Medical Necessity search

Begin searching by typing any part of the exam, CPT code LCD or patient prep, etc. in the search bar.

CPT CodeDescriptionLocal Coverage Determination (LCD)Patient Preparation
76604Ultrasound, chest, upper back (includes mediastinum), real time with image documentationNo prep required
76700Ultrasound, abdominal, real time with image documentation; completeNPO 6-8 hours. No fatty foods or carbonated beverages one day prior
76705Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)NPO 6-8 hours. No fatty foods or carbonated beverages one day prior
76775Abdominal LimitedNPO 6-8 hours. No fatty foods or carbonated beverages one day prior
76641Breast, Unilateral, CompleteNo prep required
76642Breast, Unilateral, LimitedNo prep required
76856Pelvic; CompleteNo fatty foods or carbonated beverages, 1 day prior. Drink 32 oz. of water 1 hour before exam
76857Pelvic; LimitedNo fatty foods or carbonated beverages, 1 day prior. Drink 32 oz. of water 1 hour before exam
76881Extremity, nonvascular, real-time with image documentation; CompleteNo prep required
76882Extremity, nonvascular, real-time with image documentation; LimitedNo prep required
76870Scrotum and contentsNo prep required
78707RenalNo prep required
93925Arterial Duplex Lower Extremity; BilateralL33667No prep required
93926Arterial Duplex Lower Extremity; Unilateral, LimitedL33667No prep required
93930Arterial Duplex Upper Extremity; CompleteNo prep required
93931Arterial Duplex Upper Extremity; Unilateral, LimitedNo prep required
93975Abdominal, pelvic, scrotal and/or retroperitoneal; CompleteL33674-1No prep required
93976Abdominal, pelvic, scrotal and/or retroperitoneal; LimitedL33674-1No prep required
93978AAA, Aorta, inferior vena cava, iliac vasculature, or bypass grafts; CompleteL33674-2No prep required
93979Aorta, inferior vena cava, iliac vasculature, or bypass grafts; Unilateral or LimitedL33674-2No prep required
93970Duplex of Extremity veins including responses to compression; Bilateral, Complete L33693No prep required
93971Duplex of Extremity veins including responses to compression; Unilateral, Limited L33693No prep required
93880Duplex scan of extracranial arteries; Bilateral, Complete (CAROTID US)L33695No prep required
93882Duplex scan of extracranial arteries; Unilateral, Limited (CAROTID US)L33695No prep required
93306Transthoracic Echocardiography (TTE); W/Doppler, CompleteL33768No prep required
93307Transthoracic Echocardiography (TTE); WO/Doppler, CompleteL33768No prep required
93308Transthoracic Echocardiography (TTE); Follow-up or LimitedL33768No prep required
76536Soft tissues of head and neck, thyroid, parathyroid, paratidL34027No prep required
93224Long-Term Wearable Electrocardiographic Monitoring (WEM); Holter MonitoringL33380 L33380No prep required
93922Biletral, Arterial ABIL33696No prep required