CPT CODES-2015 - San Diego Imaging Radiology

CPT CODES-2015

Please note... If the CPT code you need is not on this list or you are unsure of a CPT code please call us BEFORE submitting authorization and we'll be happy to help. Escondido- (760)743-3873 Oceanside- (760)630-0014

ULTRASOUND

CPT CODE__ _

Ultrasound Abdomen Complete

76700

Ultrasound Abdomen Limited (Gallbladder)

76705

Ultrasound Pelvis Complete and Transvaginal (female)

76856 & 76830

Ultrasound Aorta

76775

Ultrasound Bladder / Kidney

76770

Ultrasound Breast(s)- Complete(All four quadrants of the breast and the retroareolar region)

76641

Ultrasound Breast(s)- Limited

76642

Ultrasound Guided Breast Biopsy (Oceanside office only)

19083

(post biopsy mammogram add G0206)

Ultrasound Scrotal

76870

Ultrasound Thyroid / Neck

76536

Venous Doppler (DVT) Bilateral

93970

Venous Doppler (DVT) Unilateral

93971

OBSTETRIC ULTRASOUND Ultrasound OB Transabdominal, 14 Weeks or greater Ultrasound OB Transabdominal and Transvaginal, Under 14 Weeks Ultrasound OB Transabdominal and Transvaginal, Under 14 Weeks, Twins Ultrasound OB Transabdominal, 14 Weeks or Greater, Twins Ultrasound OB Follow-Up, Re-Evaluation

CPT CODE __ 76805 76801 & 76817 76801, 76802 & 76817 76805 & 76810 76816

MAMMOGRAPHY Mammogram Digital Screening Mammogram Digital Screening Complex (Screening patients w/ Implants) Mammogram Digital Bilateral Diagnostic Mammogram Digital Bilateral Diagnostic Complex (Diagnostic patient w/ implants) Mammogram Digital Unilateral Diagnostic Mammogram Digital Bilateral Recall Mammogram Digital Unilateral Recall Mammogram Digital Bilateral Follow up (six-month follow up exam) Mammogram Digital Unilateral Follow up (six-month follow up exam)

CPT CODES __ G0202 & 77052 G0202 & 77052 G0204 & 77051 G0204 & 77051 G0206 & 77051 G0204 G0206 G0204 & 77051 G0206 & 77051

DEXA (Bone Density) DEXA Axial Skeleton

CPT CODE __ 77080

MRI

CPT CODES / CONTRAST INDICATION_

MRI Abdomen

WITHOUT: 74181, WITHOUT & WITH: 74183

MRI Brain, Pituitary or Sella, IAC

WITHOUT: 70551, WITHOUT & WITH: 70553

MRI Orbits, Face, and or Neck

WITHOUT: 70540, WITHOUT & WITH: 70543

MRI Cervical Spine

WITHOUT: 72141, WITHOUT & WITH: 72156

MRI Thoracic Spine

WITHOUT: 72146, WITHOUT & WITH: 72157

MRI Lumbosacral Spine

WITHOUT: 72148, WITHOUT & WITH: 72158

MRI Lower Extremity Joint (Knee, Ankle, Hip)

WITHOUT: 73721, WITHOUT & WITH: 73723

MRI Lower Extremity Non-Joint (Soft Tissues, Bones ? Non-Joint)

WITHOUT: 73718, WITHOUT & WITH: 73720

MRI Upper Extremity Joint (Shoulder, Elbow, Wrist)

WITHOUT: 73221, WITHOUT & WITH: 73223

MRI Upper Extremity Non-Joint (Soft Tissues, Bones ? Non-Joint)

WITHOUT: 73218, WITHOUT & WITH: 73220

MRI Neck (Soft Tissue)

WITHOUT: 70540, WITHOUT & WITH: 70543

MRI Pelvis

WITHOUT: 72195, WITHOUT & WITH: 72197

MRI Breast - Bilateral

WITHOUT or WITH: 77059

MRI Cholangiogram/MRCP /MRI ABD

WITHOUT: 74181, 76376 WITHOUT & WITH: 74183, 76376

MR ANGIOGRAM MRA Head MRA Neck/ Carotids MRA Renal Arteries, with MRI Abdomen MRA Abdomen/Abdominal Aorta (AAA), with MRI Abdomen MRA Pelvis MRA Lower Extremity MRA Upper Extremity

CPT CODES / CONTRAST INDICATION WITHOUT: 70544

WITHOUT: 70547, WITHOUT & WITH: 70549 WITH: 74185 & 74183 WITH: 74185 & 74183

WITHOUT or WITH: 72198 WITHOUT or WITH: 73725 WITHOUT or WITH: 73225

MR ARTHROGRAM

MR Arthrogram Shoulder MR Arthrogram Hip MR Arthrogram Knee MR Arthrogram Wrist MR Arthrogram Elbow MR Arthrogram Ankle

MRI CPT CODE/ FLUOROSCOPIC GUIDANCE CODE /INJECTION PROCEDURE CODE

73222, 77002 & 23350 73722, 77002 & 27093 73722, 77002 & 27370 73222, 77002 & 25246 73222, 77002 & 24220 73722, 77002 & 27648

CT

CPT CODES/ CONTRAST INDICATION

CT Abdomen and Pelvis

WITH: 74177, WITHOUT: 74176

CT Chest

WITH: 71260, WITHOUT: 71250

CT Chest, Abdomen and Pelvis

WITH: 71260, 74177

CT Head

WITHOUT & WITH: 70470, WITHOUT: 70450

CT Maxillofacial Region (Sinuses)

WITHOUT: 70486

CT Urogram (CT Abdomen / Pelvis without AND with contrast,

WITHOUT & WITH: 74178, 76376

for a diagnosis related specifically to the urinary system only - i.e., Hematuria)

CT ANGIOGRAM CT Angiogram Head CT Angiogram Neck CT Angiogram Abdomen CT Angiogram Pelvis CT Angiogram Abdomen and Pelvis CT Angiogram Abdominal Aorta/Bilateral iliofemoral lower extremity runoff CT Angiogram for Pulmonary Embolism CT Angiogram Chest

CPT CODE_ 70496 70498 74175 72191 74174 75635 71275 71275

PET/CT Skull Base to Mid Thigh Whole Body Brain Imaging Cardiac Viability Imaging

CPT CODE_ 78815 78816 78608 78459

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