Local Coverage Article Billing and Coding

Billing and Coding: Retroperitoneal Ultrasound

A55336

Expand All | Collapse All

Contractor Information

Article Information

General Information

Article ID
A55336
Article Title
Billing and Coding: Retroperitoneal Ultrasound
Article Type
Billing and Coding
Original Effective Date
10/31/2016
Revision Effective Date
10/01/2022
Revision Ending Date
N/A
Retirement Date
N/A
AMA CPT / ADA CDT / AHA NUBC Copyright Statement

CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Current Dental Terminology © 2022 American Dental Association. All rights reserved.

Copyright © 2022, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB‐04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816.

Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim

Article Guidance

Article Text

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for the Retroperitoneal Ultrasound L34577.

A full (complete) or limited abdominal ultrasound (US) (CPT® 76700, 76705, 76706*), views all structures in the abdomen including those in the retroperitoneal area. Frequently when a retroperitoneal US is performed findings encountered during the exam may warrant that the exam be expanded to become a full abdominal study.

It is expected that CPT® 76770, 76775, 76776 will only be billed when the exam has been limited to retroperitoneal structures. Exams that include structures other than or in addition to, those listed above should be billed as a full (complete) or appropriately limited abdominal US (CPT® 76700, 76705, 76706*).

It is not appropriate to bill for both a retroperitoneal US study AND a complete (or limited) abdominal US when a retroperitoneal US study is expanded to include organs and structures outside the retroperitoneum.

Utilization Guidelines

If the physical exam has primary findings for the involvement of non-retroperitoneal structures/organs (gallbladder, liver, spleen, common bile duct, etc.), even though it may be necessary to visualize retroperitoneal structures in the course of the procedure, a full abdominal US would be required in most cases to be diagnostic, and that is the procedure that should be performed and billed.

Coding Information

CPT/HCPCS Codes

Group 1

(3 Codes)
Group 1 Paragraph

Note: CPT® 76700, 76705 or 76706* should be used for billing a full (complete) or appropriately limited abdominal ultrasound. This article does not address diagnosis coding for these 3 CPT® codes.    

*Note: Please refer to the Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article A55071 for additional requirements for billing CPT® code 76706.

Group 1 Codes
CodeDescription
76770 ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE
76775 ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; LIMITED
76776 ULTRASOUND, TRANSPLANTED KIDNEY, REAL TIME AND DUPLEX DOPPLER WITH IMAGE DOCUMENTATION

CPT/HCPCS Modifiers

N/A

ICD-10-CM Codes that Support Medical Necessity

Group 1

(777 Codes)
Group 1 Paragraph

N/A

Group 1 Codes
CodeDescription
B25.2 Cytomegaloviral pancreatitis
B52.0 Plasmodium malariae malaria with nephropathy
C25.0 Malignant neoplasm of head of pancreas
C25.1 Malignant neoplasm of body of pancreas
C25.2 Malignant neoplasm of tail of pancreas
C25.3 Malignant neoplasm of pancreatic duct
C25.4 Malignant neoplasm of endocrine pancreas
C25.7 Malignant neoplasm of other parts of pancreas
C25.8 Malignant neoplasm of overlapping sites of pancreas
C25.9 Malignant neoplasm of pancreas, unspecified
C48.0 Malignant neoplasm of retroperitoneum
C48.8 Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C61 Malignant neoplasm of prostate
C64.1 Malignant neoplasm of right kidney, except renal pelvis
C64.2 Malignant neoplasm of left kidney, except renal pelvis
C65.1 Malignant neoplasm of right renal pelvis
C65.2 Malignant neoplasm of left renal pelvis
C66.1 Malignant neoplasm of right ureter
C66.2 Malignant neoplasm of left ureter
C67.9 Malignant neoplasm of bladder, unspecified
C68.0 Malignant neoplasm of urethra
C68.1 Malignant neoplasm of paraurethral glands
C68.8 Malignant neoplasm of overlapping sites of urinary organs
C7A.093 Malignant carcinoid tumor of the kidney
C7B.09 Secondary carcinoid tumors of other sites
C7B.8 Other secondary neuroendocrine tumors
C78.6 Secondary malignant neoplasm of retroperitoneum and peritoneum
C79.01 Secondary malignant neoplasm of right kidney and renal pelvis
C79.02 Secondary malignant neoplasm of left kidney and renal pelvis
C79.11 Secondary malignant neoplasm of bladder
C79.19 Secondary malignant neoplasm of other urinary organs
C79.71 Secondary malignant neoplasm of right adrenal gland
C79.72 Secondary malignant neoplasm of left adrenal gland
C81.00 Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site
C81.03 Nodular lymphocyte predominant Hodgkin lymphoma, intra-abdominal lymph nodes
C81.07 Nodular lymphocyte predominant Hodgkin lymphoma, spleen
C81.08 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of multiple sites
C81.09 Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites
C81.10 Nodular sclerosis Hodgkin lymphoma, unspecified site
C81.13 Nodular sclerosis Hodgkin lymphoma, intra-abdominal lymph nodes
C81.17 Nodular sclerosis Hodgkin lymphoma, spleen
C81.18 Nodular sclerosis Hodgkin lymphoma, lymph nodes of multiple sites
C81.19 Nodular sclerosis Hodgkin lymphoma, extranodal and solid organ sites
C81.20 Mixed cellularity Hodgkin lymphoma, unspecified site
C81.23 Mixed cellularity Hodgkin lymphoma, intra-abdominal lymph nodes
C81.27 Mixed cellularity Hodgkin lymphoma, spleen
C81.28 Mixed cellularity Hodgkin lymphoma, lymph nodes of multiple sites
C81.29 Mixed cellularity Hodgkin lymphoma, extranodal and solid organ sites
C81.30 Lymphocyte depleted Hodgkin lymphoma, unspecified site
C81.33 Lymphocyte depleted Hodgkin lymphoma, intra-abdominal lymph nodes
C81.37 Lymphocyte depleted Hodgkin lymphoma, spleen
C81.38 Lymphocyte depleted Hodgkin lymphoma, lymph nodes of multiple sites
C81.39 Lymphocyte depleted Hodgkin lymphoma, extranodal and solid organ sites
C81.40 Lymphocyte-rich Hodgkin lymphoma, unspecified site
C81.43 Lymphocyte-rich Hodgkin lymphoma, intra-abdominal lymph nodes
C81.47 Lymphocyte-rich Hodgkin lymphoma, spleen
C81.48 Lymphocyte-rich Hodgkin lymphoma, lymph nodes of multiple sites
C81.49 Lymphocyte-rich Hodgkin lymphoma, extranodal and solid organ sites
C81.70 Other Hodgkin lymphoma, unspecified site
C81.73 Other Hodgkin lymphoma, intra-abdominal lymph nodes
C81.77 Other Hodgkin lymphoma, spleen
C81.78 Other Hodgkin lymphoma, lymph nodes of multiple sites
C81.79 Other Hodgkin lymphoma, extranodal and solid organ sites
C81.90 Hodgkin lymphoma, unspecified, unspecified site
C81.93 Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes
C81.97 Hodgkin lymphoma, unspecified, spleen
C81.98 Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
C81.99 Hodgkin lymphoma, unspecified, extranodal and solid organ sites
C82.00 Follicular lymphoma grade I, unspecified site
C82.03 Follicular lymphoma grade I, intra-abdominal lymph nodes
C82.07 Follicular lymphoma grade I, spleen
C82.08 Follicular lymphoma grade I, lymph nodes of multiple sites
C82.09 Follicular lymphoma grade I, extranodal and solid organ sites
C82.10 Follicular lymphoma grade II, unspecified site
C82.13 Follicular lymphoma grade II, intra-abdominal lymph nodes
C82.17 Follicular lymphoma grade II, spleen
C82.18 Follicular lymphoma grade II, lymph nodes of multiple sites
C82.19 Follicular lymphoma grade II, extranodal and solid organ sites
C82.20 Follicular lymphoma grade III, unspecified, unspecified site
C82.23 Follicular lymphoma grade III, unspecified, intra-abdominal lymph nodes
C82.27 Follicular lymphoma grade III, unspecified, spleen
C82.28 Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites
C82.29 Follicular lymphoma grade III, unspecified, extranodal and solid organ sites
C82.30 Follicular lymphoma grade IIIa, unspecified site
C82.33 Follicular lymphoma grade IIIa, intra-abdominal lymph nodes
C82.37 Follicular lymphoma grade IIIa, spleen
C82.38 Follicular lymphoma grade IIIa, lymph nodes of multiple sites
C82.39 Follicular lymphoma grade IIIa, extranodal and solid organ sites
C82.40 Follicular lymphoma grade IIIb, unspecified site
C82.43 Follicular lymphoma grade IIIb, intra-abdominal lymph nodes
C82.47 Follicular lymphoma grade IIIb, spleen
C82.48 Follicular lymphoma grade IIIb, lymph nodes of multiple sites
C82.49 Follicular lymphoma grade IIIb, extranodal and solid organ sites
C82.50 Diffuse follicle center lymphoma, unspecified site
C82.53 Diffuse follicle center lymphoma, intra-abdominal lymph nodes
C82.57 Diffuse follicle center lymphoma, spleen
C82.58 Diffuse follicle center lymphoma, lymph nodes of multiple sites
C82.59 Diffuse follicle center lymphoma, extranodal and solid organ sites
C82.60 Cutaneous follicle center lymphoma, unspecified site
C82.63 Cutaneous follicle center lymphoma, intra-abdominal lymph nodes
C82.67 Cutaneous follicle center lymphoma, spleen
C82.68 Cutaneous follicle center lymphoma, lymph nodes of multiple sites
C82.69 Cutaneous follicle center lymphoma, extranodal and solid organ sites
C82.80 Other types of follicular lymphoma, unspecified site
C82.83 Other types of follicular lymphoma, intra-abdominal lymph nodes
C82.87 Other types of follicular lymphoma, spleen
C82.88 Other types of follicular lymphoma, lymph nodes of multiple sites
C82.89 Other types of follicular lymphoma, extranodal and solid organ sites
C82.90 Follicular lymphoma, unspecified, unspecified site
C82.93 Follicular lymphoma, unspecified, intra-abdominal lymph nodes
C82.97 Follicular lymphoma, unspecified, spleen
C82.98 Follicular lymphoma, unspecified, lymph nodes of multiple sites
C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites
C83.00 Small cell B-cell lymphoma, unspecified site
C83.03 Small cell B-cell lymphoma, intra-abdominal lymph nodes
C83.07 Small cell B-cell lymphoma, spleen
C83.08 Small cell B-cell lymphoma, lymph nodes of multiple sites
C83.09 Small cell B-cell lymphoma, extranodal and solid organ sites
C83.10 Mantle cell lymphoma, unspecified site
C83.13 Mantle cell lymphoma, intra-abdominal lymph nodes
C83.17 Mantle cell lymphoma, spleen
C83.18 Mantle cell lymphoma, lymph nodes of multiple sites
C83.19 Mantle cell lymphoma, extranodal and solid organ sites
C83.30 Diffuse large B-cell lymphoma, unspecified site
C83.33 Diffuse large B-cell lymphoma, intra-abdominal lymph nodes
C83.37 Diffuse large B-cell lymphoma, spleen
C83.38 Diffuse large B-cell lymphoma, lymph nodes of multiple sites
C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites
C83.50 Lymphoblastic (diffuse) lymphoma, unspecified site
C83.53 Lymphoblastic (diffuse) lymphoma, intra-abdominal lymph nodes
C83.57 Lymphoblastic (diffuse) lymphoma, spleen
C83.58 Lymphoblastic (diffuse) lymphoma, lymph nodes of multiple sites
C83.59 Lymphoblastic (diffuse) lymphoma, extranodal and solid organ sites
C83.70 Burkitt lymphoma, unspecified site
C83.73 Burkitt lymphoma, intra-abdominal lymph nodes
C83.77 Burkitt lymphoma, spleen
C83.78 Burkitt lymphoma, lymph nodes of multiple sites
C83.79 Burkitt lymphoma, extranodal and solid organ sites
C83.80 Other non-follicular lymphoma, unspecified site
C83.83 Other non-follicular lymphoma, intra-abdominal lymph nodes
C83.87 Other non-follicular lymphoma, spleen
C83.88 Other non-follicular lymphoma, lymph nodes of multiple sites
C83.89 Other non-follicular lymphoma, extranodal and solid organ sites
C83.90 Non-follicular (diffuse) lymphoma, unspecified, unspecified site
C83.93 Non-follicular (diffuse) lymphoma, unspecified, intra-abdominal lymph nodes
C83.97 Non-follicular (diffuse) lymphoma, unspecified, spleen
C83.98 Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of multiple sites
C83.99 Non-follicular (diffuse) lymphoma, unspecified, extranodal and solid organ sites
C84.00 Mycosis fungoides, unspecified site
C84.03 Mycosis fungoides, intra-abdominal lymph nodes
C84.07 Mycosis fungoides, spleen
C84.08 Mycosis fungoides, lymph nodes of multiple sites
C84.09 Mycosis fungoides, extranodal and solid organ sites
C84.10 Sezary disease, unspecified site
C84.13 Sezary disease, intra-abdominal lymph nodes
C84.17 Sezary disease, spleen
C84.18 Sezary disease, lymph nodes of multiple sites
C84.19 Sezary disease, extranodal and solid organ sites
C84.40 Peripheral T-cell lymphoma, not elsewhere classified, unspecified site
C84.43 Peripheral T-cell lymphoma, not elsewhere classified, intra-abdominal lymph nodes
C84.47 Peripheral T-cell lymphoma, not elsewhere classified, spleen
C84.48 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites
C84.49 Peripheral T-cell lymphoma, not elsewhere classified, extranodal and solid organ sites
C84.60 Anaplastic large cell lymphoma, ALK-positive, unspecified site
C84.63 Anaplastic large cell lymphoma, ALK-positive, intra-abdominal lymph nodes
C84.67 Anaplastic large cell lymphoma, ALK-positive, spleen
C84.68 Anaplastic large cell lymphoma, ALK-positive, lymph nodes of multiple sites
C84.69 Anaplastic large cell lymphoma, ALK-positive, extranodal and solid organ sites
C84.70 Anaplastic large cell lymphoma, ALK-negative, unspecified site
C84.73 Anaplastic large cell lymphoma, ALK-negative, intra-abdominal lymph nodes
C84.77 Anaplastic large cell lymphoma, ALK-negative, spleen
C84.78 Anaplastic large cell lymphoma, ALK-negative, lymph nodes of multiple sites
C84.79 Anaplastic large cell lymphoma, ALK-negative, extranodal and solid organ sites
C84.A0 Cutaneous T-cell lymphoma, unspecified, unspecified site
C84.A3 Cutaneous T-cell lymphoma, unspecified, intra-abdominal lymph nodes
C84.A7 Cutaneous T-cell lymphoma, unspecified, spleen
C84.A8 Cutaneous T-cell lymphoma, unspecified, lymph nodes of multiple sites
C84.A9 Cutaneous T-cell lymphoma, unspecified, extranodal and solid organ sites
C84.Z0 Other mature T/NK-cell lymphomas, unspecified site
C84.Z3 Other mature T/NK-cell lymphomas, intra-abdominal lymph nodes
C84.Z7 Other mature T/NK-cell lymphomas, spleen
C84.Z8 Other mature T/NK-cell lymphomas, lymph nodes of multiple sites
C84.Z9 Other mature T/NK-cell lymphomas, extranodal and solid organ sites
C84.90 Mature T/NK-cell lymphomas, unspecified, unspecified site
C84.93 Mature T/NK-cell lymphomas, unspecified, intra-abdominal lymph nodes
C84.97 Mature T/NK-cell lymphomas, unspecified, spleen
C84.98 Mature T/NK-cell lymphomas, unspecified, lymph nodes of multiple sites
C84.99 Mature T/NK-cell lymphomas, unspecified, extranodal and solid organ sites
C85.10 Unspecified B-cell lymphoma, unspecified site
C85.13 Unspecified B-cell lymphoma, intra-abdominal lymph nodes
C85.17 Unspecified B-cell lymphoma, spleen
C85.18 Unspecified B-cell lymphoma, lymph nodes of multiple sites
C85.19 Unspecified B-cell lymphoma, extranodal and solid organ sites
C85.20 Mediastinal (thymic) large B-cell lymphoma, unspecified site
C85.23 Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes
C85.27 Mediastinal (thymic) large B-cell lymphoma, spleen
C85.28 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites
C85.29 Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites
C85.80 Other specified types of non-Hodgkin lymphoma, unspecified site
C85.83 Other specified types of non-Hodgkin lymphoma, intra-abdominal lymph nodes
C85.87 Other specified types of non-Hodgkin lymphoma, spleen
C85.88 Other specified types of non-Hodgkin lymphoma, lymph nodes of multiple sites
C85.89 Other specified types of non-Hodgkin lymphoma, extranodal and solid organ sites
C85.90 Non-Hodgkin lymphoma, unspecified, unspecified site
C85.93 Non-Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes
C85.97 Non-Hodgkin lymphoma, unspecified, spleen
C85.98 Non-Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
C85.99 Non-Hodgkin lymphoma, unspecified, extranodal and solid organ sites
C86.1 Hepatosplenic T-cell lymphoma
C96.Z Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue
D30.01 Benign neoplasm of right kidney
D30.02 Benign neoplasm of left kidney
D30.11 Benign neoplasm of right renal pelvis
D30.12 Benign neoplasm of left renal pelvis
D30.21 Benign neoplasm of right ureter
D30.22 Benign neoplasm of left ureter
D30.3 Benign neoplasm of bladder
D30.4 Benign neoplasm of urethra
D30.8 Benign neoplasm of other specified urinary organs
D3A.093 Benign carcinoid tumor of the kidney
D47.Z1 Post-transplant lymphoproliferative disorder (PTLD)
D47.Z2 Castleman disease
D49.511 Neoplasm of unspecified behavior of right kidney
D49.512 Neoplasm of unspecified behavior of left kidney
D49.519 Neoplasm of unspecified behavior of unspecified kidney
D49.59 Neoplasm of unspecified behavior of other genitourinary organ
E08.21 Diabetes mellitus due to underlying condition with diabetic nephropathy
E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
E08.29 Diabetes mellitus due to underlying condition with other diabetic kidney complication
E09.21 Drug or chemical induced diabetes mellitus with diabetic nephropathy
E09.22 Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
E09.29 Drug or chemical induced diabetes mellitus with other diabetic kidney complication
E25.0 Congenital adrenogenital disorders associated with enzyme deficiency
E25.8 Other adrenogenital disorders
E25.9 Adrenogenital disorder, unspecified
E26.01 Conn's syndrome
E26.02 Glucocorticoid-remediable aldosteronism
E26.09 Other primary hyperaldosteronism
E26.1 Secondary hyperaldosteronism
E26.81 Bartter's syndrome
E26.89 Other hyperaldosteronism
E26.9 Hyperaldosteronism, unspecified
E85.0 Non-neuropathic heredofamilial amyloidosis
E85.1 Neuropathic heredofamilial amyloidosis
E85.2 Heredofamilial amyloidosis, unspecified
E85.3 Secondary systemic amyloidosis
E85.4 Organ-limited amyloidosis
E85.81 Light chain (AL) amyloidosis
E85.82 Wild-type transthyretin-related (ATTR) amyloidosis
E85.89 Other amyloidosis
E85.9 Amyloidosis, unspecified
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I15.0 Renovascular hypertension
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.30 Abdominal aortic aneurysm, ruptured, unspecified
I71.31 Pararenal abdominal aortic aneurysm, ruptured
I71.32 Juxtarenal abdominal aortic aneurysm, ruptured
I71.33 Infrarenal abdominal aortic aneurysm, ruptured
I71.40 Abdominal aortic aneurysm, without rupture, unspecified
I71.41 Pararenal abdominal aortic aneurysm, without rupture
I71.42 Juxtarenal abdominal aortic aneurysm, without rupture
I71.43 Infrarenal abdominal aortic aneurysm, without rupture
I71.50 Thoracoabdominal aortic aneurysm, ruptured, unspecified
I71.51 Supraceliac aneurysm of the abdominal aorta, ruptured
I71.52 Paravisceral aneurysm of the abdominal aorta, ruptured
I71.60 Thoracoabdominal aortic aneurysm, without rupture, unspecified
I71.61 Supraceliac aneurysm of the abdominal aorta, without rupture
I71.62 Paravisceral aneurysm of the abdominal aorta, without rupture
I72.2 Aneurysm of renal artery
I74.01 Saddle embolus of abdominal aorta
I74.09 Other arterial embolism and thrombosis of abdominal aorta
I82.3 Embolism and thrombosis of renal vein
I97.620 Postprocedural hemorrhage of a circulatory system organ or structure following other procedure
I97.621 Postprocedural hematoma of a circulatory system organ or structure following other procedure
I97.622 Postprocedural seroma of a circulatory system organ or structure following other procedure
I97.638 Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedure
I97.648 Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedure
K35.20 Acute appendicitis with generalized peritonitis, without abscess
K35.21 Acute appendicitis with generalized peritonitis, with abscess
K35.30 Acute appendicitis with localized peritonitis, without perforation or gangrene
K35.31 Acute appendicitis with localized peritonitis and gangrene, without perforation
K35.32 Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess
K35.33 Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess
K35.890 Other acute appendicitis without perforation or gangrene
K35.891 Other acute appendicitis without perforation, with gangrene
K56.3 Gallstone ileus
K61.31 Horseshoe abscess
K61.39 Other ischiorectal abscess
K61.5 Supralevator abscess
K80.00 Calculus of gallbladder with acute cholecystitis without obstruction
K80.01 Calculus of gallbladder with acute cholecystitis with obstruction
K80.10 Calculus of gallbladder with chronic cholecystitis without obstruction
K80.11 Calculus of gallbladder with chronic cholecystitis with obstruction
K80.12 Calculus of gallbladder with acute and chronic cholecystitis without obstruction
K80.13 Calculus of gallbladder with acute and chronic cholecystitis with obstruction
K80.18 Calculus of gallbladder with other cholecystitis without obstruction
K80.19 Calculus of gallbladder with other cholecystitis with obstruction
K80.20 Calculus of gallbladder without cholecystitis without obstruction
K80.21 Calculus of gallbladder without cholecystitis with obstruction
K80.60 Calculus of gallbladder and bile duct with cholecystitis, unspecified, without obstruction
K80.61 Calculus of gallbladder and bile duct with cholecystitis, unspecified, with obstruction
K80.62 Calculus of gallbladder and bile duct with acute cholecystitis without obstruction
K80.63 Calculus of gallbladder and bile duct with acute cholecystitis with obstruction
K80.64 Calculus of gallbladder and bile duct with chronic cholecystitis without obstruction
K80.65 Calculus of gallbladder and bile duct with chronic cholecystitis with obstruction
K80.66 Calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction
K80.67 Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction
K80.70 Calculus of gallbladder and bile duct without cholecystitis without obstruction
K80.71 Calculus of gallbladder and bile duct without cholecystitis with obstruction
K82.0 Obstruction of gallbladder
K82.1 Hydrops of gallbladder
K82.2 Perforation of gallbladder
K82.3 Fistula of gallbladder
K82.4 Cholesterolosis of gallbladder
K82.A1 Gangrene of gallbladder in cholecystitis
K82.A2 Perforation of gallbladder in cholecystitis
K83.01 Primary sclerosing cholangitis
K83.09 Other cholangitis
K85.00 Idiopathic acute pancreatitis without necrosis or infection
K85.01 Idiopathic acute pancreatitis with uninfected necrosis
K85.02 Idiopathic acute pancreatitis with infected necrosis
K85.10 Biliary acute pancreatitis without necrosis or infection
K85.11 Biliary acute pancreatitis with uninfected necrosis
K85.12 Biliary acute pancreatitis with infected necrosis
K85.20 Alcohol induced acute pancreatitis without necrosis or infection
K85.21 Alcohol induced acute pancreatitis with uninfected necrosis
K85.22 Alcohol induced acute pancreatitis with infected necrosis
K85.30 Drug induced acute pancreatitis without necrosis or infection
K85.31 Drug induced acute pancreatitis with uninfected necrosis
K85.32 Drug induced acute pancreatitis with infected necrosis
K85.80 Other acute pancreatitis without necrosis or infection
K85.81 Other acute pancreatitis with uninfected necrosis
K85.82 Other acute pancreatitis with infected necrosis
K85.90 Acute pancreatitis without necrosis or infection, unspecified
K85.91 Acute pancreatitis with uninfected necrosis, unspecified
K85.92 Acute pancreatitis with infected necrosis, unspecified
K86.81 Exocrine pancreatic insufficiency
K87 Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
M32.14 Glomerular disease in systemic lupus erythematosus
M32.15 Tubulo-interstitial nephropathy in systemic lupus erythematosus
M35.04 Sjogren syndrome with tubulo-interstitial nephropathy
M35.0A Sjogren syndrome with glomerular disease
N00.0 Acute nephritic syndrome with minor glomerular abnormality
N00.1 Acute nephritic syndrome with focal and segmental glomerular lesions
N00.2 Acute nephritic syndrome with diffuse membranous glomerulonephritis
N00.3 Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N00.4 Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N00.5 Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
N00.6 Acute nephritic syndrome with dense deposit disease
N00.7 Acute nephritic syndrome with diffuse crescentic glomerulonephritis
N00.8 Acute nephritic syndrome with other morphologic changes
N00.9 Acute nephritic syndrome with unspecified morphologic changes
N01.0 Rapidly progressive nephritic syndrome with minor glomerular abnormality
N01.1 Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions
N01.2 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis
N01.3 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N01.4 Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N01.5 Rapidly progressive nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
N01.6 Rapidly progressive nephritic syndrome with dense deposit disease
N01.7 Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis
N01.8 Rapidly progressive nephritic syndrome with other morphologic changes
N01.9 Rapidly progressive nephritic syndrome with unspecified morphologic changes
N02.0 Recurrent and persistent hematuria with minor glomerular abnormality
N02.1 Recurrent and persistent hematuria with focal and segmental glomerular lesions
N02.2 Recurrent and persistent hematuria with diffuse membranous glomerulonephritis
N02.3 Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis
N02.4 Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis
N02.5 Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis
N02.6 Recurrent and persistent hematuria with dense deposit disease
N02.7 Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis
N02.8 Recurrent and persistent hematuria with other morphologic changes
N02.9 Recurrent and persistent hematuria with unspecified morphologic changes
N03.0 Chronic nephritic syndrome with minor glomerular abnormality
N03.1 Chronic nephritic syndrome with focal and segmental glomerular lesions
N03.2 Chronic nephritic syndrome with diffuse membranous glomerulonephritis
N03.3 Chronic nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N03.4 Chronic nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N03.5 Chronic nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
N03.6 Chronic nephritic syndrome with dense deposit disease
N03.7 Chronic nephritic syndrome with diffuse crescentic glomerulonephritis
N03.8 Chronic nephritic syndrome with other morphologic changes
N03.9 Chronic nephritic syndrome with unspecified morphologic changes
N04.0 Nephrotic syndrome with minor glomerular abnormality
N04.1 Nephrotic syndrome with focal and segmental glomerular lesions
N04.2 Nephrotic syndrome with diffuse membranous glomerulonephritis
N04.3 Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis
N04.4 Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis
N04.5 Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis
N04.6 Nephrotic syndrome with dense deposit disease
N04.7 Nephrotic syndrome with diffuse crescentic glomerulonephritis
N04.8 Nephrotic syndrome with other morphologic changes
N04.9 Nephrotic syndrome with unspecified morphologic changes
N05.0 Unspecified nephritic syndrome with minor glomerular abnormality
N05.1 Unspecified nephritic syndrome with focal and segmental glomerular lesions
N05.2 Unspecified nephritic syndrome with diffuse membranous glomerulonephritis
N05.3 Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N05.4 Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N05.5 Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
N05.6 Unspecified nephritic syndrome with dense deposit disease
N05.7 Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis
N05.8 Unspecified nephritic syndrome with other morphologic changes
N05.9 Unspecified nephritic syndrome with unspecified morphologic changes
N06.0 Isolated proteinuria with minor glomerular abnormality
N06.1 Isolated proteinuria with focal and segmental glomerular lesions
N06.2 Isolated proteinuria with diffuse membranous glomerulonephritis
N06.3 Isolated proteinuria with diffuse mesangial proliferative glomerulonephritis
N06.4 Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis
N06.5 Isolated proteinuria with diffuse mesangiocapillary glomerulonephritis
N06.6 Isolated proteinuria with dense deposit disease
N06.7 Isolated proteinuria with diffuse crescentic glomerulonephritis
N06.8 Isolated proteinuria with other morphologic lesion
N06.9 Isolated proteinuria with unspecified morphologic lesion
N07.0 Hereditary nephropathy, not elsewhere classified with minor glomerular abnormality
N07.1 Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions
N07.2 Hereditary nephropathy, not elsewhere classified with diffuse membranous glomerulonephritis
N07.3 Hereditary nephropathy, not elsewhere classified with diffuse mesangial proliferative glomerulonephritis
N07.4 Hereditary nephropathy, not elsewhere classified with diffuse endocapillary proliferative glomerulonephritis
N07.5 Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis
N07.6 Hereditary nephropathy, not elsewhere classified with dense deposit disease
N07.7 Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis
N07.8 Hereditary nephropathy, not elsewhere classified with other morphologic lesions
N07.9 Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions
N08 Glomerular disorders in diseases classified elsewhere
N10 Acute pyelonephritis
N11.0 Nonobstructive reflux-associated chronic pyelonephritis
N11.1 Chronic obstructive pyelonephritis
N11.8 Other chronic tubulo-interstitial nephritis
N11.9 Chronic tubulo-interstitial nephritis, unspecified
N12 Tubulo-interstitial nephritis, not specified as acute or chronic
N13.0 Hydronephrosis with ureteropelvic junction obstruction
N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
N13.30 Unspecified hydronephrosis
N13.39 Other hydronephrosis
N13.4 Hydroureter
N13.6 Pyonephrosis
N13.8 Other obstructive and reflux uropathy
N13.9 Obstructive and reflux uropathy, unspecified
N14.0 Analgesic nephropathy
N14.11 Contrast-induced nephropathy
N14.19 Nephropathy induced by other drugs, medicaments and biological substances
N14.2 Nephropathy induced by unspecified drug, medicament or biological substance
N14.3 Nephropathy induced by heavy metals
N14.4 Toxic nephropathy, not elsewhere classified
N15.0 Balkan nephropathy
N15.1 Renal and perinephric abscess
N15.8 Other specified renal tubulo-interstitial diseases
N15.9 Renal tubulo-interstitial disease, unspecified
N16 Renal tubulo-interstitial disorders in diseases classified elsewhere
N17.0 Acute kidney failure with tubular necrosis
N17.1 Acute kidney failure with acute cortical necrosis
N17.2 Acute kidney failure with medullary necrosis
N17.8 Other acute kidney failure
N17.9 Acute kidney failure, unspecified
N18.1 Chronic kidney disease, stage 1
N18.2 Chronic kidney disease, stage 2 (mild)
N18.30 Chronic kidney disease, stage 3 unspecified
N18.31 Chronic kidney disease, stage 3a
N18.32 Chronic kidney disease, stage 3b
N18.4 Chronic kidney disease, stage 4 (severe)
N18.5 Chronic kidney disease, stage 5
N18.6 End stage renal disease
N18.9 Chronic kidney disease, unspecified
N19 Unspecified kidney failure
N20.0 Calculus of kidney
N20.1 Calculus of ureter
N20.2 Calculus of kidney with calculus of ureter
N20.9 Urinary calculus, unspecified
N22 Calculus of urinary tract in diseases classified elsewhere
N23 Unspecified renal colic
N26.1 Atrophy of kidney (terminal)
N26.9 Renal sclerosis, unspecified
N27.0 Small kidney, unilateral
N27.1 Small kidney, bilateral
N28.0 Ischemia and infarction of kidney
N28.1 Cyst of kidney, acquired
N28.81 Hypertrophy of kidney
N28.82 Megaloureter
N28.84 Pyelitis cystica
N28.85 Pyeloureteritis cystica
N28.86 Ureteritis cystica
N28.89 Other specified disorders of kidney and ureter
N29 Other disorders of kidney and ureter in diseases classified elsewhere
N30.01 Acute cystitis with hematuria
N30.11 Interstitial cystitis (chronic) with hematuria
N30.21 Other chronic cystitis with hematuria
N30.31 Trigonitis with hematuria
N30.41 Irradiation cystitis with hematuria
N30.81 Other cystitis with hematuria
N30.91 Cystitis, unspecified with hematuria
N31.0 Uninhibited neuropathic bladder, not elsewhere classified
N31.1 Reflex neuropathic bladder, not elsewhere classified
N31.2 Flaccid neuropathic bladder, not elsewhere classified
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified
N39.0 Urinary tract infection, site not specified
N80.A41 Superficial endometriosis of right ureter
N80.A42 Superficial endometriosis of left ureter
N80.A43 Superficial endometriosis of bilateral ureters
N80.A51 Deep endometriosis of right ureter
N80.A52 Deep endometriosis of left ureter
N80.A53 Deep endometriosis of bilateral ureters
N80.A61 Endometriosis of right ureter, unspecified depth
N80.A62 Endometriosis of left ureter, unspecified depth
N80.A63 Endometriosis of bilateral ureters, unspecified depth
O08.4 Renal failure following ectopic and molar pregnancy
Q25.42 Hypoplasia of aorta
Q25.43 Congenital aneurysm of aorta
Q25.44 Congenital dilation of aorta
Q44.0 Agenesis, aplasia and hypoplasia of gallbladder
Q44.1 Other congenital malformations of gallbladder
Q53.111 Unilateral intraabdominal testis
Q53.112 Unilateral inguinal testis
Q53.211 Bilateral intraabdominal testes
Q53.212 Bilateral inguinal testes
Q61.00 Congenital renal cyst, unspecified
Q61.01 Congenital single renal cyst
Q61.02 Congenital multiple renal cysts
Q61.11 Cystic dilatation of collecting ducts
Q61.19 Other polycystic kidney, infantile type
Q61.2 Polycystic kidney, adult type
Q61.3 Polycystic kidney, unspecified
Q61.4 Renal dysplasia
Q61.5 Medullary cystic kidney
Q61.8 Other cystic kidney diseases
Q61.9 Cystic kidney disease, unspecified
Q62.0 Congenital hydronephrosis
Q62.10 Congenital occlusion of ureter, unspecified
Q62.11 Congenital occlusion of ureteropelvic junction
Q62.12 Congenital occlusion of ureterovesical orifice
Q62.2 Congenital megaureter
Q62.39 Other obstructive defects of renal pelvis and ureter
R10.11 Right upper quadrant pain
R10.12 Left upper quadrant pain
R10.13 Epigastric pain
R10.2 Pelvic and perineal pain
R10.31 Right lower quadrant pain
R10.32 Left lower quadrant pain
R10.33 Periumbilical pain
R10.9 Unspecified abdominal pain
R31.0 Gross hematuria
R31.1 Benign essential microscopic hematuria
R31.21 Asymptomatic microscopic hematuria
R31.29 Other microscopic hematuria
R31.9 Hematuria, unspecified
R34 Anuria and oliguria
R74.8 Abnormal levels of other serum enzymes
R80.0 Isolated proteinuria
R80.1 Persistent proteinuria, unspecified
R80.3 Bence Jones proteinuria
R80.8 Other proteinuria
R80.9 Proteinuria, unspecified
R82.991 Hypocitraturia
R82.992 Hyperoxaluria
R82.993 Hyperuricosuria
R82.994 Hypercalciuria
R93.41 Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder
R93.421 Abnormal radiologic findings on diagnostic imaging of right kidney
R93.422 Abnormal radiologic findings on diagnostic imaging of left kidney
R93.429 Abnormal radiologic findings on diagnostic imaging of unspecified kidney
R93.49 Abnormal radiologic findings on diagnostic imaging of other urinary organs
R93.5 Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum
R93.811 Abnormal radiologic findings on diagnostic imaging of right testicle
R93.812 Abnormal radiologic findings on diagnostic imaging of left testicle
R93.813 Abnormal radiologic findings on diagnostic imaging of testicles, bilateral
R93.89 Abnormal findings on diagnostic imaging of other specified body structures
R94.4 Abnormal results of kidney function studies
S31.001A Unspecified open wound of lower back and pelvis with penetration into retroperitoneum, initial encounter
S31.001D Unspecified open wound of lower back and pelvis with penetration into retroperitoneum, subsequent encounter
S31.001S Unspecified open wound of lower back and pelvis with penetration into retroperitoneum, sequela
S36.892A Contusion of other intra-abdominal organs, initial encounter
S36.892D Contusion of other intra-abdominal organs, subsequent encounter
S36.892S Contusion of other intra-abdominal organs, sequela
S36.893A Laceration of other intra-abdominal organs, initial encounter
S36.893D Laceration of other intra-abdominal organs, subsequent encounter
S36.893S Laceration of other intra-abdominal organs, sequela
S36.898A Other injury of other intra-abdominal organs, initial encounter
S36.898D Other injury of other intra-abdominal organs, subsequent encounter
S36.898S Other injury of other intra-abdominal organs, sequela
S37.001A Unspecified injury of right kidney, initial encounter
S37.001D Unspecified injury of right kidney, subsequent encounter
S37.001S Unspecified injury of right kidney, sequela
S37.002A Unspecified injury of left kidney, initial encounter
S37.002D Unspecified injury of left kidney, subsequent encounter
S37.002S Unspecified injury of left kidney, sequela
S37.011A Minor contusion of right kidney, initial encounter
S37.011D Minor contusion of right kidney, subsequent encounter
S37.011S Minor contusion of right kidney, sequela
S37.012A Minor contusion of left kidney, initial encounter
S37.012D Minor contusion of left kidney, subsequent encounter
S37.012S Minor contusion of left kidney, sequela
S37.021A Major contusion of right kidney, initial encounter
S37.021D Major contusion of right kidney, subsequent encounter
S37.021S Major contusion of right kidney, sequela
S37.022A Major contusion of left kidney, initial encounter
S37.022D Major contusion of left kidney, subsequent encounter
S37.022S Major contusion of left kidney, sequela
S37.031A Laceration of right kidney, unspecified degree, initial encounter
S37.031D Laceration of right kidney, unspecified degree, subsequent encounter
S37.031S Laceration of right kidney, unspecified degree, sequela
S37.032A Laceration of left kidney, unspecified degree, initial encounter
S37.032D Laceration of left kidney, unspecified degree, subsequent encounter
S37.032S Laceration of left kidney, unspecified degree, sequela
S37.041A Minor laceration of right kidney, initial encounter
S37.041D Minor laceration of right kidney, subsequent encounter
S37.041S Minor laceration of right kidney, sequela
S37.042A Minor laceration of left kidney, initial encounter
S37.042D Minor laceration of left kidney, subsequent encounter
S37.042S Minor laceration of left kidney, sequela
S37.051A Moderate laceration of right kidney, initial encounter
S37.051D Moderate laceration of right kidney, subsequent encounter
S37.051S Moderate laceration of right kidney, sequela
S37.052A Moderate laceration of left kidney, initial encounter
S37.052D Moderate laceration of left kidney, subsequent encounter
S37.052S Moderate laceration of left kidney, sequela
S37.061A Major laceration of right kidney, initial encounter
S37.061D Major laceration of right kidney, subsequent encounter
S37.061S Major laceration of right kidney, sequela
S37.062A Major laceration of left kidney, initial encounter
S37.062D Major laceration of left kidney, subsequent encounter
S37.062S Major laceration of left kidney, sequela
S37.091A Other injury of right kidney, initial encounter
S37.091D Other injury of right kidney, subsequent encounter
S37.091S Other injury of right kidney, sequela
S37.092A Other injury of left kidney, initial encounter
S37.092D Other injury of left kidney, subsequent encounter
S37.092S Other injury of left kidney, sequela
S37.10XA Unspecified injury of ureter, initial encounter
S37.10XD Unspecified injury of ureter, subsequent encounter
S37.10XS Unspecified injury of ureter, sequela
S37.12XA Contusion of ureter, initial encounter
S37.12XD Contusion of ureter, subsequent encounter
S37.12XS Contusion of ureter, sequela
S37.13XA Laceration of ureter, initial encounter
S37.13XD Laceration of ureter, subsequent encounter
S37.13XS Laceration of ureter, sequela
S37.19XA Other injury of ureter, initial encounter
S37.19XD Other injury of ureter, subsequent encounter
S37.19XS Other injury of ureter, sequela
S37.30XA Unspecified injury of urethra, initial encounter
S37.30XD Unspecified injury of urethra, subsequent encounter
S37.30XS Unspecified injury of urethra, sequela
S37.32XA Contusion of urethra, initial encounter
S37.32XD Contusion of urethra, subsequent encounter
S37.32XS Contusion of urethra, sequela
S37.33XA Laceration of urethra, initial encounter
S37.33XD Laceration of urethra, subsequent encounter
S37.33XS Laceration of urethra, sequela
S37.39XA Other injury of urethra, initial encounter
S37.39XD Other injury of urethra, subsequent encounter
S37.39XS Other injury of urethra, sequela
S37.812A Contusion of adrenal gland, initial encounter
S37.812D Contusion of adrenal gland, subsequent encounter
S37.812S Contusion of adrenal gland, sequela
S37.813A Laceration of adrenal gland, initial encounter
S37.813D Laceration of adrenal gland, subsequent encounter
S37.813S Laceration of adrenal gland, sequela
S37.818A Other injury of adrenal gland, initial encounter
S37.818D Other injury of adrenal gland, subsequent encounter
S37.818S Other injury of adrenal gland, sequela
S37.819A Unspecified injury of adrenal gland, initial encounter
S37.819D Unspecified injury of adrenal gland, subsequent encounter
S37.819S Unspecified injury of adrenal gland, sequela
S37.892A Contusion of other urinary and pelvic organ, initial encounter
S37.892D Contusion of other urinary and pelvic organ, subsequent encounter
S37.892S Contusion of other urinary and pelvic organ, sequela
S37.893A Laceration of other urinary and pelvic organ, initial encounter
S37.893D Laceration of other urinary and pelvic organ, subsequent encounter
S37.893S Laceration of other urinary and pelvic organ, sequela
S37.898A Other injury of other urinary and pelvic organ, initial encounter
S37.898D Other injury of other urinary and pelvic organ, subsequent encounter
S37.898S Other injury of other urinary and pelvic organ, sequela
S37.899A Unspecified injury of other urinary and pelvic organ, initial encounter
S37.899D Unspecified injury of other urinary and pelvic organ, subsequent encounter
S37.899S Unspecified injury of other urinary and pelvic organ, sequela
S39.81XA Other specified injuries of abdomen, initial encounter
S39.81XD Other specified injuries of abdomen, subsequent encounter
S39.81XS Other specified injuries of abdomen, sequela
S39.82XA Other specified injuries of lower back, initial encounter
S39.82XD Other specified injuries of lower back, subsequent encounter
S39.82XS Other specified injuries of lower back, sequela
T79.5XXA Traumatic anuria, initial encounter
T79.5XXD Traumatic anuria, subsequent encounter
T79.5XXS Traumatic anuria, sequela
T79.A3XA Traumatic compartment syndrome of abdomen, initial encounter
T79.A3XD Traumatic compartment syndrome of abdomen, subsequent encounter
T79.A3XS Traumatic compartment syndrome of abdomen, sequela
T81.10XA Postprocedural shock unspecified, initial encounter
T81.10XD Postprocedural shock unspecified, subsequent encounter
T81.10XS Postprocedural shock unspecified, sequela
T81.12XA Postprocedural septic shock, initial encounter
T81.12XD Postprocedural septic shock, subsequent encounter
T81.12XS Postprocedural septic shock, sequela
T81.19XA Other postprocedural shock, initial encounter
T81.19XD Other postprocedural shock, subsequent encounter
T81.19XS Other postprocedural shock, sequela
T81.40XA Infection following a procedure, unspecified, initial encounter
T81.40XD Infection following a procedure, unspecified, subsequent encounter
T81.40XS Infection following a procedure, unspecified, sequela
T81.41XA Infection following a procedure, superficial incisional surgical site, initial encounter
T81.41XD Infection following a procedure, superficial incisional surgical site, subsequent encounter
T81.41XS Infection following a procedure, superficial incisional surgical site, sequela
T81.42XA Infection following a procedure, deep incisional surgical site, initial encounter
T81.42XD Infection following a procedure, deep incisional surgical site, subsequent encounter
T81.42XS Infection following a procedure, deep incisional surgical site, sequela
T81.43XA Infection following a procedure, organ and space surgical site, initial encounter
T81.43XD Infection following a procedure, organ and space surgical site, subsequent encounter
T81.43XS Infection following a procedure, organ and space surgical site, sequela
T81.44XA Sepsis following a procedure, initial encounter
T81.44XD Sepsis following a procedure, subsequent encounter
T81.44XS Sepsis following a procedure, sequela
T81.49XA Infection following a procedure, other surgical site, initial encounter
T81.49XD Infection following a procedure, other surgical site, subsequent encounter
T81.49XS Infection following a procedure, other surgical site, sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T83.011A Breakdown (mechanical) of indwelling urethral catheter, initial encounter
T83.011D Breakdown (mechanical) of indwelling urethral catheter, subsequent encounter
T83.011S Breakdown (mechanical) of indwelling urethral catheter, sequela
T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter
T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela
T83.021A Displacement of indwelling urethral catheter, initial encounter
T83.021D Displacement of indwelling urethral catheter, subsequent encounter
T83.021S Displacement of indwelling urethral catheter, sequela
T83.022A Displacement of nephrostomy catheter, initial encounter
T83.022D Displacement of nephrostomy catheter, subsequent encounter
T83.022S Displacement of nephrostomy catheter, sequela
T83.032A Leakage of nephrostomy catheter, initial encounter
T83.032D Leakage of nephrostomy catheter, subsequent encounter
T83.032S Leakage of nephrostomy catheter, sequela
T83.512A Infection and inflammatory reaction due to nephrostomy catheter, initial encounter
T83.512D Infection and inflammatory reaction due to nephrostomy catheter, subsequent encounter
T83.512S Infection and inflammatory reaction due to nephrostomy catheter, sequela
T83.592A Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter
T83.592D Infection and inflammatory reaction due to indwelling ureteral stent, subsequent encounter
T83.592S Infection and inflammatory reaction due to indwelling ureteral stent, sequela
T83.714A Erosion of implanted ureteral bulking agent to surrounding organ or tissue, initial encounter
T83.714D Erosion of implanted ureteral bulking agent to surrounding organ or tissue, subsequent encounter
T83.714S Erosion of implanted ureteral bulking agent to surrounding organ or tissue, sequela
T83.722A Exposure of implanted urethral mesh into urethra, initial encounter
T83.722D Exposure of implanted urethral mesh into urethra, subsequent encounter
T83.722S Exposure of implanted urethral mesh into urethra, sequela
T83.723A Exposure of implanted urethral bulking agent into urethra, initial encounter
T83.723D Exposure of implanted urethral bulking agent into urethra, subsequent encounter
T83.723S Exposure of implanted urethral bulking agent into urethra, sequela
T83.724A Exposure of implanted ureteral bulking agent into ureter, initial encounter
T83.724D Exposure of implanted ureteral bulking agent into ureter, subsequent encounter
T83.724S Exposure of implanted ureteral bulking agent into ureter, sequela
T86.10 Unspecified complication of kidney transplant
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.19 Other complication of kidney transplant
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
T86.898 Other complications of other transplanted tissue
T86.899 Unspecified complication of other transplanted tissue
Z48.22 Encounter for aftercare following kidney transplant
Z85.51 Personal history of malignant neoplasm of bladder
Z85.520 Personal history of malignant carcinoid tumor of kidney
Z85.528 Personal history of other malignant neoplasm of kidney
Z85.821 Personal history of Merkel cell carcinoma
Z94.0 Kidney transplant status

ICD-10-CM Codes that DO NOT Support Medical Necessity

N/A

ICD-10-PCS Codes

N/A

Additional ICD-10 Information

N/A

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

N/A

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

N/A

Other Coding Information

N/A

Revision History Information

Revision History DateRevision History NumberRevision History Explanation
10/01/2022 R12

Under ICD-10-CM Codes that Support Medical Necessity Group 1: Codes deleted I71.3, I71.4, I71.5, I71.6, N14.1, added I71.30, I71.31, I71.32, I71.33, I71.40, I71.41, I71.42, I71.43, I71.50, I71.51, I71.52, I71.60, I71.61, I71.62, N14.11, N14.19, N80.A41, N80.A42, N80.A43, N80.A51, N80.A52, N80.A53, N80.A61, N80.A62, N80.A63 and the description was revised for C84.40, C84.43, C84.47, C84.48, C84.49, K35.32, K35.33. This revision is due to the Annual ICD-10-CM Update and will become effective on 10/1/22.

Under CMS National Coverage Policy added the regulation “Title XVIII of the Social Security Act, §1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.” This revision will become effective 10/1/22.

10/01/2021 R11

Under ICD-10 Codes that Support Medical Necessity Group 1: Codes added code M35.0A and revised the description for code M35.04. This revision is due to the Annual ICD-10 update and is effective on 10/1/21.

10/01/2020 R10

Under ICD-10 Codes that Support Medical Necessity Group 1: Codes deleted N18.3 and R74.0 and added N18.30, N18.31, and N18.32. This revision is due to the Annual ICD-10 Code Update and is effective on October 1, 2020.

12/09/2019 R9

Under Covered ICD-10 Codes Group 1: Codes added ICD-10 code Z85.51.

10/01/2019 R8

Under Covered ICD-10 Codes Group 1: Codes the code description for R82.993 was revised. This revision is due to the Annual ICD-10 Updates and becomes effective on 10/1/2019.

 

09/07/2019 R7

Under CPT/HCPCS Codes Group 1: Paragraph added This article does not address diagnosis coding for these 3 CPT® codes.” Under Group 1: Codes removed CPT® codes 76700, 76705 and 76706. Under Covered ICD-10 Codes Group 1: Codes added ICD-10 codes R10.13 and R10.9.

06/13/2019 R6

All coding located in the Coding Information section has been removed from the related Retroperitoneal Ultrasound L34577 LCD and added to this article. Under Article Title changed title to Billing and Coding: Retroperitoneal Ultrasound. Under Article Text added the first paragraph verbiage “The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Retroperitoneal Ultrasound L34577”, added the “Utilization Guidelines” subheading and the corresponding verbiage “If the physical exam has primary findings for the involvement of non-retroperitoneal structures/organs (gallbladder, liver, spleen, common bile duct, etc.), even though it may be necessary to visualize retroperitoneal structures in the course of the procedure, a full abdominal US would be required in most cases to be diagnostic, and that is the procedure that should be performed and billed”.

02/26/2018 R5 The Jurisdiction "J" Part B Contracts for Alabama (10112), Georgia (10212) and Tennessee (10312) are now being serviced by Palmetto GBA. The notice period for this article begins on 12/14/17 and ends on 02/25/18. Effective 02/26/18, these three contract numbers are being added to this article. No coverage, coding or other substantive changes (beyond the addition of the 3 Part B contract numbers) have been completed in this revision.
01/29/2018 R4 The Jurisdiction "J" Part A Contracts for Alabama (10111), Georgia (10211) and Tennessee (10311) are now being serviced by Palmetto GBA. The notice period for this article begins on 12/14/17 and ends on 01/28/18. Effective 01/29/18, these three contract numbers are being added to this article. No coverage, coding or other substantive changes (beyond the addition of the 3 Part A contract numbers) have been completed in this revision.
07/06/2017 R3

Revisions were made to the Retroperitoneal Ultrasound Coding and Billing Article A55336. Under Associated Contract Numbers added the contractor numbers for Part B as they were inadvertently omitted from this A/B MAC article.


 

03/16/2017 R2 Under Article Text and CPT/HCPCS Codes Group 1: Paragraph (first sentence) added an asterisk to CPT code 76706. Under CPT/HCPCS Codes Group 1: Paragraph the following verbiage was added as an explanation for the asterisk, “*Note: Please refer to the Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article A55071 for additional requirements for billing CPT code 76706.”
01/01/2017 R1 Added CPT code 76706 to Article Text, CPT/HCPCS Codes Group 1: Paragraph and CPT/HCPCS Codes Group 1: Codes section. This revision is due to the 2017 Annual CPT/HCPCS Code Update and becomes effective 1/1/17.

Associated Documents

Related Local Coverage Documents
LCDs
L34577 - Retroperitoneal Ultrasound
Related National Coverage Documents
N/A
Statutory Requirements URLs
N/A
Rules and Regulations URLs
N/A
CMS Manual Explanations URLs
N/A
Other URLs
N/A
Public Versions
Updated On Effective Dates Status
08/31/2022 10/01/2022 - N/A Currently in Effect You are here
08/24/2021 10/01/2021 - 09/30/2022 Superseded View
Some older versions have been archived. Please visit the MCD Archive Site to retrieve them.

Keywords

  • Retroperitoneal Ultrasound
  • Ultrasound