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    Provider Information





    Ultrasound Exam Requested

    Abdomen

    Gynecology

    Small

    ABDOMEN COMPLETE (76700)
    ABDOMEN LMTD (76705)
    RUQLUQ
    RENAL COMPLETE (76770)
    BLADDER (PVR ONLY) (76857)
    HERNIA (SITE)
    APPENDIX (76705)

    PELVIC COMPLETE TA/TV (76856/76830)
    PELVIC (T/A) (76856)
    PELVIC (TV) (76830)
    FOLLICULAR TRACKING (76830)

    THYROID (76536)
    SCROTUM w/DUPLEX (76870)
    SOFT TISSUE NECK (76536)
    SOFT TISSUE BACK CHEST (76604)
    EXTREMITY (NON VASC LMTD) (76857)
    RTLT

    Vascular

    Obstetrics

    MISC

    VENOUS LEGS/BILATERAL (93970)
    VENOUS LEG (93971)
    RTLT
    VENOUS ARMS/BILATERAL (93970)
    VENOUS ARM (93971)
    RTLT
    AAA (76706)
    CARTOID (93880)

    OB (<14 weeks) Dating (76801)
    OB (>14 weeks) Anatomy (76805)
    OB Transvaginal (76817)
    OB BPP w/o NST (76819)
    OB FollowUp Growth (76816)
    OB Lmtd (AFI, FHR, Position, Placenta) (76815)
    OB >14weeks Add Fetus (76810)

    UNILATERAL BREAST (76642)
    (Acute symptoms)
    OTHER EXAM REQUESTED

      Patient Information






      Provider Information





      Ultrasound Exam Requested

      Abdomen

      Gynecology

      Small

      ABDOMEN COMPLETE (76700)
      ABDOMEN LMTD (76705)
      RUQLUQ
      RENAL COMPLETE (76770)
      BLADDER (PVR ONLY) (76857)
      HERNIA (SITE)
      APPENDIX (76705)

      PELVIC COMPLETE TA/TV (76856/76830)
      PELVIC (T/A) (76856)
      PELVIC (TV) (76830)
      FOLLICULAR TRACKING (76830)

      THYROID (76536)
      SCROTUM w/DUPLEX (76870)
      SOFT TISSUE NECK (76536)
      SOFT TISSUE BACK CHEST (76604)
      EXTREMITY (NON VASC LMTD) (76857)
      RTLT

      Vascular

      Obstetrics

      MISC

      VENOUS LEGS/BILATERAL (93970)
      VENOUS LEG (93971)
      RTLT
      VENOUS ARMS/BILATERAL (93970)
      VENOUS ARM (93971)
      RTLT
      AAA (76706)
      CARTOID (93880)

      OB (<14 weeks) Dating (76801)
      OB (>14 weeks) Anatomy (76805)
      OB Transvaginal (76817)
      OB BPP w/o NST (76819)
      OB FollowUp Growth (76816)
      OB Lmtd (AFI, FHR, Position, Placenta) (76815)
      OB >14weeks Add Fetus (76810)

      UNILATERAL BREAST (76642)
      (Acute symptoms)
      OTHER EXAM REQUESTED