AUSTIN R ADIOLOGIC AL ASSOCIATION CT Exams CPT Codes HEAD AND SOFT TISSUE NECK BODY IMAGING BRAIN / HEAD LUNG SCREENING LOW DOSE (wo) (w) (w/wo) CT Angio Head 70450 70460 70470 70496 (wo) HEART Calcium Score (CACS) (wo) Coronary Angiogram (CCTA) (w) CACS & CCTA (w/wo) FACIAL BONES / SINUSES / MAXILLOFACIAL (wo) (w) (w/wo) (wo/limited) 70486 70487 70488 70486-52 (wo) (w) CT Angio Chest (w) 70482 70490 70491 70492 74150 74160 74170 74175 75635 PELVIS (wo) (w) (w/wo) SPINE 72192 72193 72194 VIRTUAL COLONOSCOPY CERVICAL (wo) (w) (w/wo) Screening Diagnostic 72125 72126 72127 THORACIC (wo) (w) (w/wo) (wo) (w) (w/wo) NECK, CHEST, ABDOMEN AND PELVIS (w/wo) (wo) (w/wo) 72131 72132 72133 71250 & 74176 71260 & 74178 CHEST AND ABDOMEN (w/wo) 71260 & 74170 ABDOMEN AND PELVIS UPPER 73200 73201 73202 LOWER 70491, 71260 & 74178 CHEST, ABDOMEN AND PELVIS EXTREMITY (wo) (w) (w/wo) 74263 74261 COMBINATION STUDIES 72128 72129 72130 LUMBAR (wo) (w) (w/wo) 71250 71260 71275 (wo) (w) (w/wo) CT Angio / AAA (w) CT Angio Aorta Runoff (w) NECK, SOFT TISSUE (wo) (w) (w/wo) 75574 75574 ABDOMEN 70480 SELLA (PITUITARY) (w/wo) 75571 CHEST PETROUS / TEMPORAL BONE (IAC) (wo) 71250 73700 73701 73702 3-D RECONSTRUCTION Add to Any Exam 76377 ABBREVIATION KEY wo = without IV contrast w = with IV contrast w/wo = with & without IV contrast CACS = Coronary Artery Calcium Score CCTA = Coronary CT Angiogram These CPT codes represent the most commonly ordered CT exams under ARA protocols. For any coding inquiry not listed, please call your Marketer at 512-467-0726. (w) 74177 (w/wo) 74178 Renal Calculi (wo) 74176 CTIVP/Hematuria w/3D imaging (w/wo) 74178 & 76377 CT Enterography w/3D imaging (w/wo) 74178 & 76377 CT Angio Abdomen and Pelvis (w/wo) 74174 Dec 2014 EXAM SCHEDULING: BY PATIENT ~ 512.453.6100 • BY DOCTOR’S OFFICE ~ 512.458.9098 FAX REFERRALS 512.836.8869 www.ausrad.com AUSTIN R ADIOLOGIC AL ASSOCIATION MRI Exams CPT Codes SPINE CERVICAL (wo) (w) (w/wo) HEAD AND SOFT TISSUE NECK THORACIC BRAIN (PITUITARY, IACS) (w/wo) MR Angio Head (wo) (wo) (w) (w/wo) 70553 70544 ORBITS / FACE / NECK/ SOFT TISSUE (wo) (w) (w/wo) TMJ (wo) MR Angio Neck (w/wo) 72141 72142 72156 72146 72147 72157 LUMBAR 70540 70542 70543 70336 70549 (wo) (w) (w/wo) 72148 72149 72158 BODY IMAGING COMBINATION STUDIES CHEST Brain MRI & MRA Head (w/wo) 70553 & 70546 Brain & Orbits (w/wo) 70553 & 70543 (wo) (w) (w/wo) MR Angio Chest (w/wo) 71550 71551 71552 71555 ABDOMEN (wo) 74181 (w) 74182 (w/wo) 74183 MR Angio Abdomen (w/wo) 74185 MRCP (w/wo) w/3D imaging 74183 & 76376 MR Enterography 74183 & 72197 UPPER EXTREMITY NON JOINT (HUMERUS, FOREARM OR HAND) (wo) (w) (w/wo) 73218 73219 73220 JOINT (SHOULDER, ELBOW OR WRIST) (wo) (w) (w/wo) PELVIS (wo) (w) (w/wo) MR Angio Pelvis (w/wo) 73221 73222 73223 ARTHROGRAM 72195 72196 72197 72198 BREAST, BILATERAL WITH CAD Shoulder (w) 73222, 77002 & 23350 Elbow (w) 73222, 73085 & 24220 Wrist (w) 73222, 73115 & 25246 (w/wo) 77059 & 0159T LOWER EXTREMITY NON JOINT (THIGH, CALF OR FOOT) ABBREVIATION KEY wo = without IV contrast w = with IV contrast w/wo = with & without IV contrast These CPT codes represent the most commonly ordered MRI exams under ARA protocols. For any coding inquiry not listed, please call your Marketer at 512-467-0726. (wo) (w) (w/wo) JOINT (HIP, KNEE OR ANKLE) (wo) (w) (w/wo) 73718 73719 73720 73721 73722 73723 ARTHROGRAM Hip (w) Knee (w) Ankle (w) 73722, 73525, 27093 73722, 73580, 27370 73722, 73615, 27648 Dec 2014 EXAM SCHEDULING: BY PATIENT ~ 512.453.6100 • BY DOCTOR’S OFFICE ~ 512.458.9098 FAX REFERRALS 512.836.8869 www.ausrad.com