CPT Code Tool - Regional Health

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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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