Kern - CPT Code List - 2021

CPT CODES

MRI

Abdomen-Pelvis Abdomen w/o contrast .................................................74181 Abdomen w/ contrast ...................................................74182 Abdomen w/o - w contrast ...........................................74183 Pelvis w/o contrast ....................................................... 72195 Pelvis w/ contrast ......................................................... 72196 Pelvis w/o - w contrast ..................................................7. 2197

Spine Cervical w/o contrast ....................................................72141 Cervical w/ contrast ......................................................72142 Cervical w/o - w/contrast ............................................. 72156 Thoracic w/o contrast ................................................... 72146 Thoracic w/ contrast ..................................................... 72147 Thoracic w/o - w contrast ..............................................72157 Lumbar w/o contrast ....................................................72148 Lumbar w/ contrast ......................................................72149 Lumbar w/o - w contrast .............................................. 72158 Sacrum w/o contrast .................................................... 72195 Sacrum w/ contrast ...................................................... 72196 Sacrum w/o - w contrast ...............................................7. 2197

Brain - Face - Neck

Brain w/o contrast ........................................................70551 Brain w/ contrast ..........................................................70552 Brain w/o - w contrast ..................................................70553 Internal Auditory Canals (IAC's) w/o - w/ contrast .........70553 3D Rendering (e.g. NeuroQuant) ..................................76377 Orbit, Face, and/or Neck w/o contrast ..........................70540 Orbit, Face, and/or Neck w/ contrast ............................70542 Orbit, Face, and/or Neck w/o - w contrast ....................70543 Pituitary Gland w/o contrast .........................................70551 Pituitary Gland w/ contrast ...........................................70552 Pituitary Gland w/o - w contrast ................................... 70553 Temporomandibular Joints (TMJ) ................................. 70336

Upper Extremities

NON-JOINTS (Humerus, forearm, hand, and brachial plexus) Upper w/o contrast ......................................................73218 Upper w/ contrast ........................................................73219 Upper w/o - w contrast ................................................ 73220

JOINTS (Shoulder, elbow, wrist and fingers ) Upper w/o contrast .....................................................73221 Upper w/ contrast ........................................................73222 Upper w/o - w contrast .................................................73223

Lower Extremities

NON-JOINTS (Thigh, lower leg and foot) Lower w/o contrast ...................................................... 73718 Lower w/ contrast ........................................................ 73719 Lower w/o - w contrast .................................................73720

JOINTS (Hip, knee, ankle and toes) Lower w/o contrast ...................................................... 73721 Lower w/ contrast ........................................................ 73722 Lower w/o - w contrast .................................................73723

Breast

Breast Bilateral w/o contrast ........................................77047 Breast Bilateral w/o - w contrast ...................................77049

Chest

Thorax w/o contrast ..................................................... 71550 Thorax w/ contrast ....................................................... 71551 Thorax w/o - w contrast ................................................71552

Kern Radiology

Scheduling (661) 324-7000

Fax (661) 334-3164



MRI ANGIOGRAPHY

Brain w/o contrast ........................................................70544 Brain w/ contrast ..........................................................70545 Brain w/o - w/ contrast .................................................70546 Neck w/o contrast ........................................................ 70547 Neck w/ contrast .......................................................... 70548 Neck w/o - w contrast ....................................................70549 Chest w/o - w contrast ..................................................71555 Upper Extremity w/o - w/ contrast ................................73225 Lower Extremity w/o - w/ contrast ................................73725 Abdomen w/o - w contrast ............................................74185 Pelvis w/o - w contrast ..................................................72198 Spinal Canal w/o - w/ contrast ......................................72159

M. RI ARTHROGRAPHY

MR Upper Extremity Joints ..........................................73222+ Injection procedure for Shoulder arthrography or enhanced CT/MRI Shoulder arthrography ...............23350 Injection procedure for Elbow arthrography .................24220 Injection procedure for Wrist arthrography .................. 25246 Fluoroscopic guidance ..................................................77002 MR Lower Extremity Joints ..........................................73722+ Injection procedure for Hip arthrography; without anesthesia ......................................................27093 Injection procedure for contrast Knee arthrography or contrast enhanced CT/MRI Knee arthrography ............27369 Injection procedure for Ankle arthrography ..................27648 Fluoroscopic guidance ..................................................77002

NUCLEAR MEDICINE

PET/CT

Brain .............................................................. A9552 + 78608 Skull-base to Mid-thigh .................................. A9952 + 78815 Full Body ........................................................ A9552 + 78816 Axumin (Prostate Cancer) ............................... A9588 + 78815

WOMEN IMAGING

Mammography w/Cad when performed

SCREENING Mammogram (2D Mammo) (Bilateral) ........................ 77067 Tomosynthesis w/ 2D Mammogram (3D Mammo) (Bilateral) .......................... .....77063 + 77067*

DIAGNOSTIC EXAMS Mammogram (2D Mammo) Bilateral ...........................77066 Mammogram (2D Mammo) Unilateral ......................... 77065 Tomosynthesis (3D Mammo) w/ Bilateral 2D Mammo ...............................77062 + 77066* Tomosynthesis (3D Mammo ) w/ Unilateral 2D mammo ..............................77061 + 77065*

*3D Mammo exams require authorization to be submitted using the CPT code for the traditional 2D exam plus the CPT for the Tomosynthesis (3D Exam)

Special Studies

Mammo Stereotactic Bx (1 Location) ............................ 19081 EACH Additional Bx Localization .................19082

Mammo Needle Localization ........................................ 19281 EACH Additional Needle Localization .........19282

Stereo Needle Localization (1 Location) ........................19283 EACH Additional Needle Location ...............19284

Breast Ultrasound Core Bx (1 Location) .........................19083 EACH Additional Bx Location ......................19084

Breast MR Core Bx (1 Location) .................................... 19085 EACH Additional Bx Location ......................19086

US Guided Bx Lymph Node (Axilla) .............................. 38505 Placement Soft Tissue Localization Device (Lymph nodes ONLY) ...................................................10035 Wire Localization (US Guided) only ...............................19285

EACH Additional Localization ......................19286 MR Needle Localization (1 Location) .............................19287

EACH Additional Needle Location ...............19288 Cyst Aspiration (US Guided)..............................19000 + 76942

EACH Additional Location ...........................19001 Ductography (US Guided) ................................19030 + 77053 Ductography-Multi. (US Guided) .....................19030 + 77054 Saline Infusion Sonohysterosalpingography ....58340 + 76831

CT

CT Combination Codes Chest, Abdomen, Pelvis w/o contrast ..............71250 + 74176 Chest, Abdomen, Pelvis w/ contrast ................71260 + 74177 Chest, Abdomen, Pelvis w/o - w/ contrast .......71270 + 74178 Abdomen and Pelvis w/o contrast ................................74176 Abdomen and Pelvis w/ contrast ..................................74177 Abdomen and Pelvis w/o - w/ contrast .........................74178

Abdomen - Pelvis Abdomen w/o contrast .................................................74150 Abdomen w/ contrast ...................................................74160 Abdomen w/o - w contrast ...........................................74170 Pelvis w/o contrast .......................................................72192 Pelvis w/ contrast .........................................................72193 Pelvis w/o - w contrast ..................................................72194

Chest

Without contrast diagnostic ..........................................71250 With contrast diagnostic ...............................................71260 With and without contrast diagnostic ........................... 71270 Low Dose Lung Cancer Screening .................................71271

Cardiac

Calcium Score (w/o contrast study) .............................. 75571

Brain - Face - Neck

Brain w/o contrast ........................................................70450 Brain w/ contrast ..........................................................70460 Brain w/o - w contrast ..................................................70470 Orbit, Sella, or Ear w/o contrast ................................... 70480 Orbit, Sella, or Ear w/ contrast ..................................... 70481 Orbit, Sella, or Ear w/o - w contrast ..............................70482 Maxillofacial w/o contrast ............................................70486 Maxillofacial w/ contrast ..............................................70487 Maxillofacial w/o - w contrast .......................................70488 Soft Tissue Neck w/o contrast .......................................70490 Soft Tissue Neck w/ contrast .........................................70491 Soft Tissue Neck w/o - w contrast ..................................70492

Spine

Cervical w/o contrast ....................................................72125 Cervical w/ contrast ......................................................72126 Cervical w/o - w contrast ..............................................72127 Thoracic w/o contrast ...................................................72128 Thoracic w/ contrast .....................................................72129 Thoracic w/o - w contrast ..............................................7.2130 Lumbar w/o contrast ....................................................72131 Lumbar w/ contrast ......................................................72132 Lumbar w/o - w contrast ..............................................72133

Upper Extremities

Upper w/o contrast .....................................................73200 Upper w/ contrast ........................................................73201 Upper w/o - w contrast .................................................73202

Lower Extremities

Lower w/o contrast ...................................................... 73700 Lower w/ contrast ........................................................ 73701 Lower w/o - w contrast .................................................73702

CT ANGIOGRAPHY

Brain .............................................................................70496 Neck (Carotid Arteries) ..................................................70498 Chest Non-Coronary (Pulmonary Arteries) ....................71275 Pelvis .............................................................................72191 Upper Extremity ............................................................73206 Lower Extremity .............................................................73706 Abdominal ....................................................................74175 Abdominal and Pelvis ....................................................74174 Abdominal Aorta-Iliofemoral Runoff ..............................75635 Heart, Coronary Arteries, and Bypass Grafts ..................75574

KERN_CPT_CODE_REV03262021VER1MC

CPT CODES

X-Ray

Abdomen - Pelvis

Abdomen 1 view (KUB) .................................................74018 Abdomen 2 views ..........................................................74019 Abdomen 3 or more views ............................................74021 Abdomen Complete with Single view chest ...................74022 Hip Unilateral 1 view w/ pelvis ......................................73501 Hip Unilateral 2-3 views w/pelvis ..................................73502 Hip Unilateral minimum 4 views w/pelvis .....................73503 Hips Bilateral 2 views w/pelvis ......................................73521 Hips Bilateral 3-4 views w/pelvis ...................................73522 Hips Bilateral minimum 5 views w/pelvis ......................73523 Pelvis 1-2 views w/o hip ................................................72170 Pelvis minimum 3 views ................................................72190

Head - Neck

Mandible ................
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