Diagnostic CPT Code Reference Guide CT

ABDOMEN (Umbilical Area and above)

74150 Without IV Contrast 74160 With IV Contrast 74170 With and Without IV Contrast 74261 Diagnostic Virtual Colonoscopy

ABDOMEN / PELVIS 74176 Without IV Contrast 74177 With IV Contrast 74178 With and Without IV Contrast 74261 Diagnostic Virtual Colonoscopy

PELVIS (Umbilical area & below including sacrum and coccyx)

72192 Without IV Contrast 72193 With IV Contrast 72194 With and Without IV Contrast 74261 Diagnostic Virtual Colonoscopy

CERVICAL SPINE 72125 Without IV Contrast 72126 With IV Contrast 72127 With and Without IV Contrast

CHEST (Thorax, SC Joints, Clavicle / Sternum)

71250 Without IV Contrast 71260 With IV Contrast 71270 With and Without IV Contrast 71275 CT Pulmonary Vein G0297 CT Lung Cancer Screening

Diagnostic CPT Code Reference Guide CT

CT ANGIOGRAM 70496 CTA Head 70498 CTA Neck 71275 CTA Chest 74175 CTA Abdomen 75635 CTA Abdominal Aorta w/ runoffs 73706 CTA Lower Extremity 75574 CTA Cardiac / Coronary 75571 CT Cardiac Calcium Score 74174 CTA Abdomen/Pelvis 72191 CTA Pelvis 73206 CTA Upper Extremity

HEAD 70450 Without IV Contrast 70460 With IV Contrast 70470 With and Without IV Contrast 76377 3D Image Post Processing

LOWER EXTREMITY 73700 Without IV Contrast 73701 With IV Contrast 73702 With and Without IV Contrast 76377 3D Image Postprocessing 77073 Scanogram (Leg Length)

LUMBAR SPINE 72131 Without IV Contrast 72132 With IV Contrast 72133 With and Without IV Contrast

MAXILLOFACIAL (Facial Bones, Mandible, Sinus)

70486 Without IV Contrast 70487 With IV Contrast 70488 With and Without IV Contrast 77011 Instatrak Guidance Headset

include CPT 70486

ORBIT/SELLA (Temporal Bones, Mastoids, IACs)

70480 Without IV Contrast 70481 With IV Contrast 70482 With and Without IV Contrast 76377 3D Image Post Processing

SOFT TISSUE NECK 70490 Without IV Contrast 70491 With IV Contrast 70492 With and Without IV Contrast

THORACIC SPINE 72128 Without IV Contrast 72129 With IV Contrast 72130 With and Without IV Contrast

UPPER EXTREMITY 73200 Without IV Contrast 73201 With IV Contrast 73202 With and Without IV Contrast 76377 3D Image Postprocessing

Diagnostic CPT Code Reference Guide XRAY and DEXA

71020 71101 74400 71111 71110 74000 74022 72170 73502

73522

73523

Chest (Pa/Lateral) Ribs (Unilateral) w/ PA Chest Ribs (Unilateral) w/o PA Chest Ribs (Bilateral) w/ PA Chest Ribs ( Bilateral) w/o PA Chest Abdomen 1 view (KUB) Obstruction Series Pelvis (1 or 2 views) Hip (Unilateral) w/ or w/o pelvis view (2-3 views) Hip (Bilateral) w/o pelvis view (3-4 views) Hip (Bilateral) w/ pelvis view (min 5 views)

73564 73565 73590 73610 73630 73650

73660

Knee (4+ views) -unilateral or bilateral Knee AP Standing (1 view) Tibia (2 views) - unilateral or bilateral Ankle (3+ views) - unilateral or bilateral Foot (3+ views) - unilateral or bilateral Heel (os calcis)(2+ views) unilateral or bilateral Toe(s) (min 2 views) unilateral or bilateral

73080 73090

73110 73130 73140

77072

Elbow (3+ views) - unilateral or bilateral Forearm (2 views) unilateral or bilateral Wrist (3+ views) - unilateral or bilateral Hand (3+ views) - unilateral or bilateral Finger(s) (2+ views) unilateral or bilateral Bone Age

72050 72052 72040 72072 72070 72110 72114 72120 72080 72202

Cervical Spine (4-5 views) Cervical Spine W/ Flex/Ext (6+ views) Cervical Spine Flex/Ext only (2-3 views) Thoracic spine (3 views) Thoracic Spine (2 views) Lumbar Spine (min 4 views) Lumbar Spine w/ Flex/Ext (6+ views) Lumbar Spine Flex/Ext ONLY (2-3 views) Thoracolumbar (min 2 views) SI Joints (3+ views)

73050 71130 71120 73010 73030

73000 73060

AC Joints Bilateral SC Joints Sternum Scapula Shoulder (2+ views) unilateral or bilateral Clavicle Humerus (min 2 views) unilateral or bilateral

70260 70250 70220 70030 70200 70160 70110 70150 70360

Skull (Complete-4 views) Skull (1-3 Views) Sinuses (3+ views) Foreign Body Eye (Pre-MRI) Orbits (min 4 views) Nasal Bones (3+ views) Mandible (4+ views) Facial Bones (3+ views) Neck Soft Tissues

77080 77081 76977

Routine Dexa (Hip and Spine) 1 Site (forearm, wrist or heel) Pixi Heel Scan

Diagnostic CPT Code Reference Guide

Ultrasound 76700 Abdominal Complete 76705 Abdominal Limited 76770 Retroperitoneal (Kidney, Ureter, Bladder) 76775 Kidney (Renal) 76776 Transplanted Kidney 76870 Testicles (Scrotum) 76856 Pelvis, Uterus / Ovaries Complete (Transabdominal) 76830 Transvaginal 76857 Pelvis Limited (Bladder PVR) 76882 Extremity Non-Vascular (Upper and Lower) 76536 Thyroid & Thyroid Mapping

Vascular Exams 93880 Carotid 93978 Abdominal Aorta 76706 Abdominal Aorta Screening 93975 Abdominal Vascular (Portal / Hepatic) 93971 Venous Duplex Upper and Lower Extremity (Unilateral) 93970 Venous Duplex Upper and Lower Extremity (Bilateral)

Fluoroscopy 74240 Upper GI without KUB 74246 Upper GI with Air without KUB 74245 Upper GI with Small Bowel 74249 Upper GI with Air and Small Bowel 74250 Small Bowel 74280 Barium Enema with Air Contrast 74270 Barium Enema 76080 Fistulogram / Sinogram 74220 Esophagram 76000 Fluoroscopy of Diaphragm 76000 Fluoroscopy of Feeding Tube

PET CT 78815

78816 78608

Skull Base to Mid Thigh Breast, Cervical, Colorectal, Esophageal, Head & Neck, Single Pulmonary nodule, Lymphoma, Thyroid, Lung Melanoma (Whole Body) Alzheimers, Dementia, Refractory seizures after Cancer

Pre MRI / CT Joint Injection

Include appropriate MRI/CT Study with Injection Code. 77002 CPT for FL Guidance is NOT Body Part Specific

27370 Knee 27648 Ankle 27093 Hip 24220 Elbow 25246 Wrist 23350 Shoulder

Theraputic Medication Joint Injection

77002 CPT for FL Guidance is NOT Body Part Specific 20610 Knee (Major) 20605 Ankle (Intermediate) 20610 Hip (Major) 20605 Elbow (Intermediate) 20605 Wrist (Intermediate) 20610 Shoulder (Major)

Arthography (Arthrogram includes FL guidance)

Injection Radiologic Procedure Arthrogram

27370

73580 Knee

27648

73615 Ankle

27093

73525 Hip

24220

73085 Elbow

25246

73115 Wrist

23350

73040 Shoulder

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