Transabdominal/Transvaginal

Transabdominal/Transvaginal Indication Left lower quadrant abdominal and pelvic pain. Procedure Ultrasound of the pelvis. Report Ultrasound scans of the pelvis were performed transabdominally through a distended urinary bladder. The bladder is smooth in luminal contour and contains no filling defects. The uterus is anteroflexed with the fundus in the midline. The uterus measures 9.5 cm longitudinally, 4.0 cm anteroposteriorly, and 5.2 cm transversely. The uterine canal is not distorted or distended. The endometrial stripe measures 3.5 mm in thickness. There is a 3×2×3 cm subserosal hypoechoic mass in the anterior wall of the fundal portion...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a pelvic ultrasound case and explains the coding context for combining transabdominal and transvaginal imaging in nonobstetric evaluation. It is intended for coders and radiology staff who need to understand which pelvic ultrasound service categories are discussed, how the article frames the study type, and what related CPT guidance is referenced.

Why This Topic Matters

Pelvic ultrasound coding can depend on the imaging approach used, the scope of the exam, and whether the study is obstetric or nonobstetric. This article helps readers identify the relevant CPT ultrasound categories and the broader coding references connected to transabdominal and transvaginal pelvic imaging.

Article Sections

  1. Indication / Procedure / Report

    Summarizes the clinical presentation and the pelvic ultrasound findings from the initial transabdominal study, followed by the transvaginal follow-up findings.

  2. Impression

    Presents the overall imaging impressions from the ultrasound evaluation and the additional diagnostic considerations mentioned in the report.

  3. How to Code?

    Introduces the coding discussion and identifies the service codes referenced for the pelvic ultrasound study.

  4. Discussion

    Reviews broader pelvic ultrasound coding context, including obstetric versus nonobstetric distinctions and related CPT ultrasound categories.

  5. Coding Tips

    Provides general coding guidance and references to supporting CPT and professional coding resources.

What You Will Learn

  • How the article frames a combined pelvic ultrasound case for coding review
  • The general distinction between transabdominal and transvaginal pelvic ultrasound services
  • How the article situates the case within CPT pelvic ultrasound categories
  • What supporting coding references are mentioned for pelvic ultrasound guidance

Who Should Read This

  • Radiology coders
  • Medical coding auditors
  • Revenue cycle staff
  • Radiology department staff
  • Clinical documentation reviewers

Codes Discussed


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