BROWSE CPT CODES BY ULTRASOUND APPLICATION- Cardiology Ultrasound CPT Codes
- Endocrinology Ultrasound CPT Codes
- Musculoskeletal Ultrasound CPT Codes
- Nephrology Ultrasound CPT Codes
- OB/GYN Ultrasound CPT Codes
- Orthopedic Ultrasound CPT Codes
- Pain Management Ultrasound CPT Codes
- Phlebology Ultrasound CPT Codes
- Podiatry Ultrasound CPT Codes
- Small Parts Ultrasound CPT Codes
- Urology Ultrasound CPT Codes
- Vascular Ultrasound CPT Codes
- Vascular Access / Arterial Fistula Ultrasound CPT Codes
- Women's Health Ultrasound CPT Codes
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Phone 760-754-3288
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 |
| 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.
