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You are here: Home / Insurance / Medical Necessity / 76770 – Renal Ultrasound

76770 – Renal Ultrasound

Disclaimer: The following list is provided for informational purposes ONLY – it is solely the duty of an ordering provider to determine diagnosis. The information contained within this list can be found in it’s entirety at https://medicare.fcso.com. By viewing this list you affirm and acknowledge that it is being used only for informational purposes and expressly disclaim Mobile Ultrasound Services from any and all liability that may arise from the ordering provider’s use of it.


ICD-10 CodeDescription 
I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I70.0Atherosclerosis of aorta
I70.8Atherosclerosis of other arteries
I71.4Abdominal aortic aneurysm, without rupture
N13.30Unspecified hydronephrosis
N13.9Obstructive and reflux uropathy, unspecified
N15.9Renal tubulo-interstitial disease, unspecified
N17.9Acute kidney failure, unspecified
N18.4Chronic kidney disease, stage 4 (severe)
N18.9Chronic kidney disease, unspec
N19Unspecified kidney failure
N20.0Calculus of kidney
N23Unspecified renal colic
N27.0Small kidney, unilateral
N27.1Small kidney, bilateral
N28.1Cyst of kidney, acquired
N28.9Disorder of kidney and ureter, unspecified
N30.90Cystitis, unspecified without hematuria
N30.91Cystitis, unspecified with hematuria
N39.0Urinary tract infection, site not specified
Q61.00Congenital renal cyst, unspecified
Q61.5Medullary cystic kidney
Q61.9Cystic kidney disease, unspecified
Q64.9Congenital malformation of urinary system, unspecified
R09.89Other spec symptoms and signs involving the circulatory and respiratory systems
R10.31Right lower quadrant pain
R10.32Left lower quadrant pain
R19.09Other intra-abdominal and pelvic swelling, mass and lump
R31.0Gross hematuria
R31.1Benign essential microscopic hematuria
R31.9Hematuria, unspecified
R34Anuria and oliguria
R35.0Frequency of micturition
R80.9Proteinuria, unspecified

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