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Doppler imaging done as part of standard protocol
Question:
Pt sent to our facility for pelvis and transvag US. Our standard protocol is to do US with color Doppler & obtain spectral waveform ovarian arterial and venous flow. Is 93976 appropriate in addition to the ultrasounds? We did not have a provider order but it is our standard
Indication menorrhagia
Technique Routine pelvic ultrasound protocol. Transabdominal eval of general pelvic anatomy and uterine size. Transvaginal eval of the endometrium, myometrial detail and eval of ovaries and adnexa w/ doppler
FINDINGS: bladder is not adequately prepped for proper transabdominal examination of the pelvis
UTERUS: measures 7.8 x 3.6 x 5.4 cm. The endometrium measures 0.7 cm. No focal myometrial abnormality
RIGHT OVARY:measures 2.8 x 2.0 x 2.1 cm. No right adnexal or right ovarian mass. No abnormal or non physiologic cyst. Blood flow is demonstrated by Doppler
LEFT OVARY:measures 2.9 x 2.2 x 2.9 cm. No left adnexal or left ovarian mass. No abnormal or non physiologic cyst. Blood flow is demonstrated by Doppler
PERITONEUM:No ascites or mass
IMPRESSION: Normal pelvis
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