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Ultrasound – Transabdominal & Transvaginal Pelvis Evaluation

UT Southwestern Department of Radiology * - UTSW ER patients only US Pelvis Transabdominal & 1 | Page Revision date: 05-31-2020 Ultrasound Transabdominal & Transvaginal Pelvis Evaluation PURPOSE: To evaluate the uterus (myometrium and endometrium), adnexa (ovaries and fallopian tubes), and cul-de-sac in non-pregnant women. SCOPE: Applies to all Ultrasound Pelvis studies performed in Imaging Services / Radiology ORDERABLE: EPIC Order: US Pelvis CHARGEABLES: US Pelvis Transabdominal Limited (cpt 76857) US Pelvis Transvaginal (cpt 76830) INDICATIONS: Signs (example: mass) or symptoms (examples: pain, bleeding) referred to the Pelvis Localization of an intrauterine device (IUD) Abnormal lab values (decreased hemoglobin, increased CA-125, etc) Evaluation of endocrine abnormalities, including polycystic ovaries Post-partum complications, fever or pain Evaluation for primary neoplasm in setting of risk factors Evaluation of congenital uterine, gonadal, or lower genital tract abnormalities Follow up known pelvic abnormalities Abnormal pelvic findings on other imaging studies CONTRAINDICATIONS: No absolute contraindications.

exam 08-15-2016 Brief Summary Clarified use of this protocol vs Transabdominal Complete whether TV is contra-indicated 09 -05 -2016 Brief Summary Added EPIC orderables 03 -10 -2019 Brief Summary Added Appendix with information regarding RPOC 5-4-2019 Updated details regarding when, when not to obtain UPT/bHCG

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