Date: _____________________
Name: ____________________
Ultrasound Exams & Diagnostic codes
ID: ______________________
Physician: _________________
Ultrasound Exam
Abdomen Complete
Abdominal soft tissue
Abdominal Comp w/ Doppler
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
76700, 93975
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)
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
76870,93975
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
*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
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
Breast
611.72
611.1
1
Lump or mass in breast
Gynecomastia
Kidneys
Arterial
789.00
591
Flank Pain
Hydronephrosis
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
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
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
Visceral Vascular Studies
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
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
Testicles
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
433.1_
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
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
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
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,
polymenorrhea)
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
Thyroid
Transcranial
433.1_
433.2_
433.3_
434.1_
434.9_
437.0
435.3
435.9
437.5
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)
Pelvis
Carotid
368.11
368.12
368.10
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
240.9
245.0
246.2
682.0
682.1
784.2
794.5
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
Goiter, unspecified (enlargement of thyroid)
Acute Thyroditis
Cyst of Thyroid
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
Soft Tissue
214.1
729.99
2
Lipoma of other skin and subcutaneous tissue
Other disorders of soft tissue