|
Type of Ultrasound
|
|
|
Ultrasound of
• • •
|
Reason for Exam
|
|
Patient Preparation Checklist
• • •
|
|
|
Service Location
|
|
|
Location
|
|
|
Registered Vascular Specialist/ Technologist
• • •
|
|
|
Ultrasound Report
|
|
|
DIAGNOSTIC TESTS
|
|
|
Ultrasound Report
|
Ultrasound Report
|
|
Additional Diagnostic Report
|
|
|
Billing
|
|
|
Billing Services
• • •
|
|
|
ICD 10 Codes
• • •
|
|
