Ultrasound Exams & Diagnostic codes
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
1
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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