reimbursement icon small  BROWSE CPT CODES BY ULTRASOUND APPLICATION

  1. Cardiology Ultrasound CPT Codes
  2. Endocrinology Ultrasound CPT Codes
  3. Musculoskeletal Ultrasound CPT Codes
  4. Nephrology Ultrasound CPT Codes
  5. OB/GYN Ultrasound CPT Codes
  6. Orthopedic Ultrasound CPT Codes
  7. Pain Management Ultrasound CPT Codes
  8. Phlebology Ultrasound CPT Codes
  9. Podiatry Ultrasound CPT Codes
  10. Small Parts Ultrasound CPT Codes
  11. Urology Ultrasound CPT Codes
  12. Vascular Ultrasound CPT Codes
  13. Vascular Access / Arterial Fistula Ultrasound CPT Codes
  14. Women's Health Ultrasound CPT Codes

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The information provided above is intended to assist providers in determining the correct codes for ultrasound reimbursement purposes. The charts above contain payment information that is based on the national unadjusted Medicare physician fee schedule for the medical services discussed. Payment will vary by region. Universal Diagnostic Solutions disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Cardiology Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
Echocardiography
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
93307 U/S guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretationor primary procedure) $131.71 $131.71 $45.94 $85.77
93308 Echocardiography, transthoracic, real‐time with image documentation (2D) with or without M‐mode recording; follow‐up or limited study $126.69 $126.69 $26.20 $100.49
93303 Transthoracic echocardiography for congenital cardiac anomalies; complete $157.55 $157.55 $37.32 $120.23
93304 Transthoracic echocardiography for congenital cardiac anomalies; follow‐up or limited study $231.48 $231.48 $64.96 $166.52
93350 Echocardiography, transthoracic, real‐time with image documentation (2D), with or without M‐mode recording, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, interpretation and report $244.04 $244.04 $72.50 $171.55
93015 Cardiovascular stress test using maximal or submaximal treadmill/ bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; physician supervision, interpretation and report $77.52 $77.52 n/a n/a
93320+ Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral (eg, ankle/brachial indices, doppler waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement) of first gestation. $54.91 $54.91 $18.66 $36.25
93321 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow‐up or limited study (List separately in addition to codes for echocardiographic imaging) $27.63 $27.63 $7.54 $20.10
93325+ Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study $25.84 $25.84 $3.23 $22.61
TEE
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
93312 Echo transesophageal $249.79 $249.79 $111.61 $138.17
93314 Echocardiography, transesophageal, real time with image documentation (2D) (with or without M‐mode recording); image acquisition, interpretation and report only $240.10 $240.10 $93.31 $146.78
93320 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete $54.91 $54.91 $18.66 $36.25
93321 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow‐up or limited study (List separately in addition to codes for echocardiographic imaging) $27.63 $27.63 $7.54 $20.10
93325 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) $25.84 $25.84 $3.23 $22.61
93350 Stress TTE only $232.20 $232.20 n/a n/a

Endocrinology Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
76942 U/S guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and iterpretation $61.37 $61.37 $33.02 $28.35
60100 Biopsy thyroid, percutaneous core needle $115.56 $81.83 n/a n/a
60300 Aspir/inj thyroid cyst $120.59 $51.68 n/a n/a
76536 Us exam of head and neck $118.79 $118.79 $28.71 $90.08

Musculoskeletal Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
Ultrasound Evaluation
76882 Limited ultrasound, extremity, non-vascular, real time with image documentation $36.61 $36.61 $25.12 $11.48
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
Procedures 
20552 Injections (s), Single to multiple trigger point(s) one or two muscle(s) $56.35 $39.12 n/a n/a
20553 Injections (s), Single to multiple trigger point(s) three or more muscle(s) $64.96 $44.50 n/a n/a
20600 Arthrocentesis, aspiration and/or injections; small joint or bursa (e.g. fingers, toes) $48.81 $36.61 n/a n/a
Procedures that include ultrasound guidance (do not use 76942 in addtion to)
20604 Drain/inj joint/bursa w/us $73.93 $48.09 n/a n/a
20606 Arthrocentesis, aspiration and/or injections; intermediate joint or bursa (e.g. temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa) $81.83 $54.55 n/a n/a
20611 Drain/inj joint/bursa w/us $92.95 $63.52 n/a n/a

Nephrology Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
76775 Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; limited. $59.58 $59.58 $29.43 $30.15
76776 Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation. $160.06 $160.06 $38.76 $121.30
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
93975 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; complete study. $286.39 $286.39 $59.22 $227.18
93976 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; limited study. $166.16 $166.16 $40.91 $125.25
G0365 Vessel mapping of vessels for hemodialysis access (Services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow). $200.62 $200.62 $12.56 $188.06

OB/GYN Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
Ultrasound Evaluation
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester ( 14 weeks 0 days), transabdominal approach; single or first gestation $126.33 $126.33 $51.32 $75.01
76802 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester ( 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure) $66.04 $66.04 $43.43 $22.61
76805 U/S, Pregnant uterus, fetal and maternal evaluation, > 1st trimester—trans abdominal; single of first gestation. $145.71 $145.71 $51.68 $94.03
76810 Each additional gestation (list separately in addition to code for primary procedure) $95.46 $95.46 $51.32 $44.14
76811 U/S, Pregnant uterus, fetal and maternal evaluation plus detailed fetal anatomic exam—trans abdominal; single or first gestations $188.06 $188.06 $100.85 $87.21
76812 Each additional gestation (list separately in addition to code for primary procedure) $210.67 $210.67 $95.11 $115.56
76813 U/S, Pregnant uterus, 1st trimester fetal nuchal translucency measurement—transabdominal or transvaginal approach, single or first gestation $125.25 $125.25 $62.81 $62.45
76814 Each additional gestation (list separately in addition to code for primary procedure) $83.26 $83.26 $52.76 $30.51
76815 U/S, Pregnant uterus, limited (fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses $86.85 $86.85 $33.74 $53.12
76816 U/S, Pregnant uterus, follow-up (re-eval of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system (s)) suspected or confirmed to be abnl on previous scan), transabdominal approach, per fetus $118.79 $118.79 $45.22 $73.57
76817 U/S pregnant uterus—transvaginal $99.77 $99.77 $39.12 $60.65
76820 Doppler velocimetry, fetal; umbilical artery $49.53 $49.53 $26.56 $22.97
Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
Non-Obstetrical
76830 U/S, Transvaginal $124.89 $124.89 $35.53 $89.36
76831 Hysterosonography, with or without color flow Doppler $122.38 $122.38 $37.68 $84.70
76856 Ultrasound, pelvic (non-obstetric), real time with image documentation; complete $112.69 $112.69 $35.53 $77.16
76857 Limited or follow-up (e.g., for follicles) $49.17 $49.17 $25.48 $23.69
Procedure Guidance
76941 U/S guidance for intrauterine fetal transfusion or cordocentesis, imaging supervidion and interpretation $0.00 $0.00 $0.00 $66.04
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
76945 U/S guidance for chorionic villus sampling, imaging supervision and interpretation $0.00 $0.00 $0.00 $35.89
76946 U/S guidance for amniocentesis, imaging supervision and interpretation $33.38 $33.38 $20.10 $13.28
76948 U/S guidance for aspiration of ova, imaging supervision and interpretation $72.85 $72.85 $34.45 $38.40

Orthopedic Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
Ultrasound Evaluation
76882 Limited ultrasound, extremity, non-vascular, real time with image documentation $36.61 $36.61 $25.12 $11.48
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
Procedures 
20552 Injections (s), Single to multiple trigger point(s) one or two muscle(s) $56.35 $39.12 n/a n/a
20553 Injections (s), Single to multiple trigger point(s) three or more muscle(s) $64.96 $44.50 n/a n/a
20600 Arthrocentesis, aspiration and/or injections; small joint or bursa (e.g. fingers, toes) $48.81 $36.61 n/a n/a
Procedures that include ultrasound guidance (do not use 76942 in addtion to)
20604 Drain/inj joint/bursa w/us $73.93 $48.09 n/a n/a
20606 Arthrocentesis, aspiration and/or injections; intermediate joint or bursa (e.g. temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa) $81.83 $54.55 n/a n/a
20611 Drain/inj joint/bursa w/us $92.95 $63.52 n/a n/a

Pain Management Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
64405 Injection, anesthetic agent; greater occipital nerve $102.64 $64.96 n/a n/a
64413 Injection, anesthetic agent; cervical plexus $129.92 $83.62 n/a n/a
64415 Injection, anesthetic agent; brachial plexus, single $119.15 $66.75 n/a n/a
64417 Injection, anesthetic agent; axillary nerve $130.28 $72.14 n/a n/a
64418 Injection, anesthetic agent; suprascapular nerve $147.86 $78.60 n/a n/a
64420 Injection, anesthetic agent; intercostal nerve, single $113.05 $69.62 n/a n/a
64421 Injection, anesthetic agent; intercostal nerves, multiple, regional block $152.53 $94.39 n/a n/a
64425 Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves $134.22 $96.18 n/a n/a
64445 Injection, anesthetic agent; sciatic nerve, single $137.81 $74.29 n/a n/a
64447 Injection, anesthetic agent; femoral nerve, single $121.30 $68.19 n/a n/a
64510 Injection, anesthetic agent; stellate ganglion (cervical sympathetic) $128.84 $75.37 n/a n/a
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35

Phlebology Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study $200.26 $200.26 $35.53 $164.73
93971 Duplex scan of extremity veins including responses to compression maneuvers; unilateral or limited study $122.02 $122.02 $22.61 $99.41
93975 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; complete study $286.39 $286.39 $59.22 $227.18
93976 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; limited study $166.16 $166.16 $40.91 $125.25
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
76970 Ultrasound study, follow up $94.03 $94.03 $19.74 $74.29
Procedures
36011 Selective catheter placement, venous system, first order branch $841.95 $164.01 n/a n/a
36475 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated $1,545.73 $292.85 n/a n/a
36476 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites (listed separately in addition to code for primary procedure) $301.11 $142.48 n/a n/a
36478 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous laser; first vein treated $1,223.80 $291.06 n/a n/a
36479 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites (list separately in addition to code for primary procedure) $316.18 $143.20 n/a n/a
Sclerotherapy
36470 Injection of sclerosing solution; single level $150.37 $86.13 n/a n/a
36471 Injection of sclerosing solution; multiple veins, same leg $178.37 $104.08 n/a n/a
Ligation
37700 Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions $259.48 $259.48 n/a n/a
37785 Ligation, division, and/or excision of varicose vein cluster (s), one leg $366.06 $273.83 n/a n/a
Ambulatory Phlebectomy
37765 Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions $670.40 $469.78 n/a n/a
37766 Stab phlebectomy of varicose veins, one extremity; more than 20 stab incisions $796.01 $573.50 n/a n/a

Podiatry Ultrasound CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
76882 Limited ultrasound, extremity, non-vascular, real time with image documentation $36.61 $36.61 $25.12 $11.48
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
93922 Non-invasive physiologic studies of upper or lower extremity arteries, single level, bilateral (eg, ankle/brachial index, waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement) $90.08 $90.08 $12.92 $77.16
93926 Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study $154.32 $154.32 $24.76 $129.56
20550 Injection(s), Tendon sheath/ligament $53.83 $40.55 n/a n/a
20551 Injection(s), Tendon origin/insertion $61.73 $43.78 n/a n/a
20552 Injections (s), Single to multiple trigger point(s) one or two muscle(s) $56.35 $39.12 n/a n/a
20553 Injections (s), Single to multiple trigger point(s) three or more muscle(s) $64.96 $44.50 n/a n/a
20604 Drain/inj joint/bursa w/us $73.93 $48.09 n/a n/a
20606 Arthrocentesis, aspiration and/or injections; intermediate joint or bursa (e.g. temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa) $81.83 $54.55 n/a n/a
20611 Drain/inj joint/bursa w/us $92.95 $63.52 n/a n/a

Small Parts Ultrasound CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
Breast Ultrasound
19000 Puncture aspiration of cyst of breast $114.84 $45.22 n/a n/a
19001 Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) $27.63 $22.61 n/a n/a
19083 first lesion, including ultrasound guidance $683.68 $165.09 n/a n/a
19084 each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure) $82.19 $610.87 n/a n/a
19285 first lesion, including ultrasound guidance $526.49 $90.08 n/a n/a
19286 each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure) $459.02 $45.22 n/a n/a
76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete $109.46 $109.46 $37.32 $72.14
76642 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited $90.08 $90.08 $34.81 $55.27
Thyroid Ultrasound
60100 Biopsy thyroid, percutaneous core needle $115.56 $81.83 n/a n/a
60300 Aspir/inj thyroid cyst $120.59 $51.68 n/a n/a
76536 Us exam of head and neck $118.79 $118.79 $28.71 $90.08
Scrotal Ultrasound
76870 Us exam scrotum $69.62 $69.62 $33.02 $36.61
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35

Urology Ultrasound CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
Ultrasound Evaluation
76857 Us exam pelvic limited $49.17 $49.17 $25.48 $23.69
76870 Ultrasound, scrotum and contents $69.62 $69.62 $33.02 $36.61
76872 Ultrasound, transrectal $96.90 $96.90 $34.09 $62.81
76873 Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning $174.42 $174.42 $79.67 $94.75
76770 Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; complete $115.56 $115.56 $37.68 $77.88
76775 Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; limited $59.58 $59.58 $29.43 $30.15
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
Procedures
51798 Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging $19.74 $19.74 n/a n/a
55700 Biopsy, prostate; needle or punch, single or multiple, any approach $253.37 $136.02 n/a n/a

Vascular Ultrasound CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete $115.56 $115.56 $37.68 $77.88
76775 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited $59.58 $59.58 $29.43 $30.15
93880 Duplex scan of extracranial arteries; complete bilateral study $205.64 $205.64 $40.91 $164.73
93882 Duplex scan of extracranial arteries; limited or unilateral study $130.99 $130.99 $25.84 $105.15
93886 Transcranial Doppler study of the intracranial arteries; complete study $280.29 $280.29 $48.09 $232.20
93888 Transcranial Doppler study of the intracranial arteries; limited study $152.53 $152.53 $26.56 $125.97
93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study $263.06 $263.06 $40.20 $222.87
93926 Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study $154.32 $154.32 $24.76 $129.56
93930 Upper extremity study $211.38 $211.38 $40.91 $170.47
93931 Upper extremity study $130.63 $130.63 $25.12 $105.51
93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study $200.26 $200.26 $35.53 $164.73
93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study $122.02 $122.02 $22.61 $99.41
93975 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; complete study $286.39 $286.39 $59.22 $227.18
93976 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; limited study $166.16 $166.16 $40.91 $125.25
93978 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts, complete study $193.80 $193.80 $40.55 $153.24
93979 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study $121.66 $121.66 $25.48 $96.18
93980 Duplex scan of arterial inflow and venous outflow of penile vessels; complete study $123.46 $123.46 $62.81 $60.65
93981 Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study $75.01 $75.01 $22.61 $52.40
93990 Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) $161.86 $161.86 $25.12 $136.74
G0365 Vessel mapping of vessels for hemodialysis access (Services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) $200.62 $200.62 $12.56 $188.06

Vascular Access / Arterial Fistula Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study $122.02 $122.02 $22.61 $99.41
93990 Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) $161.86 $161.86 $25.12 $136.74
G0365 Vessel mapping of vessels for hemodialysis access (Services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) $200.62 $200.62 $12.56 $188.06
76937 Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real-time ultrasound visualization of vascular needle entry, with permanent recording and reporting $31.94 $31.94 $14.71 $17.23

Women's Health Ultrasound and Procedural CPT Codes and Descriptions 2017

Medicare Physician Fee Schedule – National Average*
Breast Imaging
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
19000 Puncture aspiration of cyst of breast $114.84 $45.22 n/a n/a
19001 Drain breast lesion add-on $27.63 $22.61 n/a n/a
19083 first lesion, including ultrasound guidance $683.68 $165.09 n/a n/a
19084 each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure) $82.19 $610.87 n/a n/a
19285 first lesion, including ultrasound guidance $526.49 $90.08 n/a n/a
19286 each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure) $459.02 $45.22 n/a n/a
Obstetrical
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester ( 14 weeks 0 days), transabdominal approach; single or first gestation $126.33 $126.33 $51.32 $75.01
76802 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester ( 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure) $66.04 $66.04 $43.43 $22.61
76805 U/S, Pregnant uterus, fetal and maternal evaluation, > 1st trimester—trans abdominal; single of first gestation. $145.71 $145.71 $51.68 $94.03
76810 Each additional gestation (list separately in addition to code for primary procedure) $95.46 $95.46 $51.32 $44.14
76811 U/S, Pregnant uterus, fetal and maternal evaluation plus detailed fetal anatomic exam—trans abdominal; single or first gestations $188.06 $188.06 $100.85 $87.21
76812 Each additional gestation (list separately in addition to code for primary procedure) $210.67 $210.67 $95.11 $115.56
76813 U/S, Pregnant uterus, 1st trimester fetal nuchal translucency measurement—transabdominal or transvaginal approach, single or first gestation $125.25 $125.25 $62.81 $62.45
76814 Each additional gestation (list separately in addition to code for primary procedure) $83.26 $83.26 $52.76 $30.51
76815 U/S, Pregnant uterus, limited (fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses $86.85 $86.85 $33.74 $53.12
76816 U/S, Pregnant uterus, follow-up (re-eval of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system (s)) suspected or confirmed to be abnl on previous scan), transabdominal approach, per fetus $118.79 $118.79 $45.22 $73.57
76817 U/S pregnant uterus—transvaginal $99.77 $99.77 $39.12 $60.65
76820 Doppler velocimetry, fetal; umbilical artery $49.53 $49.53 $26.56 $22.97
Non-Obstetrical
76830 U/S, Transvaginal $124.89 $124.89 $35.53 $89.36
76831 Hysterosonography, with or without color flow Doppler $122.38 $122.38 $37.68 $84.70
76856 Ultrasound, pelvic (non-obstetric), real time with image documentation; complete $112.69 $112.69 $35.53 $77.16
76857 Limited or follow-up (e.g., for follicles) $49.17 $49.17 $25.48 $23.69
Procedure Guidance
76941 U/S guidance for intrauterine fetal transfusion or cordocentesis, imaging supervidion and interpretation $0.00 $0.00 $0.00 $66.04
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35
76945 U/S guidance for chorionic villus sampling, imaging supervision and interpretation $0.00 $0.00 $0.00 $35.89
76946 U/S guidance for amniocentesis, imaging supervision and interpretation $33.38 $33.38 $20.10 $13.28
76948 U/S guidance for aspiration of ova, imaging supervision and interpretation $72.85 $72.85 $34.45 $38.40

1 Professional Payment: use to estimate the reimbursement to the physician.

2 Technical Payment: use to estimate the reimbursement to the technologist.

CPT™ 5 digit codes, nomenclature and other data are Copyright 2017 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.


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