CPT CODE PROCEDURE DESCRIPTION ADDITIONAL INFORMATION

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Lenard Thornton
7 years ago
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1 70336 MRI TMJ Tempomandibular joint/jaw CT Head/Brain w/o Contrast CT Head/Brain w/o & w/ Contrast CT Orbit w/o Contrast Temporal Bone/Mastoid/Ears CT Orbit w/ Contrast Temporal Bone/Mastoid/Ears CT Maxllfcl w/o Contrast Sinus/Denta Scan/TMJ CT Maxllfcl w/o & w/ Contrast Sinus/Denta Scan/TMJ CT Soft Tissue Neck w/o Contrast Parotid; Not used for Cervical Bone CT Soft Tissue Neck w/ Contrast Parotid; Not used for Cervical Bone CT Soft Tissue Neck w/o & w/ Contrast Parotid; Not used for Cervical Bone MRI Face, Orbit, Neck w/o Contrast Sinus/3 areas (soft tissue neck) eyes/temporal MRI Face, Orbit, Neck w/ Contrast Gadolinium MRA Head w/o Contrast Also known as MRV MRA Head w/ Contrast Gadolinium/ Also known as MRV MRA Head w & w/o Contrast Gadolinium/ Also known as MRV MRA Neck w/o Contrast Also known as MRV MRA Neck w & w/o Contrast Gadolinium/ Also known as MRV MRI Head w/o Contrast IACs (Internal Auditory Canal) MRI Head w/ Contrast IACs (Internal Auditory Canal) MRI Head w/ & w/o Contrast IACs (Internal Auditory Canal) MRI, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration MRI, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing CT Thorax w/o Contrast Can be CT Chest or a Ultrafast-CT/EBT/EBCT CT Thorax w/ Contrast Chest/Ultrafast CT/EBT/EBCT CT Thorax w/o & w/ Contrast Chest/Ultrafast CT/EBT/EBCT Ct Angiography Chest MRI Chest w/o Contrast Brachial Plexus CT T Spine w/o Contrast CT T Spine w/ Contrast CT T Spine w/o & w/ Contrast CT L Spine w/o Contrast Includes Sacrum MRI Cervical Spine w/o Contrast Vertebrae of the Neck MRI Cervical Spine w/ Contrast Gadolinium MRI Thoracic Spine w/o Contrast MRI Thoracic Spine w/ Contrast Gadolinium MRI Lumbar Spine w/o Contrast Includes Sacrum 1

2 72149 MRI Lumbar Spine w/ Contrast Gadolinium - Includes Sacrum MRI C Spine w/ & w/o Contrast Gadolinium MRI T Spine w/ & w/o Contrast Gadolinium MRI L Spine w/ & w/o Contrast Gadolinium - Includes Sacrum MRA Spinal Canal w/ or w/o Contrast Gadolinium/ Also known as MRV CT Angiography Pelvis Aortic Aneurysm CT Pelvis w/o Contrast Below Belly Button/Coccyx CT Pelvis w/o & w/ Contrast Below Belly Button/Coccyx MRI Pelvis w/o Contrast Coccyx MRI Pelvis w & w/o Contrast Gadolinium/coccyx MRA Pelvis w/ or w/o Contrast Gadolinium/ Also known as MRV CT Upper Extremity w/o Contrast Hand/Arm/Shoulder/ Elbow/Wrist CT Upper Extremity w/ Contrast Hand/Arm/Shoulder/ Elbow/Wrist CT Upper Extremity w/o & w/ Contrast Hand/Arm/Shoulder/ Elbow/Wrist CT Angiography Upper Extremity Hand/Arm/Shoulder/ Elbow/Wrist MRI Upper Extremity w/o Contrast Hand/Arm/Axilla MRI Upper Extremity w & w/o Contrast Hand/Arm/Axilla-Gadolinium MRI Upper Extremity w/o Contrast Shoulder/Elbow/Wrist MRI Upper Extremity w/ Contrast Arthrogram Shoulder/Elbow/Wrist-Gadolinium MRI Upper Extremity Joint w & w/o Contrast Shoulder/Elbow/Wrist-Gadolinium MRA Upper Extremity w/ or w/o Contrast Gadolinium/ Also known as MRV CT Lower Extremity w/o Contrast Hip/Leg/Knee/Ankle/ Foot CT Lower Extremity w/o & w/ Contrast Hip/Leg/Knee/Ankle/ Foot MRI Lower Extremity w/o Contrast Foot/Leg MRI Lower Extremity w/ Contrast Foot/Leg-Gadolinium MRI Lower Extremity w/o Contrast Hip/Knee/Ankle MRI Lower Extremity w/ Contrast Arthrogram Hip/Knee/Ankle-Gadolinium MRI Lower Extremity Joint w/ & w/o Contrast Hip/Knee/Ankle-Gadolinium MRA Lower Extremity w/ or w/o Contrast Gadolinium/ Also known as MRV CT Abdomen w/o Contrast Diaphragm to Belly Button CT Abdomen w/ Contrast Aneurysm/Diaphragm to Belly Button CT Abdomen w/o & w/ Contrast Diaphragm to Belly Button Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing Ct Angiography Abdomen Diaphragm to Belly Button Computed Tomography, Abdomen and Pelvis; without Contrast Material Computed Tomography, Abdomen and Pelvis; with Contrast Material(s) Computed Tomography, Abdomen And Pelvis; Without Contrast Material In One Or Both Body Regions, Followed By Contrast 2

3 74181 MRI Abdomen w/o Contrast MRCP-MR Cholangiogram MRI Abdomen w/ & w/o Contrast MRCP-MR Cholangiogram Gadolinium Computed Tomographic (CT) Colonography, Diagnostic, Including Image Postprocessing; Without Contrast Material Computed Tomographic (CT) Colonography, Diagnostic, Including Image Postprocessing; With Contrast Material(s) Including Non- Contrast Images, If Performed Computed Tomographic (CT) Colonography, Screening, Including Image Postprocessing Cardiac MRI For Morphology And Function Without Contrast Material; With Stress Imaging Cardiac MRI For Morphology And Function Without Contrast Material(s), Followed By Contrast Material(s) And Further Sequences; With Stress Imaging Cardiac CT For Congenital HD CT Angio Coronary Artery CT Angiography Abdominal Aorta Aortic Aneurysm D Rendering With Interpretation And Reporting Of Computed D Rendering With Interpretation And Reporting Of Computed Tomography, Magnetic Resonance Imaging, Ultrasound, Or Other Tomographic Modality With Image Postprocessing Under Concurrent Supervision; Requiring Image Postprocessing On An Independent Workstation CT Limited or Localized Follow-Up Study U/S Gastrointestinal, Endoscopic MRI Breast w/ and/or w/o Contrast; Unilateral Unilateral-One-Gadolinium MRI Breast Bilateral Both MRI Bone Marrow Blood Supply Thyroid Uptake, Single or Multiple Quantitative Measurements(s) (Including Stimulation, Suppression, or Discharge, When Performed) Thyroid Imaging (Including Vascular Flow, When Performed); Thyroid Imaging (Including Vascular Flow, When Performed); With Single or Multiple Uptake(s) Quantitative Measurement(s) (Including Thyroid Met Imaging Thyroid Met Imaging with Additional Studies 3

4 78020 Thyroid Carcinoma Metastases Uptake Parathyroid Planar Imaging (Including Subtraction, When Performed); With Tomographic (Spect) Parathyroid Planar Imaging (Including Subtraction, When Performed); With Tomographic (Spect), And Concurrently Acquired Computed Tomography (CT) For Anatomical Localization Adrenal Nuclear Imaging MIBG Bone Marrow Imaging, Limited Bone Marrow Imaging, Multiple Bone Marrow Imaging, Whole Body Spleen Imaging w & w/o Vascular Flow Liver Imaging Liver Imaging w/ Flow Liver Imaging Spect Liver Imaging Spect w/ Vascular Flow Liver and Spleen Imaging Red Cell Tagging Liver and Spleen Imaging w/ Flow Hepatobiliary system imaging, including gallbladder when present; Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Salivary Gland Imaging Serial Salivary Gland Salivary Gland Function Test Esophagus Motility Study Gastric Mucosa Imaging Gastroesophagael Reflum Emam Gastric Emptying Study Meckel's Diverticulum Imaging 4

5 78291 Leveen Shunt Patency Exam Bone or Joint Imaging Ltd One Bone Bone or Joint Imaging Multiple More than one Bone Used Often with CA studies/all bones Bone Scan Whole Body Cardiac Shunt Imaging Radionuclide Venogram Non-Cardiac MPI, Spect, Multiple Rest or Stress MPI, Planar, Single Rest or Stress MPI, Planar, Multiple Rest or Stress Acute Venous Thrombosis Imaging Venous Thrombosis Imaging Unilateral Venous Thrombosis Imaging Bilateral Myocardial Imaging, Positron Emission Tomography (PET) Metabolic Eval Myocardial Infarction Scan Heart Infarct Image Ef Heart Infarct Image Spect Heart First Pass Single 5

6 78483 Cardiac Blood Pool Imaging, Multi Myocardial Imaging, Positron Emission Tomography (PET), Perfusion; Single Study At Rest Or Stress Myocardial Imaging, Positron Emission Tomography (PET), Perfusion; Multiple Studies At Rest Or Stress Cardiac Blood Pool Imaging, Spect Cardiac Blood Pool Imaging, Single at Rest (Use with 78472) Pulmonary ventilation imaging (eg, aerosol or gas) Quantitative differential pulmonary perfusion, including imaging when performed Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Brain Imaging Ltd Static Brain Ltd Imaging and Flow Brain Imaging Complete Brain Imaging Complete w/ Flow Brain Flow Imaging Only Cisternogram (Cerebrospinal Fluid Flow) Cerebrospinal Ventriculography CSF Shunt Evaluation Cerebrospinal Fluid Scan Spect CSF Leakage Detection and Localization Radiopharmaceutical Dacryocystorgraphy Kidney Imaging Morphology Kidney Imaging Morphology w/ Vascular Flow Kidney Imaging Morphology w/ Vascular Flow, Multi, w/o and w/ Captorpril/Renal Scan/MAG 3 Pharm Intervention Kidney Imaging, Spect Urinary Bladder Residual Study Ureteral Reflum Study VCUG/Cystogram Radiopharm Localization of Tumor, Limited Area Radiopharm Localization of Tumor, Multi Areas Radiopharmaceutical Localization of Tumor or Distribution of Radiopharmaceutical Agent(s); Whole Body, Requiring 2 or More Days Imaging Gallium Scan/FUO 6

7 78806 Radiopharm Localization of Abscess, Whole Body Radiopharm Localization of Abscess, Spect Gallium Scan/Indium Scan/WBC Scan/MBIG Gallium Scan/Indium Scan/WBC Scan/MBIG Positron Emission Tomography (PET) Imaging; Limited Area (Eg, Chest, Head/Neck) Galliium Scan/Indium Scan/WBC Scan/MBIG Positron Emission Tomography (PET) Imaging; Skull Base To Mid-Thigh Positron Emission Tomography (PET) Imaging; Whole Body Positron Emission Tomography (PET) with Concurrently Acquired Computer Tomography (CT) for Attenuation Correction and Anatomical Localization Imaging; Limited Area (Eg Chest, Head/Neck) PET with CT Positron Emission Tomography (PET) with Concurrently Acquired Computer Tomography (CT) for Attenuation Correction and Anatomical Localization Imaging; Skull Base to Mid-Thigh PET with CT 7

AI CPT Codes. x x. 70336 MRI Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)

AI CPT Codes. x x. 70336 MRI Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) Code Category Description Auth Required Medicaid Medicare 0126T IMT Testing Common carotid intima-media thickness (IMT) study for evaluation of atherosclerotic burden or coronary heart disease risk factor