CPT Code Tool CT and CTA's CPT Code Interventional Radiology/Cardiology CPT Code Cardiac cath bilateral 93453 74176 Cardiac cath left heart 93452 74177 Cardiac cath right heart 93451 74178 Cardioversion elective 92960 CT abdomen w/o followed by contrast 74170 Carotid Cerebral 36223 CT abdomen; w/o contrast 74150 Echo adult or pediatric complete 93306 CT abdomen; with contrast 74160 Echo adult or pediatric limited 93308 CT ablation renal radiofrequency 50592 Echo fetal, order three codes 76827, 76825 93325 CT cervical spine; w/o contrast 72125 Echo stress 93351 CT cervical spine; w/o contrast followed by with contrast 72127 Echo transesophageal, TEE 93318 CT cervical spine; with contrast 72126 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 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 71270 71250 Echo transthoracic ; congenital anomalies Echo transthoracic ; congenital anomalies follow-up Echo with doppler ;with bubbles or contrast 93303 93304 93306 71260 EKG 12 lead 93005 74174 EKG signal averaged 93278 Electrophysiology (EP) study with arrhythmia 93619 71275, 74174 71275, 74175 EP Study without arrhythmia 93620 70450 EP ablation AV node 93650 70470 EP ablation for SVT 93653 CT head or brain; with contrast 70460 EP ablation for V-Tach 93654 CT heart score 76380 EP Followup study, NIPS 93624 CT heart; w/o contrast, calcium scoring 75571 Event monitor external 93268 CT lower extremity; w/o contrast 73700 Event monitor implant 33282 CT lower extremity; w/o contrast followed by contrast 73702 Fluoro, lead check or valve 76000 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool CT lower extremity; with contrast 73701 Holter monitor up to 48 hours 93225 CT lumbar spine; w/o contrast 72131 ICD insert or replacement with leads 33249 CT lumbar spine; w/o contrast followed by with contrast 72133 ICD insert replacement pulse generator only 33240 CT lumbar spine; with contrast 72132 ICD non-invasive test (NIPS) 93642 CT maxillofacial area limited w/o contrast, sinus CT maxillofacial area; w/o contrast followed by with contrast 70486 70488 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 33208 CT maxillofacial area; with contrast 70487 CT maxillofacial area; w/o contrast 70486 CT neck soft tissue w/o contrast 70490 CT neck soft tissue with contrast 70491 Patent foramen ovale (PFO) closure 93580 70480 Pericardiocentesis 33010 70482 Procainamide infusion 93623 70481 Tilt table evaluation 93660 CT pelvis; w/o contrast 72192 Stress test 93017 CT pelvis; w/o contrast followed by with contrast 72194 Valvuloplasty, aortic 92986 CT pelvis; with contrast 72193 Valvuloplasty,mitral 92987 CT soft tissue neck; w/o contrast 70490 Valvuloplasty, pulmonary 92990 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 CT thoracic spine; with contrast 72129 CT upper extremity; w/o contrast 73200 CT upper extremity; w/o contrast followed by contrast 73202 CT upper extremity; with contrast 73201 CTA abdomen; w/o contrast followed by contrast and further sections 74175 CTA chest no coronary 71275 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 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC 33207 33213 33212 Mammography 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 77032 General X-ray 77051 77054 77053 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 70496, 70498 AC joints bilateral 73050 70496 Abdomen 1-view 74000 75574 Abdomen 2- view 74020 73706 Abdomen 3- view 74022 70498 Ankle 1-2 view 73600 72191 Ankle 3-view 73610 CTA runoff AAA bilateral lower extremity 75635 Arthogram ankle 73615, 27648 CTA upper extremity 73206 Arthogram elbow 24220 Arthrogram knee 27370 Arthrogram shoulder 23350 CTA lower extremity CTA neck; w/o contrast followed by with contrast CTA pelvis; w/o contrast followed by with contrast MRI and MRA's MRI spine screening to include 3 separate codes 72146, 74141 Arthrogram wrist 72148 25246 MRA abdomen; with or w/o contrast 74185 Barium enema 74270 MRA carotid w/o contrast 70547 Barium enema double contrast 74280 MRA carotid with contrast 70548 Bone age (wrist, hand) 77077 MRA chest; with or w/o contrast 71555 Bone survey complete 77075 MRA head; w/o contrast 70544 Bone survey limited 77074 MRA head; w/o contrast followed by contrast 70546 Bone survey infant 77076 MRA head; with contrast 70545 C-spine minimum 5 views 72052 MRA pelvis; with or w/o contrast 72198 C-spine minimum 4 views 72050 MRA peripheral runoff 72550, 72198 C-spine 1 view 74185 72020 MRA spinal canal & contents; with or w/o contrast 72159 C-spine 2 -3 views 72040 MRA upper extremity; with or w/o contrast 73225 Pelvis 3 views i.e. cesium implant 72190 MRI abdomen; w/o contrast 74181 Chest 2 views 71020 MRI abdomen; w/o contrast followed by with contrast 74183 Chest lateral decubitus 71035 MRI abdomen; with contrast 74182 Chest 4 views 71030 MRI brain; w/o contrast 70551 Chest 1 view 71010 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool MRI brain; w/o contrast followed by contrast 70553 Cholangiogram 74300 MRI brain; with contrast 70552 Cholangiogram T-tube 74305 MRI breast; bilateral 77059 Clavicle 73000 MRI breast; unilateral 77058 Cystogram 3 views 74430 75557 Elbow 2 views 73070 75561 Elbow minimum 3 views 73080 MRI cardiac velocity flow map 75565 Small bowel i.e. enteroclysis 74251 MRI cervical spine; w/o contrast 72141 Esophagus 74220 MRI cervical spine; w/o contrast followed by contrast 72156 Esophagus dilatation 74360 MRI cervical spine; with contrast 72142 Facial bones less than 3 views 70140 MRI chest; w/o contrast 71550 Facial bones minimum 3 views 70150 MRI chest; w/o contrast followed by with contrast 71552 Feeding tube placement 43752 MRI chest; with contrast 71551 Femur 2 views 73550 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 Fingers minimum 2 views 73140 MRI fetal 76498 Foot 2 views 73620 MRI lower extremity, any joint w/o contrast 73721 Foot minimum 3 views 73630 MRI lower extremity, any joint w/o contrast followed by with contrast 73723 Forearm 2 views 73090 MRI lower extremity, any joint with contrast 73722 Cholecystogram 74290 73720 Cholecystogram (repeat) 74291 73719 Small bowel air contrast 74249 73718 GI series air contrast 74247 MRI lumbar spine; w/o contrast 72148 GI single contrast; barium 74241 MRI lumbar spine; w/o contrast followed by contrast 72158 GI single series with small bowel 74245 MRI lumbar spine; with contrast 72149 GI esophagus 74240 MRI orbit, face and neck; w/o contrast 70540 Hand 2 views 73120 MRI orbit, face and neck; w/o contrast followed by with contrast 70543 Hand minimum 3 views 73130 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 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool MRI orbit, face and neck; with contrast 70542 Hip 1 view 73500 MRI pelvis; w/o contrast 72195 Hip 2 views 73510 MRI pelvis; w/o contrast followed by contrast 72197 Hip intraoperative 73530 MRI pelvis; with contrast 72196 Hip bilateral minimum 2 views 73520 MRI temporomandibular joint(s) 70336 Humerus 2 views 73060 MRI thoracic spine w/o contrast followed by contrast 72157 Pyelogram IV 74400 MRI thoracic spine; w/o contrast 72146 MRI thoracic spine; with contrast 72147 MRI upper extremity, any joint w/o contrast 73221 Shoulder injection 23350 MRI upper extremity, any joint w/o contrast followed by with contrast 73223 Intrathecal injection with contrast 62284 MRI upper extremity, any joint with contrast 73222 Intrathecal chemo injection 96450 73218 Intrathecal radioisotope injection 62311 73220 Intrathecal bacolofen injection 62310 73219 Kidney, ureter and bladder, ie KUB 74000 MRI pelvis; w/o contrast 72195 Knee 1 or 2 views 73560 MRI pelvis; w/o contrast followed by contrast 72197 Knee 3 views 73562 MRI pelvis; with contrast 72196 Knee 4 or more views 73564 MRI temporomandibular joint(s) 70336 Knee 1 view bilateral standing 73565 MRI thoracic spine w/o contrast followed by contrast 72157 L-spine flexion and extension minimum 4 views 72120 L-spine minimum 4 views 72110 L-spine 1 view 72020 78452 L-spine 2 or 3 views 72100 78451 Bone length studies 77073 78227 Loopogram 74425 Biliary scan no IV pharm; Hida Scan 78226 Lumbar puncture 62270 Blood flow study 78445 Mandible complete 70110 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 Myocardio perfusion imaging i.e. Bruce cardiolite, lexi scan; non-stress Biliary scan with IV pharm, ie Hida Scan w CCK, morphine 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC Infant lower extremity minimum 2 views Infant upper extremity minimum 2 views 73592 73092 CPT Code Tool Bone marrow scan 78103 Mandible less than 4 views 70100 Bone SPECT 78320 Mastoid less than 3 views 70120 Bone scan limited; isolated body part 78300 Mastoid minimum 3 views 70130 Bone scan 3 phase; osteomyelitis 78315 Myelogram cervical 72240 Bone scan whole body; arthritis, known cancer, pain 78306 Myelogram complete 72270 Breast scan 78801 Myelogram lumbar 72265 78630 Myelogram thoracic 72255 78262 Nasal bones minimum 3 views 70160 GI blood loss study; active bleeding 78278 OS calcis 2 views 73650 Gallium and infection scan; bone, tissue, organ 78806 Orbits minimum 4 views 70200 Gastric emptying study 78264 Panorex 70355 Gated wall motion stress study 78478 Peds foreign body, nose to rectum 76010 Kidney imaging DMSA; vascular structure 78700 Pelvis 1 or two views 72170 78708 Pelvis minimum 3 views 72190 78707 Pyelogram retrograde 74420 78709 Ribs bilateral 3 views 71110 78701 Ribs bilateral 3 views with chest 71111 LeVeen denver shunt scan 78291 Ribs unilateral 2 views with chest 71101 Liver spleen scan 78215 Ribs unilateral 2 views 71100 78597 SI joint less than 3 views 72200 78580 SI joint minimum 3 views 72202 78582 Sacrum and/or coccyx 72220 78195 Salpingogram 74740 78800 Scapula 73010 78290 Scoliosis single view 72020 78804 Scoliosis 2 views 72069 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 MIBG scan tumor localization; pheochromocytoma Meckel's abdomen scan; meckels diverticulum, GI bleeding Octreotide or Onocoscint scan; adrenal tumors 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool Parathyroid scan 78070 Shoulder 1 view 73020 Parathyroid scan and SPECT 78071 Shoulder minimum 2 views 73030 Quadrantramet therapy IV 79101 Shunt placement series, order three codes 70250, 74020 71020 Salivary gland scan 78231 Sialogram 70390, 42550 Testicular scan 78761 Sinogram 76080, 20501 Thyroid multi uptake only 78012 Sinus less than 3 views 70210 Thyroid scan 78013 Sinus minimum 3 views 70220 Thyroid scan and uptake 78014 Skull less than 4 views 70250 Thyroid whole body 78018 Skull minimum 4 views 70260 Thyroid single uptake 78012 Small bowel 74250 Thyroid therapy 79005 Soft tissue neck 70360 Spine complete 2 views 72010 Spine single view 72020 Ultrasound US ankle Brachial Indices; ABI 93922 Sternoclavicular joint minimum 3 views 71130 US pelvis-transabdominal; limited 76856 Sternum 2 views 71120 US upper extremity arterial; unilateral 93931 Swallowing study 74230 US AAA screening; Medicare only G0389 TMJ bilateral 70330 76700 TMJ unilateral 70328 76705 Thoracic spine 2 views 72070 76770 Thoracic spine 3 views 72072 76775 Thoracic spine 4 views 72074 93976 Thoracic-Lumbar 2 views 72080 US amniocentesis 59000 Tibia-fibula 2 views 73590 US aorta; limited, structure, AAA 76775 Toes minimum 2 views 73660 US biophysical Profile-w/o non-stress test 76819 Tomogram 76100 US breast brachytherapy 76965 Urethrogram 74450 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 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC CPT Code Tool US breast; unilateral or bilateral 76645 Venogram bilateral 75822 US carotid duplex; bilateral 93880 Venogram unilateral 75820 US carotid duplex; unilateral 93882 Voiding cystouretrogram US cranial; infant 76506 Wrist 2 views 73100 US doppler umbilical artery 76820 Wrist minimum 3 views 73110 US duplex great vessels 93979 Zygomatic arches less than 3 views 70140 US extremity imaging; nonvascular 76882 US extremity imaging; vascular 76880 US follow-up cranial 76970 EEG Routine 95816 US hemodialysis access; shunt flow 93990 EEG Sleep Deprived 95819 US infant hips; up to 5 months 76886 EMG two extremity 95861 93886 EMG four extremity 95864 93888 Evoked response audio complete 92585 US kidneys, aorta; limited 76775 Evoked response lower limbs 95926 US localization clip placement 19295 Evoked response upper limbs 95925 US lower extremity arterial; bilateral 93925 Evoked response visual 95930 US lower extremity arterial; unilateral 93926 Evoked response upper & lower limbs 95938 US lower extremity venous; bilateral 93970 US lower extremity venous; unilateral 93971 US mammosite complex 77290 Anoscopy w biopsy 46606 US mammosite simple 77280 Bronchoscopy diagnostic 31622 US middle cerebral artery; fetal 76821 Bronchoscopy with biopsy 31625 93924 Bronchoscopy with needle aspiration 31629 93923 Bronchoscopy with foreign body removal 61335 US OB < 14 weeks; first trimester 76801 Colonoscopy 45378 US OB <14 weeks ; first trimester; each additional gestation 76802 Colonoscopy screen high risk (Medicare) G0105 US intracranial duplex artery; complete, vasospasm US intracranial duplex artery; limited, vasospasm US non-Invasive peripheral vascular-after stress US non-Invasive peripheral vascularbilateral; PVR 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC 74455, 51600 Elab Endo CPT Code Tool US OB > 14 weeks, complete 76811 Colonoscopy screen low risk (Medicare) G0121 US OB > 14 weeks, complete each add'l gestation 76812 Esophageal motility study 91010 US OB > 14 weeks, limited 76815 Esophogeal motility with high resolution 0240T US OB >14 weeks (first trimester), less than complete 76805 Esophogoscopy rigid or flexible 43200 US OB> 14 weeks- each add'l gestation 76810 EGD primary 43235 US OB> transvaginal u/s 76817 EGD with biopsy 43239 US OB> weeks follow-up 76816 EGD with Peg placement 43246 US paracentesis 49083 EGD with foreign body removal 43247 US pelvic brachytherapy 76950 EGD with dilatation esophagus 43249 US pelvic duplex; ovaries 93976 Endoscopy small intestine 44360 US pelvis vascular; bilateral 93970 ERCP diagnostic 43260 US pelvis vascular; unilateral 93971 ERCP with stone removal 43264 US pelvis; limited; follicle study 76857 ERCP with biliary or pancreatic stent placement 43268 US pelvis-transabdominal-complete 76856 Gastrostomy tube change 43760 US pleural/Chest/Mediastinum effusion 76604 Proctosigmoidoscopy 45300 US pseudo aneurysm compression 76936 Reflux test with telemetry 91035 US renal 76700 Sigmoidoscopy flexible 45330 US renal doppler; complete bilateral kidneys 93975 US renal doppler; limited, one kidney 93976 US renal transplant 76776 Arterial Blood Gas 82805 US sonohistography 76831 Carboxyhemoglobin 82375 US spinal canal and contents 76800 Chest percussive therapy; initial 94667 US testicle; scrotum and contents 76870 Chest percussive therapy; subsequent 94668 US thoracentesis 32555 DFA influenza specimen 94799 US thyroid; soft tissue of head and neck 76536 DLCO diffusion study only 94729 US transvaginal; gynecology 76830 Lung volume only 94726 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC Respiratory Therapy CPT Code Tool US upper extremity arterial; bilateral 93930 Lung volume w/DLCO; spirometry diffusion capacity 94727 US upper extremity arterial; unilateral 93931 Methacholine challenge 94070 US upper extremity venous; bilateral 93970 Methemoglobin 83050 US upper extremity venous; unilateral 93971 Nebulizer treatment 94642 Nebulizer pentamidine treatment 94760 Pulse oximetry; one time measure 94761 Pulse oximetry; multiple; exercise/discharge 94761 94370 Sleep Lab Home Sleep Test Minimum 4 Channels 95806 or G0399 Polysomnogram < 6 years 95782 Pulse oximetry; titrate Polysomnogram > 6 years 95783 Peak flow; initial Polysomnogram MSLT 95805 PFS compelte Polysomnogram sleep apnea 95810 Lung Volume w/DLCO 94727 Polysomnogram CPX 95811 Before & after bronch eval 94060 Difussion capacity 94729 CRNA PFT complete w ABG Upper GI endo procedure 00740 Lung Volume w/DLCO 94727 Lower GI endo procedure 00810 Before & after bronch eval 94060 Interventional radiology venous 00844 Difussion capacity 94729 Anorectal procedure 00902 Arterial blood gas 82805 Portable sleep study Overnight sleep test 2 channel 94762 G0399 Home sleep test minimun 4 channel 004252-20130812 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 CPT Code Tool 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. 004252-20130812 Intranet: Clinical Hub/Forms\Provider Orders/PAC