecubital vein) DVT of deep veins of upper extremities (brachial, radial, and/or ulnar) DVT other (axillary, jugular, subclavian) Varicose veins of LE: With ulcer; With inflammation; With ulcer and inflammation Venous insufficiency NOS Chronic venous hypertension with inflamation Ulcer of lower limbs, except decubitus, unspecified Ulcer of thigh, except decubitus Ulcer of calf, except decubitus Ulcer of ankle, except decubitus Ulcer of heel and midfoot, except decubitus Pain in limb Swelling in limb Localized superficial swelling, mass, or lump Edema Pulmonary embolism Chest pain Ulcer ? calf Ulcer -- ankle Synovial cyst of popliteal space (Baker's Cyst)

Submucous leiomyoma of uterus Intramural leiomyoma of uterus Subserous leiomyoma of uterus Leiomyoma of uterus, unspecified Unspecified inflammatory disease of female pelvic organs and tissues Endometriosis, site unspecified Follicular cyst of ovary Corpus luteum cyst Other and unspecified ovarian cyst Torsion of ovary Uterus polyp (endometrium) Hematometra Mittelschmerz (intermenstrual pain, ovulation pain) Painful menstruation Absence of menstruation Infrequent menstruation (hypomenorrhea or oligomenorrhea) Excessive or frequent menstruation (Menorrhagia, menometrorrhagia) Irregular menstrual cycle Ovulation bleeding (regular intermenstrual bleeding) Postcoital bleeding 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 Ascites

Goiter, unspecified (enlargement of thyroid) Acute Thyroditis Cyst of Thyroid Thyroid nodule Other cellulites and abscess of face Other cellulites and abscess of neck Swelling, mass, or lump in head and neck Nonspecific abnormal results of thyroid function studies

Lipoma of other skin and subcutaneous tissue Other disorders of soft tissue

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