CPT Code Tool CT and CTA's CT abdomen and pelvis w/o contrast; renal stone CT abdomen and pelvis; with contrast i.e. enterography CT abdomen and pelvis; w/o contrast followed by with contrast CPT Code Interventional Radiology/Cardiology CPT Code 74176 Biopsy abdominal mass, percutaneous needle 49180 74177 Biopsy liver, percutaneous needle 47000 74178 Biopsy lung, percutaneous needle 32405 Biopsy renal, percutaneous needle or trocar Biopsy thyroid, percutaneous core needle CT abdomen w/o followed by contrast 74170 CT abdomen; w/o contrast 74150 CT abdomen; with contrast 74160 Cardiac cath bilateral 93453 CT ablation renal radiofrequency 50592 Cardiac cath left heart 93452 CT cervical spine; w/o contrast 72125 Cardiac cath right heart 93451 CT cervical spine; w/o contrast followed by with contrast 72127 Cardioversion elective 92960 CT cervical spine; with contrast 72126 Carotid Cerebral 36223 71270 Echo adult or pediatric complete 93306 71250 Echo adult or pediatric limited 93308 71260 Echo fetal, order three codes 76827, 76825 93325 74174 Echo stress 93351 71275, 74174 Echo transesophageal, TEE 93318 CT chest (thorax) w/o contrast followed by contrast CT chest (thorax) w/o contrast - high resolution - limited CT chest (thorax) with contrast, chest tube placement CT CTA Abdomen/Pelvis Panel CT CTA Abdomen/Pelvis Panel; two separate orders/codes CT CTA Chest/Abdomen Panel; two separate orders/codes CT head or brain; w/o contrast, stroke protocol CT head or brain; w/o contrast followed by with contrast 71275, 74175 70450 70470 Echo transthoracic ; congenital anomalies Echo transthoracic ; congenital anomalies follow-up Echo with doppler ;with bubbles or contrast 50200 60100 93303 93304 93306 CT head or brain; with contrast 70460 EKG 12 lead 93005 CT heart score 76380 EKG signal averaged 93278 CT heart; w/o contrast, calcium scoring 75571 Electrophysiology (EP) study with arrhythmia 93619 CT lower extremity; w/o contrast 73700 EP Study without arrhythmia 93620 CT lower extremity; w/o contrast followed by contrast 73702 EP ablation AV node 93650 CT lower extremity; with contrast 73701 EP ablation for SVT 93653 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool CT lumbar spine; w/o contrast 72131 EP ablation for V-Tach 93654 CT lumbar spine; w/o contrast followed by with contrast 72133 EP Followup study, NIPS 93624 CT lumbar spine; with contrast 72132 Event monitor external 93268 70486 Event monitor implant 33282 70488 Fluoro, lead check or valve 76000 CT maxillofacial area; with contrast 70487 Holter monitor up to 48 hours 93225 CT maxillofacial area; w/o contrast 70486 ICD insert or replacement with leads 33249 CT neck soft tissue w/o contrast 70490 ICD insert replacement pulse generator only 33240 CT neck soft tissue with contrast 70491 ICD non-invasive test (NIPS) 93642 CT maxillofacial area limited w/o contrast, sinus CT maxillofacial area; w/o contrast followed by with contrast CT orbit; sella or posterior fossa; w/o contrast CT orbit; sella or posterior fossa; w/o contrast followed by with contrast CT orbit; sella or posterior fossa; with contrast 70480 70482 70481 Nephrostogram with needle; percutaneous Nephrostogram through tube or indwelling ureteral catheter Pacemaker insert new dual chamber with leads Pacemaker insert new single chamber with ventricular leads Pacemaker replace dual chamber pulse generator only Pacemaker replace single chamber pulse generator only 50390 50394 33208 CT pelvis; w/o contrast 72192 CT pelvis; w/o contrast followed by with contrast 72194 CT pelvis; with contrast 72193 CT soft tissue neck; w/o contrast 70490 Patent foramen ovale (PFO) closure 93580 CT soft tissue neck; w/o contrast followed by with contrast 70492 Pericardiocentesis 33010 CT soft tissue neck; with contrast 70491 Procainamide infusion 93623 CT thoracic spine; w/o contrast 72128 Tilt table evaluation 93660 CT thoracic spine; w/o contrast followed by with contrast 72130 Shuntogram, graft or fistula 36147 CT thoracic spine; with contrast 72129 Stress test 93017 CT upper extremity; w/o contrast 73200 Thrombolysis AV fistula 36870 CT upper extremity; w/o contrast followed by contrast 73202 Valvuloplasty, aortic 92986 CT urogram 74178 Valvuloplasty,mitral 92987 CT upper extremity; with contrast 73201 Valvuloplasty, pulmonary 92990 CTA abdomen; w/o contrast followed by contrast and further sections 74175 CTA chest no coronary 71275 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC Mammography 33207 33213 33212 CPT Code Tool CTA head and neck (order separately) CTA head; w/o contrast followed by with contrast CTA heart coronary arteries and cardiac structure CTA lower extremity CTA neck; w/o contrast followed by with contrast CTA pelvis; w/o contrast followed by with contrast 70496, 70498 Mammo screening digital 70496 75574 73706 70498 72191 CTA runoff AAA bilateral lower extremity 75635 CTA upper extremity 73206 MRA abdomen; with or w/o contrast Mammo breast surgical specimen Mammo diagnostic digital bilateral or unilateral Mammo ductogram or galactogram bilateral Mammo ductogram or galactogram unilateral 76098 Mammo needle localization 77032 77051 77054 77053 General X-ray AC joints bilateral 73050 Abdomen 1-view 74000 72146, 74141 Abdomen 2- view 72148 74020 MRI and MRA's MRI spine screening to include 3 separate codes 77052 74185 Abdomen 3- view 74022 MRA carotid w/o contrast 70547 Ankle 1-2 view 73600 MRA carotid with contrast 70548 Ankle 3-view 73610 MRA chest; with or w/o contrast 71555 Arthogram ankle 73615, 27648 MRA head; w/o contrast 70544 Arthogram elbow 24220 MRA head; w/o contrast followed by contrast 70546 Arthrogram knee 27370 MRA head; with contrast 70545 Arthrogram shoulder 23350 MRA pelvis; with or w/o contrast 72198 Arthrogram wrist 25246 MRA peripheral runoff 72550, 72198 Barium enema 74185 74270 MRA spinal canal & contents; with or w/o contrast 72159 Barium enema double contrast 74280 MRA upper extremity; with or w/o contrast 73225 Bone age (wrist, hand) 77077 MRI abdomen; w/o contrast 74181 Bone survey complete 77075 MRI abdomen; w/o contrast followed by with contrast 74183 Bone survey limited 77074 MRI abdomen; with contrast 74182 Bone survey infant 77076 MRI brain; w/o contrast 70551 C-spine minimum 5 views 72052 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool MRI brain; w/o contrast followed by contrast 70553 C-spine minimum 4 views 72050 MRI brain; with contrast 70552 C-spine 1 view 72020 MRI breast; bilateral 77059 C-spine 2 -3 views 72040 MRI breast; unilateral 77058 Pelvis 3 views i.e. cesium implant 72190 75557 Chest 2 views 71020 75561 Chest lateral decubitus 71035 MRI cardiac velocity flow map 75565 Chest 4 views 71030 MRI cervical spine; w/o contrast 72141 Chest 1 view 71010 MRI cervical spine; w/o contrast followed by contrast 72156 Cholangiogram 74300 MRI cervical spine; with contrast 72142 Cholangiogram T-tube 74305 MRI chest; w/o contrast 71550 Clavicle 73000 MRI chest; w/o contrast followed by with contrast 71552 Cystogram 3 views 74430 MRI chest; with contrast 71551 Elbow 2 views 73070 MRI cardiac for morphology and function w/o contrast MRI cardiac for morphology and function w/o contrast and with contrast MRI Etris DVT Research scan; scan involves both CPT codes 73718, 72198 Elbow minimum 3 views 73080 MRI fetal 76498 Small bowel i.e. enteroclysis 74251 MRI lower extremity, any joint w/o contrast 73721 Esophagus 74220 MRI lower extremity, any joint w/o contrast followed by with contrast 73723 Esophagus dilatation 74360 MRI lower extremity, any joint with contrast 73722 Facial bones less than 3 views 70140 73720 Facial bones minimum 3 views 70150 73719 Feeding tube placement 43752 73718 Femur 2 views 73550 MRI lumbar spine; w/o contrast 72148 Fingers minimum 2 views 73140 MRI lumbar spine; w/o contrast followed by contrast 72158 Foot 2 views 73620 MRI lumbar spine; with contrast 72149 Foot minimum 3 views 73630 MRI orbit, face and neck; w/o contrast 70540 Forearm 2 views 73090 MRI orbit, face and neck; w/o contrast followed by with contrast 70543 Cholecystogram 74290 MRI lower extremity, other than joint w/o contrast MRI lower extremity, other than joint with contrast MRI lower extremity, other than joint/o contrast 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool MRI orbit, face and neck; with contrast 70542 Cholecystogram (repeat) 74291 MRI pelvis; w/o contrast 72195 Small bowel air contrast 74249 MRI pelvis; w/o contrast followed by contrast 72197 GI series air contrast 74247 MRI pelvis; with contrast 72196 GI single contrast; barium 74241 MRI temporomandibular joint(s) 70336 GI single series with small bowel 74245 MRI thoracic spine w/o contrast followed by contrast 72157 GI esophagus 74240 MRI thoracic spine; w/o contrast 72146 Hand 2 views 73120 MRI thoracic spine; with contrast 72147 Hand minimum 3 views 73130 MRI upper extremity, any joint w/o contrast 73221 Hip 1 view 73500 MRI upper extremity, any joint w/o contrast followed by with contrast 73223 Hip 2 views 73510 MRI upper extremity, any joint with contrast 73222 Hip intraoperative 73530 73218 Hip bilateral minimum 2 views 73520 73220 Humerus 2 views 73060 73219 Pyelogram IV 74400 MRI upper extremity, other than joint w/o contrast MRI upper extremity, other than joint w/o contrast followed by with contrast MRI upper extremity, other than joint with contrast Infant lower extremity minimum 2 views Infant upper extremity minimum 2 views MRI pelvis; w/o contrast 72195 MRI pelvis; w/o contrast followed by contrast 72197 MRI pelvis; with contrast 72196 Shoulder injection 23350 MRI temporomandibular joint(s) 70336 Intrathecal injection with contrast 62284 MRI thoracic spine w/o contrast followed by contrast 72157 Intrathecal chemo injection 96450 Intrathecal radioisotope injection 62311 Intrathecal bacolofen injection 62310 78452 73017 Kidney, ureter and bladder, ie KUB 74000 78452 Knee 1 or 2 views 73560 78227 Knee 3 views 73562 78451 Knee 4 or more views 73564 78227 Knee 1 view bilateral standing 73565 Nuclear Medicine Myocardio perfusion imaging i.e. Bruce cardiolite, lexi scan plus stress test Myocardio perfusion imaging i.e. Bruce cardiolite, lexi scan Biliary scan with IV pharm, i.e. Hida Scan with CCK or morphine Myocardio perfusion imaging i.e. Bruce cardiolite, lexi scan; non-stress Biliary scan with IV pharm, ie Hida Scan w CCK, morphine 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC 73592 73092 CPT Code Tool Biliary scan no IV pharm; Hida Scan 78226 L-spine flexion and extension minimum 4 views 72120 Blood flow study 78445 L-spine minimum 4 views 72110 Bone marrow scan 78103 L-spine 1 view 72020 Bone SPECT 78320 L-spine 2 or 3 views 72100 Bone scan limited; isolated body part 78300 Bone length studies 77073 Bone scan 3 phase; osteomyelitis 78315 Loopogram 74425 Bone scan whole body; arthritis, known cancer, pain 78306 Lumbar puncture; diagnostic 62270, 76005 Breast scan 78801 Lumbar puncture; therapeutic for drainage of CSF by needle or catheter 62272, 76005 78630 Mandible complete 70110 78262 Mandible less than 4 views 70100 GI blood loss study; active bleeding 78278 Mastoid less than 3 views 70120 Gallium and infection scan; bone, tissue, organ 78806 Mastoid minimum 3 views 70130 Gastric emptying study 78264 Myelogram cervical 72240 Gated wall motion stress study 78478 Myelogram complete 72270 Kidney imaging DMSA; vascular structure 78700 Myelogram lumbar 72265 78708 Myelogram thoracic 72255 78707 Nasal bones minimum 3 views 70160 78709 OS calcis 2 views 73650 78701 Orbits minimum 4 views 70200 LeVeen denver shunt scan 78291 Panorex 70355 Liver spleen scan 78215 Peds foreign body, nose to rectum 76010 78597 Pelvis 1 or two views 72170 78580 Pelvis minimum 3 views 72190 78582 Pyelogram retrograde 74420 Lymphoscintigraphy 78195 Ribs bilateral 3 views 71110 MIBG scan tumor localization; pheochromocytoma 78800 Ribs bilateral 3 views with chest 71111 Cisternogram; normal pressure hydrocephalus, CSF leak GE reflux study; gastroesphogitis, heart burn Kidney scan with pharm; vascular flow and function Kidney scan w/o pharm; vascular flow and function Kidney with and w/o pharm; vascular flow and function Kidney with flow GFR; vascular flow and function Lung differential perfusion only; measure effectiveness in case of lobectomy Lung scan perfusion; COPD, restrictive airway disease Lung scan ventilation and perfusion; VQ scan 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool Meckel's abdomen scan; meckels diverticulum, GI bleeding Octreotide or Onocoscint scan; adrenal tumors 78290 Ribs unilateral 2 views with chest 71101 78804 Ribs unilateral 2 views 71100 Parathyroid scan 78070 SI joint less than 3 views 72200 Parathyroid scan and SPECT 78071 SI joint minimum 3 views 72202 Quadrantramet therapy IV 79101 Sacrum and/or coccyx 72220 Salivary gland scan 78231 Salpingogram 74740 Testicular scan 78761 Scapula 73010 Thyroid multi uptake only 78012 Scoliosis single view 72020 Thyroid scan 78013 Scoliosis 2 views 72069 Thyroid scan and uptake 78014 Shoulder 1 view 73020 Thyroid whole body 78018 Shoulder minimum 2 views 73030 Thyroid single uptake 78012 Shunt placement series, order three codes 70250, 74020 71020 Thyroid therapy 79005 Sialogram 70390, 42550 Sinogram 76080, 20501 Ultrasound Sinus less than 3 views 70210 US ankle Brachial Indices; ABI 93922 Sinus minimum 3 views 70220 US pelvis-transabdominal; limited 76856 Skull less than 4 views 70250 US upper extremity arterial; unilateral 93931 Skull minimum 4 views 70260 US AAA screening; Medicare only G0389 Small bowel 74250 76700 Soft tissue neck 70360 76705 Spine complete 2 views 72010 76770 Spine single view 72020 76775 Sternoclavicular joint minimum 3 views 71130 93976 Sternum 2 views 71120 US amniocentesis 59000 Swallowing study 74230 US aorta; limited, structure, AAA 76775 TMJ bilateral 70330 US abdomen complete, solid organs of upper abdomen US abdomen -limited area, liver, gallbladder, pancreas; right upper quandrant US abdomen-complete retroperitoneal, structure of kidneys, aorta or nodes US abdomen-limited retroperitoneal, structure of kidneys, aorta or nodes US abdominal Doppler limited, pelvis, scrotum, testes ; vascular 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool US biophysical Profile-w/o non-stress test 76819 TMJ unilateral 70328 US breast brachytherapy 76965 Thoracic spine 2 views 72070 US breast; unilateral or bilateral 76645 Thoracic spine 3 views 72072 US carotid duplex; bilateral 93880 Thoracic spine 4 views 72074 US carotid duplex; unilateral 93882 Thoracic-Lumbar 2 views 72080 US cranial; infant 76506 Tibia-fibula 2 views 73590 US doppler umbilical artery 76820 Toes minimum 2 views 73660 US duplex great vessels 93979 Tomogram 76100 US extremity imaging; nonvascular 76882 Urethrogram 74450 US extremity imaging; vascular 76880 Venogram bilateral 75822 US follow-up cranial 76970 Venogram unilateral 75820 US hemodialysis access; shunt flow 93990 Voiding cystouretrogram US infant hips; up to 5 months 76886 Wrist 2 views 73100 93886 Wrist minimum 3 views 73110 93888 Zygomatic arches less than 3 views 70140 US intracranial duplex artery; complete, vasospasm US intracranial duplex artery; limited, vasospasm 74455, 51600 US kidneys, aorta; limited 76775 US localization clip placement 19295 Elab US lower extremity arterial; bilateral 93925 EEG Routine 95816 US lower extremity arterial; unilateral 93926 EEG Sleep Deprived 95819 US lower extremity venous; bilateral 93970 EMG two extremity 95861 US lower extremity venous; unilateral 93971 EMG four extremity 95864 US mammosite complex 77290 Evoked response audio complete 92585 US mammosite simple 77280 Evoked response lower limbs 95926 US middle cerebral artery; fetal 76821 Evoked response upper limbs 95925 93924 Evoked response visual 95930 93923 Evoked response upper & lower limbs 95938 US non-Invasive peripheral vascular-after stress US non-Invasive peripheral vascularbilateral; Peripheral Vascular Resistance 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool US OB < 4 weeks, transabdominal; first trimester; single gestation US OB < 4 weeks, transabdominal; first trimester; each additional gestation US OB > 4 weeks, transabdominal; complete with detailed fetal anatomic examination, single gestation (normal 20 week US) US OB > 4 weeks, transabdominal; complete with detailed fetal anatomic examination, each additional gestation (normal 20 week US) US OB > 4 weeks, transabdominal; limited (fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume) 76801 76802 Endo 76811 Anoscopy w biopsy 46606 76812 Bronchoscopy diagnostic 31622 76815 Bronchoscopy with biopsy 31625 76805 Bronchoscopy with needle aspiration 31629 76810 Bronchoscopy with foreign body removal 61335 76817 Colonoscopy 45378 76816 Colonoscopy screen high risk (Medicare) G0105 US paracentesis 49083 Colonoscopy screen low risk (Medicare) G0121 US pelvic brachytherapy 76950 Esophageal motility study 91010 US pelvic duplex; ovaries 93976 Esophogeal motility with high resolution 0240T US pelvis vascular; bilateral 93970 Esophogoscopy rigid or flexible 43200 US pelvis vascular; unilateral 93971 EGD primary 43235 US pelvis; limited; follicle study 76857 EGD with biopsy 43239 US pelvis-transabdominal-complete 76856 EGD with Peg placement 43246 US pleural/Chest/Mediastinum effusion 76604 EGD with foreign body removal 43247 US pseudo aneurysm compression 76936 EGD with dilatation esophagus 43249 US kidney 76700 Endoscopy small intestine 44360 US renal doppler; complete bilateral kidneys 93975 ERCP diagnostic 43260 US renal doppler; limited, one kidney 93976 US renal transplant 76776 ERCP with biliary or pancreatic stent placement 43268 US sonohistography 76831 Gastrostomy tube change 43760 US OB > 14 weeks, transabdominal US OB > 14 weeks, transabdominal; each additional gestation US OB transvaginal (severe obesity or < 12 weeks gestation) US OB follow-up, transabdominal; reevaluation of fetal size or organ systems suspected or confirmed on previous scan 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC ERCP with stone removal 43264 CPT Code Tool US spinal canal and contents 76800 Proctosigmoidoscopy 45300 US testicle; scrotum and contents 76870 Reflux test with telemetry 91035 US thoracentesis 32555 Sigmoidoscopy flexible 45330 US thyroid; soft tissue of head and neck 76536 US transvaginal; gynecology 76830 Respiratory Therapy US upper extremity arterial; bilateral 93930 Arterial Blood Gas 82805 US upper extremity arterial; unilateral 93931 Carboxyhemoglobin 82375 US upper extremity venous; bilateral 93970 Chest percussive therapy; initial 94667 US upper extremity venous; unilateral 93971 Chest percussive therapy; subsequent 94668 DFA influenza specimen 94799 DLCO diffusion study only 94729 Lung volume only 94726 Sleep Lab Home Sleep Test Minimum 4 Channels 95806 or G0399 Polysomnogram < 6 years 95782 Lung volume w/DLCO; spirometry diffusion capacity 94727 Polysomnogram > 6 years 95783 Methacholine challenge 94070 Polysomnogram MSLT 95805 Methemoglobin 83050 Polysomnogram sleep apnea 95810 Nebulizer treatment 94642 Polysomnogram CPX 95811 Nebulizer pentamidine treatment 94760 Pulse oximetry; one time measure 94761 Pulse oximetry; multiple; exercise/discharge 94761 94370 CRNA Upper GI endo procedure 00740 Pulse oximetry; titrate Lower GI endo procedure 00810 Peak flow; initial Interventional radiology venous 00844 PFS compelte Anorectal procedure 00902 94727 Lung Volume w/DLCO 94060 Before & after bronch eval 94729 Difussion capacity PFT complete w ABG 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC 94727 CPT Code Tool Lung Volume w/DLCO 94060 Before & after bronch eval 94729 Difussion capacity 82805 Arterial blood gas Portable sleep study Overnight sleep test 2 channel 94762 G0399 Home sleep test minimun 4 channel 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC Pulmonary rehab session G0424 Screen w bronch 94060 Scrren/spirometry/FV loop 94010 Sputum induction 94640 Sputum induction for TB/AFB 94640 Weaning parameters 96150 TTOT procedure 31730 CPT Code Tool Disclaimer: This is a list of commonly ordered exams/procedures and their associated CPT codes. This list is not all inclusive. Further questions should be directed to clinic coding staff. 004252-20130911 Intranet: Clinical Hub/Forms\Provider Orders/PAC