Hi, looking for opinions which cpt code(s) to use on this report.
thanks in advance for your help and insights
Venous Duplex Ultrasound Lower Extremities with Provocative Maneuvers
TECHNIQUE: Real-time ultrasound with duplex and doppler imaging of the lower extremity veins with provocative maneuvers. Gray scale and color flow images were performed with spectral waveform analysis. All reflux documented represents greater than 1000 msec of retrograde flow in the vein imaged / identified. The patient was examined in the supine and upgright position.
FINDINGS: The common femoral, femoral and popliteal veins are patent fully compressible with good flow with no evidence for thrombosis. non compressible PTVs in mid left calf still noted for ~ 10 cm in length appears stable. Moderate deep venous insufficiency is seen right greater than left.
Right Lower extremity:
GSV:no insufficiency seen
AAGSV:insufficiency seen from saphenofemoral junction to distal calf with small varices
SSV:no insufficiency seen
Left Lower extremity:
GSV:insufficiency seen from saphenofemoral junction to proximal calf
SSV:no insufficiency seen
IMPRESSION:
Stable left PTVs mid calf thrombosis. No other evidence for deep venous thrombosis. Moderate deep venous insufficiency.
Superficial insufficiency of right AAGSV and left GSV. Thrombosed varices in upper left calf
thanks in advance for your help and insights
Venous Duplex Ultrasound Lower Extremities with Provocative Maneuvers
TECHNIQUE: Real-time ultrasound with duplex and doppler imaging of the lower extremity veins with provocative maneuvers. Gray scale and color flow images were performed with spectral waveform analysis. All reflux documented represents greater than 1000 msec of retrograde flow in the vein imaged / identified. The patient was examined in the supine and upgright position.
FINDINGS: The common femoral, femoral and popliteal veins are patent fully compressible with good flow with no evidence for thrombosis. non compressible PTVs in mid left calf still noted for ~ 10 cm in length appears stable. Moderate deep venous insufficiency is seen right greater than left.
Right Lower extremity:
GSV:no insufficiency seen
AAGSV:insufficiency seen from saphenofemoral junction to distal calf with small varices
SSV:no insufficiency seen
Left Lower extremity:
GSV:insufficiency seen from saphenofemoral junction to proximal calf
SSV:no insufficiency seen
IMPRESSION:
Stable left PTVs mid calf thrombosis. No other evidence for deep venous thrombosis. Moderate deep venous insufficiency.
Superficial insufficiency of right AAGSV and left GSV. Thrombosed varices in upper left calf
