Ultrasound Exams & Diagnostic codes

Date: _________________________________

Name: ________________________________

ID: __________________________________

Ultrasound Exams & Diagnostic codes

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)

Ultrasound Exam

76700

76705

76705

76705

93978

93979

76775

76819

76645

93880

93925,93923

93926,93923

93931,93923

93930,93923

93306

93306

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

Echocardiogram

396.2

396.3

396.8

401.0

401.9

402.90

402.10

404.10

404.90

405.01

411.1

412

413.9

416.8

416.9

420.90

421.0

423.9

394.0

424.0

424.1

424.2

424.3

425.1

425.4

426.50

426.9

427.0

427.41

427.31

427.32

427.61

427.69

277.3

135

428.0

428.1

428.20

428.30

428.9

429.2

429.3

435.9

440.20

458.0

518.81

518.82

518.83

674.84

710.0

746.4

745.5

780.6

785.1

785.2

785.3

786.02

786.50

786.51

794.31

786.05

Mitral valve insufficiency and aortic valve stenosis

Mitral valve insufficiency and aortic valve insufficiency

Multiple involvement of mitral and aortic valves

Malignant essential hypertension

Unspecified essential hypertension

Unspecified hypertensive disease w/o mention of heart failure

Benign hypertensive disease w/o mention of heart failure

Benign hypertensive heart and renal disease w/ mention of CHF

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

failure

Renovascular secondary HTN

Angina, Unstable

Old myocardial infarction

Other & unspecified angina pectoris

Other chronic pulmonary heart diseases (secondary HTN)

Chronic pulmonary heart disease, unspecified

Pericarditis, acute

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

Pericardial effusion

Mitral valve stenosis

Mitral valve regurgitation

Aortic valve regurgitation; stenosis

Tricuspid valve regurgitation; stenosis

Pulmonary valve regurgitation; stenosis

Hypertrophic obstructive cardiomyopathy; hypertrophic subaortic stenosis

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

NOS)

Bundle branch block, unspecified

Conduction disorder, unspecified

Paroxysmal supraventricular tachycardia (SVT)

Ventricular fibrillation (V-fib)

Atrial fibrillation (A-fib)

Atrial flutter

Atrial premature beats (PAC¡¯s)

Ventricular premature beats (PVC¡¯s)

Amyloidosis

Sarcoidosis

CHF unspecified

Left heart failure

Systolic heart failure, unspecified

Diastolic heart failure, unspecified

Heart failure, unspecified (Heart failure NOS)

Cardiovascular disease, unspecified (ASCVD)

Cardiomegaly

TIA

Atherosclerosis of the extremities, unspecified

Orthostatic hypotension

Acute respiratory failure (respiratory failure NOS)

Other pulmonary insufficiency, not elsewhere classified (Acute respiratory

distress, adult respiratory distress syndrome NEC)

Chronic respiratory failure

Postpartum cardiomyopathy

CPT code (s)

76881

76536

76506

76770

93975

76856

76856,76830

76801

76805

93975

93975

76536

93886

76817

93970

93971

Systemic lupus erythematosus

Bicuspid aortic valve

Secundum ASD, persistent PFO

Fever

*Palpitations

Undiagnosed cardiac murmurs (heart murmur NOS)

Other abnormal heart sounds

Orthopnea

Chest pain, unspecified

Precordial pain

*Abnormal EKG

*Shortness of breath

*I CD-9 codes that DO NOT support m edical necessity

Abdominal

789.00

789.01

789.02

789.03

789.04

789.05

789.09

789.3_

789.06

789.07

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

577.1

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

Chronic Pancreatitis

611.72

611.1

Lump or mass in breast

Gynecomastia

574.0_

Breast

1

Kidneys

789.00

591

592.0

593.1

593.2

593.9

599.0

599.6

788.36

794.4

590.0

590.1

753.12

584.9

586

788.0

788.1

788.21

788.30

599.7

793.6

788.5

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

Flank Pain

Hydronephrosis

Calculus of kidney

Hypertrophy of kidney

Cyst of kidney, acquired

Unspecified disorder of kidney and ureter

Urinary tract infection, site not specified

Urinary obstruction, unspecified type

Nocturnal enuresis

Nonspecific abnormal results of kidney function studies

Chronic pyelonephritis

Acute pyelonephritis

Polycystic Kidney, unspecified type

Acute renal failure, unspecified

Renal Failure, unspecified

Renal colic

Dysuria (painful urination)

Incomplete bladder emptying

Urinary incontinence, unspecified

Hematuria

Nonspecific abnormal findings on Radiology exam

Oliguria and anuria

Venous

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

Renovascular HTN unspecified w/o renal failure

Renovascular HTN w/ renal failure

Atherosclerosis of aorta

Atherosclerosis of renal artery

Atherosclerosis of extremities w/ intermittent claudication

Peripheral vascular disease, unspecified

Unilateral small kidney unknown cause

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

Other noninflamatory disorders of ovary, fallopian tubes

Stricture of artery

608.1

456.4

604.90

608.9

608.2

608.89

603.9

Spermatocele

Scrotal varices

Orchitis and epididymitis, unspecified

Scrotal pain

Torsion of testis

Scrotal/Testicular mass; cyst unspecified

Hydrocele, unspecified

368.11

368.12

368.10

435.9

437.0

437.1

438.7

438.85

780.2

780.4

781.2

781.3

781.4

447.1

785.9

784.3

784.5

Sudden visual loss

Transient visual loss; fading

Subjective visual disturbance, unspecified

Carotid artery stenosis/occlusion (5th digit: 0= w/o mention of cerebral

infarction)

TIA

Cerebral atherosclerosis

Other generalized ischemic cerebrovascular disease

Disturbances of vision

vertigo

Syncope & collapse

Dizziness and giddiness

Abnormality of gait

Lack of coordination

Transient paralysis of limb

Stricture of artery

Bruit; other symptoms involving cardiovascular system

Aphasia

Other speech disturbance

433.1_

433.2_

433.3_

434.1_

434.9_

437.0

435.3

435.9

437.5

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

Testicles

Carotid

433.1_

451.83

451.89

454.0 ¨C

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

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

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

240.9

245.0

246.2

241.0

682.0

682.1

784.2

794.5

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

214.1

729.99

Lipoma of other skin and subcutaneous tissue

Other disorders of soft tissue

451.11

451.19

451.81

451.82

Mesenteric arteries, Renal Artery, Aorta/Iliac

401.0

402.00

402.01

403.00

403.01

403.90

403.91

440.0

440.1

440.21

443.9

589.0

557.0

557.1

789.5

440.8

441.4

593.81

620.8

447.1

Phlebitis & thrombophlebitis of superficial vessels of lower extremities

(saphenous vein ¨C 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 ¨C calf

Ulcer -- ankle

Synovial cyst of popliteal space (Baker¡¯s Cyst)

451.0

Visceral Vascular Studies

Pelvis

Thyroid

Transcranial

Soft Tissue

2

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

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