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You are here: Home / Insurance / Medical Necessity / 76856 – Pelvic Ultrasound

76856 – Pelvic 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 
D25.9Leiomyoma of uterus, unspecified
E28.2Polycystic ovarian syndrome
N13.9Obstructive and reflux uropathy, unspecified
N70.11Chronic salpingitis
N70.12Chronic oophoritis
N70.13Chronic salpingitis and oophoritis
N71.9Inflammatory disease of uterus, unspecified
N80.9Endometriosis, unspecified
N84.0Polyp of corpus uteri
N84.8Polyp of other parts of female genital tract
N84.9Polyp of female genital tract, unspecified
N85.00Endometrial hyperplasia, unspecified
N85.2Hypertrophy of uterus
N85.4Malposition of uterus
N89.7Hematocolpos
N89.8Other specified noninflammatory disorders of vagina
N91.0Primary amenorrhea
N91.1Secondary amenorrhea
N91.2Amenorrhea, unspecified
N92.0Excessive and frequent menstruation with regular cycle
N92.4Excessive bleeding in the premenopausal period
N92.5Other specified irregular menstruation
N92.6Irregular menstruation, unspecified
N93.8Other specified abnormal uterine and vaginal bleeding
N93.9Abnormal uterine and vaginal bleeding, unspecified
N94.1Dyspareunia
N94.10Dyspareunia
N94.4Primary dysmenorrhea
N94.5Secondary dysmenorrhea
N94.6Dysmenorrhea, unspecified
N95.0Postmenopausal bleeding
R10.32Left lower quadrant pain
R10.814Left lower quadrant abdominal tenderness
R10.824Left lower quadrant rebound abdominal tenderness
R19.03Right lower quadrant abdominal swelling, mass and lump
R19.04Left lower quadrant abdominal swelling, mass and lump
R19.09Other intra-abdominal and pelvic swelling, mass and lump
R33.9Retention of urine, unspecified

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