CPT Codes 2015

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2015 CPT CODES
MR/CT
CT
Abdomen without
Abdomen with
Abdomen with & without
Abdomen / Pelvis without
Abdomen / Pelvis with
Abdomen / Pelvis with & without
Abdomen with & without Pelvis with
74150
74160
74170
74176
74177
74178
74178
CTA Abdomen with & without
CTA Abdomen Runoff (to toes)
CTA Abdomen / Pelvis
CTA Cardiac
CTA Chest with & without
CTA Coronary
CTA Head with & without
CTA Neck with & without
CTA Pelvis with & without
74175
75635
74174
75574
71275
75574
70496
70498
72191
Cervical without
Thoracic without
Lumbar without
72125
72128
72131
Chest without
Chest with
Chest with & without
Chest PE Protocol
71250
71260
71270
71275
Facial Bones without
70486
Head without
Head with
Head with & without
70450
70460
70470
Lower Extremity without
73700
Orbits without
Orbits with
Orbits with & without
70480
70481
70482
Pelvis without
Pelvis with
Pelvis with & without
72192
72193
72194
S.T. Neck without
S.T. Neck with
S.T. Neck with & without
70490
70491
70492
Sinus without
70486
Temp Bones / IAC's without
70480
Upper Extremity without
Urogram
73200
74178
CT Myelogram
Cervical
62302
Thoracic
62303
Lumbar
62304
2 or more
62305
Regions
MRI Arthrogram
(joint contrast)
73722
73615
Ankle
27648
73722
Hip
73525
27093
73722
Knee
73580
27370
73222
Shoulder
73040
23350
73219
Thumb
77002
20600
73222
Wrist (1
73115
compartment)
25246
73222
Wrist (3
73115
compartment)
25246x
Dexascan
Axial Skeleton 77080
Plus Vertebral
77085
Fracture
ONLY Vertebral
77086
Fracture
MRI
Abdomen / MRCP
Abdomen / MRCP with & without
MRA Abdomen
MRA Brain
MRA Carotid / Neck
MRA Chest
MRA Pelvis Runoff (to ankle)
MRA Pelvis Without
Brain without
Brain with & without
74181
74183
74185
70544
70547
71555
73725x2
72198
72198
Breast Bilateral
without or with & without
DX=cander add
70551
70553
70553
70543
77059
.
0159T
Cardiac
75557
Cervical without
Cervical with & without
Thoracic without
Thoracic with & without
Lumbar without
Lumbar with & without
72141
72156
72146
72157
72148
72158
Hip
73721
Brain & Orbits with & without
Lower Extremity - Joint
Specify: Hip, Knee, Ankle
Lower Extremity - Not a Joint
Specify: Femur, TibFib, Foot
73721
73718
Orbits without
70540
Pelvis without
Pelvis with & without
72195
72197
S.T. Neck without
S.T. Neck with & without
70540
70543
TMJ
70336
Upper Extremity - Joint
73221
Specify: Shoulder, Elbow, Wrist
Upper Extremity - Not a Joint
73218
Specify: Humerus, Forearm, Hand
Breast Biopsy
Additional Lesion
19085
19086
Page 1 of 3 Updated 1/31/15
2015 CPT CODES
NM/Fluoro/Mammo/US
Nuclear Medicine
A9503
Bone Scan Whole Body
78306
Bone Scan Limited
A9503
Specify: Body Part
78300
Bone Scan 3 Phase
A9503
78315
Specify: Body Part
A9503
Bone Spect
78320
A9541
Gastric Emptying
78264
A9502
Heart Treadmill
A9505
78452
J1245
A9502
Heart Pharmacologic
A9505
78452
J1245
A9502
Hida with CCK
A9505
78227
A9537
Hida without CCK
78226
A9528
I-131 Whole Body Scan
78018
A9517
I-131 Whole Body Scan
79005
with Therapy
78018
A9517
I-131 Therapy
79005
All I-131 Addt'l Info on Pg 4
A9541
Liver Spect Scan
78205
Liver Spleen
78215
A9567
A9540
Lung VQ
78598
71020
A9560
Muga Scan
78472
A9500
Parathyroid Scan
78070
A9562
Renal Mag 3
78708
A9562
Renal Lasix
78708
A9562
Renal Captopril
78708
A9551
Renal Scan-DMSA
78710
Thyroid Uptake and Scan 78014
A9521
WBC Whole Body
78806
A9521
WBC Limited
78805
Fluoroscopy
Barium Swallow
Modified Barium Swallow
(must have speech pathologist)
Barium Enema
Barium Enema with Air
Hysterosalpinogram
Lumbar Puncture
Pain Mgmt - Hip Injection
Pain Mgmt - Sm Joint
Specify: Toes, Fingers
Pain Mgmt - Int Joint
Specify: Ankle, Wrist, Elbow
Pain Mgmt - Lg Joint
Specify: Hip Right or Left
Small Bowel Follow Through
Upper G.I. Barium Swallow
Upper G.I. with KUB
Upper G.I. with
Small Bowel Series
74220
74230
74270
74280
74740
58340
77003
62270
20610
77002
77002
20600
77002
20605
77002
20610
74250
74247
74220
74247
74249
74455
VCUG
51600
Digital Mammography
77052
Screening Bilateral
G0202
77052
Screening Unilateral
G0202-52
77051
Diagnostic Bilateral
G0204
77051
Diagnostic Unilateral
G0206
77051
Mag / Spot Bilateral
G0204-52
77051
Mag / Spot Unilateral
G0206-52
Stereotactic Breast Biopsy
19081
Additional Lesion
19082
Ultrasound Guided Procedures
19083
G0206
Breast Biopsy
77051
A4550
19084
Additional Lesion
Breast Cyst Aspiration
76942
19000
Specify: Side, Nodule
76942
Thyroid Biopsy
99070
Specify: Side, Nodule
10022
20206
Soft Tissue Neck Biopsy
76942
Specify: Side, Nodule
99070
Ultrasound
Abdominal Complete
Abdominal Limited
Aorta Iliac IVC for Aneurysm
Breast
Carotid
Chest
Doppler, Arterial Bilateral Lower
Doppler, Arterial Unilateral Lower
Doppler, Arterial Bilateral Upper
Doppler, Arterial Unilateral Upper
Doppler Aorta Iliac
IVC for Transplant
Doppler, Mesenteric
Doppler Renal Artery
Doppler, Portal Vein
Doppler, Venous Bilateral
Doppler, Venous Unilateral
Extremity
Specify: Body Part
Fetal Hips
Head / Soft Tissue Neck
HSG
OB Single >14wks
OB Multiple
OB 1st Trimester < 14 wks
OB T-Vag
Pain Mgmt - Sm Joint
Specify: Toes, Fingers
Pain Mgmt - Int Joint
Specify: Ankle, Wrist, Elbow
U/S Pain Mgmt - Lg Joint
Specify: Hip Right or Left
Paracentesis
Pelvis
Pelvis with T-Vag
Renal
Renal Post Transplant
Scrotal (Testicular)
Thoracentesis
Thyroid
Transrectal (Prostate)
Transvaginal
76700
76705
76705
76641
93880
76604
93925
93926
93930
93931
93978
93976
93975
93976
93970
93971
76880
76885
76536
76831
58340
99070
76805
76810
76801
76817
20604
20606
20611
49083
99070
76856
76856
76830
76770
76776
76870
32555
76536
76872
76830
Page 2 of 3 Updated 1/31/15
2015 CPT CODES
Additional Guide
for Nuclear Medicine
THYROID UPTAKE – SINGLE DETERMINATION
* Probe only with one return (2, 4, 6, OR 24HOURS)
78012
THYROID IMAGING, WITH UPTAKE-SINGLE DETERMINATION
* Return with probe plus one image of the thyroid gland acquired at 6 hours after dose
78014
THYROID IMAGING WITH UPTAKE-MULTIPLE DETERMINATIONS
* Return with probe and Includes the above with two returns for determination
78014
I131 WHOLE BODY SCAN-NO THYROGEN NO HIGH DOSE
*TSH >30
*SDMI Dose
*SDMI Whole Body Scan
A9517
78018
THYROGEN I131 WHOLE BODY SCAN NO HIGH DOSE
*Thyrogen given by doctor’s office Monday and Tuesday
*SDMI Dose Wednesday
*SDMI Whole Body Scan Friday-
A9517
78018
I131 WHOLE BODY SCAN WITH HIGH DOSE (29.9 MCI-200MCI)
*TSH>30 Pregnancy test Required within 7 days unless Hysterectomy/Tubal Ligation
*SDMI High Dose
*SDMI Whole Body Scan 1 week after High Dose
79005
78018
THYROGEN I131 WHOLE BODY SCAN WITH HIGH DOSE (29.9 MCI-200MCI)
*Pregnancy test Required within 7 days unless Hysterectomy/Tubal Ligation
*Thyroid labs within 3 months
*Thyrogen given by doctor’s office Monday and Tuesday
*SDMI High Dose Wednesday
*SDMI Whole Body Scan 1 week after High Dose
79005
78018
Page 3 of 3 Updated 1/31/15
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