RADIOLOGY PROCEDURE CODE EASY GUIDE FOR  ULTRASOUND




ULTRASOUND
Abdomen – Complete . . . . . . . . . . . . . . . . . . 76700
Breast – Single or Bilateral. . . . . . . . . . . . . . 76645
Extremity Soft Tissue. . . . . . . . . . . . . . . . . . 76880
Head/Neck Soft Tissue . . . . . . . . . . . . . . . . 76536
OB U/S 1st trimester . . . . . . . . . . . . . . .  . . 76801
Each Additional Gestation . . . . . . . . . . . . . . 76802
OB U/S 2nd & 3rd Trimester . . . . . . . . . .  . 76805
Each Additional Gestation . . . . . . . . . . . . . . 76810
Pelvic – Non-OB. . . . . . . . . . . . . . . . . . .. . 76856
Renal – Complete . . . . . . . . . . . . . . . . . .. . 76770
Scrotum/Testes . . . . . . . . . . . . . . . . . . .  . . 76870
Transvaginal – Non-OB . . . . . . . . . . . . . . . 76830
Transvaginal OB . . . . . . . . . . . . . . . . . . . . 76817

CPT Code Guidelines Ultrasound

Ultrasound Abdomen

76700 Abdomen Complete Ultrasound
76705 Abdomen Limited
93975 Abdomen Doppler
76770 Aorta/Renal Retroperitoneal Complete
76775 Aorta/Renal Retroperitoneal Limited

Ultrasound Extremity
93925 Arteries Legs Bilateral
93923 Arterial Upper or Lower Ext (ABI) Multiple
93926 Arteries Leg Unilateral
93923 Arterial Upper or Lower Ext (ABI) Multiple
93922 Arterial Upper or Lower Ext (ABI) Single
93970 Vein Bilateral or Venous Insufficiency – Leg or Arms
93965 Non-Invasive Study Leg Veins with 93970
76881 Soft Tissue Extremity or Axillary Complete
76882 Soft Tissue Extremity or Axillary Limited
93923 Arterial Upper or Lower Ext (ABI) Multiple
93922 Arterial Upper or Lower Ext (ABI) Single
93970 Vein Bilat or Venous Insufficiency – Leg or Arms
93930 Artery Arm Bilateral
93931 Artery Arm Unilateral
76881 Soft Tissue Extremity or Axillary Complete
76882 Soft Tissue Extremity or Axillary Limited

Ultrasound General
76870 Genitalia/Scrotal
76830 Transvaginal
76856 Pelvic
76857 Bladder
27094 Hip Injection

Ultrasound Breast

76645 Breast U/S
19100 U/S Guided Breast Bx
19000 Breast Aspiration
Ultrasound Chest
76604 Chest

Ultrasound OB
76801 Pregnancy (OB) <12 weeks 76805 Pregnancy (OB) >12 weeks
76810 Pregnancy (OB) Twins
76817 Pregnancy (OB) Transvaginal

Echocardiography
93307 Echocardiography

Ultrasound Thyroid
76536 Thyroid
60001 Thyroid FNA

Ultrasound Carotid
93880 Carotid

Imaging – General Process

** “Standard” or “conventional” imaging is most often performed in the initial and subsequent evaluations of malignancy. Standard or conventional imaging includes
plain film, CT, MRI, or US.

** Often, further advanced imaging is needed when initial imaging, such as ultrasound or CT does not answer the clinical question. Uncertain, indeterminate, inconclusive, or equivocal may describe these situations.

** Requests for many Healthcare Common Procedure Coding System (HCPCS) codes, including nonspecific codes such as S8042 [Magnetic resonance imaging (MRI),
low-field], should be redirected to a more appropriate and specific CPT® code.
Exceptions are noted in the applicable guidelines

Imaging – Contrast Media

** Contrast is the second important component, along with the advanced imaging modality (refer to specific guideline contrast section)

If, during the performance of a non-contrast imaging study, there is the need to use contrast in order to evaluate a possible abnormality, then that is appropriate.