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Referral/Order for Pelvic Ultrasound / Transvaginal Ultrasound Please print the following: 76830, 76856, 76857 *W132974* Patient Name: Date of Birth: Date of Service: Ordering Physician: Physician

How to fill out pelvic andor transvaginal ultrasound

How to fill out a pelvic and/or transvaginal ultrasound:

1. Prepare for the exam: Prior to the ultrasound, make sure to follow any instructions provided by your healthcare provider. This may include instructions such as fasting, drinking water before the exam, or emptying your bladder.
2. Arrive at the imaging center: On the day of the exam, arrive at the imaging center at the scheduled time. Check-in with the receptionist and provide any necessary paperwork or identification.
3. Change into a hospital gown: In most cases, you will be asked to change into a hospital gown to ensure easy access during the ultrasound. You may be provided with a robe to wear during the procedure.
4. Discuss your medical history: Before the procedure begins, a healthcare professional will typically inquire about your medical history, including any relevant symptoms or concerns. It's important to provide accurate information to help guide the ultrasound examination.
5. Understand the procedure: The healthcare professional will explain the ultrasound procedure to you, including the purpose of the examination and what to expect during the process. Feel free to ask any questions or express concerns at this time.
6. Positioning for the ultrasound: For a pelvic ultrasound, you may be asked to lie on your back with your feet in stirrups, similar to a gynecological exam. For a transvaginal ultrasound, a probe will be inserted into the vagina. The healthcare professional will assist you in finding a comfortable position.
7. Ultrasound gel application: A clear gel will be applied to the area being imaged, which helps the ultrasound probe glide smoothly over the skin or inside the vagina. The gel may feel cold, but it is harmless and washes off easily.
8. Image acquisition: The ultrasound technician or radiologist will begin capturing images using the ultrasound machine. They will move the probe over the designated area, taking still or video images that can be analyzed later by a radiologist or your healthcare provider.
9. Post-exam discussion: Once the imaging is complete, the healthcare professional may provide preliminary results or discuss the next steps with you. In some cases, you may need to wait for the radiologist to review the images and provide a detailed report to your healthcare provider.
10. Follow-up with your healthcare provider: After the pelvic and/or transvaginal ultrasound, it is important to follow any instructions or recommendations provided by your healthcare provider. They will review the results and discuss the findings and potential treatment options, if necessary.

Who needs pelvic and/or transvaginal ultrasound?

1. Women with gynecological concerns: Pelvic and/or transvaginal ultrasounds are often performed to investigate various gynecological issues such as abnormal menstrual bleeding, pelvic pain, ovarian cysts, or uterine fibroids. These exams help identify the underlying cause of these symptoms.
2. Women with fertility concerns: Pelvic and/or transvaginal ultrasounds can be used to assess the reproductive organs, such as the ovaries and uterus, in women who are experiencing difficulties getting pregnant. These exams can help identify potential causes for infertility, such as polycystic ovary syndrome (PCOS) or anatomical abnormalities.
3. Pregnant women: Pelvic and/or transvaginal ultrasounds are commonly performed during pregnancy to monitor the health and development of the fetus. These exams can provide valuable information about fetal growth, position, and potential abnormalities.
4. Women undergoing reproductive procedures: Pelvic and/or transvaginal ultrasounds may be necessary for women undergoing assisted reproductive technologies, such as in vitro fertilization (IVF). These exams help guide the placement of fertility medications, monitor the growth of developing embryos, or assess the uterine lining.
5. Women with pelvic or abdominal tumors: In some cases, pelvic and/or transvaginal ultrasounds may be recommended to evaluate tumors or masses in the pelvic or abdominal area. These exams can help determine the size, location, and characteristics of the tumor to aid in diagnosis and treatment planning.

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What is pelvic andor transvaginal ultrasound?

Pelvic and/or transvaginal ultrasound is a medical imaging technique that uses sound waves to create images of the pelvic area and reproductive organs in females.

Who is required to file pelvic andor transvaginal ultrasound?

There is no requirement to file pelvic and/or transvaginal ultrasound. It is a medical procedure performed by healthcare professionals to diagnose and evaluate conditions in the pelvic region.

How to fill out pelvic andor transvaginal ultrasound?

Pelvic and/or transvaginal ultrasound cannot be filled out like a form. It is a medical procedure performed by a healthcare professional. Patients may need to provide relevant medical history and information to the healthcare professional before the procedure.

What is the purpose of pelvic andor transvaginal ultrasound?

The purpose of pelvic and/or transvaginal ultrasound is to assess the health and diagnose conditions of the pelvic organs, including the uterus, ovaries, fallopian tubes, and bladder. It can help detect issues such as cysts, tumors, fibroids, or abnormalities in the reproductive system.

What information must be reported on pelvic andor transvaginal ultrasound?

Pelvic and/or transvaginal ultrasound does not involve reporting information. It is a medical imaging procedure that generates images for diagnostic purposes. The healthcare professional interprets the images and may report their findings and recommendations in a medical report.