What this is, in plain language
An ultrasound that uses a small probe to get detailed pictures of the uterus, ovaries, and pelvic organs.
Why a clinician orders it
Pelvic pain, abnormal bleeding, ovarian cysts, or evaluating abnormal exam findings.
Medical necessity — what insurers usually look at
Usually covered when ordered for symptoms or abnormal findings. Some plans require prior auth for repeat studies.
New to this? Read what medical necessity means and how to appeal a denial.
Documentation to ask about
- ✓Symptoms or findings prompting the study
- ✓In-network imaging facility
Questions for your provider
- ?Is the facility in-network?
- ?Does my plan require prior authorization?
Why this code is in our seed set
High-volume pelvic imaging code in the CMS Top 200 Ranked by Services.
Validated against
- •CMS Top 200 Level I CPT Codes Ranked by Services
- •ACR Appropriateness Criteria
- •ACOG guidance on pelvic imaging
Terms you'll see
Medical NecessityRead more →
The insurer is reviewing whether the service is clinically appropriate for your situation.
Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.