| Section | B | Imaging |
| Body System | U | Female Reproductive System |
| Type | 4 | Ultrasonography: Real time display of images of anatomy or flow information developed from the capture of reflected and attenuated high frequency sound waves |
| Body Part 0 Fallopian Tube, Right 1 Fallopian Tube, Left 2 Fallopian Tubes, Bilateral 3 Ovary, Right 4 Ovary, Left 5 Ovaries, Bilateral 6 Uterus C Uterus and Ovaries |
Contrast Y Other Contrast Z None |
Qualifier Z None |
Qualifier Z None |