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
Abscess Drain; peritoneal
49021
74177
Abscess Drain; retroperitoneal
49061
74178
Angiogram, renal, unilateral
36251
CT abdomen w/o followed by contrast
74170
Angiogram, renal, bilateral
36252
CT abdomen; w/o contrast
74150
Biopsy abdominal mass, percutaneous
needle
49180
CT abdomen; with contrast
74160
Biopsy liver, percutaneous needle
47000
CT ablation renal radiofrequency
50592
Biopsy lung, percutaneous needle
32405
CT cervical spine; w/o contrast
72125
CT cervical spine; w/o contrast followed by
with contrast
72127
CT cervical spine; with contrast
72126
Cardiac cath bilateral
93453
71270
Cardiac cath left heart
93452
71250
Cardiac cath right heart
93451
71260
Cardioversion elective
92960
74174
Carotid Cerebral
36223
71275, 74174 Echo adult or pediatric complete
93306
71275, 74175 Echo adult or pediatric limited
93308
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
Biopsy renal, percutaneous needle or
trocar
Biopsy thyroid, percutaneous core
needle
50200
60100
76827, 76825
93325
70450
Echo fetal, order three codes
70470
Echo stress
93351
CT head or brain; with contrast
70460
Echo transesophageal, TEE
93318
CT heart score
76380
CT heart; w/o contrast, calcium scoring
75571
CT lower extremity; w/o contrast
73700
CT lower extremity; w/o contrast followed by
contrast
73702
EKG 12 lead
93005
CT lower extremity; with contrast
73701
EKG signal averaged
93278
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Echo transthoracic ; congenital
anomalies
Echo transthoracic ; congenital
anomalies follow-up
Echo with doppler ;with bubbles or
contrast
93303
93304
93306
CPT Code Tool
CT lumbar spine; w/o contrast
72131
Electrophysiology (EP) study with
arrhythmia
93619
CT lumbar spine; w/o contrast followed by
with contrast
72133
EP Study without arrhythmia
93620
CT lumbar spine; with contrast
72132
EP ablation AV node
93650
70486
EP ablation for SVT
93653
70488
EP ablation for V-Tach
93654
CT maxillofacial area; with contrast
70487
EP Followup study, NIPS
93624
CT maxillofacial area; w/o contrast
70486
Event monitor external
93268
CT neck soft tissue w/o contrast
70490
Event monitor implant
33282
CT neck soft tissue with contrast
70491
Fluoro, lead check or valve
76000
70480
Holter monitor up to 48 hours
93225
70482
ICD insert or replacement with leads
33249
70481
ICD insert replacement pulse
generator only
33240
CT pelvis; w/o contrast
72192
ICD non-invasive test (NIPS)
93642
CT pelvis; w/o contrast followed by with
contrast
72194
CT pelvis; with contrast
72193
CT soft tissue neck; w/o contrast
70490
CT soft tissue neck; w/o contrast followed
by with contrast
70492
CT soft tissue neck; with contrast
70491
CT thoracic spine; w/o contrast
72128
CT thoracic spine; w/o contrast followed by
with contrast
72130
Patent foramen ovale (PFO) closure
93580
CT thoracic spine; with contrast
72129
Pericardiocentesis
33010
CT upper extremity; w/o contrast
73200
Procainamide infusion
93623
CT upper extremity; w/o contrast followed by
contrast
73202
Tilt table evaluation
93660
CT urogram
74178
Shuntogram, graft or fistula
36147
CT upper extremity; with contrast
73201
Stress test
93017
CTA abdomen; w/o contrast followed by
contrast and further sections
74175
Thrombolysis AV fistula
36870
CTA chest no coronary
71275
Valvuloplasty, aortic
92986
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
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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
33207
33213
33212
CPT Code Tool
CTA head and neck, 2 separate
orders/codes
CTA head; w/o contrast followed by with
contrast
CTA heart coronary arteries and cardiac
structure; TAVR Protocol
CTA lower extremity
CTA neck; w/o contrast followed by with
contrast
CTA pelvis; w/o contrast followed by with
contrast
70496, 70498 Valvuloplasty,mitral
70496
Valvuloplasty, pulmonary
92987
92990
75574
73706
Mammography
70498
Mammo screening digital
77052
Mammo breast surgical specimen
Mammo diagnostic digital bilateral or
unilateral
Mammo ductogram or galactogram
bilateral
Mammo ductogram or galactogram
unilateral
76098
Mammo needle localization guidance
77032
72191
CTA runoff AAA bilateral lower extremity
75635
CTA upper extremity
73206
MRI and MRA's
77051
77054
77053
MRI spine screening to include 3 separate
codes
72146, 74141
72148
MRA abdomen; with or w/o contrast
74185
General X-ray
MRA carotid w/o contrast
70547
AC joints bilateral
73050
MRA carotid with contrast
70548
Abdomen 1-view
74000
MRA chest; with or w/o contrast
71555
Abdomen 2- view
74020
MRA head; w/o contrast
70544
Abdomen 2- view with minimum 1
view chest
74022
MRA head; w/o contrast followed by
contrast
70546
Ankle 1-2 view
73600
MRA head; with contrast
70545
Ankle 3-view
73610
MRA pelvis; with or w/o contrast
72198
Arthogram ankle
MRA peripheral runoff
73725, 72198
Arthogram elbow
74185
73615, 27648
24220
MRA spinal canal & contents; with or w/o
contrast
72159
MRA upper extremity; with or w/o contrast
73225
MRCP
74181
MRI abdomen; w/o contrast
74181
Arthrogram wrist
25246
MRI abdomen; w/o contrast followed by with
contrast
74183
Barium enema
74270
MRI abdomen; with contrast
74182
Barium enema double contrast
74280
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Arthrogram knee
Arthrogram shoulder; injection and
imaging
Arthrogram hip; injection and
imaging
27370
23350, 73040
27093, 73525
CPT Code Tool
MRI brain; w/o contrast
70551
Bone age (wrist, hand)
77077
MRI brain; w/o contrast followed by contrast
70553
Bone survey complete
77075
MRI brain; with contrast
70552
Bone survey limited
77074
MRI breast; bilateral
77059
Bone survey infant
77076
MRI breast; unilateral
77058
C-spine minimum 5 views
72052
75557
C-spine minimum 4 views
72050
75561
C-spine 1 view
72020
MRI cardiac velocity flow map
75565
C-spine 2 -3 views
72040
MRI cervical spine; w/o contrast
72141
Pelvis 3 views i.e. cesium implant
72190
MRI cervical spine; w/o contrast followed by
contrast
72156
Chest 2 views
71020
MRI cervical spine; with contrast
72142
Chest lateral decubitus
71035
MRI chest; w/o contrast
71550
Chest 4 views
71030
MRI chest; w/o contrast followed by with
contrast
71552
Chest 1 view
71010
MRI chest; with contrast
71551
Cholangiogram
74300
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 Cholangiogram T-tube
74305
MRI fetal
76498
Clavicle
73000
MRI lower extremity, any joint w/o contrast
73721
Cystogram 3 views
74430
MRI lower extremity, any joint w/o contrast
followed by with contrast
73723
Elbow 2 views
73070
MRI lower extremity, any joint with contrast
73722
Elbow minimum 3 views
73080
73720
Small bowel i.e. enteroclysis
74251
73719
Esophagus
74220
73718
Esophagus dilatation
74360
MRI lumbar spine; w/o contrast
72148
Facial bones less than 3 views
70140
MRI lumbar spine; w/o contrast followed by
contrast
72158
Facial bones minimum 3 views
70150
MRI lumbar spine; with contrast
72149
Feeding tube placement
43752
MRI orbit, face and neck; w/o contrast
70540
Femur 2 views
73550
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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CPT Code Tool
MRI orbit, face and neck; w/o contrast
followed by with contrast
70543
Fingers minimum 2 views
73140
MRI orbit, face and neck; with contrast
70542
Foot 2 views
73620
MRI pelvis; w/o contrast
72195
Foot minimum 3 views
73630
MRI pelvis; w/o contrast followed by contrast
72197
Forearm 2 views
73090
MRI pelvis; with contrast
72196
Cholecystogram
74290
MRI temporomandibular joint(s)
70336
Cholecystogram (repeat)
74291
MRI thoracic spine w/o contrast followed by
contrast
72157
Small bowel air contrast
74249
MRI thoracic spine; w/o contrast
72146
GI series air contrast
74247
MRI thoracic spine; with contrast
72147
GI single contrast; barium
74241
MRI upper extremity, any joint w/o contrast
73221
GI single series with small bowel
74245
MRI upper extremity, any joint w/o contrast
followed by with contrast
73223
GI esophagram – looks at function;
dysphagia
74240
MRI upper extremity, any joint with contrast
73222
Hand 2 views
73120
73218
Hand minimum 3 views
73130
73220
Hip 1 view
73500
73219
Hip 2 views
73510
MRI pelvis; w/o contrast
72195
Hip intraoperative
73530
MRI pelvis; w/o contrast followed by contrast
72197
Hip bilateral minimum 2 views with AP
view of pelvis
73520
MRI pelvis; with contrast
72196
Humerus 2 views
73060
MRI temporomandibular joint(s)
70336
Pyelogram IV
74400
MRI thoracic spine w/o contrast followed by
contrast
72157
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
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
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Infant lower extremity minimum 2
views
Infant upper extremity minimum 2
views
73592
73092
Shoulder injection
23350
78452
93017
Intrathecal injection with contrast
62284
78451
Intrathecal chemo injection
96450
78227
Intrathecal radioisotope injection
62311
78451
Intrathecal bacolofen injection
62310
CPT Code Tool
Biliary scan with IV pharm, ie Hida Scan w
CCK, morphine
78227
Kidney, ureter and bladder, ie KUB
74000
Biliary scan no IV pharm; Hida Scan
78226
Knee 1 or 2 views
73560
Blood flow study
78445
Knee 3 views
73562
Bone marrow scan
78103
Knee 4 or more views
73564
Bone SPECT
78320
Knee 1 view bilateral standing
73565
Bone scan limited; isolated body part
78300
L-spine flexion and extension
minimum 4 views
72120
Bone scan 3 phase; osteomyelitis
78315
L-spine minimum 4 views
72110
Bone scan whole body; arthritis, known
cancer, pain
78306
L-spine 1 view
72020
Breast scan
78801
L-spine 2 or 3 views
72100
78630
Bone length studies
77073
78262
Loopogram
74425
GI blood loss study; active bleeding
78278
Lumbar puncture; diagnostic
62270, 76005
Gallium and infection scan; bone, tissue,
organ
78806
Lumbar puncture; therapeutic for
drainage of CSF by needle or catheter
62272, 76005
Gastric emptying study
78264
Mandible complete
70110
Gated wall motion stress study
78478
Mandible less than 4 views
70100
Kidney imaging DMSA; vascular structure
78700
Mastoid less than 3 views
70120
78708
Mastoid minimum 3 views
70130
78707
Myelogram cervical
72240
78709
Myelogram complete
72270
78701
Myelogram lumbar
72265
LeVeen denver shunt scan
78291
Myelogram thoracic
72255
Liver spleen scan
78215
Nasal bones minimum 3 views
70160
78597
OS calcis 2 views
73650
78580
Orbits minimum 4 views
70200
78582
Panorex
70355
78195
Peds foreign body, nose to rectum
76010
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
Lymphoscintigraphy; lymphatics and
lymph nodes imaging
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CPT Code Tool
MIBG scan tumor localization;
pheochromocytoma
Meckel's abdomen scan; meckels
diverticulum, GI bleeding
Octreotide or Onocoscint scan; adrenal
tumors
78800
Pelvis 1 or two views
72170
78290
Pelvis minimum 3 views
72190
78804
Pyelogram retrograde
74420
Parathyroid scan
78070
Ribs bilateral 3 views
71110
Parathyroid scan and SPECT
78071
Ribs bilateral 3 views with chest
71111
Quadrantramet therapy IV
79101
Ribs unilateral 2 views with chest
71101
Salivary gland scan
78231
Ribs unilateral 2 views
71100
Sentinal node identification without
scintigraphy imaging
38792
SI joint less than 3 views
72200
Testicular scan
78761
SI joint minimum 3 views
72202
Thyroid multi uptake only
78012
Sacrum and/or coccyx
72220
Thyroid scan
78013
Salpingogram
74740
Thyroid scan and uptake
78014
Scapula
73010
Thyroid whole body
78018
Scoliosis single view
72020
Thyroid single uptake
78012
Scoliosis 2 views
72069
79005
Shoulder 1 view
73020
Shoulder minimum 2 views
73030
Thyroid therapy
Ultrasound
Shunt placement series, order three
codes
70250, 74020
71020
US ankle Brachial Indices; ABI
93922
Sialogram
70390, 42550
US pelvis-transabdominal; limited
76856
Sinogram
76080, 20501
US upper extremity arterial; unilateral
93931
Sinus less than 3 views
70210
US AAA screening; Medicare only
G0389
Sinus minimum 3 views
70220
76700
Skull less than 4 views
70250
76705
Skull minimum 4 views
70260
76770
Small bowel
74250
76775
Soft tissue neck
70360
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, bladder, aorta or
nodes
US abdomen-limited retroperitoneal,
structure of kidneys, aorta or nodes
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CPT Code Tool
US abdominal Doppler limited, pelvis,
scrotum, testes ; vascular
93976
Spine complete 2 views
72010
US amniocentesis
59000
Spine single view
72020
US aorta; limited, structure, AAA
76775
Sternoclavicular joint minimum 3
views
71130
US biophysical Profile-w/o non-stress test
76819
Sternum 2 views
71120
US breast brachytherapy
76965
Swallowing study – swallowing
function w videoradiography
74230
US breast; unilateral or bilateral
76645
TMJ bilateral
70330
US carotid duplex; bilateral
93880
TMJ unilateral
70328
US carotid duplex; unilateral
93882
Thoracic spine 2 views
72070
US cranial; infant
76506
Thoracic spine 3 views
72072
US doppler umbilical artery
76820
Thoracic spine 4 views
72074
US duplex great vessels
93979
Thoracic-Lumbar 2 views
72080
US extremity imaging; nonvascular
76881
Tibia-fibula 2 views
73590
US extremity complete, bilateral; vascular
93925
Toes minimum 2 views
73660
US extremity unilateral or limited; vascular
93926
Tomogram
76100
US follow-up cranial
76970
Urethrogram
74450
US hemodialysis access; shunt flow
93990
Venogram bilateral
75822
US infant hips; up to 5 months
76886
Venogram unilateral
75820
93886
Voiding cystouretrogram
93888
Wrist 2 views
73100
US kidneys, aorta; limited
76775
Wrist minimum 3 views
73110
US localization clip placement
19295
Zygomatic arches less than 3 views
70140
US lower extremity arterial; bilateral
93925
US lower extremity arterial; unilateral
93926
Elab
US lower extremity venous; bilateral
93970
EEG Routine
95816
US lower extremity venous; unilateral
93971
EEG Sleep Deprived
95819
US mammosite complex
77290
EMG two extremity
95861
US intracranial duplex artery; complete,
vasospasm
US intracranial duplex artery; limited,
vasospasm
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74455, 51600
CPT Code Tool
US mammosite simple
77280
EMG four extremity
95864
US middle cerebral artery; fetal
76821
Evoked response audio complete
92585
93924
Evoked response lower limbs
95926
93923
Evoked response upper limbs
95925
76801
Evoked response visual
95930
76802
Evoked response upper & lower limbs
95938
US non-Invasive peripheral vascular-after
stress
US non-Invasive peripheral vascularbilateral; Peripheral Vascular Resistance
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)
76811
76812
Endo
76815
Anoscopy w biopsy
46606
76805
Bronchoscopy diagnostic
31622
76810
Bronchoscopy with biopsy
31625
76817
Bronchoscopy with needle aspiration
31629
76816
Bronchoscopy with foreign body
removal
61335
US paracentesis
49083
Colonoscopy
45378
US pelvic brachytherapy
76950
US pelvic duplex; ovaries
93976
US pelvis vascular; bilateral
93970
Esophageal motility study
91010
US pelvis vascular; unilateral
93971
Esophogeal motility with high
resolution
0240T
US pelvis; limited; follicle study
76857
Esophogoscopy rigid or flexible
43200
US pelvis-transabdominal-complete
76856
EGD primary
43235
US pleural/Chest/Mediastinum effusion
76604
EGD with biopsy
43239
US pseudo aneurysm compression
76936
US kidney
76700
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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Colonoscopy screen high risk
(Medicare)
Colonoscopy screen low risk
(Medicare)
EGD with Peg placement
EGD with foreign body removal
G0105
G0121
43246
43247
CPT Code Tool
US renal doppler; complete bilateral
kidneys
93975
EGD with dilatation esophagus
43249
US renal doppler; limited, one kidney
93976
Endoscopy small intestine
44360
US renal transplant
76776
ERCP diagnostic
43260
US sonohistography
76831
ERCP with stone removal
43264
US spinal canal and contents
76800
ERCP with biliary or pancreatic stent
placement
43268
US testicle; scrotum and contents
76870
Gastrostomy tube change
43760
US thoracentesis
32555
Proctosigmoidoscopy
45300
US thyroid; soft tissue of head and neck
76536
Reflux test with telemetry
91035
US transvaginal; gynecology
76830
Sigmoidoscopy flexible
45330
US upper extremity arterial; bilateral
93930
US upper extremity arterial; unilateral
93931
Respiratory Therapy
93970
Arterial Blood Gas
82805
93971
Carboxyhemoglobin
82375
Chest percussive therapy; initial
94667
Chest percussive therapy;
subsequent
94668
DFA influenza specimen
94799
US upper extremity venous; bilateral
US upper extremity venous; unilateral
Sleep Lab
Home Sleep Test Minimum 4 Channels
95806 or
G0399
Polysomnogram < 6 years
95782
DLCO diffusion study only
94729
Polysomnogram > 6 years
95783
Lung volume only
94726
Polysomnogram MSLT
95805
Lung volume w/DLCO; spirometry
diffusion capacity
94727
95810
Methacholine challenge
94070
95811
Methemoglobin
83050
Nebulizer treatment
94642
Nebulizer pentamidine treatment
94760
Polysomnogram sleep apnea
Polysomnogram CPX
CRNA
Upper GI endo procedure
00740
Pulse oximetry; one time measure
94761
Lower GI endo procedure
00810
Pulse oximetry; multiple;
exercise/discharge
94761
Interventional radiology venous
00844
Pulse oximetry; titrate
94370
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CPT Code Tool
Anorectal procedure
00902
Peak flow; initial
PFS compelte
94727
Lung Volume w/DLCO
94060
Before & after bronch eval
94729
Difussion capacity
PFT complete w ABG
94727
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
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
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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