cpt® & ICD-9 2015 The following codes are being provided as a quick reference guide only. Please be sure to consult your office AMA CPT code book to confirm all codes. Breast Procedures CPT Code CTA CPT Code US GUIDED BREAST BIOPSY + EACH ADDITIONAL LESION (USE WITH 19083) BREAST CYST ASPIRATION + EACH ADDITIONAL CYST (USE WITH 19000) ULTRASOUND GUIDED FNA x # OF LESIONS US PLACEMENT OF LOCALIZATION DEVICE PLACEMENT OF CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS + EACH ADDITIONAL LESION (USE WITH 19285) STEREOTACTIC GUIDED BIOPSY + EACH ADDITIONAL LESION (USE WITH 19081) BREAST CYST ASPIRATION + EACH ADDITIONAL CYST (USE WITH 19000) STEREOTACTIC PLACEMENT OF LOCALIZATION WIRE PLACEMENT OF CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS + EACH ADDITIONAL LESION (USE WITH 19283) MR GUIDED BREAST BIOPSY + EACH ADDITIONAL LESION (USE WITH 19085) BREAST CYST ASPIRATION + EACH ADDITIONAL CYST (USE WITH 19000) MR PLACEMENT OF LOCALIZATION DEVICE PLACEMENT OF CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS + EACH ADDITIONAL LESION (USE WITH 19287) CT GUIDED BIOPSY BREAST BIOPSY PER LESION BREAST CYST ASPIRATION + EACH ADDITIONAL CYST (USE WITH 19000) MAMMOGRAPHIC GUIDED BIOPSY BREAST CYST ASPIRATION MAMMOGRAPHIC PLACEMENT OF LOCALIZATION WIRE PLACEMENT OF CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS + EACH ADDITIONAL LESION (USE WITH 19281) POST BIOPSY MAMMOGRAM BILATERAL UNILATERAL MAMMOGRAPHY DIAGNOSTIC BILATERAL TOMOSYNTHESIS DIAGNOSTIC UNILATERAL TOMOSYNTHESIS DIGITAL DIAGNOSTIC BILATERAL DIGITAL DIAGNOSTIC UNILATERAL DIGITAL SCREENING BILATERAL DIGITAL SCREENING BILATERAL WITH TOMOSYNTHESIS DIGITAL SCREENING UNILATERAL DUCTOGRAM MULTI DUCT DUCTOGRAM SINGLE DUCT 19083 19084 76942, 19000 19001 76942, 10022 ABDOMEN ABDOMEN/PELVIS RUN-­‐OFF STUDY (ABDOMINAL AORTA & BILATERAL LWR EXTREMITIES) CHEST (NONCORONARY) CORONARY ARTERIES HEAD LOWER EXTREMITY NECK (CAROTID) PELVIS UPPER EXTREMITY MYELOGRAM CERVICAL SPINE 74175 74174 75635 71275 75574 70496 73706 70498 72191 73206 CERVICAL C-­‐1-­‐C2 62302, 72126 THORACIC SPINE 62303, 72129 LUMBAR 62304, 72132 2 OR MORE REGIONS (EG, LUMBAR/THORACIC, THORACIC/CERVICAL, LUMBAR/CERVICAL) POSTERIOR FOSSA 2 CT Codes based on region SURGICAL SPECIMEN ULTRASOUND BREAST(S) MRI BREAST UNILATERAL BREASTS BILATERAL 76098 19285 19286 19081 19082 77031, 19000 19001 62302, 72126 19283 19284 19085 19086 77021, 19000 19001 19287 CISTERNOGRAPHY 19288 77012, 19499 77012, 19000 19001 77032, 19000, 19001 19281 19282 G0204, 77051 G0206, 77051 77062 77061 G0204, 77051 G0206, 77051 G0202, 77052 G0202, 77052, 77063 G0202-­‐52, 77052 19030, 77054 19030, 77053 76641 or 76642 77058 77059 ARTHROGRAM -­‐ Conventional (RAD) w CT ELBOW HIP SHOULDER KNEE WRIST WRIST 3 JOINT ANKLE SACROILIAC (SI) JOINT TMJ ARTHROGRAM -­‐ Non -­‐ Conventional w CT ELBOW HIP SHOULDER KNEE WRIST WRIST 3 JOINT ANKLE SACROILIAC (SI) JOINT TMJ NEEDLE GUIDED BIOPSY LIVER LYMPH NODES THIGH KIDNEY -­‐ RENAL MASS SOFT TISSUE MASS UNLISTED CT PROCEDURE 62305 & 70460, 70010, 77003 & 61055 or 62284 70460, 70015, 77003 & 61055 or 62284 73201, 24220, 73085 73701, 27093, 73525 73201, 23350, 73040 73701, 27370, 73580 73201, 25246, 73115 73201, 25246,73115 73701, 27648, 73615 27096, 72193 70487, 21116, 70332 73201, 24220, 77002 73701, 27093, 77002 73201, 23350, 77002 73701, 27370, 77002 73201, 25246, 77002 73201, 25246, 77002 73701, 27648, 77002 27096, 72193 21116, 70487, 77002 47000, 77012 38505, 77012 20206, 77012 50200, 77012 20206, 77012 76497 CT CPT Code CT CPT Code 3D RECONSTRUCITON W/O POSTPROCESSING 3D RECONSTRUCTION WITH POSPROCESSING ABDOMEN/PELVIS WITHOUT CONTRAST ABDOMEN/PELVIS WITH CONTRAST ABDOMEN/PELVIS W-­‐W/O CONTRAST ABDOMEN WITHOUT CONTRAST ABDOMEN WITH CONTRAST ABDOMEN W-­‐W/O CONTRAST BRAIN WITHOUT CONTRAST BRAIN WITH CONTRAST BRAIN W-­‐W/O CONTRAST CARDIAC CALCIUM SCORING WITHOUT CONTRAST CARDIAC STRUCTURE AND MORPHOLOGY W/ CONTRAST CARDIAC STRUCTURE AND MORPHOLOGY -­‐ IN THE SETTING 76376 76377 74176 74177 74178 74150 74160 74170 70450 70460 70470 75571 75572 75573 LUMBAR SPINE WITHOUT CONTRAST LUMBAR SPINE WITH CONTRAST LUMBAR SPINE W-­‐W/O CONTRAST LUNG SCREENING LOWER EXTREMITY WITHOUT CONTRAST LOWER EXTREMITY WITH CONTRAST LOWER EXTREMITY W-­‐W/O CONTRAST MAXILLOFACIAL WITHOUT CONTRAST MAXILLOFACIAL WITH CONTRAST MAXILLOFACIAL W-­‐W/O CONTRAST NECK SOFT TISSUE WITHOUT CONTRAST NECK SOFT TISSUE WITH CONTRAST NECK SOFT TISSUE W-­‐W/OUT CONTRAST ORBITS WITHOUT CONTRAST 72131 72132 72133 71250 73700 73701 73702 70486 70487 70488 70490 70491 70492 70480 CERVICAL SPINE WITHOUT CONTRAST CERVICAL SPINE WITH CONTRAST CERVICAL SPINE W-­‐W/O CONTRAST CHEST WITHOUT CONTRAST CHEST WITH CONTRAST CHEST W-­‐W/OUT CONTRAST COCCYX WITH CONTRAST COCCYX WITHOUT CONTRAST COCCYX W/WO CONTRAST DENTAL IMPLANTS WO CONT DENTAL SCAN ONLY DENTAL SCAN W PROCESS BOTH DENTAL SCAN WITH PROCESSING DNTL SCAN ONLY BOTH TOP AND BOTTOM ELBOW WITHOUT CONTRAST ELBOW WITH CONTRAST ELBOW W-­‐W/O CONTRAST ENTEROGRAPHY (ABD & PEL W CONTRAST) FACIAL BONES WITHOUT CONTRAST FACIAL BONES WITH CONTRAST FACIAL BONES W-­‐W/O CONTRAST FOLLOW-­‐UP STUDY LIMITED OR LOCALIZED FOOT-­‐ANKLE WITHOUT CONTRAST FOOT-­‐ANKLE WITH CONTRAST FOOT-­‐ANKLE W-­‐W/O CONTRAST FOREARM WITHOUT CONTRAST FOREARM WITH CONTRAST FOREARM W-­‐W/O CONTRAST HAND WITHOUT CONTRAST HAND WITH CONTRAST HAND W-­‐W/O CONTRAST HIP WITHOUT CONTRAST HIP WITH CONTRAST HIP W-­‐W/O CONTRAST HUMERUS WITHOUT CONTRAST HUMERUS WITH CONTRAST HUMERUS W-­‐W/O CONTRAST IACS, ORBIT, SELLA OR POSTERIOR FOSSA W/O CONTRAST 72125 72126 72127 71250 71260 71270 72193 72192 72194 70486 CASH PAY ONLY CASH PAY ONLY CASH PAY ONLY CASH PAY ONLY 73200 73201 73202 74177, 76376 or 76377 70486 70487 70488 76380 73700 73701 73702 73200 73201 73202 73200 73201 73202 73700 73701 73702 73200 73201 73202 70480 ORBITS WITH CONTRAST ORBITS W-­‐W/O CONTRAST PELVIS WITHOUT CONTRAST PELVIS WITH CONTRAST PELVIS W-­‐W/O CONTRAST PITUITARY-­‐SELLA WITHOUT CONTRAST PITUITARY-­‐SELLA WITH CONTRAST PITUITARY-­‐SELLA W-­‐W/O CONTRAST POSTERIOR FOSSA WITHOUT CONTRAST POSTERIOR FOSSA WITH CONTRAST POSTERIOR FOSSA W-­‐W/O CONTRAST SACRUM WITHOUT CONTRAST SACRUM WITH CONTRAST SACRUM W-­‐W/O CONTRAST SCANOGRAM SHOULDER WITHOUT CONTRAST SHOULDER WITH CONTRAST SHOULDER W-­‐W/O CONTRAST SINUS LTD WITHOUT CONTRAST SINUS WITHOUT CONTRAST SINUS WITH CONTRAST SINUS W-­‐W/O CONTRAST TEMPORAL BONES WITHOUT CONTRAST TEMPORAL BONES WITH CONTRAST TEMPORAL BONES W-­‐W/O CONTRAST THIGH-­‐FEMUR WITHOUT CONTRAST THIGH-­‐FEMUR WITH CONTRAST THIGH-­‐FEMUR W-­‐W/O CONTRAST THORACIC SPINE -­‐ WITHOUT CONTRAST THORACIC SPINE -­‐ WITH CONTRAST THORACIC SPINE -­‐ W-­‐W/O CONTRAST TIB-­‐FIB WITHOUT CONTRAST TIB-­‐FIB WITH CONTRAST TIB-­‐FIB W-­‐W/O CONTRAST TMJS WITHOUT CONTRAST TMJS WITH CONTRAST TMJS W-­‐W/O CONTRAST UPPER EXTREMITY WITHOUT CONTRAST UPPER EXTREMITY WITH CONTRAST 70481 70482 72192 72193 72194 70480 70481 70482 70480 70481 70482 72192 72193 72194 77073 73200 73201 73202 70486 70486 70487 70488 70480 70481 70482 73700 73701 73702 72128 72129 72130 73700 73701 73702 70486 70487 70488 73200 73201 IACS, ORBIT, SELLA OR POSTERIOR FOSSA W/ CONTRAST IACS, ORBIT, SELLA OR POSTERIOR FOSSA W & W/O CONTRAST KNEE WITHOUT CONTRAST KNEE WITH CONTRAST KNEE W-­‐W/O CONTRAST KUB ABD/PEL W/O LARYNX WITHOUT CONTRAST LARYNX WITH CONTRAST LARYNX W-­‐W/O CONTRAST 70481 70482 UPPER EXTREMITY W-­‐W/O CONTRAST UROGRAM (ABD PEL W/WO) 73700 73701 73702 74176 70490 70491 70492 VIRTUAL COLONOSCOPY W/O CONTRAST, DIAGNOSTIC VIRTUAL COLONOSCOPY WITH CONTRAST, DIAGNOSTIC VIRTUAL COLONOSCOPY W/O CONTRAST, SCREENING WRIST WITHOUT CONTRAST WRIST WITH CONTRAST WRITST W-­‐W/O CONTRAST RADIATION THERAPY PLANNING 73202 74178 & 76376 or 76377 74261 74262 74263 73200 73201 73202 77014 OF CONGENITAL HEART DISEASE W/ CONTRAST Fluoroscopy CPT Code Fluoroscopy CPT Code FISTULA SINUS TRACT STUDY FLUORO GUID LOC NEEDLE, SPINE FLUORO GUIDE BX, INJ, ASP GUIDED BX, INJ, ASPIRATION LARGE JOINT (EG, SHOULDER, HIP KNEE) INTERMEDIATE JOINT (EG, TMJ, WRIST, ELBOW, ANKLE) SMALL JOINT (EG, FINGERS, TOES) LOOPOGRAM INDEPENDENT STUDY SNIFF TEST FLUORO UP TO ONE HOUR FLUORO MORE THAN ONE HOUR FLUORO EVAL OF EXISTING CENTRAL VENOUS ACCESS DEVICE LUMBAR PUNCTURE (Diagnostic) LUMBAR PUNCTURE (Therapeutic) NOSE TO RECTUM EXAMINATION FOR DETECTION OF FOREIGN BODY -­‐ CHILD BLOOD PATCH PROCEDURE UNLISTED TOMOGRAPHY TO COMPLETE EXAM GANGLION CYST ASPIRATION INJECTION INJ SINGLE TENDON SHEATH, LIGAMENT INJ SINUS TRACT -­‐ SINOGRAM INJECTION VENOGRAM SIALOGRAM PERITONEOGRAM MYELOGRAM -­‐ Conventional (RAD) POSTERIOR FOSSA 76080, 20501 77003 77002 77002 20610, 77002 20605, 77002 20600, 77002 74425, 50690 76000 76000 76000 76001 36598, 75820 & 75825 or 75827 62270, 77003 62272, 77003 76010 UGI -­‐ W-­‐W/O DELAYED FILMS, WITHOUT KUB SMALL BOWEL STUDY UGI -­‐ DOUBLE CONTRAST, W-­‐W/OUT DELAYED FILMS, W/OUT KUB -­‐ ADULTS UGI -­‐ DOUBLE CONTRAST, W-­‐W/OUT DELAYED FILMS, W/OUT KUB -­‐ INFANTS/CHILDREN UGI -­‐ DOUBLE CONTRAST, W-­‐W/OUT DELAYED FILMS W/ KUB -­‐ ADULTS UGI -­‐ DOUBLE CONTRAST, W-­‐W/OUT DELAYED FILMS, W/ KUB & SMALL BOWEL FOLLOW THROUGH -­‐ INFANTS/CHILDREN UGI -­‐ DOUBLE CONTRAST, W-­‐W/OUT DELAYED FILMS W/ KUB & SMALL BOWEL FOLLOW THROUHG -­‐ ADULTS UGI -­‐ W-­‐W/O DELAYED FILMS, WITH KUB UGI -­‐ W/SMALL BOWEL FOLLOW THROUGH GYNECOLOGICAL AND OBSTETRICAL HYSTERSALPINGOGRAM (AKA HSG) VAGINOGRAM (PERINEOGRAM) URINARY TRACT CYSTOGRAPHY 74240 74250 74246 62273, 77003 76496 76100 20612, 77002 20550, 77002 76080, 20501 36005, 75820, 75822 70390, 42550 74190, 49400 CERVICAL MYELOGRAM 70010, 77003 & 61055 or 62284 70015, 77003 & 61055 or 62284 62302 THORACIC MYELOGRAM 62303 LUMBAR MYELOGRAM 62304 MYELOGRAM 2 OR MORE REGIONS 62305 ARTHROGRAM -­‐ Conventional (RAD) ANKLE ELBOW HIP KNEE TMJ ARTHROGRAM WRIST ARTHROGRAM WRIST ARTHROGRAM 3 JOINT SACROILIAC (SI) JOINT SHOULDER 73615, 27648 73085, 24220 73525, 27093 73580, 27370 70332, 21116 73115, 25246 73115, 25246 x3 27096 73040, 23350 CISTERNOGRAPHY 74246 74247 74249 74249 74241 74245 74740, 58340 74775 74430 & 51600 or 51605 74400 IVP -­‐ INTRAVENOUS, WITH OR WITHOUT KUB, WITH OR WITHOUT TOMOGRAPHY IVP ROUTINE -­‐ DRIP AND/OR BOLUS TECHNIQUE, 18 YEARS 74410 OR UNDER IVP -­‐ DRIP AND/OR BOLUS TECHNIQUE 74415 WITH TOMOGRAPHY (ALWAYS W TOMOS IF 18 +) LOOPOGRAM (ANTEGRADE PYELOGRAM) 74425, 50690 & 50394 or 50390 NEPHROSTOGRAM 74425, 50390 & 50394 or 50690 RETROGRADE PYELOGRAM 74420 URETHROCYSTOGRAPHY -­‐ RETROGRADE 74450, 51610 URETHROCYSTOGRAPHY -­‐ VOIDING (AKA VCUG) 74455, 51600 MEASUREMENT OF POST-­‐VOID RESIDUAL URINE AND/OR 51798 BLADDER CAPACITY BY US (USE WITH URINARY TRACT CODES IF PERFORMED) THORACENTESIS/PARACENTESIS CHEST TUBE EXTENDED USE 32551 PARACENTESIS 49083 THORACENTESIS 32555 THORACENTESIS WITH TUBE 32557 GASTROINTESTINAL TRACT BE (BARIUM ENEMA) 74270 BE AC (BARIUM ENEMA, DOUBLE CONTRAST W/AIR) 74280 THERAPEUTIC ENEMA 74283 CHOLANGIOGRAM THROUGH EXISTING T-­‐TUBE 74305, 47505 ENTEROCLYSIS SMALL BOWEL 74251, 44500, 74340 PHARYNX AND/OR CERVICAL ESOPHAGUS 74210 BARIUM SWALLOW -­‐ ESOPHAGUS 74220 BARIUM SWALLOW -­‐ ESOPHAGUS -­‐ MODIFIED 74230 FOREIGN BODY REMOVAL -­‐ ESOPHAGEAL 74235 & 43215 or 43247 GB -­‐ CHOLECYSTOGRAPHY, ORAL CONTRAST 74290 GB DD -­‐ CHOLECYSTOGRAPHY, ADDITIONAL OR REPEAT 74291 EXAM OR MULTIPLE DAY EXAM MRI CPT Code MRI CPT Code ABDOMEN WITHOUT CONTRAST ABDOMEN WITH CONTRAST ABDOMEN W-­‐W/O CONTRAST BRACHIAL PLEXUS WITHOUT CONTRAST -­‐ TO IDENTIFY APICAL LUNG CANCERS BRACHIAL PLEXUS WITH CONTRAST -­‐ TO IDENTIFY APICAL LUNG CANCERS BRACHIAL PLEXUS W-­‐W/O CONTRAST -­‐ TO IDENTIFY APICAL LUNG CANCERS BRACHIAL PLEXUS WITHOUT CONTRAST -­‐ EVALUATION OF TUMOR IN AXILLA BRACHIAL PLEXUS WITH CONTRAST -­‐ EVALUATION OF TUMOR IN AXILLA BRACHIAL PLEXUS W-­‐W/O CONTRAST -­‐ EVALUATION OF TUMOR IN AXILLA BRACHIAL PLEXUS WITHOUT CONTRAST -­‐ EVALUATION OF TUMOR IN SHOULDER GIRDLE BRACHIAL PLEXUS WITH CONTRAST -­‐ EVALUATION OF TUMOR IN SHOULDER GIRDLE BRACHIAL PLEXUS W-­‐W/O CONTRAST -­‐ EVALUATION OF TUMOR IN SHOULDER GIRDLE BRACHIAL PLEXUS WITHOUT CONTRAST -­‐ EVALUATION TO 74181 74182 74183 71550 ORBIT, FACE AND/OR NECK WITHOUT CONTRAST ORBIT, FACE AND/OR NECK WITH CONTRAST ORBIT, FACE AND OR/NECK W-­‐W/O CONTRAST PELVIS -­‐ WITHOUT CONTRAST PELVIS -­‐ WITH CONTRAST PELVIS -­‐ W-­‐W/O CONTRAST PELVIS W-­‐W/O PROTOCOL STUDY PITUITARY WITHOUT CONTRAST PITUITARY WITH CONTRAST PITUITARY W-­‐W/O CONTRAST PROSTATE WITHOUT CONTRAST PROSTATE WITH CONTRAST PROSTATE W-­‐W/O CONTRAST SACRUM WITHOUT CONTRAST SACRUM WITH CONTRAST SACRUM W-­‐W/O CONTRAST SINUS WITHOUT CONTRAST SINUS WITH CONTRAST SINUS W-­‐W/O CONTRAST TEMPORAL/MASTOID (BRAIN) WITHOUT CONTRAST TEMPORAL/MASTOID (BRAIN) WITH CONTRAST TEMPORAL/MASTOID (BRAIN) W/WO CONTRAST 70540 70542 70543 72195 72196 72197 72197 70551 70552 70553 72195 72196 72197 72195 72196 72197 70540 70542 70543 70551 70552 70553 THIGH FEMUR WITHOUT CONTRAST THIGH FEMUR WITH CONTRAST THIGH FEMUR W-­‐W/O CONTRAST THORACIC SPINE WITHOUT CONTRAST THORACIC SPINE WITH CONTRAST THORACIC SPINE W-­‐W/O CONTRAST TMJ WITHOUT CONTRAST UNLISTED PROCEDURE UPPER EXTREMITY (NON-­‐JOINT) FOREARM WITHOUT CONTRAST FOREARM WITH CONTRAST FOREARM W-­‐W/O CONTRAST HAND WITHOUT CONTRAST HAND WITH CONTRAST HAND W-­‐W/O CONTRAST HUMERUS WITHOUT CONTRAST HUMERUS WITH CONTRAST HUMERUS W-­‐W/O CONTRAST SCAPULA WITHOUT CONTRAST SCAPULA WITH CONTRAST SCAPULA W-­‐W/O CONTRAST UPPER EXTREMITY NON JOINT WITHOUT CONTRAST UPPER EXTREMITY NON JOINT WITH CONTRAST UPPER EXTREMITY NON JOINT W-­‐W/O CONTRAST UPPER EXTREMITY (JOINT) ELBOW WITHOUT CONTRAST ELBOW WITH CONTRAST ELBOW W-­‐W/O CONTRAST FINGER WITHOUT CONTRAST FINGER WITH CONTRAST FINGER W-­‐W/O CONTRAST SHOULDER WITHOUT CONTRAST SHOULDER WITH CONTRAST SHOULDER W-­‐W/O CONTRAST WRITS WITHOUT CONTRAST WRIST WITH CONTRAST WRIST W-­‐W/O CONTRAST WRIST W-­‐W/O PFIZER PROTOCOL 73718 73719 73720 72146 72147 72157 70336 76498 IDENTIFY HEAD/NECK CA TO LEVEL OF THYROID BRACHIAL PLEXUS WITH CONTRAST -­‐ EVALUATION TO IDENTIFY HEAD/NECK CA TO LEVEL OF THYROID BRACHIAL PLEXUS W-­‐W/O CONTRAST -­‐ EVALUATION TO IDENTIFY HEAD/NECK CA TO LEVEL OF THYROID BRAIN -­‐ WITHOUT CONTRAST BRAIN -­‐ WITH CONTRAST BRAIN -­‐ W-­‐W/O CONTRAST BREAST BILATERAL BREAST UNILATERAL CARDIAC FOR MORPHOLOGY & FUNCTION -­‐ W/O CONTRAST CARDIAC FOR MORPHOLOGY AND FUNCTION -­‐ WITHOUT CONTRAST, WITH STRESS IMAGING + VELOCITY FLOW MAPPING (USE WITH 75557, 75559) CARDIAC FOR MORPHOLOGY AND FUNCTION W -­‐ W/O CONTRAST CARDIAC FOR MORPHOLOGY AND FUNCTION -­‐ W-­‐W/O CONTRAST, WITH STRESS IMAGING + VELOCITY FLOW MAPPING (USE WITH 75561, 75563) CERVICAL SPINE WITHOUT CONTRAST CERVICAL SPINE WITH CONTRAST CERVICAL SPINE W-­‐W/O CONTRAST CHEST -­‐ WITHOUT CONTRAST CHEST -­‐ WITH CONTRAST CHEST -­‐ W-­‐W/O CONTRAST ENTEROGRAPHY WITHOUT CONTRAST ENTEROGRAPHY WITH CONTRAST ENTEROGRAPHY W-­‐W/O CONTRAST FETUS WITHOUT CONTRAST FETUS WITH CONTRAST FETUS W-­‐W/O CONTRAST IACS WITHOUT CONTRAST IACS WITH CONTRAST IACS WITH-­‐W/O CONTRAST LUMBAR SPINE WITHOUT CONTRAST LUMBAR SPINE WITH CONTRAST LUMBAR SPINE W-­‐W/O CONTRAST MRCP 71551 71552 73218 73219 73220 73221 73222 73223 70540 70542 70543 70551 70552 70553 77059 77058 75557 75559 75565 75561 75563 75565 72141 72142 72156 71550 71551 71552 74181, 72195 & 76376 or 76377 74182, 72196 & 76376 or 76377 74183, 72197 & 76376 or 76377 72195 72196 72197 70551 70552 70553 72148 72149 72158 74181 & 76376 or 76377 73218 73219 73220 73218 73219 73220 73218 73219 73220 73218 73219 73220 73218 73219 73220 73221 73222 73223 73221 73222 73223 73221 73222 73223 73221 73222 73223 73223 MRI LOWER EXTREMITY (NON-­‐JOINT) FOOT WITHOUT CONTRAST FOOT WITH CONTRAST FOOT W-­‐W/O CONTRAST LOWER EXTREMITY WITHOUT CONTRAST LOWER EXTREMITY WITH CONTRAST LOWER EXTREMITY W-­‐W/O CONTRAST THIGH/FEMUR WITHOUT CONTRAST THIGH/FEMUR WITH CONTRAST THIGH/FEMUR W-­‐W/O CONTRAST TIB FIB WITHOUT CONTRAST TIB FIB WITH CONTRAST TIB FIB W-­‐W/O CONTRAST LOWER EXTREMITY (JOINT) ANKLE POST ARTHROGRAM ANKLE WITHOUT CONTRAST ANKLE WITH CONTRAST ANKLE W-­‐W/O CONTRAST HIP WITHOUT CONTRAST HIP WITH CONTRAST HIP W-­‐W/O CONTRAST KNEE WITHOUT CONTRAST KNEE WITH CONTRAST KNEE W-­‐W/O CONTRAST LOWER EXTREMITY JOINT WITHOUT CONTRAST LOWER EXTREMITY JOINT WITH CONTRAST LOWER EXTREMITY JOINT W-­‐W/O CONTRAST ARTHROGRAM -­‐ Conventional (RAD) W MRI ANKLE ELBOW HIP KNEE SHOULDER WRIST WRIST 3 JOINT SACROILIAC (SI) JOINT TMJ ARTHROGRAM -­‐ Non-­‐Conventional W MRI ANKLE ELBOW HIP KNEE SHOULDER WRIST WRIST 3 JOINT SACROILIAC (SI) JOINT TMJ CPT Code 73718 73719 73720 73718 73719 73720 73718 73719 73720 73718 73719 73720 73722 73721 73722 73723 73721 73722 73723 73721 73722 73723 73721 73722 73723 73722, 27648, 73615 73222, 24220, 73085 73722, 27093, 73525 73722, 27370, 73580 73222, 23350, 73040 73222, 25246, 73115 73222, 25246, 73115 27096, 72196 70336, 21116, 70332 73722, 27648, 77002 73222, 24220, 77002 73722, 27093, 77002 73722, 27370, 77002 73222, 23350, 77002 73222, 25246, 73115 73222, 25246, 77002 27096, 72196 70336, 21116, 77002 MRI MRA ABDOMEN CHEST HEAD WITHOUT CONTRAST HEAD WITH CONTRAST HEAD W-­‐W/O CONTRAST LOWER EXTREMITY NECK WITHOUT CONTRAST NECK WITH CONTRAST NECK W-­‐W/O CONTRAST PELVIS RUN-­‐OFF STUDY (ABDOMINAL AORTA & BILATERAL LWR EXTREMITIES) SPINAL CANAL AND CONTENTS UPPER EXTREMITY MRV MRV HEAD WITHOUT CONTRAST MRV HEAD WITH CONTRAST MRV HEAD WITH W/O CONTRAST OTHER SPECTROSCOPY (ANY AREA OF THE BODY) ULISTED MRI PROCEDURE MYELOGRAM POSTERIOR FOSSA CPT Code 74185 71555 70544 70545 70546 73725 70547 70548 70549 72198 74185, 73725 x 2 72159 73225 70544 70545 70546 76390 76498 CERVICAL SPINE 70552, 70010, 77003 & 61055 or 62284 70552, 70015, 77003 & 61055 or 62284 62302, 72142 CERVICAL C-­‐1-­‐C2 62302, 72142 THORACIC SPINE 62303, 72147 LUMBAR 62304, 72149 2 OR MORE REGIONS (EG, LUMBAR/THORACIC, THORACIC/CERVICAL, LUMBAR/CERVICAL) +and APPROPRIATE 2 MR CODES, BASED ON REGIONS 62305 CISTERNOGRAPHY Ultrasound CPT Code Ultrasound CPT Code ABDOMEN ABDOMEN LTD LOWER BACK AORTA ABDOMINAL (AORTA BACKWALL) AAA SCREENING FOR NON-­‐MEDICARE PATIENTS AAA SCREENING FOR MEDICARE PATIENTS BONE DENSITY MEASUREMENT/INTERPRETATION, PERIPHERAL BREAST UNILATERAL INCL AXILLA IF PERFORMED BREAST UNILATERAL, LIMITED CHEST/MEDIASTINUM UPPER BACK EXTREMITY NON VASCULAR COMPLETE EXTREMITY NON VASCULAR LTD AXILLA -­‐ INDICATIONS RELATING TO ARM/ARM PIT GROIN GALLBLADDER INFANT HIPS INFANT HIPS LIMITED HYSTEROSONOGRAPHY (SONOHYSTERGRAPHY) KIDNEY DOPPLER LIVER NECK/HEAD SOFT TISSUE NEONATAL BRAIN PELVIS LTD -­‐ NON OB BUTTOCK PENIS PERINEUM PELVIS COMPLETE -­‐ NON OB PROSTATE VOLUME STUDY RENAL COMPLETE RENAL LTD RENAL TRANSPLANT RETROPERITONEAL COMPLETE RETROPERITONEAL LTD SPINAL CANAL SPINAL CANAL INFANTS TRANSVAGINAL APPROACH -­‐ NON OB TESTICULAR/SCROTUM THYROID TRANSRECTAL URINARY BLADDER OBSTETRICAL OB BIOPHYSICAL PROFILE WITH NON-­‐STRESS TESTING OB BIOPHYSICAL PROFILE W/OUT NON-­‐STRESS TESTING OB FOLLOW UP EXAM, PER FETUS OB GREATER THAN 14 WEEKS -­‐ SINGLE FETUS + EACH ADDITIONAL FETUS (USE IN ADDITION TO 76805) 76700 76705 76705 76775 76775 G0389 76977 VASCULAR ABI SINGLE LEVEL -­‐ BILATERAL/UNILATERAL ABI 2 LEVELS -­‐ BILATERAL/UNILATERAL ABI 3 LEVELS -­‐ UNILATERAL ABI COMPLETE -­‐ 3 LEVELS, BILATERAL AORTA AND/OR IVC DUPLEX LIMITED AORTA IVC DUPLEX COMPLETE 93922 93922 93922 93923 93979 93978 76641 76642 76604 76604 76881 76882 76882 76882 76705 76885 76886 76831, 58340 93975 76705 76536 76506 76857 76857 76857 76857 76856 76873 76770 76775 76776 76770 76775 76800 76800 76830 76870 76536 76872 76775 ART BILAT LOWER EXTREMITY ART BILAT UPPER EXTREMITY ART HEMODIALYSIS ACCESS ** AV FISTULA ART REST STRESS LOWER EXTREMITY ART UNILAT LOWER EXTREMITY ART UNILAT UPPER EXTREMITY CAROTID DUPLEX -­‐ COMPLETE CAROTID DUPLEX -­‐ LIMITED DUPLEX SCAN OF ABDOMINAL, PELVIC, SCROTAL AND/OR RETROPERITONEAL ORGANS -­‐ COMPLETE DUPLEX SCAN OF ABDOMINAL, PELVIC, SCROTAL AND/OR RETROPERITONEAL ORGANS -­‐ LTD PENILE DOPPLER PENILE DOPPLER FOLLOW UP OR LIMITED TRANSCRANIAL DOPPLER -­‐ COMPLETE TRANSCRANIAL DOPPLER -­‐ LIMITED VENOUS DOPPLER EXT BILATERAL VENOUS DOPPLER EXT UNILATERAL THORACENTESIS/PARACENTESIS CHEST TUBE EXTENDED USE PARACENTESIS THORACENTESIS THORACENTESIS WITH TUBE GUIDED BIOPSY THIGH CORE THIGH FNA THYROID FNA (x # OF NODULES) THYROID CORE (x # OF NODULES) THYROID CYST ASPIRATION OTHER FOLLOW UP STUDY (SPECIFY) UNLISTED PROCEDURE MEASUREMENT OF POST-­‐VOIDING RESIDUAL URINE AND/OR URINARY BLADDER (NON-­‐IMAGING) VESSEL MAPPING FOR HEMODIALYSIS ACCESS -­‐ MEDICARE PATIENTS MUSCLE INJ SINGLE OR MULTIPLE -­‐ 1 OR 2 MUSCLE(S) SINGLE OR MULTIPLE -­‐ 3 OR MORE MUSCLE(S) OB LESS THAN 14 WEEKS -­‐ SINGLE FETUS + EACH ADDITIONAL FETUS (USE IN ADDITION TO 76801) OB FETAL AND MATERNAL EVALUATION PLUS DETAILED FETAL ANATOMIC EXAM, TRANSABDOMINAL + EACH ADDITIONAL FETUS (USE IN ADDITION TO 76811) FETAL ECHOCARDIOGRAPHY FETAL ECHOCARDIOGRAPHY FOLLOWUP / REPEAT STUDY FETAL DOPPLER FETAL DOPPLER FOLLOW UP OR REPEAT STUDY 76801 76802 76811 76818 76819 76816 76805 76810 76812 76825 76826 76827 76828 93925 93930 93990 93924 93926 93931 93880 93882 93975 93976 93980 93981 93886 93888 93970 93971 32551 49083 32555 32557 76942, 20206 76942, 10022 76942, 10022 76942, 60100 76942, 60300 76970 76999 51798 G0365 20552, 76942 20553, 76942 X-­‐ray CPT Code X-­‐ray CPT Code ABDOMNEN -­‐ SINGLE VIEW SITZMARKS STUDY 74000 74000 PER DAY 72120 72114 ABDOMEN -­‐ AP PLUS OBLIQUE AND CONE VIEWS ABDOMEN -­‐ COMPLETE INCLUDING DECUBITUS AND/OR ERECT VIEWS ABDOMEN -­‐ COMPLETE ACUTE SERIES, INCLUDING SUPINE, ERECT, AND/OR DECUBITUS VIEWS + 1 VIEW CHEST AC JOINTS -­‐ WITH OR WITHOUT WEIGHTED DISTRACTION ANKLE COMPLETE -­‐ MIN 3 VIEWS ANKLE LTD -­‐ 2 VIEWS BONE AGE BONE LENGTH -­‐ SCANOGRAM BONE SKELETON SURVEY COMPLETE BONE SKELETON SURVEY LTD BONE SURVEY INFANT CERVICAL SPINE -­‐ 2 OR 3 VIEWS 74010 74020 LUMBAR SPINE FLEX EXT ONLY -­‐ 2 OR 3 VIEWS LUMBAR SPINE COMPLETE INCLUDING FLEXION/EXTENSION -­‐ MIN 6 VIEWS MANDIBLE COMPLETE -­‐ MIN 4 VIEWS MANDIBLE LIMITED -­‐ LESS THAN 4 VIEWS 74022 MASTOID COMPLETE -­‐ MIN 3 VIEWS PER SIDE 70130 73050 73610 73600 77072 77073 77075 77074 77076 72040 MASTOIDS LIMITED -­‐ LESS THAN 3 VIEWS PER SIDE NASAL BONES COMPLETE MIN 3 VIEWS NECK SOFT TISSUE OPTIC FORAMINA ORBITS COMPLETE -­‐ MIN 4 VIEWS ORTHOPANTOGRAM AKA "PANORAMIC X-­‐RAY" PELVIS LTD -­‐ 1 OR 2 VIEWS PELVIS COMPLETE -­‐ MIN 3 VIEWS PHARYNX OR LARYNX INCLUDING FLOURO AND/OR MAGNIFICATION TECHNIQUE AKA "NASOPHARYNGOGRAM" 70120 70160 70360 70190 70200 70355 72170 72190 70370 CERVICAL SPINE -­‐ 4 OR 5 VIEWS CERVICAL SPINE -­‐ 6 OR MORE VIEWS CHEST COMPLETE -­‐ MIN 4 VIEWS CHEST COMPLETE W/FLUOROSCOPY CHEST SPECIAL VIEWS ( EG, LATERAL, DECUBITUS, BUCKY STUDIES) CHEST -­‐ SINGLE VIEW -­‐ PA CHEST -­‐ 2 VIEWS -­‐ PA/LAT CHEST STEREO -­‐ FRONTAL CHEST -­‐ 2 VIEWS WITH LORDOTIC PROCEDURE CHEST -­‐ 2 VIEWS WITH OBLIQUES CHEST -­‐ 2 VIEWS WITH FLOUROSCOPY CLAVICLE ELBOW LTD -­‐ 2 VIEWS ELBOW COMPLETE -­‐ MIN 3 VIEWS EYE -­‐ FOR DETECTION OF FOREIGN BODY FACIAL BONES LTD -­‐ LESS THAN 3 VIEWS FACIAL BONES COMPLETE -­‐ MIN 3 VIEWS FEMUR FINGER FOOT LTD -­‐ 2 VIEWS FOOT COMPLETE -­‐ MIN 3 VIEWS FOREARM HAND LTD -­‐ 2 VIEWS HAND COMPLETE -­‐ MIN 3 VIEWS HEEL (CALCANEUS) HIP BILATERAL -­‐ MIN 2 VIEWS EACH WITH AP VIEW OF PELVIS HIP UNILATERAL LTD -­‐ 1 VIEW HIP UNILATERAL COMPLETE -­‐ MIN 2 VIEWS HUMERUS INFANT OR CHILD HIPS AND PELVIS INFANT -­‐ LOWER EXTREMITY INFANT -­‐ UPPER EXTREMITY INTERNAL AUDITORY MEATI COMPLETE JOINT SURVEY, SINGLE VIEW, 2 OR MORE JOINTS KNEE -­‐ 1 OR 2 VIEWS KNEE -­‐ 3 VIEWS KNEE AP STANDING -­‐ BILATERAL KNEE COMPLETE -­‐ 4 OR MORE VIEWS KUB LUMBAR SPINE -­‐ 2 OR 3 VIEWS LUMBAR SPINE -­‐ 4 OR MORE VIEWS 72050 72052 71030 71034 71035 71010 71020 71015 71021 71022 71023 73000 73070 73080 70030 70140 70150 73550 73140 73620 73630 73090 73120 73130 73650 73520 RIBS BILATERAL -­‐ 3 VIEWS RIBS BILATERAL W/PA CHEST -­‐ 4 VIEWS RIBS UNILATERAL -­‐ 2 VIEWS RIBS UNILATERAL W/PA CHEST -­‐ MIN 3 VIEWS SACRUM & COCCYX -­‐ MIN 2 VIEWS SALIVARY GLAND FOR CALCULUS SCAPULA SCOLIOSIS STUDY SELLA TURCICA AKA "TURKISH SADDLE" SHOULDER LTD -­‐ 1 VIEW SHOULDER COMPLETE -­‐ MIN 2 VIEWS SI JOINTS COMPLETE -­‐ MIN 3 VIEWS SI JOINTS LTD -­‐ LESS THAN 3 VIEWS SINUS/PARANASAL LTD -­‐ LESS THAN 3 VIEWS SINUS/PARANASAL COMPLETE -­‐ MIN 3 VIEWS SKULL LTD -­‐ LESS THAN 4 VIEWS SKULL COMPLETE -­‐ MIN 4 VIEWS SPINE -­‐ 1 VIEW (SPECIFY LEVEL) SPINE -­‐ ENTIRE SURVEY STUDY STERNOCLAVICULAR JOINT OR JOINTS -­‐ MIN 3 VIEWS STERNUM -­‐ MIN 2 VIEWS TEETH -­‐ SINGLE VIEW TEETH -­‐ PARTIAL EXAMINATION, LESS THAN FULL MOUTH TEETH -­‐ COMPLETE -­‐ FULL MOUTH THORACIC SPINE -­‐ 3 VIEWS THORACIC SPINE -­‐ MIN 4 VIEWS 71110 71111 71100 71101 72220 70380 73010 72090 70240 73020 73030 72202 72200 70210 70220 70250 70260 72020 72010 71130 71120 70300 70310 70320 72072 72074 73500 73510 73060 73540 73592 73092 70134 77077 73560 73562 73565 73564 74000 72100 72110 72070 72080 72069 73590 70330 70328 73660 73100 73110 LUMBAR SPINE FLEX EXT ONLY -­‐ 2 OR 3 VIEWS 72120 LUMBAR SPINE COMPLETE INCLUDING FLEXION/EXTENSION -­‐ MIN 6 VIEWS 72114 THORACIC SPINE -­‐ 2VIEWS -­‐ AP/LAT THORACOLUMBAR SPINE -­‐ 2 VIEWS THORACOLUMBAR SPINE -­‐ STANDING (SCOLIOSIS) TIBIA FIBULA TMJ -­‐ BILATERAL TMJ -­‐ UNILATERAL TOE(S) WRIST LTD -­‐ 2 VIEWS WRIST COMPLETE -­‐ MIN 3 VIEWS OTHER UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE DEXA SCAN BODY FAT ASSESSMENT BONE DENSITY; AXIAL SKELETON (HIPS, SPINE, PELVIS) BONE DENSITY, AXIAL SKELETON, INCLUDING VERTEBRAL FRACTURE ASSESSMENT BONE DENSITY; APPENDICULAR SKELETON (RADIUS, WRIST, HEEL) DEXA SCAN; VERTEBRAL FRACTURE ASSESSMENT ONLY 70110 70100 76499 76499 77080 77085 77081 77086 Nuclear Medicine CPT Code ABSCESS LOCALIZATION LIMITED ADRENAL IMAGING, CORTEX AND/OR MEDULLA BONE MARROW IMAGING LTD AREA 78805, A9569, A9556 * TUMOR LOCALIZATION -­‐ MULTIPLE AREAS 78806, A9569, A9556 * TUMOR LOCALIZATION -­‐ WHOLE BODY, SINGLE DAY 78807, A9560, A9572, A9569, A9500, A9556 * TUMOR LOCALIZATION -­‐ WHOLE BODY SPECT, SINGLE DAY 78806, 78807, A9560, A9572, A9569, A9500, A9556 * TUMOR LOCALIZATOIN -­‐ WHOLE BODY, 2 OR MORE DAYS 78075, A9508, A9582 or A9548 * TUMOR LOCALIZATION -­‐ WHOLE BODY SPECT, 2 OR MORE DAYS 78102, A9541 GASTRIC EMPTYING SCAN xs 2 BONE MARROW IMAGING MULTIPLE AREAS BONE MARROW IMAGING WHOLE BODY 78103, A9541 78104, A9541 ABSCESS LOCALIZATION WHOLE BODY ABSCESS LOCALIZATION SPECT ABSCESS LOCALIZATION SPECT WHOLE BODY BONE SCAN 3 PHASE BONE OR JOINT IMAGING; LIMITED AREA BONE OR JOINT IMAGING; MULTIPLE AREAS BONE SCAN SPECT STUDY BONE OR JOINT IMAGING; WHOLE BODY BONE OR JOINT IMAGING; WHOLE BODY WITH SPECT BRAIN IMAGING LESS THAN 4 STATIC VIEWS BRAIN IMAGING LESS THAN 4 STATIC VIEWS WITH VASCULAR FLOW BRAIN IMAGING MINIMUM 4 STATIC VIEWS BRAIN IMAGING MINIMUM 4 STATIC VIEWS WITH VASCULAR FLOW BRAIN SPECT SCAN BRAIN IMAGING VASCULAR FLOW ONLY CARDIAC SHUNT IMAGING/DETECTION CEA SPECT SCAN 78315, A9561 or A9503 * 78300, A9561 or A9503 * 78305, A9561 or A9503 * 78320 78306, A9561 or A9503 * 78306, 78320, A9561 or A9503 * 78600, A9569 Nuclear Medicine ACUTE GI BLOOD LOSS IMAGING HIDA SCAN HIDA SCAN WITH PHARMACOLOGIC INTERVENTION (CCK) LIVER SCAN STATIC ONLY LIVER SCAN WITH VASCULAR FLOW 78201, A9541 78202, A9541 LIVER IMAGING SPECT (3D) 78205, A9541 LIVER SPECT SCAN WITH VASCULAR FLOW LIVER & SPLEEN IMAGING STATIC ONLY 78206, A9541 78215, A9541 78601, A9569 78605, A9569 LIVER & SPLEEN IMAGING WITH VASCULAR FLOW LYMPHATICS AND LYMPH NODE IMAGING 78216, A9541 78195, A9541 78606, A9569 78607, A9569 78610, A9569 MECKELS SCAN MIBG SPECT SCAN I 123 MIBG SPECT SCAN 1 131 78428, A9540 78803, A9560, A9572, A9569, A9500, A9556 * 78804, A9560, A9572, A9569, A9500, A9556 * MUGA; PLANAR, SINGLE STUDY AT REST OR STRESS + RIGHT VENTRICULAR EJECTION FRACTION (USE WITH 78472) CEA WHOLE BODY SCAN SINGLE DAY GALLIUM SCAN LTD AREA -­‐ TUMOR LOCALIZATION GALLIUM SCAN WHOLE BODY MULTI DAY -­‐ TUMOR LOCALIZATION GALLIUM SCAN WHOLE BODY SINGLE DAY -­‐ TUMOR LOCALIZATION 78804, A9560, A9572, A9569, A9500, A9556 * 78803, 78804, A9560, A9572, A9569, A9500, A9556 * 78264, A9541 78278, A9560 or A9541 * 78226, A9537 78227, A9537, J2805 (kinevac/CCK) or J2275 (morphine) 78018, A9528 78290, A9512 78803, 78804, A9582 78803, 78804, A9508 78472, A9560, A9512, A9538 * 78496 MUGA; MULTIPLE STUDIES, WALL MOTION STUDY PLUS EJECTION FRACTION, AT REST AND STRESS 78473, A9560, A9512, A9538 * MUGA SPECT 78494, A9560, A9512, A9538 78802, A9560, A9572, A9569, A9500, A9556 * CISTERNOGRAM CSF LEAKAGE DETECTION AND LOCALIZATION 78801, A9560, A9572, A9569, A9500, A9556 * 78802, A9560, A9572, A9569, A9500, A9556 * 78803, A9560, A9572, A9569, A9500, A9556 * I 131 BODY SCAN CEA WHOLE BODY SCAN MULTI DAY CEA WHOLE BODY MULTI DAY SPECT CPT Code 78803, 78804, A9560, A9572, A9569, A9500, A9556 * OCTREOSCAN SPECT 78630, 62311, 77003, A9548, 62310 OCTREOSCAN WHOLE BODY MULTI DAY 78650 OCTRESCAN WHOLE BODY MULTI DAY W/SPECT 78800, A9560, A9572, A9569, A9500, A9556 * OCTREOSCAN WHOLE BODY SINGLE DAY 78804, A9560, A9572, A9569, A9500, A9556 * PARATHYROID IMAGING WITHOUT SPECT 78803, A9572 78804, A9572 78803, 78804, A9572 78802, A9572 78070, A9500 78802, 78803, A9560, A9572, A9569, A9500, A9556 * PARATHYROID IMAGING WITH SPECT PARATHYROID IMAGING WITH SPECT AND CT FOR ANATOMICAL LOCALIZATION 78071, A9500 78072, A9500 Nuclear Medicine CPT Code PET CT LIMITED AREA 78814, A9552 PET CT SKULL BASE TO MID THIGH 78815, A9552 PET CT WHOLE BODY 78816, A9552 PET MYOCARDIAL IMAGING METABOLIC EVALUATION 78459 PET MYOCARDIAL PERFUSION; SINGLE STUDY AT REST OR STRESS 78491 PET MYOCARDIAL PERFUSION; MULTIPLE STUDIES AT REST OR STRESS 78492 PET BRAIN METABOLIC EVALUATION 78608, A9552 PROSTASCINT MULTI DAY SPECT NEEDS ABD/PEL W/WO TOO 78803, 78804, A9507 THYROID UPTAKE SINGLE OR MULTIPLE THYROID IMAGING INCLUDING VASCULAR FLOW, IF PERFORMED THYROID IMAGING WITH SINGLE OR MULTIPLE UPTAKES 78012, A9516 78015, A9528 78582, A9540, A9567 THYROID CARCINOMA METASTASES LTD THYROID CARCINOMA METASTASES WITH ADDITIONAL STUDIES THYROID CARCINOMA METASTASES WHOLE BODY SCAN + THYROID CARCINOMA METASTASES UPTAKE (USE WITH 78018) URETAL REFLUX STUDY (RADIOPHARMACEUTICAL VOIDING CYSTOGRAM) 78598, A9540, A9567 + URINARY BLADDER RESIDUAL STUDY (USE WITH 78740) 78597 79005, A9517 OTHER UNLISTED ENDOCRINE PROCEDURE UNLISTED HEMATOPOIETIC, RETICULOENDOTHELIAL AND LYMPHATIC PROCEDURE UNLISTED GASTROINTESTINAL PROCEDURE UNLISTED MUSCOSKELETAL PROCEDURE UNLISTED CARDIOVASCULAR PROCEDURE UNLISTED RESPIRATORY PROCEDURE UNLISTED NERVOUS SYSTEM PROCEDURE 78802, A9507 78804, A9507 PULMONARY PERFUSION PARTICULATE ONLY PULMONARY VENTILATION AND PERFUSION SCAN (AKA VQ SCAN) PULMONARY PERUSION AND VENTILATION WITH QUANTITATIVE DIFFERENTIAL QUANTITATIVE DIFFERENTIAL PULMONARY PERFUSION, INCLUDING IMAGING WHEN PERFORMED RA I 131 THYROID ABLATION THERAPY (#1) 78580, A9540 RENAL FUNCTION STUDY RENAL SCAN W/CAPTOPRIL MULTIPLE STUDIES RENAL SCAN W/CAPTOPRIL SINGLE STUDY RENAL SCAN W/LASIX MULTIPLE STUDIES RENAL SCAN W/LASIX SINGLE STUDY RENAL SCAN MORPHOLOGY 78725, A9539 78709, A9562, J1940 78708, A9562, J1940 78709, A9562, J1940 78708, A9562, J1940 78700 78701, A9562, A9551, A9539 * SALIVARY GLAND FUNTION STUDY CPT Code 78230, A9512 78231, A9512 78803, A9500 78761, A9512 PROSTASCINT WHOLE BODY SINGLE PROSTASCINT WHOLE BODY MULTI W OUT SPECT RENAL SCAN WITH VASCULAR FLOW RENAL SCAN WITH VASCULAR FLOW AND FUNCTION, SINGLE STUDY W/OUT PHARM INTERVENTION RENAL SPECT SCAN Nuclear Medicine SALIVARY GLAND IMAGING SERIAL SALIVARY IMAGING SESTAMIBI SCAN TESTICULAR IMAGING WITH VASCULAR FLOW 78707 78710 78232, A9512 78013, A9516 78014, A9516 78016, A9528 78018, A9528 78020 78740 78730 78099 78199 78299 78399 78499 78599 78699 UNLISTED GENITOURINARY PROCEDURE 78799 UNLISTED MISCELLANEOUS PROCEDURE UNLISTED RADIOPHARMACEUTICAL THERAPY PROCEDURE INJECTION PROCEDURE FOR RADIOPHARMACEUTICAL LOCALIZATION BY NON-­‐IMAGING PROBE STUDY, INTRAVENOUS 78999 79999 78808 Biopsy, Drainge & Aspiration CPT Code Muscle/Soft Tissue 20206 with either 76942 (US), 77012 (CT), 77002 (FL) or 77021 (MR) Bone Superficial (eg, sternum, ilium, rib) 20220 with either 76942 Paracentesis (US), 77012 (CT), 77002 (FL) or 77021 (MR) 49083 Bone Deep (eg, femur, vertebral body) 20225 with either 76942 Thoracentesis (US), 77012 (CT), 77002 (FL) or 77021 (MR) 32555 Pleura 32400 with either 76942 Aspiration of Hematoma, Bulla, ABSCES or Cyst (US), 77012 (CT), 77002 (FL) or 77021 (MR) 10160 with either 76942 (US), 77012 (CT), 77002 (FL) or 77021 (MR) Lung or Mediastinum 32405 with either 76942 Aspiration; renal cyst or pelvis (US), 77012 (CT), 77002 (FL) or 77021 (MR) 50390 with either 76942 (US), 77012 (CT), 77002 (FL) or 77021 (MR) Bone Marrow 38221 with either 76942 Aspiration; thyroid cyst (US), 77012 (CT), 77002 (FL) or 77021 (MR) 60300 with either 76942 (US), 77012 (CT), 77002 (FL) or 77021 (MR) BONE MARROW -­‐ ASPIRATION ONLY 38220 with either 76942 Incision and Drainage of Hematoma, Seroma or Fluid (US), 77012 (CT), 77002 Collection (FL) or 77021 (MR) 10140 with either 76942 (US), 77012 (CT), 77002 (FL) or 77021 (MR) BONE MARROW BIOPSY AND ASPRITATION -­‐ MEDICARE PATIENTS 38221, G0364 with either 76942 (US), 77012 (CT), 77002 (FL) or 77021 (MR) Lymph Nodes; superficial 38505 with either 76942 FLUID COLLECTION DRAINAGE, WITH IMAGING GUIDANCE, 49405 (US), 77012 (CT), 77002 VISCERAL (EG, LIVER, KIDNEY, SPLEEN, LUNG) (FL) or 77021 (MR) Liver 47000 with either 76942 FLUID COLLECTION DRAINAGE, WITH IMAGING GUIDANCE, 49406 (US), 77012 (CT), 77002 PERITONEAL OR RETROERITONEAL THROUH ABDOMINAL (FL) or 77021 (MR) WALL OR FLANK Pancreas 48102 with either 76942 FLUID COLLECTION DRAINAGE, WITH IMAGING GUIDANCE, 49407 (US), 77012 (CT), 77002 PERITONEAL OR RETROERITONEAL, T-­‐VAG OR T-­‐RECTAL (FL) or 77021 (MR) APPROACH Abdominal or Retroperitoneal Mass 49180 with either 76942 INTERVERTEBRAL DISC ASPIRATION (US), 77012 (CT), 77002 (FL) or 77021 (MR) 62267, 77003 Kidney 50200 with either 76942 CHEST TUBE PLACEMENT AND DRAINAGE (US), 77012 (CT), 77002 (FL) or 77021 (MR) 32557 Prostate 55700 with either 76942 TUNNELED PLEUARAL CATHETER PLACEMENT (US), 77012 (CT), 77002 (FL) or 77021 (MR) 32550, 75989 Thyroid; Core 60100 with either 76942 TUNNELED PLEURAL CATHETER REMOVAL (US), 77012 (CT), 77002 (FL) or 77021 (MR) 32552 Thyroid; FNA (fine needle aspiration) 10022 (per lesion) Insertion of Tunneled Intraperitoneal Catheter 76942 10022 w/either 76942 Insertion of Tunneled Intraperitoneal Catheter with (US), 77012 (CT), 77002 Subcutaneous Port (FL) or 77021 (MR) 49418 FNA on any area of the body; can be done alone or in addition to a core biopsy Biopsy, Drainage & Aspiration CPT Code FLUID COLLECTION DRAINAGE, WITH IMAGING GUIDANCE, 10030 SOFT TISSUE (EG, ABSCESS, SEROMA, LYMPHOCELE, CYST) 49419 Biopsy, Drainge & Aspiration CPT Code Biopsy, Drainage & Aspiration Removal of Tunneled Intraperitoneal Catheter 49422 REPAIR OF PERIPHERALLY INSERTED CVC W/OUT PORT OR PUMP Contrast Injection for Assessment of Abscess or Cyst Via Previously Placed Drainage Cath/Tube Exchange of Previously Placed Abscess or Drainage Catheter Injection of Sinus Tract DIAGNOSTIC (Sinogram, Fistulogram) INJECTION OF SINUS TRACT, THERAPEUTIC (NON-­‐ VASCULAR SCLEROTHERAPY) PICCS & PORTS NON-­‐TUNNELED CENTRALLY INSERTED < 5 YEARS OLD 49424, 76080 CPT Code 36575, 76937, 77001 NON-­‐TUNNELED CENTRALLY INSERTED ≥ 5 YEARS OLD 36556, 76937, 77001 REPAIR OF NON-­‐TUNNELED CVC REPLACEMENT OF NON-­‐TUNNELED CVC THROUGH SAME VENOUS ACCESS TUNNELED CENTRALLY INSERTED W/OUT PORT OR PUMP < 5 YEARS OLD TUNNELED CENTRALLY INSERTED W/OUT PORT OR PUMP ≥ 5 YEARS OLD 36575, 76937, 77001 REPAIR OF PERIPHERALLY INSERTED CVC WITH PORT REPLACEMENT (COMPLETE) OF PERIPHERALLY INSERTED CVC W/OUT PORT OR PUMP REPLACEMENT OF PERIPHERALLY INSERTED CVC WITH PORT (CATH ONLY) REPLACEMENT (COMPLETE) OF PERIPHERALLY INSERTED CVC WITH PORT REPAIR OF TUNNELED CVC W/OUT PORT OR PUMP REPAIR OF TUNNELED CVC WITH PORT REPLACEMENT OF TUNNELED CVC W/OUT PORT OR PUMP THROUGH SAME VENOUS ACCESS REPLACEMENT OF TUNNELED CVC WITH PORT THROUGH SAME VENOUS ACCESS 36580, 76937, 77001 REMOVAL OF TUNNELED CVC W/OUT PORT OR PUMP 36589, 76937, 77001 36557, 76937, 77001 REMOVAL OF TUNNELED CVC WITH PORT 36590, 76937, 77001 36558, 76937, 77001 REMOVAL OF TUNNELED CVC WITH PUMP 36590, 76937, 77001 ^^^ REQUIRING 2 CATHETERS VIA 2 SEPARTE ACCESS SITES TUNNELED CENTRALLY INSERTED WITH PORT < 5 YEARS OLD TUNNELED CENTRALLY INSTERTED WITH PORT ≥ 5 YEARS OLD 36565, 76937, 77001 REMOVAL OF PERIPHERALLY INSERTED CVC 36590, 76937, 77001 36560, 76937, 77001 36595, 75901 ^^^ REQUIRING 2 CATHETERS VIA 2 SEPARTE ACCESS SITES TUNNELED CENTRALLY INSERTED WITH PUMP ≥ 5 YEARLS OLD REPLACEMENT OF TUNNELED CVC WITH PUMP (CATH ONLY) REPLACEMENT OF TUNNELED CVC WITH PUMP (COMPLETE) THROUGH SAME VENOUS ACCESS PERIPHERALLY INSERTED W/OUT PORT OR PUMP (PICC) < 5 YEARS OLD PERIPHERALLY INSERTED W/OUT PORT OR PUMP (PICC) ≥ 5 YEARS OLD PERIPHERALLY INSERTED WITH PORT < 5 YEARS OLD PERIPHERALLY INSERTED WITH PORT ≥ 5 YEARS OLD 36566, 76937, 77001 DECLOTTING BY THROMBOLYTIC AGENT OF CVC MECHANICAL REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL MECHANICAL REMOVAL OF INTRACATHETER OBSTRUCTIVE MATERIAL 36563, 76937, 77001 REPOSITIONING OF CVC 36597, 76000 36578, 76937, 77001 CVC CONTRAST INJECTION 36583, 76937, 77001 IVC FILTER 36568, 76937, 77001 IVC FILTER INSERTION 37191 36569, 76937, 77001 36570, 76937, 77001 36571, 76937, 77001 IVC FILTER REPOSITIONING IVC FILTER REMOVAL 37192 37193 49423, 75984 20501, 76080 20500, 76080 36555, 76937, 77001 36561, 76937, 77001 36576, 76937, 77001 36584, 76937, 77001 36578, 76937, 77001 36585, 76937, 77001 36575, 76937, 77001 36576, 76937, 77001 36581, 76937, 77001 36582, 76937, 77001 36593 36596, 75902 36598, 75825 or 75827 ICD-­‐9 Abdomen & Pelvic Abdomen Pain RUQ Abdomen Pain LUQ Abdomen Pain RLQ Abdomen Pain LLQ Ascites, Other Ascites, Malignant Constipation Diarrhea Flatulence Gas Pain Hematuria Hepatitis NOS Hepatomegaly Malaise/Fatigue Malignant Neo Abd Intra Malignant Neo Biliary Tract Malignant Neo Colon Malignant Neo Liver Not Spec as Primay or Secondary Nausea w/vomit Nausea w/o vomiting Splenomegaly UTI Ventral Hernia Weight Loss, Abnormal 789.01 789.02 789.03 789.04 789.59 789.51 564.00 787.91 787.3 599.70 573.3 789.10 780.79 195.2 156.9 153.9 155.2 787.01 787.02 789.2 599.0 553.20 783.21 Breast Breast Cancer Fibrocystic Disease Lump or Mass Nipple Discharge Pain Breast Screening Mammography Screening Mammography, high-­‐risk 174.9 610.1 611.72 611.79 611.71 V76.12 V76.11 Female Disorders Amenorrhea Bleeding Unrelated to Menstrual Cycle Dysfunctional Uterine Bleed Irregular Menstrual Cycle Menorrhagia Menstrual Disorder Unspecified Oligomenorrhea OB Size & Date Pelvic Pain Extremities & Joints Bursitis, Elbow Ganglion Cyst of Joint Joint Disorder NOS Joint Effusion, Ankle Joint Effusion, site unspecified Joint Effusion, Hand Joint Effusion, Shoulder Joint Stiffness NEC Medial Meniscus Tear Pain Forearm, Wrist Pain Hand Pain Multi Joint Pain Shoulder Pain Upper Arm Pain Ankle, Foot Pain Knee Pain Hip, Pelvic Rotator Cuff Syndrome Shoulder Stiffness Sprain, Strain Rotator Cuff 626.0 626.6 626.8 626.4 626.2 626.9 626.1 V22.1 625.9 726.33 727.41 719.90 719.07 719.00 719.04 719.01 719.5 836.0 719.43 719.44 719.49 719.41 719.42 719.47 719.46 719.45 726.10 719.51 840.4 Head & Neck Aphasia Convulsions CVA NOS Dizziness Giddiness Headaches Lack of Coordination Mass/Lump Neck/Head Migraine MS Parkinson’s Disease Speech Disturbance Stenosis of Carotid Subdural Hemorrhage Syncope TIA 784.3 780.39 434.91 780.4 784.0 781.3 784.2 346.90 340 332.0 784.59 433.10 432.1 780.2 435.9 Orbit, Face & Neck Chronic Sinusitis Diplopia Goiter NOS Hearing Loss Orbital Disorder Thyroid Dysfunction Thyroid Nodule Tinnitus Visual Disturbance Visual Loss, Both Eyes 473.9 368.2 240.9 389.9 376.9 246.9 241.9 388.3 368.9 369 Spine Cervical Radiculopathy Cervical Pain Cervical Spondylosis Cervical Disc Displacement Cervical Stenosis Degen of Cervical Degen of Thoracic Degen of Lumbar Lumbar Pain Lumbar Spondylosis Lumbar Disc Displacement Lumbar Stenosis Thoracic & Lumbar Radiculopathy Thoracic Pain Thoracic Spondylosis Thoracic Disc Displacement Thoracic Stenosis Sciatica 723.4 723.1 721.0 722.0 723.0 722.4 722.51 722.52 724.2 721.3 722.10 724.02 724.4 724.1 721.2 722.11 724.01 724.3 Additional Diagnosis Cellulitis, Arms Chest Pain Cough Numbness Osteoporosis Osteopenia Pain in Limb Superficial Swelling Swelling of Limb 682.3 786.50 786.2 782.0 733.00 733.90 729.5 782.2 729.81