if the reason for the exam is anything to with urinary tract (kidneys, ureter, bladder), then bilateral kidneys and bladder is a complete study. This can be hydronephrosis, kidney stone, post-void residual, etc. If it is something like pain, the physician would need to link it to urinary tract such as "right upper quadrant pain, r/o kidney stone".
If the reason for the exam is not urinary tract (such as looking for AAA), then a complete study requires Kidneys, Abdominal Aorta, Common Iliac Artery origins, and the Inferior Vena Cava even if an incidental finding is made in the urinary tract.
CPT instructions say that "clinical history" determines whether kidneys and bladder is a complete or limited.
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