Template List: Gelormini
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Name: MANDIBLE (Default) [Edit] [Delete]
CPT: 70110
MANDIBLE:
The mandible is normal. There is no fracture. There is no dislocation. There is no lytic or
sclerotic lesion. Soft tissues are normal.
IMPRESSION: Negative mandible
Name: FACIAL (Default) [Edit] [Delete]
CPT: 70150
FACIAL BONES:
There is no visualized fracture. The orbital walls are intact. The paranasal sinuses are normal.
There are no air-fluid levels. There is no apparent facial or mandibular fracture. There is no nasal
bone fracture. There is mild osteopenia. Soft tissues are normal.
IMPRESSION: Normal facial series.
Name: NASAL (Default) [Edit] [Delete]
CPT: 70160
NASAL BONES:
The nasal bone is normal with no fracture. Overlying soft tissues are normal. The orbital walls
are intact. Paranasal sinuses are normal without air-fluid levels. There are no visualized facial
fractures.
IMPRESSION: Normal nasal bones.
Name: ORBITS (Default) [Edit] [Delete]
CPT: 70200
ORBITS:
The orbital walls are intact. The paranasal sinuses are normal without fracture or air-fluid levels.
Facial bones are normal. The visualized skull is normal. The nasal bone is normal.
IMPRESSION: Normal orbital series.
Name: SINUS (Default) [Edit] [Delete]
CPT: 70220
PARANASAL SINUS SERIES:
Paranasal sinuses are normal. There is no acute or chronic sinus disease. There are no are fluid
levels. There is no fracture.
IMPRESSION: Normal paranasal sinuses.
Name: SKULL (Default) [Edit] [Delete]
CPT: 70260
SKULL:
No skull fracture. There are no skull depressions. The orbital walls and facial bones are normal.
Paranasal sinuses are normal.
IMPRESSION: Normal skull series.
Name: CHEST 1 VIEW (Default) [Edit] [Delete]
CPT: 71010
CHEST; FRONTAL VIEW:
Single frontal view the chest. The lungs are symmetrically aerated and clear. There is no
infiltrate or effusion. There is no nodule or mass. There is no cavitary lesion or granulomatous
disease. There is no pneumothorax. The heart is not enlarged. There is no hilar adenopathy.
Aorta and pulmonary venous structures are normal. There are no rib fractures. The osseous
structures and soft tissues are within normal limits.
IMPRESSION: Normal chest.
Name: Chest TB (Default) [Edit] [Delete]
CPT: 71010
CHEST; FRONTAL VIEW:
Lungs are symmetrically aerated and clear. There is no granulomatous disease. There is no
nodule or mass. There is no hilar adenopathy. There is no infiltrate, effusion or cavitary lesion.
The heart is not enlarged. Aorta and pulmonary vasculature are normal. The osseous structures
and soft tissues are within normal limits.
IMPRESSION: No evidence of active TB.
Name: CHEST (Default) [Edit] [Delete]
CPT: 71020
CHEST; TWO VIEWS:
PA and lateral views. The lungs are symmetrically aerated and clear. There is no infiltrate or
effusion. There is no nodule or mass. There is no cavitary lesion or granulomatous disease. There
is no pneumothorax. The heart is not enlarged. There is no hilar adenopathy. Aorta and
pulmonary venous structures are normal. There are no rib fractures. The osseous structures and
soft tissues are within normal limits.
IMPRESSION: Normal chest.
Name: Chest TB (Default) [Edit] [Delete]
CPT: 71020
CHEST; TWO VIEWS:
Lungs are symmetrically aerated and clear. There is no granulomatous disease. There is no
nodule or mass. There is no hilar adenopathy. There is no infiltrate, effusion or cavitary lesion.
The heart is not enlarged. Aorta and pulmonary vasculature are normal. The osseous structures
and soft tissues are within normal limits.
IMPRESSION: No evidence of active TB.
Name: COPD [Edit] [Delete]
CPT: 71020
CHEST; TWO VIEWS:
Two view chest,PA/lateral. The lungs are symmetrically hyperexpanded and there is mild
interstitial prominence. There is no infiltrate or effusion. There is no nodule or mass. There is no
cavitary lesion or granulomatous disease. There is no pneumothorax. The heart is not enlarged.
There is no hilar adenopathy. There are no rib fractures. There is osteopenia and there is
degenerative change of the shoulders and spine.
IMPRESSION: 1. COPD. 2. Otherwise normal chest.
Name: 4V CHEST (Default) [Edit] [Delete]
CPT: 71022
CHEST WITH OBLIQUE VIEWS:
Four views of the chest show the heart and mediastinum to be unremarkable. The lungs are clear
and the bones are intact.
IMPRESSION: Normal chest with oblique views.
Name: RIBS (Default) [Edit] [Delete]
CPT: 71100
& RL& RIB SERIES:
There are no &rl& sided rib fractures. There is no pneumothorax. There is no infiltrate,
contusion or effusion. The osseous mineralization is normal. Overlying soft tissues are normal.
Lungs are symmetrically aerated and clear, heart and vessels are normal.
IMPRESSION: Normal &rl& rib series. No fracture, no pneumothorax.
Name: RIBS (Default) [Edit] [Delete]
CPT: 71101
& RL& RIB SERIES:
There are no &rl& sided rib fractures. There is no pneumothorax. There is no infiltrate,
contusion or effusion. The osseous mineralization is normal. Overlying soft tissues are normal.
Lungs are symmetrically aerated and clear, heart and vessels are normal.
IMPRESSION: Normal &rl& rib series. No fracture, no pneumothorax.
Name: B RIBS (Default) [Edit] [Delete]
CPT: 71110
BILATERAL RIBS:
The bilateral ribs reveal no evidence of fracture or other osseous abnormality. There is no
pneumothorax or pleural or diaphragmatic changes identified.
IMPRESSION: Bilateral ribs within normal limits.
Name: BI RIBS + CXR (Default) [Edit] [Delete]
CPT: 71111
BILATERAL RIB SERIES, INCLUDING FRONTAL CHEST VIEW:
Frontal and oblique images were obtained. There are no obvious fractures. All cortical margins
appear intact. Bone density is normal and uniform. The lungs are clear and underlying lung
parenchyma and pleural surfaces appear normal.
IMPRESSION: Negative chest and oblique rib views.
Name: C Spine 2 (Default) [Edit] [Delete]
CPT: 72040
CERVICAL SPINE:
There is reversal of lordosis. There is no fracture or dislocation. There is no degenerative disease.
Prevertebral soft tissues are normal. The odontoid process and the lateral masses of C1 and C2
are normal.
IMPRESSION: Reversal of lordosis and dextroscoliosis may indicate spasm, no fracture.
Recommend clinical correlation and radiograpghic follow-up.
Name: C/S (Default) [Edit] [Delete]
CPT: 72040
CERVICAL SPINE:
AP and lateral views are submitted. There is normal vertebral alignment and normal degree of
cervical lordosis. There is no acute fracture or dislocation. There is no spondylolisthesis or
spondylosis. Soft tissues are normal. Intervertebral disc spaces are preserved. Vertebral end
plates are normal. The odontoid process and the lateral masses of C1 and C2 are normal.
IMPRESSION: Normal cervical spine.
Name: C Spine (Default) [Edit] [Delete]
CPT: 72050
CERVICAL SPINE:
Frontal, lateral and open-mouth odontoid views are submitted. There is normal vertebral
alignment and normal degree of cervical lordosis. There is no acute fracture or dislocation. There
is no spondylolisthesis or spondylosis. Soft tissues are normal. Intervertebral disc spaces are
preserved. Vertebral end plates are normal. The odontoid process and the lateral masses of C1
and C2 are normal.
IMPRESSION: Normal cervical spine.
Name: C Spine 2 (Default) [Edit] [Delete]
CPT: 72050
CERVICAL SPINE:
Frontal, lateral and open-mouth odontoid views are submitted. There is reversal of lordosis.
There is no fracture or dislocation. There is no degenerative disease. Prevertebral soft tissues are
normal. The odontoid process and the lateral masses of C1 and C2 are normal.
IMPRESSION: Reversal of lordosis and dextroscoliosis may indicate spasm, no fracture.
Recommend clinical correlation and radiograpghic follow-up.
Name: T/S (Default) [Edit] [Delete]
CPT: 72070
THORACIC SPINE:
Two-view thoracic spine, frontal and lateral. There is normal alignment kyphotic curvature.
There is no fracture or dislocation. The intervertebral disc spaces are maintained. There is no
degenerative disease. Mineralization is normal. Visualized lungs are normal. Heart and aorta are
normal.
IMPRESSION: Normal thoracic spine.
Name: 3V T/S (Default) [Edit] [Delete]
CPT: 72072
THORACIC SPINE:
Three views of the thoracic spine show good alignment throughout with disc spaces preserved
and vertebral body height maintained.
IMPRESSION: Negative thoracic spine.
Name: 4V T/S (Default) [Edit] [Delete]
CPT: 72074
THORACIC SPINE:
There is normal alignment and degree of lordosis. There is no fracture or dislocation. The
intervertebral disc spaces are maintained. There is no degenerative disease.
IMPRESSION: Normal thoracic spine.
Name: SPINE (Default) [Edit] [Delete]
CPT: 72100
LUMBOSACRAL SPINE:
There is normal alignment and lordotic curvature . There is no fracture or dislocation. There is no
degenerative disease. The intervertebral disc spaces are maintained. Posterior elements are
normal. There is normal mineralization.
IMPRESSION: Normal lumbosacral spine.
Name: L/S (Default) [Edit] [Delete]
CPT: 72110
LUMBOSACRAL SPINE:
Four view lumbar spine. There is normal alignment and lordotic curvature . There is no fracture
or dislocation. There is no degenerative disease. The intervertebral disc spaces are maintained.
Posterior elements are normal. There is normal mineralization.
IMPRESSION: Normal lumbosacral spine.
Name: 1V PELVIS (Default) [Edit] [Delete]
CPT: 72170
AP PELVIS:
There is no acute fracture or dislocation. The pattern of mineralization is normal. There is no
degenerative disease. Soft tissue structures are normal.
IMPRESSION: Normal AP pelvis.
Name: PELVIS (Default) [Edit] [Delete]
CPT: 72190
PELVIS:
There is no acute fracture or dislocation. The pattern of mineralization is normal. There is no
degenerative disease. Soft tissue structures are normal.
IMPRESSION: Normal pelvis.
Name: BILAT SI JOINTS (Default) [Edit] [Delete]
CPT: 72202
SACROILIAC JOINTS:
The SI joints reveal no significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative sacroiliac joints.
Name: SI JOINTS (Default) [Edit] [Delete]
CPT: 72202
& RL& SACROILIAC JOINTS:
The &rl& SI joints reveal no significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& sacroiliac joints.
Name: SACRUM/COCCYX (Default) [Edit] [Delete]
CPT: 72220
SACRUM/COCCYX:
Sacrum and coccyx are normal. There is normal mineralization. There is no fracture or
dislocation. There is no lytic or sclerotic lesion. Overlying soft tissues are normal.
IMPRESSION: Normal sacrum/coccyx.
Name: CLAVICLE (Default) [Edit] [Delete]
CPT: 73000
& RL& CLAVICLE:
There is no fracture of the clavicle. The acromioclavicular and glenohumeral joints are normal.
The visualized &rl& upper thorax is normal. Soft tissues are normal.
IMPRESSION: Normal &rl& clavicle.
Name: SCAPULA (Default) [Edit] [Delete]
CPT: 73010
& RL& SCAPULA:
Scapula is normal. There is no fracture. There is no abnormal position. The visualized left thorax
is normal. Overlying soft tissues are normal. The &rl& shoulder and clavicle are normal.
IMPRESSION: Normal &rl& scapula.
Name: SHOULDER (Default) [Edit] [Delete]
CPT: 73030
& RL& SHOULDER:
There is no fracture or dislocation. There is no degenerative disease. The acromioclavicular and
glenohumeral joints are normal. There is no soft tissue swelling. The visualized &rl& upper
thorax is normal. The visualized clavicle is normal.
IMPRESSION: Normal &rl& shoulder.
Name: AC Joints (Default) [Edit] [Delete]
CPT: 73050
AC JOINTS:
Procedure: Bilateral AC joints with and without weight holding. The osseous structures and soft
tissues are normal. Without weight holding the acromioclavicular interspace measures mm on
the right and mm on the left. With weight holding the acromioclavicular interspace measures mm
on the right and mm on the left. Coracoclavicular, acromioclavicular and glenohumeral joints are
normal. There is no fracture or dislocation. Visualized thorax is normal.
IMPRESSION: Normal exam.
Name: HUMERUS (Default) [Edit] [Delete]
CPT: 73060
& RL& HUMERUS:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. Shoulder and elbow joints are normal. There is no soft tissue swelling.
There is a normal pattern of mineralization.
IMPRESSION: Normal &rl& humerus.
Name: ELBOW (Default) [Edit] [Delete]
CPT: 73080
& RL& ELBOW:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. There is no joint effusion. There is no soft tissue swelling. There is no
foreign body. Mineralization is normal.
IMPRESSION: Normal &rl& elbow.
Name: Radial Head [Edit] [Delete]
CPT: 73080
& RL& ELBOW:
There is uplifting of the anterior defect that there is a visualized posterior fat pad indicating right
elbow joint effusion and occult fracture either involving the supracondylar portion of the
humerus or the radial head. The epiphyses are not yet fused consistent with the patient's age.
IMPRESSION: Elbow joint effusion indicating supracondylar or radial head fracture.
Orthopedic evaluation is recommended.
Name: FOREARM (Default) [Edit] [Delete]
CPT: 73090
& RL& FOREARM:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. There is no foreign body. There is no soft tissue swelling.
IMPRESSION: Normal &rl& forearm.
Name: Torus Fracture (Default) [Edit] [Delete]
CPT: 73090
& RL& FOREARM:
There is an incomplete torus type fracture of the distal diametaphysis of the radius. There soft
tissue swelling. There is cortical buckling noted along the dorsal aspect. The epiphyses are not
yet fused consistent with the patient's age.
IMPRESSION: Acute torus fracture distal radius as described.
Name: WRIST (Default) [Edit] [Delete]
CPT: 73110
& RL& WRIST:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. There is no radiopaque foreign body. Soft tissues are normal.
IMPRESSION: Normal &rl& wrist.
Name: Boxer'sFracture [Edit] [Delete]
CPT: 73120
& RL& HAND:
There is an acute boxer's fracture of the distal diametaphysis of the fifth metacarpal with apex
dorsal angulation deformity and overlying soft tissue swelling. There is no other significant
abnormality.
IMPRESSION: Boxer's fracture fifth metacarpal as described.
Name: HAND (Default) [Edit] [Delete]
CPT: 73120
& RL& HAND:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. There is no foreign body. There is no soft tissue swelling. The pattern of
osseous mineralization is normal.
IMPRESSION: Normal &rl& hand.
Name: Boxer'sFracture [Edit] [Delete]
CPT: 73130
& RL&:
There is an acute boxer's fracture of the distal diametaphysis of the fifth metacarpal with apex
dorsal angulation deformity and overlying soft tissue swelling. There is no other significant
abnormality.
IMPRESSION: Boxer's fracture fifth metacarpal as described.
Name: HAND (Default) [Edit] [Delete]
CPT: 73130
& RL& HAND:
Osseous structures and soft tissues are normal. There is no fracture or dislocation. There is no
degenerative disease.
IMPRESSION: Normal &rl& hand.
Name: Boxer'sFracture [Edit] [Delete]
CPT: 73140
& RL& FINGERS:
There is an acute boxer's fracture of the distal diametaphysis of the fifth metacarpal with apex
dorsal angulation deformity and overlying soft tissue swelling. There is no other significant
abnormality.
IMPRESSION: Boxer's fracture fifth metacarpal as described.
Name: FINGERS (Default) [Edit] [Delete]
CPT: 73140
& RL& FINGERS:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. There is no soft tissue swelling or laceration. Osseous mineralization is
normal. There is no foreign body. PIP, DIP and MP joints are normal.
IMPRESSION: Normal &rl& fingers.
Name: R/L HIP 1 VIEW (Default) [Edit] [Delete]
CPT: 73500
& RL& HIP:
There is no fracture or dislocation. There is no subluxation.There is no significant degenerative
disease. The pattern of mineralization is normal. Soft tissue structures are normal.
IMPRESSION: Normal &rl& hip.
Name: HIP (Default) [Edit] [Delete]
CPT: 73510
& RL& HIP SERIES:
There is no fracture or dislocation. There is no subluxation.There is no significant degenerative
disease. The pattern of mineralization is normal. Soft tissue structures are normal.
IMPRESSION: Normal &rl& hip.
Name: B HIPS/PELVIS (Default) [Edit] [Delete]
CPT: 73520
BILATERAL HIPS INCL AP PELVIS:
Bilateral AP and lateral hips including an AP pelvis projection shows the visualized skeletal
structures to be unremarkable and the joint spaces preserved. There are no fractures, dislocations
or lytic or blastic lesions identified.
IMPRESSION: Within normal limits.
Name: FEMUR (Default) [Edit] [Delete]
CPT: 73550
& RL& FEMUR:
There is no visualized fracture or dislocation. There is no degenerative disease. There is no
foreign body. The pattern of mineralization is normal.
IMPRESSION: Normal &rl& femur.
Name: KNEE (Default) [Edit] [Delete]
CPT: 73560
& RL& KNEE:
The osseous structures and soft tissues are unremarkable. There is no fracture or dislocation.
There is no degenerative disease. There is no soft tissue swelling. There is no joint effusion.
Medial and lateral joint spaces of the knee are symmetric. There is no chondrocalcinosis.
IMPRESSION: Normal &rl& knee.
Name: KNEE (Default) [Edit] [Delete]
CPT: 73564
& RL& KNEE:
The osseous structures and soft tissues are unremarkable. There is no fracture or dislocation.
There is no degenerative disease. There is no soft tissue swelling. There is no joint effusion.
Medial and lateral joint spaces of the knee are symmetric. There is no chondrocalcinosis.
IMPRESSION: Normal &rl& knee.
Name: T/F (Default) [Edit] [Delete]
CPT: 73590
& RL& TIBIA-FIBULA:
The tibia and fibula are normal. There is no fracture or dislocation. There is no lytic or sclerotic
lesion. The soft tissues are normal. There is no foreign body. There is a normal pattern of
osseous mineralization. There is no periosteal bone reaction.
IMPRESSION: Normal &rl& tibia and fibula.
Name: ANKLE (Default) [Edit] [Delete]
CPT: 73600
& RL& ANKLE:
Two-view &rl& ankle. There is no fracture or dislocation. There is no degenerative disease. The
ankle mortise is intact. There is no foreign body. There is no soft tissue swelling. The pattern of
osseous mineralization is normal.
IMPRESSION: Normal &rl& ankle.
Name: LateralSwelling [Edit] [Delete]
CPT: 73600
& RL& ANKLE:
There is moderate soft tissue swelling overlying the lateral malleolus without underlying fracture
or dislocation. There is no joint effusion. There is no degenerative disease or foreign body.
IMPRESSION: Lateral soft tissue swelling, no fracture, likely a sprain or strain type injury.
Name: ANKLE (Default) [Edit] [Delete]
CPT: 73610
& RL& ANKLE:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. The ankle mortise is intact. There is no foreign body. There is no soft
tissue swelling. The pattern of osseous mineralization is normal.
IMPRESSION: Normal &rl& ankle.
Name: LateralSwelling [Edit] [Delete]
CPT: 73610
& RL& ANKLE:
There is moderate soft tissue swelling overlying the lateral malleolus without underlying fracture
or dislocation. There is no joint effusion. There is no degenerative disease or foreign body.
IMPRESSION: Lateral soft tissue swelling, no fracture, likely a sprain or strain type injury.
Name: FOOT (Default) [Edit] [Delete]
CPT: 73620
& RL& FOOT:
The osseous structures and soft tissues are normal. Talus, calcaneus, tarsal bones, metatarsals
and phalanges are normal. There is no fracture or dislocation. There is no degenerative disease.
There is no soft tissue swelling. There is no foreign body.
IMPRESSION: Normal &rl& foot.
Name: FEET N/WT (Default) [Edit] [Delete]
CPT: 73630
& RL& FOOT WITH NONWEIGHTBEARING VIEWS:
The osseous structures and soft tissues are normal. Talus, calcaneus, tarsal bones, metatarsals
and phalanges are normal. There is no fracture or dislocation. There is no degenerative disease.
There is no soft tissue swelling. There is no foreign body.
IMPRESSION: Normal &rl& foot.
Name: FEET WITH WT (Default) [Edit] [Delete]
CPT: 73630.1
& RL& FOOT WITH WEIGHTBEARING AND NONWEIGHTBEARING VIEWS:
The &rl& foot including a lateral weightbearing view. The osseous structures and soft tissues are
normal. There is no fracture or dislocation. There is no degenerative disease.
IMPRESSION: Normal &rl& foot including weightbearing view.
Name: HEEL (Default) [Edit] [Delete]
CPT: 73650
& RL& HEEL:
There is no fracture. There is no dislocation. There is no degenerative disease. There is a normal
pattern of mineralization. There is no foreign body.
IMPRESSION: Normal &rl& heel.
Name: TOE (Default) [Edit] [Delete]
CPT: 73660
& RL& TOES:
The osseous structures and soft tissues are normal. There is no fracture or dislocation. There is
no degenerative disease. There is no soft tissue swelling or laceration. Osseous mineralization is
normal. There is no foreign body. PIP, DIP and MP joints are normal.
IMPRESSION: Normal &rl& toes.
Name: AP ABDOMEN (Default) [Edit] [Delete]
CPT: 74000
AP ABDOMEN:
A single AP view of the abdomen shows no evidence for renal or ureteral calculi. The intestinal
gas pattern is not remarkable. The bones are intact.
IMPRESSION: Negative AP abdomen.
Name: KUB (Default) [Edit] [Delete]
CPT: 74000
KUB:
The bowel pattern is nonspecific. There is no evidence of obstruction. There is moderate stool.
There is no abnormal mass. There is no abnormal calcification. The the osseous structures and
soft tissues are within normal limits. Visualized lung bases are clear.
IMPRESSION: Nonspecific bowel gas pattern, no acute pathology.
Name: SUPINE ABDOMEN (Default) [Edit] [Delete]
CPT: 74000
SUPINE ABDOMEN:
A supine view of the abdomen shows the intestinal gas pattern to be not remarkable without
evidence for abnormal soft tissue mass or calcification. The bones are intact.
IMPRESSION: Negative supine abdomen.
Name: FLAT & UP ABD (Default) [Edit] [Delete]
CPT: 74020
FLAT & UPRIGHT ABDOMEN:
Flat and upright views of the abdomen show no evidence for free air. The intestinal gas pattern is
not remarkable. Abnormal soft tissue mass or calcification is not observed. The bones are intact.
IMPRESSION: Negative flat and upright abdomen.
Name: ABD (Default) [Edit] [Delete]
CPT: 74022
ACUTE ABDOMINAL SERIES :
Procedure: Abdomen series with PA chest. The bowel gas pattern is non specific. There is no
obstruction. There is moderate stool. There is no abnormal mass or calcification. There is no free
air. Osseous structures are normal. Frontal projection of the chest is within normal limits.
IMPRESSION: Negative acute abdominal series.
Name: OB ULTRA [Edit] [Delete]
CPT: 76801
OB ULTRASOUND:
IMPRESSION:
Name: L Ankle US [Edit] [Delete]
CPT: 76882
ULTRASOUND GUIDANCE FOR LEFT ANKLE NEEDLE LOCALIZATION:
Left ankle ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation.
Technique: Medial ankle: 1 cc 2% Lidocaine HCL injected 1 cm posterior and 2 cm superior to
the medial malleolus. Anterior ankle: 1 cc 2% Lidocaine HCL injected medial to the extensor
hallucis longus. Posterior ankle: 1 cc 2% Lidocaine HCL injected 1 cm anterior to the Achilles
tendon. Findings: 1. Tibial nerve measures mm2 cross-sectional area. 2. Peroneal nerve measures
mm2 cross-sectional area. 3. Sural nerve measures mm2 cross-sectional area. Ultrasound
confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound left ankle with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross-sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: L Wrist US [Edit] [Delete]
CPT: 76882
ULTRASOUND GUIDANCE FOR LEFT WRIST NEEDLE LOCALIZATION:
Left wrist ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation. Technique:
Lateral wrist: 1 cc 2% Lidocaine HCL injected anterior to the adductor pollicis longus. Anterior
wrist: 1 cc 2% Lidocaine HCL injected into the mid transverse carpal ligament. Medial wrist: 1
cc 2% Lidocaine HCL injected in the area of the abductor digiti minimi. Findings: 1. Radial
nerve measures mm2 cross-sectional area. 2. Median nerve measures mm2 cross-sectional
area(normal range 4-9 mm2) 3. Ulnar nerve measures mm2 cross-sectional area. Ultrasound
confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound left wrist with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: R Ankle US [Edit] [Delete]
CPT: 76882
ULTRASOUND GUIDANCE FOR RIGHT ANKLE NEEDLE LOCALIZATION:
Right ankle ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation.
Technique: Medial ankle: 1 cc 2% Lidocaine HCL injected 1 cm posterior and 2 cm superior to
the medial malleolus. Anterior ankle: 1 cc 2% Lidocaine HCL injected medial to the extensor
hallucis longus. Posterior ankle: 1 cc 2% Lidocaine HCL injected 1 cm anterior to the Achilles
tendon. Findings: 1. Tibial nerve measures mm2 cross-sectional area. 2. Peroneal nerve measures
mm2 cross-sectional area. 3. Sural nerve measures mm2 cross-sectional area. Ultrasound
confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound right ankle with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross-sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: R Wrist US [Edit] [Delete]
CPT: 76882
ULTRASOUND GUIDANCE FOR RIGHT WRIST NEEDLE LOCALIZATION:
Right wrist ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation.
Technique: Lateral wrist: 1 cc 2% Lidocaine HCL injected anterior to the adductor pollicis
longus. Anterior wrist: 1 cc 2% Lidocaine HCL injected into the mid transverse carpal ligament.
Medial wrist: 1 cc 2% Lidocaine HCL injected in the area of the abductor digiti minimi.
Findings: 1. Radial nerve measures mm2 cross-sectional area. 2. Median nerve measures mm2
cross-sectional area(normal range 4-9 mm2) 3. Ulnar nerve measures mm2 cross-sectional area.
Ultrasound confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound right wrist with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross-sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: L Ankle US (Default) [Edit] [Delete]
CPT: 76942
ULTRASOUND GUIDANCE FOR LEFT ANKLE NEEDLE LOCALIZATION:
Left ankle ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation.
Technique: Medial ankle: 1 cc 2% Lidocaine HCL injected 1 cm posterior and 2 cm superior to
the medial malleolus. Anterior ankle: 1 cc 2% Lidocaine HCL injected medial to the extensor
hallucis longus. Posterior ankle: 1 cc 2% Lidocaine HCL injected 1cm anterior to the Achilles
tendon. Findings: 1. Tibial nerve measures mm2 cross-sectional area. 2. Peroneal nerve measures
mm2 cross-sectional area. 3. Sural nerve measures mm2 cross-sectional area. Ultrasound
confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound left ankle with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross-sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: L Wrist US (Default) [Edit] [Delete]
CPT: 76942
ULTRASOUND GUIDANCE FOR LEFT WRIST NEEDLE LOCALIZATION:
Left wrist ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation. Technique:
Lateral wrist: 1 cc 2% Lidocaine HCL injected anterior to the adductor pollicis longus. Anterior
wrist: 1 cc 2% Lidocaine HCL injected into the mid transverse carpal ligament. Medial wrist: 1
cc 2% Lidocaine HCL injected in the area of the abductor digiti minimi. Findings: 1. Radial
nerve measures mm2 cross-sectional area. 2. Median nerve measures mm2 cross-sectional
area(normal range 4-9 mm2) 3. Ulnar nerve measures mm2 cross-sectional area. Ultrasound
confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound left wrist with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross-sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: R Ankle US (Default) [Edit] [Delete]
CPT: 76942
ULTRASOUND GUIDANCE FOR RIGHT ANKLE NEEDLE LOCALIZATION:
Right ankle ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation.
Technique: Medial ankle: 1 cc 2% Lidocaine HCL injected 1 cm posterior and 2 cm superior to
the medial malleolus. Anterior ankle: 1 cc 2% Lidocaine HCL injected medial to the extensor
hallucis longus. Posterior ankle: 1 cc 2% Lidocaine HCL injected 1 cm anterior to the Achilles
tendon. Findings: 1. Tibial nerve measures mm2 cross-sectional area. 2. Peroneal nerve measures
mm2 cross-sectional area. 3. Sural nerve measures mm2 cross-sectional area. Ultrasound
confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound right ankle with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross-sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: R Wrist US (Default) [Edit] [Delete]
CPT: 76942
ULTRASOUND GUIDANCE FOR RIGHT WRIST NEEDLE LOCALIZATION:
Right wrist ultrasound: Musculoskeletal ultrasound with limited Doppler interrogation.
Technique: Lateral wrist: 1 cc 2% Lidocaine HCL injected anterior to the adductor pollicis
longus. Anterior wrist: 1 cc 2% Lidocaine HCL injected into the mid transverse carpal ligament.
Medial wrist: 1 cc 2% Lidocaine HCL injected in the area of the abductor digiti minimi.
Findings: 1. Radial nerve measures mm2 cross-sectional area. 2. Median nerve measures mm2
cross-sectional area(normal range 4-9 mm2) 3. Ulnar nerve measures mm2 cross-sectional area.
Ultrasound confirms needle tip position and anesthetic injection x 3.
IMPRESSION: Musculoskeletal ultrasound right wrist with limited Doppler interrogation for
needle localization, anesthetic injection purposes, and cross-sectional nerve area measurement as
detailed above. (Another Healthcare provider performed this procedure.)
Name: CAROTID ULTRA [Edit] [Delete]
CPT: 93880
CAROTID ULTRASOUND:
IMPRESSION: