Date: Name: Ultrasound Exams & Diagnostic codes ID:

1 1 Date: _____ Name: _____ ID: _____ Physician: _____ Ultrasound Exams & Diagnostic codes Ultrasound Exam CPT code (s) Abdomen soft tissue 76705 Abdominal (upper) 76700 Abdominal Complete 76700,76770 Abdominal Ltd. 76705 Aorta/Iliac Ultrasound 93978 Aorta/Iliac Ultrasound (limited) 93979 Bladder w/ PVR 76775 Biophysical Profile 76819 Breast (unilateral or bilateral) 76645 Carotid 93880 Duplex arterial lower ext. bilateral 93925,93923 Duplex arterial lower ext. unilateral 93926,93923 Duplex arterial upper ext. unilateral 93931,93923 Duplex arterial upper ext.

2 Bilateral 93930,93923 Echocardiogram complete (adult) 93306 Echocardiogram complete (child) 93303,93320,93325 Echocardiogram 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 Benign hypertensive heart disease w/o mention of heart failure Unspecified hypertensive heart 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 412 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) SBE Pericardial effusion Mitral valve stenosis Mitral valve regurgitation Aortic valve regurgitation; stenosis Tricuspid valve regurgitation; stenosis Pulmonary valve regurgitation; stenosis Hypertrophic obstructive cardiomyopathy.

3 Hypertrophic subaortic stenosis Chronic pulmonary heart disease unspecified 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 135 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 Systemic lupus erythematosus aortic ASD, persistent PFO * cardiac murmurs (heart murmur NOS) abnormal heart sounds pain, *Abnormal *Shortness of breath*ICD-9 codes that DO NOT support medical necessity Abdominal Pain, unspecified (also flank pain)

4 In multiple or pelvic swelling, mass, or lump (5th digit required) abdominal pain Gallbladder w/ stones & acute cholecystitis (0=w/o obstruction, 1=w/ obstruction) w/ stones w/o cholecystitis (0=w/o obstruction, 1=w/ obstruction) fatty Liver Function studies; abnormal liver abnormal serum enzyme levels abnormal findings on radiological exam cirrhosis of liver appendicitis with generalized peritonitis appendicitis w/o mention of peritonitis aneurysm w/o mention of rupture hypertophic pyloric stenosis with distention; bloating of Chronic Pancreatitis Ultrasound Exam CPT code (s) Extremity non-vascular (soft tissue) 76880 Face, head, or neck (soft tissue) 76536 Intracranial 76506 Kidneys 76770 Mesenteric Arteries 93975 Pelvic Complete 76856 Pelvic Complete w/ transvaginal 76856,76830 Pregnant Uterus (<14 wks) 76801 Pregnant Uterus (>14 wks)

5 76805 Renal Artery Complete 76770,93975 Testicle/Scrotum complete 76870,93975 Thyroid 76536 Transcranial Doppler 93886 Transvaginal pregnant uterus 76817 Venous (lower or upper) bilateral 93970 Venous (lower or upper) unilateral 93971 2 Kidneys Flank Pain 591 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 586 Renal Failure, unspecified Renal colic Dysuria (painful urination)

6 Incomplete bladder emptying Urinary incontinence, unspecified Hematuria Nonspecific abnormal findings on Radiology exam Oliguria and anuria Visceral Vascular Studies Mesenteric arteries, Renal Artery, Aorta/Iliac Malignant essential hypertension 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.

7 Acute mesenteric angina Chronic vascular insufficiency of intestine: mesenteric angina Atherosclerosis of other unspecified arteries AAA unruptured Vascular disorders of kidney Other noninflamatory disorders of ovary, fallopian tubes Stricture of artery Testicles Spermatocele Scrotal varices Orchitis and epididymitis, unspecified Epididymitis: acute, recurrent, or residual Torsion of testis Cellulitis; abscess of scrotum Hydrocele, unspecified Scrotal pain Scrotal/Testicular mass; cyst unspecified Carotid 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 Subclavian steal syndrome ( diminished radial pulse, arm numbness) Bruit.

8 Other symptoms involving cardiovascular system Aphasia Other speech disturbance Transcranial 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 Arterial with plexus disorders, including thoracic outlet of aorta of extremity arteries, of native arteries with intermittent of native arteries with rest of native arteries with Atherosclerosis of native arteries of the of autologous vein bypass of nonautologous biological bypass , w/o mention of rupture of artery of lower extremity s syndrome claudication NOS.

9 PVD of iliac artery CFA, PFA, SFA, POPA pulse, bruitVenous Phlebitis & thrombophlebitis of superficial vessels of lower extremities (saphenous vein greater or lesser) of the femoral vein (deep or superficial) of popliteal or calf veins iliac Phlebitis & thrombophlebitis of superficial veins of upper extremities (basilic vein, cephalic vein, antecubital vein) of deep veins of upper extremities (brachial, radial, and/or ulnar) other (axillary, jugular, subclavian) Varicose veins of LE: With ulcer; With inflammation; With ulcer and inflammation insufficiency NOS venous hypertension with of lower limbs, except decubitus, of thigh, except decubitus of calf, except decubitus of ankle, except decubitus of heel and midfoot, except decubitus in in superficial swelling, mass, or embolism of -- cyst of popliteal space (Baker s Cyst)Pelvis leiomyoma of uterus leiomyoma of uterus leiomyoma of uterus of uterus, unspecified inflammatory disease of female pelvic organs and , site unspecified cyst of ovary luteum and unspecified ovarian cyst of polyp (endometrium) (intermenstrual pain, ovulation pain) menstruation of menstruation menstruation (hypomenorrhea or oligomenorrhea)

10 Excessive or frequent menstruation (Menorrhagia, menometrorrhagia, polymenorrhea) menstrual cycle bleeding (regular intermenstrual bleeding) Abdominal pain , mass, or lump in RLQ , mass, or lump in LLQ tenderness in RLQ tenderness in LLQ , unspecified (enlargement of thyroid) of cellulites and abscess of face cellulites and abscess of neck , mass, or lump in head and neck abnormal results of thyroid function studies