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CPT for Survey Sonographic Exam?? Huh?

  1. #1
    Question CPT for Survey Sonographic Exam?? Huh?
    Medical Coding Books
    Not sure which CPT to code for documentation below:

    Clinical History: Bilateral leg pain.

    Comments: Survey sonographic examination bilateral popliteal fossa.

    On the left, there is a bilobed complex cystic lesion containing internal echoes in the medial aspect of the popliteal fossa. There are 2 components, measuring 3.7 x 1.6 x 1.5 cm and 1.8 x 1.8 x 1.9 cm. On the right, there is an ovoid cystic lesion in the medial aspect of popliteal fossa measuring 4.1 x 1.5 x 2.5 cm. These probably represent popliteal cysts, the left more complex. Cystic soft tissue masses also considered although felt less likely.

    Color-flow identified in both popliteal artery and vein, as well as compression of the popliteal vein.

    Impression: Cystic lesions in both popliteal fossae, as described.

    Thank you in advance,

    S. Huland El, CPC

    Radiology Coding Specialist
    Last edited by she803; 06-27-2011 at 01:05 PM.

  2. #2
    My thoughts

    for bilateral procedures

  3. #3

  4. #4
    As you have Cystic lesions in both popliteal fossae, 727.51 will override 729.5. My apololgies for the confusion

  5. #5
    Oh ok! So it was either 76881 or 76882. Thanks a million!!

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