Penn Epic Procedure Name

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1 Penn Epic Procedure Code Penn Epic Procedure Name CTAC CT ABDOMEN ONLY W & WO IV CONTRAST (74170) CT SCAN OF ABDOMEN W/ & W/O CONTRAST CTAE CT ABDOMEN ONLY W IV CONTRAST (74160) CT SCAN OF ABDOMEN W/ CONTRAST CTAU CT ABDOMEN ONLY WO IV CONTRAST (74150) CT SCAN OF ABDOMEN W/O CONTRAST CTAPC CT ABDOMEN & PELVIS W & WO IV CONTRAST (74170, 72194) RAD003 CT SCAN OF ABDOMEN & PELVIS W/ & W/O CONTRAST CTAPE CT ABDOMEN & PELVIS W IV CONTRAST (74160, 72193) RAD002 CT SCAN OF ABDOMEN & PELVIS W/ CONTRAST CTAPU CT ABDOMEN & PELVIS WO IV CONTRAST (74150, 72192) RAD001 CT SCAN OF ABDOMEN & PELVIS W/O CONTRAST CT SCAN ABDOMEN/PELVIS PANEL CTCC CT CHEST W & WO IV CONTRAST (71270) CAT SCAN OF CHEST COMBO CTCE CT CHEST W IV CONTRAST (71260) CTCEPE CT CHEST W IV CONTRAST PULMONARY EMBOLUS (71260) CAT SCAN OF CHEST CONTRAST CTCU CT CHEST WO IV CONTRAST (71250) CTCULP CT CHEST WO IV CONTRAST EVALUATE LUNG PARENCHYMA HI RES (71250) CAT SCAN OF CHEST CLSC CT LUMBAR SPINE W & WO IV CONTRAST (72133) CT SCAN LUMBAR SP COMBO CLSE CT LUMBAR SPINE W IV CONTRAST (72132) CLSE2N CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN W CONTRAST CLSE2D CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN W IV CONTRAST (72132) CT SCAN LUMBAR SP CONTRAST CLSU CT LUMBAR SPINE WO IV CONTRAST (72131) CLSU2N CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN W/O CONTRAST CLSU2D CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN WO IV CONTRAST (72131) CT SCAN LUMBAR SPINE HEXC CT HEAD W & WO IV CONTRAST (70470)

2 70470 CT SCAN HEAD COMBO HEXE CT HEAD W IV CONTRAST (70460) CTPF CT HEAD W IV CONTRAST FOR CEREBRAL PERFUSION (0042T) CT SCAN HEAD CONTRAST HEXU CT HEAD WO IV CONTRAST (70450) CT SCAN HEAD/BRAIN W/O CONTRAST CTPC CT PELVIS ONLY W & WO IV CONTRAST (72194) CT SCAN OF PELVIS W/ & W/O CONTRAST CTPE CT PELVIS ONLY W IV CONTRAST (72193) CT SCAN OF PELVIS W/ CONTRAST CTPU CT PELVIS ONLY WO IV CONTRAST (72192) CTPU2D CT BONY PELVIS RECONSTRUCTED FROM CT PELVIS WO IV CONTRAST (72192) CTPUMSK CT BONY PELVIS (72192) CT SCAN OF PELVIS W/O CONTRAST CTFC CT FACE/SINUSES W & WO IV CONTRAST (70488) CTFE CT FACE/SINUSES W IV CONTRAST (70487) CTFU CT FACE/SINUSES WO IV CONTRAST (70486) CTSNOTO CT MAXILLOFACIAL OTORHINOLARYNGOLOGY PATIENT WO IV CONTRAST (70486) MHDI MRI BRAIN W & WO IV CONTRAST (70553) MRI BRAIN COMBO MHDC MRI BRAIN W IV CONTRAST ONLY MRI BRAIN CONTRAST MRHD MRI BRAIN WO IV CONTRAST (70551) MRI BRAIN MRKNEEI MRI KNEE W & WO IV CONTRAST (73723) MLJI MRI LOWER EXTREMITY ANY JOINT W & WO IV CONTRAST MRKNEEC MRI KNEE FOR ARTHROGRAM ONLY (73222) MLJC MRI LOWER EXTREMITY ANY JOINT W IV CONTRAST RAD016 MRI KNEE W ARTHROGRAM MRKNEE MRI KNEE WO IV CONTRAST (73721) MRLJ MRI LOWER EXTREMITY ANY JOINT WO IV CONTRAST MRI, JOINT OF LEG MLSIN MRI LUMBAR SPINE NEURO PATIENT W & WO IV CONTRAST (72158) MLSI MRI LUMBAR SPINE W & WO IV CONTRAST (72158) MLSC MRI LUMBAR SPINE POST DISCOGRAM (72149)

3 MRLSN MRI LUMBAR SPINE NEURO PATIENT WO IV CONTRAST (72148) MRLS MRI LUMBAR SPINE WO IV CONTRAST (72148) MRSHLDRI MRI SHOULDER W & WO IV CONTRAST (73223) MRI,ARM JOINT W/O CONTRAST W C SEQU RAD014 MRI SHOULDER W ARTHROGRAM MRSHLDRC MRI SHOULDER FOR ARTHROGRAM ONLY (73222) MRSHLDR MRI SHOULDER WO IV CONTRAST (73221) NSRO NM MYOCARDIAL PERFUSION REST SCAN ONLY NSTH NM MYOCARDIAL PERFUSION SPECT STRESS AND REST

4 Penn Epic Procedure Code Penn Epic Procedure Name CTAC CT ABDOMEN ONLY W & WO IV CONTRAST (74170) CT SCAN OF ABDOMEN W/ & W/O CONTRAST CTAE CT ABDOMEN ONLY W IV CONTRAST (74160) CT SCAN OF ABDOMEN W/ CONTRAST CTAU CT ABDOMEN ONLY WO IV CONTRAST (74150) CT SCAN OF ABDOMEN W/O CONTRAST CTAPC CT ABDOMEN & PELVIS W & WO IV CONTRAST (74170, 72194) RAD003 CT SCAN OF ABDOMEN & PELVIS W/ & W/O CONTRAST CTAPE CT ABDOMEN & PELVIS W IV CONTRAST (74160, 72193) RAD002 CT SCAN OF ABDOMEN & PELVIS W/ CONTRAST CTAPU CT ABDOMEN & PELVIS WO IV CONTRAST (74150, 72192) RAD001 CT SCAN OF ABDOMEN & PELVIS W/O CONTRAST CT SCAN ABDOMEN/PELVIS PANEL CTCC CT CHEST W & WO IV CONTRAST (71270) CAT SCAN OF CHEST COMBO CTCE CT CHEST W IV CONTRAST (71260) CTCEPE CT CHEST W IV CONTRAST PULMONARY EMBOLUS (71260) CAT SCAN OF CHEST CONTRAST CTCU CT CHEST WO IV CONTRAST (71250) CTCULP CT CHEST WO IV CONTRAST EVALUATE LUNG PARENCHYMA HI RES (71250) CAT SCAN OF CHEST CLSC CT LUMBAR SPINE W & WO IV CONTRAST (72133) CT SCAN LUMBAR SP COMBO CLSE CT LUMBAR SPINE W IV CONTRAST (72132) CLSE2N CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN W CONTRAST CLSE2D CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN W IV CONTRAST (72132) CT SCAN LUMBAR SP CONTRAST CLSU CT LUMBAR SPINE WO IV CONTRAST (72131) CLSU2N CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN W/O CONTRAST CLSU2D CT LUMBAR SPINE RECONSTRUCTED FROM CT ABDOMEN WO IV CONTRAST (72131) CT SCAN LUMBAR SPINE HEXC CT HEAD W & WO IV CONTRAST (70470)

5 70470 CT SCAN HEAD COMBO HEXE CT HEAD W IV CONTRAST (70460) CTPF CT HEAD W IV CONTRAST FOR CEREBRAL PERFUSION (0042T) CT SCAN HEAD CONTRAST HEXU CT HEAD WO IV CONTRAST (70450) CT SCAN HEAD/BRAIN W/O CONTRAST CTPC CT PELVIS ONLY W & WO IV CONTRAST (72194) CT SCAN OF PELVIS W/ & W/O CONTRAST CTPE CT PELVIS ONLY W IV CONTRAST (72193) CT SCAN OF PELVIS W/ CONTRAST CTPU CT PELVIS ONLY WO IV CONTRAST (72192) CTPU2D CT BONY PELVIS RECONSTRUCTED FROM CT PELVIS WO IV CONTRAST (72192) CTPUMSK CT BONY PELVIS (72192) CT SCAN OF PELVIS W/O CONTRAST CTFC CT FACE/SINUSES W & WO IV CONTRAST (70488) CTFE CT FACE/SINUSES W IV CONTRAST (70487) CTFU CT FACE/SINUSES WO IV CONTRAST (70486) CTSNOTO CT MAXILLOFACIAL OTORHINOLARYNGOLOGY PATIENT WO IV CONTRAST (70486) MHDI MRI BRAIN W & WO IV CONTRAST (70553) MRI BRAIN COMBO MHDC MRI BRAIN W IV CONTRAST ONLY MRI BRAIN CONTRAST MRHD MRI BRAIN WO IV CONTRAST (70551) MRI BRAIN MRKNEEI MRI KNEE W & WO IV CONTRAST (73723) MLJI MRI LOWER EXTREMITY ANY JOINT W & WO IV CONTRAST MRKNEEC MRI KNEE FOR ARTHROGRAM ONLY (73222) MLJC MRI LOWER EXTREMITY ANY JOINT W IV CONTRAST RAD016 MRI KNEE W ARTHROGRAM MRKNEE MRI KNEE WO IV CONTRAST (73721) MRLJ MRI LOWER EXTREMITY ANY JOINT WO IV CONTRAST MRI, JOINT OF LEG MLSIN MRI LUMBAR SPINE NEURO PATIENT W & WO IV CONTRAST (72158) MLSI MRI LUMBAR SPINE W & WO IV CONTRAST (72158) MLSC MRI LUMBAR SPINE POST DISCOGRAM (72149)

6 MRLSN MRI LUMBAR SPINE NEURO PATIENT WO IV CONTRAST (72148) MRLS MRI LUMBAR SPINE WO IV CONTRAST (72148) MRSHLDRI MRI SHOULDER W & WO IV CONTRAST (73223) MRI,ARM JOINT W/O CONTRAST W C SEQU RAD014 MRI SHOULDER W ARTHROGRAM MRSHLDRC MRI SHOULDER FOR ARTHROGRAM ONLY (73222) MRSHLDR MRI SHOULDER WO IV CONTRAST (73221) NSRO NM MYOCARDIAL PERFUSION REST SCAN ONLY NSTH NM MYOCARDIAL PERFUSION SPECT STRESS AND REST

CPT CODE PROCEDURE DESCRIPTION. CT Scans 70450 CT HEAD/BRAIN W/O CONTRAST 70460 CT HEAD/BRAIN W/ CONTRAST 70470 CT HEAD/BRAIN W/O & W/ CONTRAST

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