Ask Dr. Z

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