Ultrasound CPT Codes

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More CPT Codes: CT | MRI | Nuclear Medicine | PET/CT | PET/MR

Abdomen

CPT Code 76700

IMG 2810

Prep: NPO 6 hours including no smoking and no gum, however, may take medications with small amounts of water  If gallbladder evaluation is not needed, all fluids are ok.

Time in Department: 1 hour

Includes liver, gallbladder, bile ducts, pancreas, spleen, limited views of kidneys, proximal aorta

and IVC (inferior vena cava)

Typically, this exam is ordered if a comprehensive evaluation of the upper abdomen is desired.

  • Abdominal pain
  • Nausea and/or vomiting
  • Abnormal liver function tests

CPT Code 76705

IMG 2816

Prep: NPO 6 hours including no smoking and no gum, however, may take medications with small amounts of water.

No Prep for a 4-quadrant survey for ascites check

Time in Department: 1 hour

Indications same as Abdomen Complete – see above list

This limited exam is typically ordered as a follow-up exam where the focus is to evaluate a single organ or quadrant (right upper quadrant or the left upper quadrant)

This exam is ordered when a 4-quadrant survey for ascites check is desired.

Includes single abdominal organ, right upper quadrant, left upper quadrant, or 4-quadrant survey (for ascites check).

  • Gallstones
  • Hepatitis
  • Hepatomegaly
  • Focal lesions Include contrast enhanced ultrasound study at radiologist discretion, if
  • considered medically necessary.
  • Splenomegaly
  • Follow-up to other imaging

CPT Code 93975

IMG 2878

CPT Code 93975 & 76705

IMG 496

Prep: NPO 6 hours including no smoking and no gum, however, may take medications with small amounts of water.

Time in Department: 1 & 1/2 hours

Additionally, please order an Abdomen Complete or Abdomen Limited if gray scale images are needed.

Refer above for differentials

  • Portal hypertension
  • Portal or hepatic vein thrombosis
  • Hepatic artery thrombosis or stenosis
  • Pre-transplant
  • Post-transplant
  • Pre-TIPS (transjugular intrahepatic portosystemic)
  • Post-TIPS (transjugular intrahepatic portosystemic)

CPT Code 76770

IMG 2827

Prep: Full Bladder (patient should drink 24-32 oz. of water 1 hour before exam and should not empty bladder before exam)

Time in Department: 1 hour

Includes bilateral kidneys and bladder

  • ARF (acute renal failure)
  • Kidney stone
  • CRI (chronic renal insufficiency)
  • Flank pain
  • Hematuria
  • Prostatomegaly or bladder outlet obstruction (when renal evaluation is needed)

CPT Code 93975

IMG 2879

Prep: NPO 6 hours, may take medications with small amounts of water. All fluids are ok.

Time in Department: 1 & 1/2 hours

  • Uncontrolled hypertension
  • Renal bruit
  • AV fistula
  • Renal stent follow-up
  • Tumor invasion
  • Pseudoaneurysm

CPT Code 93975

IMG 503

IMG 502

  • Evaluation for renal artery stenosis

CPT Code 76775

IMG 2837

Prep: Full Bladder (patient should drink 24-32 oz. of water

1 hour before exam and should not empty bladder before exam)

Time in Department: 1 hour

  • Evaluation of focal renal lesions seen on other imaging modalities
  • Renal Transplant evaluation without doppler or used in conjunction with contrast or elastography

CPT Code 76776

IMG 2838

Prep: None

Time in Department: 1 & 1/2 hours

  • Renal failure
  • Renal bruit
  • Uncontrolled hypertension

Suspected transplant renal artery stenosis

CPT Code 76775

IMG 2832 or IMG 2836

Prep: NPO 6 hours including no smoking and no gum, however, may take medications with small amounts of water, fluids are ok.

Time in Department: 1 hour

  • Abdominal bruit
  • Follow-up from other imaging
  • AAA (abdominal aortic aneurysm) screening

US Aorta IVCCPT Code 93978 IMG 2834

US Duplex Scan Aorta, IVC, Iliac, Complete – IMG 8047 or IMG 196

US Endovascular Stent and Renal Artery Complete w Doppler (C) – CPT Code 76775 & 93975 IMG 505

US Endovascular Stent w Doppler to Eval for Endoleak (C) – CPT Code 76770 & 93975 IMG 506

Prep: NPO 6 hours including no smoking and no gum, however, may take medications with small amounts of water.

Time in Department: 1 & 1/2 hours

  • S/P AAA (abdominal aortic aneurysm) repair
  • S/P endoluminal stent graft placement

Include contrast enhanced ultrasound study at radiologist discretion, if considered medically necessary.

US IVC – CPT Code 76775 IMG 2835

IVC Filter Evaluation – CPT Code 76775 & 93979 IMG 2835

US Aorta IVC – CPT Code 93978 IMG 2834

US Duplex Scan Aorta, IVC, Iliac, Complete – IMG 8047 or IMG 196

Prep: NPO 6 hours including no smoking and no gum, however, may take medications with small amounts of water.

Time in Department: 1 & 1/2 hours

  • Bilateral lower extremity swelling
  • IVC thrombosis

Contrast Enhancement

Must be scheduled by BJH Ultrasound department (314-454-8885 or 314-362-2892)

CPT Code 76978 – Contrast Characterization 1st Lesion (this code will accompany organ code)

IMG 501 – US Liver w Contrast (C)

IMG 511 – US Renal Limited w/ contrast (C)

Neck and Chest

CPT Code 76536

IMG 2804

Prep: None

Time in Department: 1 hour

  • Thyroid nodules
  • Follow-up from other imaging
  • Difficulty swallowing
  • Abnormal thyroid function tests
  • Hoarseness

CPT Code 76536 & 10005

Prep: None

Time in Department: 1 & 1/2 hours

If known nodule meets criteria for FNA, and repeat imaging of thyroid is required.

Please order using: CONSULT TO RADIOLOGY FOR BIOPSY

CPT Code 10005

IMG 2918

Prep: None

Time in Department: 1 & 1/2 hours

Order as Consult to Radiology for Biopsy

Thyroid nodules must meet criteria for FNA and have prior imaging in our system.

Please order using: CONSULT TO RADIOLOGY FOR BIOPSY

CPT Code 76536

IMG 2803

Prep: None

Time in Department: 1 hour

  • Palpable neck mass
  • Swelling
  • Post-op thyroidectomy
  • Primary hyperparathyroidism
  • Follow-up from other imaging

CPT Code 76604

IMG 2805

Prep: None

Time in Department: 1 hour

  • Palpable chest wall mass
  • Chest wall fluid collection
  • Pleural effusion

Extremity

CPT Code 76882

Prep: None

Time in Department: 1 hour

  • Hernia (please specify previous surgical history in pelvis)
  • Palpable mass
  • Swelling
  • Pain

CPT Code 76882 & 93926

IMG 542

  • Pseudoaneurysm
  • Pulsatile palpable mass
  • Pain
  • Groin bruit
  • Swelling after recent arterial access
  • AV fistula

Pelvic

CPT Code 76830

IMG 2720

Prep: None / preferred that exam date is performed on days 13-19 of patient’s menstrual cycle if possible.

Time in Department: 1 hour

  • Dysfunctional uterine bleeding
  • Pelvic mass
  • Chronic pelvic pain
  • Uterine abnormalities
  • Ovarian abnormalities
  • IUD location

*No exams for fertility workup

CPT Code 76830 & 93975

IMG 2720

Prep: None / *preferred that exam date is coordinated with follicular of patient’s menstrual cycle if possible.

Time in Department: 1 hour

  • Acute Pelvic pain
  • Ovarian torsion

CPT Code 76870

IMG 2728

Prep: None

Time in Department: 1 hour

  • Pain (acute or chronic)
  • Epididymitis
  • Orchitis
  • Swelling
  • Palpable mass
  • Scrotal hernia
  • Evaluating pathology seen on other imaging

CPT Code 76870 & 93975

IMG 2917

Prep: None

Time in Department: 1 hour

  • Acute pain (suspecting torsion)
  • Varicocele

Musculoskeletal

CPT Code 76881

IMG 2731

Prep: None

  • Shoulder painTime in Department: 1 hour
  • Hip pain – Time in Department: 1 hour
  • Wrist/hands for rheumatoid arthritis – Time in Department: 1 & 1/2 hours

CPT Code 76882

Prep: None

Time in Department: 1 hour

  • Ganglion cyst / Baker’s cyst
  • Fluid collection
  • Muscle evaluation
  • Palpable mass
  • Single tendon evaluation
  • Swelling

Not all exams are available at all locations.

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