Ultrasound Exams & Diagnostic codes

1 Date: _____ Name: _____ ID: _____ Physician: _____ Ultrasound Exams & Diagnostic codes Ultrasound Exam CPT code (s) Abdominal complete 76700 Abdominal (upper) 76705 Abdominal Soft Tissure 76705 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. bilateral 93930,93923 Echocardiogram complete (adult) 93306 Echocardiogram complete (child)

2 93306 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 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 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 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 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 Bicuspid aortic valve Secundum ASD, persistent PFO Fever *Palpitations Undiagnosed cardiac murmurs (heart murmur NOS)

4 Other abnormal heart sounds Orthopnea Chest pain, unspecified Precordial pain *Abnormal EKG *Shortness of breath *ICD-9 codes that DO NOT support medical necessity Abdominal 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.

5 Bloating Loss of weight Anemia Unspecified Acute Pancreatitis Chronic Pancreatitis Breast Lump or mass in breast Gynecomastia Ultrasound Exam CPT code (s) Extremity non-vascular (soft tissue) 76881 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) 76805 Renal Artery Complete 93975 Testicle/Scrotum complete 93975 Thyroid 76536 Transcranial Doppler 93886 Transvaginal pregnant uterus 76817 Venous (lower or upper) bilateral 93970 Venous (lower or upper) unilateral 93971 1 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 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.

7 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 Testicles Spermatocele Scrotal varices Orchitis and epididymitis, unspecified Scrotal pain Torsion of testis Scrotal/Testicular mass; cyst unspecified Hydrocele, 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 Stricture of artery 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 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.

9 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 Venous 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.

10 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