Name: Ultrasound Exams & Diagnostic codes ID:
Date: ___________________________
Name: __________________________
Ultrasound Exams & Diagnostic codes
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)
Ultrasound Exam
76700
76705
76705
76775
93978
93979
76857
76819
76641
93880
93925,93922
93926,93922
93931,93922
93930,93922
93306
76881
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
Echocardiogram
I34.0
I34.1
I34.2
I35.1
I35.0
I35.2
I36.1
I37.1
I10
I11.0
I11.9
I11.9
I15.0
I20.0
I25.2
I20.9
I27.2
I30.9
I33.0
I31.9
I42.1
I42.0
I42.5
I42.8
I42.9
I45.9
I47.1
I49.01
I48.91
I48.92
I49.1
I49.3
I50.9
I50.1
I50.20
I50.30
I25.10
I51.7
G45.9
D86.9
R55
I95.1
J96.00
J96.10
Q23.1
Q21.1
R00.2
R01.1
R01.2
R06.01
R94.31
R06.02
R07.9
CPT code (s)
76536
76506
76770
93975
76856
76857
76856,76830
76801
76805
76775,93975-59
76870,93975-59
76536
93886
76817
93970
93971
Abdominal
Mitral valve insufficiency (nonrheumatic)
Mitral valve prolapse (nonrheumatic)
Mitral valve stenosis (nonrheumatic)
Aortic valve insufficiency (nonrheumatic)
Aortic valve stenosis (nonrheumatic)
Aortic valve stenosis with insufficiency (nonrheumatic)
Tricuspid regurgitation (nonrheumatic)
Pulmonary valve insufficiency (nonrheumatic)
Essential (primary) hypertension
Hypertensive heart disease with heart failure
Hypertensive heart disease without heart failure
Hypertensive heart disease NOS
Renovascular hypertension
Angina, Unstable
Old myocardial infarction
Angina pectoris unspecified
Pulmonary hypertension NOS
Acute pericarditis unspecified
Endocarditis, bacterial (acute and subacute) e.g. SBE
Pericardial effusion unspecified
Hypertrophic obstructive cardiomyopathy
Dilated cardiomyopathy
Other restrictive cardiomyopathy
Other cardiomyopathies
Cardiomyopathy unspecified
Conduction disorder unspecified
Supraventricular tachycardia (SVT)
Ventricular fibrillation (V-fib)
Atrial fibrillation (A-fib)
Atrial flutter
Atrial premature beats (PAC¡¯s)
Ventricular premature beats (PVC¡¯s)
Heart failure unspecified
Left heart failure
Unspecified systolic (congestive) heart failure
Unspecified diastolic (congestive) heart failure
Atherosclerotic heart disease of native coronary artery without angina
Cardiomegaly (cardiac dilatation, cardiac hypertrophy, ventricular dilatation)
TIA
Sarcoidosis
Syncope and collapse
Orthostatic hypotension
Acute respiratory failure
Chronic respiratory failure
Bicuspid aortic valve
Secundum ASD, persistent PFO
Palpitations
Undiagnosed cardiac murmurs (heart murmur NOS)
Other abnormal heart sounds
Orthopnea
Abnormal EKG
Shortness of breath
Chest pain, unspecified
R10.9
R10.11
R10.12
R10.31
R10.32
R10.33
R10.84
R19.01
R19.02
K80.00
K80.20
K70.0
K76.0
R16.0
R16.1
R94.5
R74.8
R18.8
B18.2
K70.3
I71.4
K35.2
R14.0
K85.9
R11.2
750.5
R63.4
K40.90
Breast
N64
N62
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
1
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
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
Acute appendicitis with generalized peritonitis
Abdominal distention; bloating
Acute Pancreatitis
Nausea with vomiting
Congenital hypertophic pyloric stenosis
Loss of weight
Inguinal hernia NOS
Lump or mass in breast
Gynecomastia
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
Visceral Vascular Studies
Venous
Mesenteric arteries, Renal Artery, Aorta/Iliac
I10
I11.9
I11.0
I12.9
I12.0
I70.1
I70.219
I73.9
K55.0
K55.1
R18.8
K55.0
I71.4
N28.0
I77.1
I70.0
Testicles
N43.40
N50.3
I86.1
N45.1
N50.8
N44.00
N43.3
I80.20*
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
Renovascular HTN (malignant) with renal failure
Atherosclerosis of renal artery
Atherosclerosis of extremities w/ intermittent claudication
Peripheral vascular disease, unspecified
Acute vascular insufficiency of intestine; acute mesenteric angina
Chronic vascular insufficiency of intestine: mesenteric angina
Ascites
Atherosclerosis of other unspecified arteries
AAA unruptured
Vascular disorders of kidney
Stricture of artery
Atherosclerosis of aorta
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*
Spermatocele
Cyst of epididymis
Scrotal varices
Epididymitis
Other specified disorders of male genital organs; pain
Torsion of testis
Hydrocele, unspecified
Pelvis
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
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
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_
433.2_
433.3_
434.1_
434.9_
437.0
435.3
435.9
437.5
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
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)
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)
Cerebral atherosclerosis
Vertibrobasilar artery syndrome
Transient ischemic attack (TIA)
Moyamoya disease
Thyroid
E04.9
E06.0
E04.1
R22.1
R94.6
D44.0
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
Soft Tissue
D17.1
D17.0
D17.2*
D17.2*
M79.89
2
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
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
Lipoma of head, face, or neck
Lipoma of trunk
Lipoma of arm *(1=right, 2=left)
Lipoma of leg *(3=right, 4=left)
Other disorders of soft tissue
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