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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC 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. 004252-20140319 Intranet: Clinical Hub/Forms\Provider Orders/PAC