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You are here: Home / Insurance / Medical Necessity / 93880 – Carotid Ultrasound

93880 – Carotid 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 
G45.0Vertebro-basilar artery syndrome
G45.1Carotid artery syndrome (hemispheric)
G45.2Multiple and bilateral precerebral artery syndromes
G45.3Amaurosis fugax
G45.8Other transient cerebral ischemic attacks and related syndromes
G45.9Transient ischemic attack, unspecified
G46.0Middle cerebral artery syndrome
G46.1Anterior cerebral artery syndrome
G46.2Posterior cerebral artery syndrome
H34.00Transient retinal artery occlusion, unspecified eye
H34.01Transient retinal artery occlusion, right eye
H34.02Transient retinal artery occlusion, left eye
H34.03Transient retinal artery occlusion, bilateral
H34.10Central retinal artery occlusion, unspecified eye
H34.11Central retinal artery occlusion, right eye
H34.12Central retinal artery occlusion, left eye
H34.13Central retinal artery occlusion, bilateral
H34.211Partial retinal artery occlusion, right eye
H34.212Partial retinal artery occlusion, left eye
H34.213Partial retinal artery occlusion, bilateral
H34.219Partial retinal artery occlusion, unspecified eye
H34.231Retinal artery branch occlusion, right eye
H34.232Retinal artery branch occlusion, left eye
H34.233Retinal artery branch occlusion, bilateral
H34.239Retinal artery branch occlusion, unspecified eye
H34.9Unspecified retinal vascular occlusion
H53.121Transient visual loss, right eye
H53.122Transient visual loss, left eye
H53.123Transient visual loss, bilateral
H53.129Transient visual loss, unspecified eye
H53.131Sudden visual loss, right eye
H53.132Sudden visual loss, left eye
H53.133Sudden visual loss, bilateral
H53.139Sudden visual loss, unspecified eye
I63.031Cerebral infarction due to thrombosis of right carotid artery
I63.032Cerebral infarction due to thrombosis of left carotid artery
I63.033Cerebral infarction due to thrombosis of bilateral carotid arteries
I63.039Cerebral infarction due to thrombosis of unspecified carotid artery
I63.131Cerebral infarction due to embolism of right carotid artery
I63.132Cerebral infarction due to embolism of left carotid artery
I63.133Cerebral infarction due to embolism of bilateral carotid arteries
I63.139Cerebral infarction due to embolism of unspecified carotid artery
I63.231Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.233Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries
I63.239Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries
I63.30Cerebral infarction due to thrombosis of unspecified cerebral artery
I63.311Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312Cerebral infarction due to thrombosis of left middle cerebral artery
I63.313Cerebral infarction due to thrombosis of bilateral middle cerebral arteries
I63.319Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63.321Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.323Cerebral infarction due to thrombosis of bilateral anterior arteries
I63.329Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63.331Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.333Cerebral infarction to thrombosis of bilateral posterior arteries
I63.339Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63.341Cerebral infarction due to thrombosis of right cerebellar artery
I63.342Cerebral infarction due to thrombosis of left cerebellar artery
I63.343Cerebral infarction to thrombosis of bilateral cerebellar arteries
I63.349Cerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39Cerebral infarction due to thrombosis of other cerebral artery
I63.40Cerebral infarction due to embolism of unspecified cerebral artery
I63.411Cerebral infarction due to embolism of right middle cerebral artery
I63.412Cerebral infarction due to embolism of left middle cerebral artery
I63.413Cerebral infarction due to embolism of bilateral middle cerebral arteries
I63.419Cerebral infarction due to embolism of unspecified middle cerebral artery
I63.421Cerebral infarction due to embolism of right anterior cerebral artery
I63.422Cerebral infarction due to embolism of left anterior cerebral artery
I63.423Cerebral infarction due to embolism of bilateral anterior cerebral arteries
I63.429Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63.431Cerebral infarction due to embolism of right posterior cerebral artery
I63.432Cerebral infarction due to embolism of left posterior cerebral artery
I63.433Cerebral infarction due to embolism of bilateral posterior cerebral arteries
I63.439Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63.441Cerebral infarction due to embolism of right cerebellar artery
I63.442Cerebral infarction due to embolism of left cerebellar artery
I63.443Cerebral infarction due to embolism of bilateral cerebellar arteries
I63.449Cerebral infarction due to embolism of unspecified cerebellar artery
I63.49Cerebral infarction due to embolism of other cerebral artery
I63.50Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63.511Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.513Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle arteries
I63.519Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63.521Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.523Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior arteries
I63.529Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63.531Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.533Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior arteries
I63.539Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63.541Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.543Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries
I63.549Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I63.59Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.8Other cerebral infarction
I63.9Cerebral infarction, unspecified
I65.21Occlusion and stenosis of right carotid artery
I65.22Occlusion and stenosis of left carotid artery
I65.23Occlusion and stenosis of bilateral carotid arteries
I65.29Occlusion and stenosis of unspecified carotid artery
I65.8Occlusion and stenosis of other precerebral arteries
I66.01Occlusion and stenosis of right middle cerebral artery
I66.02Occlusion and stenosis of left middle cerebral artery
I66.03Occlusion and stenosis of bilateral middle cerebral arteries
I66.09Occlusion and stenosis of unspecified middle cerebral artery
I66.11Occlusion and stenosis of right anterior cerebral artery
I66.12Occlusion and stenosis of left anterior cerebral artery
I66.13Occlusion and stenosis of bilateral anterior cerebral arteries
I66.19Occlusion and stenosis of unspecified anterior cerebral artery
I66.21Occlusion and stenosis of right posterior cerebral artery
I66.22Occlusion and stenosis of left posterior cerebral artery
I66.23Occlusion and stenosis of bilateral posterior cerebral arteries
I66.29Occlusion and stenosis of unspecified posterior cerebral artery
I66.3Occlusion and stenosis of cerebellar arteries
I66.8Occlusion and stenosis of other cerebral arteries
I66.9Occlusion and stenosis of unspecified cerebral artery
I67.841Reversible cerebrovascular vasoconstriction syndrome
I67.848Other cerebrovascular vasospasm and vasoconstriction
I67.89Other cerebrovascular disease
I72.0Aneurysm of carotid artery
I72.5Aneurysm of other precerebral arteries
I72.6Aneurysm of vertebral artery
I77.71Dissection of carotid artery
I77.74Dissection of vertebral artery
I77.75Dissection of other precerebral arteries
M31.5Giant cell arteritis with polymyalgia rheumatica
M31.6Other giant cell arteritis
R09.89Other specified symptoms and signs involving the circulatory and respiratory systems
R22.0*Localized swelling, mass and lump, head
R22.1*Localized swelling, mass and lump, neck
R55Syncope and collapse
S15.001AUnspecified injury of right carotid artery, initial encounter
S15.001DUnspecified injury of right carotid artery, subsequent encounter
S15.001SUnspecified injury of right carotid artery, sequela
S15.002AUnspecified injury of left carotid artery, initial encounter
S15.002DUnspecified injury of left carotid artery, subsequent encounter
S15.002SUnspecified injury of left carotid artery, sequela
S15.009AUnspecified injury of unspecified carotid artery, initial encounter
S15.009DUnspecified injury of unspecified carotid artery, subsequent encounter
S15.009SUnspecified injury of unspecified carotid artery, sequela
S15.011AMinor laceration of right carotid artery, initial encounter
S15.011DMinor laceration of right carotid artery, subsequent encounter
S15.011SMinor laceration of right carotid artery, sequela
S15.012AMinor laceration of left carotid artery, initial encounter
S15.012DMinor laceration of left carotid artery, subsequent encounter
S15.012SMinor laceration of left carotid artery, sequela
S15.019AMinor laceration of unspecified carotid artery, initial encounter
S15.019DMinor laceration of unspecified carotid artery, subsequent encounter
S15.019SMinor laceration of unspecified carotid artery, sequela
S15.021AMajor laceration of right carotid artery, initial encounter
S15.021DMajor laceration of right carotid artery, subsequent encounter
S15.021SMajor laceration of right carotid artery, sequela
S15.022AMajor laceration of left carotid artery, initial encounter
S15.022DMajor laceration of left carotid artery, subsequent encounter
S15.022SMajor laceration of left carotid artery, sequela
S15.029AMajor laceration of unspecified carotid artery, initial encounter
S15.029DMajor laceration of unspecified carotid artery, subsequent encounter
S15.029SMajor laceration of unspecified carotid artery, sequela
S15.091AOther specified injury of right carotid artery, initial encounter
S15.091DOther specified injury of right carotid artery, subsequent encounter
S15.091SOther specified injury of right carotid artery, sequela
S15.092AOther specified injury of left carotid artery, initial encounter
S15.092DOther specified injury of left carotid artery, subsequent encounter
S15.092SOther specified injury of left carotid artery, sequela
S15.099AOther specified injury of unspecified carotid artery, initial encounter
S15.099DOther specified injury of unspecified carotid artery, subsequent encounter
S15.099SOther specified injury of unspecified carotid artery, sequela
Z01.810Encounter for preprocedural cardiovascular examination
Z01.818Encounter for other preprocedural examination
Z09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

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