The techs are taking measurements both transabdominally and transvaginally but the rads are putting them in the transvag report - they explained to me that the transvag measurements are more accurate. Would you code reports like this one as 76856 and 76830 (both transabdominal and transvaginal were ordered by the referring doc)
Transabdominal examination shows normal appearing bladder. The uterus is unremarkable. The ovaries are not demonstrated on transabdominal examination.
The transvaginal examination shows normal appearing uterus measuring 7.4 x 2.4 x 3.9 cm with a volume of 37 cc. Homogeneous uniform endometrium is noted measuring 2.6 mm in its greatest thickness. Small benign Nabothian cysts are seen at the cervix. The ovaries are noted demonstrated on transvaginal examination. No evidence of pelvic mass or fluid collections are seen.
Thank you
Debby
Transabdominal examination shows normal appearing bladder. The uterus is unremarkable. The ovaries are not demonstrated on transabdominal examination.
The transvaginal examination shows normal appearing uterus measuring 7.4 x 2.4 x 3.9 cm with a volume of 37 cc. Homogeneous uniform endometrium is noted measuring 2.6 mm in its greatest thickness. Small benign Nabothian cysts are seen at the cervix. The ovaries are noted demonstrated on transvaginal examination. No evidence of pelvic mass or fluid collections are seen.
Thank you
Debby