CT Scan. CT Angiography, Neck, W/O Contrast Matl(s), Followed By Contrast Matl(s), W/Image

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1 CT Scan CPT CT Scan, Head/Brain; W/O Contrast Matl CT Scan, Head/Brain; W/Contrast Matl(s) CT Scan, Head/Brain; W/O Contrast Matl, Then W/Contrast Matl(s) CT Scan, Orbit/Sella/Posterior Fossa/Outer, Middle, Inner Ear; W/O Contrast Matl CT Scan, Orbit/Sella/Posterior Fossa/Outer, Middle, Inner Ear; W/Contrast Matl(s) CT Scan, Orbit/Sella/Posterior Fossa/Outer, Middle, Inner Ear; W/O Contrast, Then W/Contrast Matl(s) CT Scan, Maxillofacial Area; W/O Contrast Matl CT Scan, Maxillofacial Area; W/Contrast Matl(s) CT Scan, Maxillofacial Area; W/O Contrast Matl, Then W/Contrast Matl (s) & Further Sections CT Scan, Soft Tissue Neck; W/O Contrast Matl CT Scan, Soft Tissue Neck; W/Contrast Matl(s) CT Scan, Neck Tissue; W/O Contrast Matl, Then W/Contrast Matl (s) & Further Sections CT Angiography, Head, W/O Contrast Matl(s), Followed By Contrast Matl(s), W/Image Post-Processing CT Angiography, Neck, W/O Contrast Matl(s), Followed By Contrast Matl(s), W/Image Post-Processing CT Scan, Thorax; W/O Contrast Matl CT Scan, Thorax; W/Contrast Matl(s) CT Scan, Thorax; W/O Contrast Matl, Then W/Contrast Matl (s) & Further Sections CT Angiography, Chest, W/O Contrast Matl(s), Followed By Contrast Matl(s), W/Image Post-Processing CT Scan, Cervical Spine; W/O Contrast Matl CT Scan, Cervical Spine; W/Contrast Matl CT Scan, Cervical Spine; W/O Contrast Matl, Then W/Contrast Matl (s) & Further Sections CT Scan, Thoracic Spine; W/O Contrast Matl CT Scan, Thoracic Spine; W/Contrast Matl CT Scan, Thoracic Spine; W/O Contrast Matl, Then W/Contrast Matl (s) & Further Sections

2 CT Scan CPT CT Scan, Lumbar Spine; W/O Contrast Matl CT Scan, Lumbar Spine; W/Contrast Matl CT Scan, Lumbar Spine; W/O Contrast Matl, Then W/Contrast Matl(s) & Further Sections CT Angiography, Pelvis, W/O Contrast Matl(s), Followed By Contrast Matl(s), W/Image Post-Processing CT Scan, Pelvis; W/O Contrast Matl CT Scan, Pelvis; W/Contrast Matl(s) CT Scan, Pelvis; W/O Contrast Matl, Then W/Contrast Matl(s) & Further Sections CT guidance for percutaeous vertbroplasty or augmentation CT Scan, Upper Extremity; W/O Contrast Matl CT Scan, Upper Extremity; W/Contrast Matl(s) CT Scan, Upper Extremity; W/O Contrast Matl, Then W/Contrast Matl (s) & Further Sections CT Angiography, Uppr Extrem, W/O Contrast Matl(s), Followed By Contrast Matl(s), W/Image Post-Proc CT Scan, Lower Extremity; W/O Contrast Matl CT Scan, Lower Extremity; W/Contrast Matl(s) CT Scan, Lower Extremity; W/O Contrast Matl, Then W/Contrast Matl(s) & Further Sections CT Angiography, Lower Extremity, W/O Contrast Matl(s), Followed Contrst Matl(s), W/Imag Post-Pr0Cess CT Scan, Abdomen; W/O Contrast Matl CT Scan, Abdomen; W/Contrast Matl(s) CT Scan, Abdomen; W/O Contrast Matl, Then W/Contrast Matl(s) & Further Sections CT Angiography, Abdomen, W/O Contrast Matl(s), Followed By Contrast Matl(s) W/Image Post-Processing CT Angio, Abd Aorta & Bilat Iliofem Lowr Extrem Runoff, Radiol S&I, W/O Contrst Matl Follow Contrst CT Bone Mineral Density Study, 1+ Sites; Axial Skeleton, Code deleted effective /01/2007, Replaced with CT Bone Mineral Density Study, 1+ Sites; Appendicular Skeleton; Code deleted effective /01/2007, Replaced with 77079

3 CT Scan CPT CT Guidance, Stereotactic Localization, Code deleted effective 01/01/2007, replaced with CT Guidance, Needle Placement, Radiological S&I, Code deleted effective 01/01/2007, replaced with CT Guidance, & Monitoring, Visceral Tissue Ablation, Code deleted effective /01/2007, replaced with Computerized Tomography Guidance For Cys, replaced with CT Guidance, Placement, Radiation Therapy Fields, Code deleted effective 01/01/2007, replaced with CT Scan, Limited/Localized Follow-Up Study CT - guidance Ct scan for localization Ct scan for needle biopsy CT GUIDE FOR TISSUE ABLATION Ct scan for therapy guide CT BONE DENSITY, AXIAL CT BONE DENSITY, PERIPHERAL 0066T CT Colonography; screening 0667T CT Colonography, diagnostic

4 Linear Acc. CPT Radiation Treatment Delivery, Superficial &/Or Ortho Voltage Radiation Treatment Delivery, Single Area, Single/Parallel Opposed Ports; Up To 5 Mev Radiation Treatment Delivery, Single Area, Single/Parallel Opposed Ports; 6-10 Mev Radiation Treatment Delivery, Single Area, Single/Parallel Opposed Ports; Mev Radiation Treatment Delivery, Single Tre Radiation Treatment Delivery, 2 Areas, 3+ Ports Each Area; Up To 5 Mev Radiation Treatment Delivery, 2 Areas, 3+ Ports Each Area; 6-10 Mev Radiation Treatment Delivery, 2 Areas, 3+ Ports Each Area; Mev Radiation Treatment Delivery, Two Separa Radiation Treatment Delivery, 3+ Areas; Up To 5 Mev Radiation Treatment Delivery, 3+ Areas; 6-10 Mev Radiation Treatment Delivery, 3+ Areas; Mev Radiation Treatment Delivery, 3+ Areas; 20+ Mev IMRT DELIVERY/TX SESSION Neutron beam tx, simple Neutron beam tx, complex Proton Trmt, Simple W/O Comp Proton Treatment Delivery; Simple W/Compensation Proton Treatment Delivery; Intermediate Proton Treatment Delivery; Complex

5 50590 Lithotripsy, Extracorporeal Shock Wave Lithotripter

6 70336 MRI, Temporomandibular Joints MRI, Orbit, Face, & Neck; W/O Contrast Matl(s) MRI, Orbit, Face, & Neck; W/Contrast Matl(s) MRI, Orbit, Face, & Neck; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Further Sequences MRA, Head; W/O Contrast Matl(s) MRA, Head; W/Contrast Matl(s) MRA, Head; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Further Sequences MRA, Neck; W/O Contrast Matl(s) MRA, Neck; W/Contrast Matl(s) MRA, Neck; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Further Sequences MRI, Brain; W/O Contrast Matl MRI, Brain; W/Contrast Matl (s) MRI, Brain; W/O Contrast Matl, Then W/Contrastmatl (s) ()& Further Sequences Fmri brain by tech FMRI BRAIN BY PHYS/PSYCH OPEN MRI BRAIN WO CONTR OPEN MRI BRAIN W CONTR OPEN MRI BRAIN WO & W CONTR MRI, Chest; W/O Contrast Matl(s) MRI, Chest; W/Contrast Matl(s) MRI, Chest; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Further Sequences MRA, Chest (Exclude Myocardium), W/Wo Contrast Matl(s) MRI, Cervical Spine; W/O Contrast Matl MRI, Cervical Spine; W/Contrast Matl(s) MRI, Thoracic Spine; W/O Contrast Matl MRI, Thoracic Spine; W/Contrast Matl(s) MRI, Lumbar Spine; W/O Contrast Matl MRI, Lumbar Spine; W/Contrast Matl(s) MRI, Spine W/O Contrast Matl, Then W/Contrast Matl(s); Cervical MRI, Spine W/O Contrast Matl, Then W/Contrast Matl(s); Thoracic MRI, Spine W/O Contrast Matl, Then W/Contrast Matl(s); Lumbar MRI

7 72159 MRA, Spine W/Wo Contrast Matl(s) MRI, Pelvis; W/O Contrast Matl(s) MRI, Pelvis; W/Contrast Matl(s) MRI, Pelvis; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Further Sequences MRA, Pelvis, W/Wo Contrast Matl MRI, Upper Extremity, Other Than Joint; W/O Contrast Matl(s) MRI, Upper Extremity, Other Than Joint; W/Contrast Matl(s) MRI, Upper Extremity, Other Than Joint; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Sequenc MRI, Any Joint, Upper Extremity; W/O Contrast Matl(s) MRI, Any Joint, Upper Extremity; W/Contrast Matl(s) MRI, Any Joint Of Upper Extremity; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Further Sequ MRA, Upper Extremity, W/Wo Contrast Matl(s) MRI, Lower Extremity Other Than Joint; W/O Contrast Matl(s) MRI, Lower Extremity Other Than Joint; W/Contrast Matl(s) MRI, Lower Extremity Other Than Joint; W/O Contrast Matl(s), Followed Contrast Matl(s) & Furthr Seq MRI, Any Joint, Lower Extremity; W/O Contrast Matl MRI, Any Joint, Lower Extremity; W/Contrast Matl(s) MRI, Any Joint, Lower Extremity; W/O Contrast Matl(s), Followed By Contrast Matl(s) & Further Seq MRA, Lower Extremity, W/Wo Contrast Matl(s) MRI, Abdomen; W/O Contrast Matl(s) MRI, Abdomen; W/Contrast Matl(s) MRI, Abdomen; W/O Contrast Matl(s) Followed By Contrast Matl(s) & Further Sequences MRA, Abdomen, W/Wo Contrast Matl(s) VALID CODE Cardiac MRI, Morphology; W/O Contrast Matl Cardiac MRI For Morphology; With Contras Cardiac MRI, Function, W/Wo Morphology; Complete Study Cardiac MRI For Function, With Or Withou Cardiac MRI For Velocity Flow Mapping MR Spectroscopy MRI

8 77021 MR guidance for needle placement MR for tissue ablation MR one breast MR both breasts MR bone marrow C8913 MRA LEXTREM WO CONTR - Temporary code C8914 MRA LEXTREM W/WO CONTR - Temporary code C8918 PELVIS MRA W CONTR - Temporary code C8919 PELVIS MRA WO CONTR - Tempoary code C8920 PELVIS MRA W & WO CONTR - Temporary code MRI

9 78459 Myocardial Imaging, PET, Metabolic Evalu CARD PET PERFUS; SINGLE Myocardial PET; Multiple Studies, Rest &/Or Stress Brain Imaging, Positron Emission Tomography (PET); Metabolic Evaluation Brain Imaging, Positron Emission Tomogra Tumor imaging, positron emission tomography (PET); limited area (eg, chest, head/neck) Tumor imaging, positron emission tomography (PET); skull base to mid Tumor imaging, positron emission tomography (PET); whole body ATTENUATION PET W CT, LIMITED TUMORIMAGE PET/CT SKUL-THIGH TUMOR IMAGE PET/CT FULL BODY G0219 PET IMAGING WHOLE BODY; MELANOMA FOR NON-COVERED INDICATIONS G0235 PET IMAGING, ANY SITE, NOT OTHERWISE SPECIFIED G0252 PET INIT DX BREAST CA PET

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