Commonly Used CPT Codes for CT (Computed Tomography)

Transcription

1 Commonly Used CPT Codes for CT (Computed Tomography) Harrison Imaging Centers Procedure CPT Code Indications CT Abdomen Pelvis with and without IV CT Abdomen Pelvis with IV CT Abdomen Pelvis without IV CT Abdomen with and without IV IVP, Hematuria-Kidneys, Ureter, Bladder Emergent Appendicitis KUB Renal Colic - Kidney Stones, Ureters, Bladder Pancreas, Liver, Adrenal CT Angiogram Abdomen Pelvis with and or without IV CT Angiogram Abdomen with and or without IV CT Angiogram Abdominal Aorta and Iliofemoral Runoff with and or without IV CT Angiogram Chest Abdomen Pelvis with and without IV CT Angiogram Chest with and without IV CT Angiography - Aorta, Bifurcation, Mesenteric, Internal/Ext Iliac Arteries, Aneurysm, Dissection CT Angiography- Visualization of Abdominal Aorta, Splenic, Celiac and Renal Arteries CT Angiography. Visualization Abdominal, Pelvic and Bilateral Lower Extremity Arteries Combined CT Angiogram Chest/Abdomen/Pelvis CT Chest Angiography- Visualization Chest Great Vessels, Pulmonary Arteries, Thoracic Aorta. Pulmonary Embolism, Aneurysm, Dissection, Widen Mediastinum Commonly Used CPT Codes for CT Harrison Imaging Centers

2 Procedure CPT Code Indications CT Cervical Spine with IV Abscess, Infection, Discitis CT Cervical Spine without IV Trauma, Fracture, Neck Pain, Degenerative Disc Disease, HNP CT Chest High Resolution Follow up on Pulmonary Nodule CT Chest with IV Most common, Lung, Chest Mass, Nodule, Tumor, Pneumonia, Abscess, abnormal Chest X-ray, SOB, Chest Pain CT Chest without IV Follow up on Pulmonary Nodule CT Enterography Abdomen and Pelvis with IV Bowel Disease, Crohn s Disease CT Head with IV Tumor or Mass, Metastatic Disease, Abscess, Infection, Follow-up CT Head without IV Most common, Acute Headaches, Trauma Bony Abnormality, Fracture, Dizziness, CVA, TIA, Dementia, Altered Mental Status (AMS) CT Heart Calcium Score without IV CT Landmark Sinus without IV Calcium Score Quantification Pre-Surgical Scan- Sinus Commonly Used CPT Codes for CT Harrison Imaging Centers

3 Procedure Name CPT Code Indications CT Lower Extremity with IV Soft Tissue, Mass, Tumor, Cellulites, Abscess. Infection, Osteomyelitis. Limit scan area to area of interest *Not CT Angiogram CT Lower Extremity without IV Trauma, Fracture, Bone Detail, Erosion, Post Op Fracture Status, Non-Union Limit scan area to area of interest CT Lumbar Spine with IV After myelogram, Abscess, Infection, Discitis CT Lumbar Spine without IV Trauma, Fracture, Low Back Pain, Degenerative Disc Disease, HNP CT Maxillofacial without IV Trauma, Fracture CT Pelvis with IV CT Pelvis without IV Evaluate organs of the Pelvis- Bladder, Ovaries, Uterus, Prostate. LLQ or RLQ Pain, Mass, Pelvic Tumor, Inguinal Hernia, Abscess *Not usually ordered without CT Abdomen. Evaluate Bony structures of the Pelvis-Trauma, Fracture, Lesions CT Soft Tissue Neck with IV Soft Tissue Structures, Thyroid, Lymph Nodes, Larynx, Salivary Glands- Tumor or Mass, Difficulty Swallowing, Enlarged Lymph Nodes, Lymphoma, Abscess Commonly Used CPT Codes for CT Harrison Imaging Centers

4 Epic Procedure Name CPT Code Indications CT Thoracic Spine with IV After myelogram, Abscess, Infection, Discitis CT Thoracic Spine without IV CT Upper Extremity with IV CT Upper Extremity without IV Trauma, Fracture, Mid Back Pain, Degenerative Disc Disease, HNP Soft Tissue, Mass, Tumor, Cellulites, Abscess, Infection, Osteomyelitis. Limit scan area to area of interest only *Not CT Angiogram Trauma, Fracture, Bone Detail, Erosion. Post Op Fracture status, Non-Union Limit scan area to area of interest only Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria. ACR Appropriateness Criteria are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes. Commonly Used CPT Codes for CT Harrison Imaging Centers

5 Commonly Used CPT Codes for MRI Harrison Imaging Centers Procedure CPT Code Indications MRI Abdomen with and without IV MRI Abdomen without IV Liver, Spleen, Kidneys, Adrenal glands, Pancreas, Tumor, Mass, Cysts Evaluate Gallbladder, Common Bile Duct, Pancreatic Duct, Stones MRI Angiogram Abdomen with and without IV MRI Angiogram Chest with and without IV MRI Angiogram Head with and without IV MRI Angiogram Neck with and without IV MR Angiogram-Abdominal Aorta to include bifurcation-renal, Celiac, Super/Inferior Mesenteric Arteries MR Angiogram- Great Vessels MR Angiogram- Brain, Aneurysm, Stroke MR Angiogram -Carotid, Subclavian and Vertebral Arteries-Include Aortic Arch to Circle of Willis MRI Ankle with and without IV Tumor, Mass MRI Ankle without IV Most Common. Ligament/Tendon Tears, Avascular Necrosis, Trauma, FX MRI Brachial Plexus Chest Mass, Tumor MRI Brain with and without IV MS, Cancer History, IAC MRI Brain without IV Routine, Headache MRI Breast with and without IV New Cancer Diagnosis, History Commonly Used CPT Codes for MRI Harrison Imaging Centers

6 Procedure CPT Code Indications MRI Cervical Spine with and without IV MS, Cancer History, Cord lesion, Discitis MRI Cervical Spine without IV MRI Elbow with and without IV Most Common - Neck Pain, Suspected HNP, Trauma Tumor, Mass MRI Elbow with IV Arthrogram Tear, Ligament Injury, Surgery MRI Elbow without IV Most Common - Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis MRI Foot with and without IV Tumor, Mass MRI Foot without IV Most Common - Ligament or tendon Tear, Trauma, FX MRI Hip with and without IV Tumor, Mass MRI Hip with IV Arthrogram Tear, Ligament Injury, Surgery MRI Knee with and without IV Tumor, Mass MRI Knee with IV Arthrogram Tear, Ligament Injury, Surgery MRI Knee without IV Most Common - Ligament/Tendon Tears, Meniscal Tears, Avascular Necrosis, Trauma, FX Commonly Used CPT Codes for MRI Harrison Imaging Centers

7 Procedure CPT Code Indications MRI Lumbar Spine with and without IV MRI Lumbar Spine without IV MS, Cancer History, Cord Lesion, Discitis, Tumor, Post-operative Most Common - Back Pain, Suspected HNP, Trauma MRI MRCP without IV Evaluate Gallbladder, Common Bile duct, Pancreatic Duct, Stones MRI Orbit Face and or Neck with and without IV Tumor, Mass MRI Orbit Face and or Neck without IV Larynx, Lymph Nodes MRI Pelvis with and without IV Pelvic organs- Uterus, Bladder, Prostate, Ovaries MRI Pelvis without IV Bony Pelvis, Uterus, Defecogram MRI Prostate with and without IV MRI Shoulder with and without IV Prostate Specific Protocol *Schedule at Bremerton Prostate Coil only Tumor, Mass MRI Shoulder with IV Arthrogram Tear, Ligament Injury, Surgery MRI Shoulder without IV Most Common - Rotator cuff Tear, Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis MRI Temporomandibular Joints TMJ, Dental Commonly Used CPT Codes for MRI Harrison Imaging Centers

8 Commonly Used CPT Codes for MRI Harrison Imaging Centers Procedure CPT Code Indications MRI Thoracic Spine with and without IV MRI Thoracic Spine without IV MRI Wrist with and without IV MS, Cancer History, Spinal Surgery History, Discitis Most Common - Mid Back Pain, Suspected HNP, Trauma tumor, Mass MRI Wrist with IV Arthrogram Tear, Ligament Injury, Surgery MRI Wrist without IV Most Common - Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria. ACR Appropriateness Criteria are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes. Commonly Used CPT Codes for MRI Harrison Imaging Centers

9 Commonly Used CPT Codes for Ultrasound Harrison Imaging Centers Procedure CPT Code Indications US Abdomen Complete US Abdomen Limited Abdominal Pain, Nausea and/or Vomiting, Abnormal Liver Function Test Specific Organ or Region - Hernia, Pyloric Stenosis, Appendix, RUQ, Abdominal Wall Evaluation, Gallstones, Hepatitis US Abdominal Aorta Limited Diagnostic Aorta Evaluation US Breast Biopsy Initial Lesion Mass, Lesion US Breast Complete Screening - Complete Breast and Axilla US Breast Limited Diagnostic - Specific Targeted Area US Chest Pleural Effusion, Mass US Extremity Non Vascular Limited Joint Pain, Tendon/Ligament Pain, Fluid Collection, Mass US Fetal Biophysical Profile without Non Stress Testing Biophysical Profile Only. Add OB Limited if Additional Needed US Hysterosonogram Uterine Abnormalities, Infertility, Multiple Miscarriage US Infant Hips with Manipulation Dysplasia, Breech Birth, Hip Click, Family History of DDH Commonly Used CPT Codes for Ultrasound Harrison Imaging Centers

10 Procedure CPT Code Indications US Medicare AAA Screen G0389 Medicare Abdominal Aorta Screening US OB Detail Fetal Anatomy Single or First Gestation Fetal Survey Only, Gestational Age of Weeks US OB Greater than 14 Weeks and OB Transvaginal US OB Less than 14 Weeks Single or First Gestation and OB Transvaginal Cervical Length, Pre-Term Labor, Cramping, Spotting, History of Cervical Incompetence, Placenta Previa or Placenta Location Early OB study with Transvaginal to Visualize Anatomy US OB Less than 14 Weeks Transabdominal Single Gestation Early OB study, no TV US OB Limited AFI, HR, Placenta or Position US OB Transvaginal AFI, HR, Placenta or Position with Transvaginal Imaging to Visualize Anatomy US Pelvis Complete (Transabdominal Only) US Pelvis Complete and US Non-OB Transvaginal Pain, Ovarian Cyst, Ovarian Torsion Fibroid Uterus, Post-Menopausal Bleeding Pain, Ovarian Cyst, Ovarian Torsion Fibroid Uterus, Post-Menopausal Bleeding, with TV to Visualize Anatomy US Pelvis Limited Urinary Retention, Post Void Residual, Enlarged Prostate, Bladder Outlet Obstruction Commonly Used CPT Codes for Ultrasound Harrison Imaging Centers

11 Procedure CPT Code Indications US Retroperitoneal Complete Kidney Stone, Hematuria, ARF, CRI, Follow-up Hydronephrosis US Retroperitoneal Limited Flank Pain, Renal Failure, Trauma, Hydronephrosis, Renal Stone US Scrotum and Testicles Pain, Mass, Torsion US Thyroid Parathyroid Neck Mass, Enlarged Thyroid or Parathyroid, Hyper- or Hypothyroidism, History of Thyroid Cancer Vascular AAA Duplex Limited Diagnostic Aorta Evaluation Vascular Arterial Lower Extremity Duplex Bilateral Aneurysm, Arterial Embolus, Graft Evaluation Vascular Arterial Lower Extremity Duplex Aneurysm, Arterial Embolus, Graft Evaluation Vascular Carotid Duplex Bilateral Syncope, Hemiplegia, Difference in Arm Blood Pressure, Aphasia, Ataxia Vascular Inferior Vena Cava Duplex Limited Vascular Portal Hepatic Venous Duplex Limited Cirrhosis or Hepatic Disease, Ascites, Varices, Portal Vein Thrombosis Commonly Used CPT Codes for Ultrasound Harrison Imaging Centers

12 Procedure CPT Code Indications Vascular Renal Duplex Bilateral Renal Artery Stenosis, Uncontrolled Hypertension, Renal Bruit, Stent Follow-Up Vascular Veins Lower Extremity Duplex Bilateral DVT, Postphlebetic Ulcer, Varicose Veins with Pain Vascular Veins Lower Extremity Duplex DVT, Postphlebetic Ulcer, Varicose Veins with Pain Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria. ACR Appropriateness Criteria are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. Commonly Used CPT Codes for Ultrasound Harrison Imaging Centers