|December 2003 · Vol. 15, No. 12
Doppler study due to ovarian cystMELANIE
RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9-CM coding. When in doubt on a coding or billing matter, check with your individual payer.
Q One of our doctors performed a pelvic Doppler study of the ovarian vessel on a gynecologic patient with abdominal pain and an ovarian cyst. Which CPT code should we report, since there is no exact match?
A I would use code 93976 (duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study). CPT defines the duplex scan as an ultrasound that shows the pattern and direction of blood flow in arteries and veins using real-time images. This code includes color-flow Doppler mapping, if performed.