Nephrology Ultrasound CPT Codes

Nephrology Payment Information

The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the ultrasound services discussed. Payment will vary by geographic region.

The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2013. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Nephrology Procedural CPT Codes and Descriptions

Ultrasound Evaluation
CPT Code
 Code Description Non
Facility*		 Facility** Professional
Payment		 Technical
Payment
76770

Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; complete.

$135.07

 $135.07 $35.72 $99.35
76775

Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; limited.

$110.91

 $110.91 $27.90 $83.02
76776

Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation

$156.51

 $156.51 $36.40 $120.10
76942

Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation.

$208.56

 $208.56 $32.66 $175.90
93975

Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; complete study.

$242.24

 $242.24 $87.44 $154.80
93976

Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; limited study.

$213.32

 $213.32 $58.52 $154.80
93990

Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow).

$111.60

 $111.60 $12.25 $99.35
G0365

Vessel mapping of vessels for hemo-dialysis access (Services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow).

$167.05

 $167.05 $12.25 $154.80

* Non Facility: Includes all other settings.
** Facility: Includes hospitals (inpatient, outpatient, and emergency department), ambulatory surgical centers (ASCs), and skilled nursing facilities (SNFs).

CPT™ five digit codes, nomenclature and other data are Copyright 2010 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.