ABDOMEN ABDOMEN - SURVEY ABDOMEN - LIMITED 2 VIEWS ABDOMEN - MIN 3 VIEWS ABDOMEN - OBSTRUCTION SERIES INCLUDING CHEST

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1 cpt listing Group NPI # january 2013

2 GENERAL X-RAY HEAD & NECK EYE LOCAL FOREIGN BODY MANDIBLE - MIN 4 VIEWS MASTOIDS - 3 VIEWS FACIAL BONES - MIN 3 VIEWS NASAL BONES - 3 VIEWS ORBITS - MIN 4 VIEWS PARANASAL SINUSES - MIN 4 VIEWS SKULL - LESS THAN 4 VIEWS SKULL - COMPLETE TEMPOROMANDIBULAR JOINTS - BILAT NECK - SOFT TISSUE SALIVARY GLAND FOR CALCULUS SINUSES WATER S VIEWS CHEST CHEST - SINGLE VIEW CHEST - AP & LAT CHEST - MIN 4 VIEWS CHEST 2 VIEWS, WITH APICAL LORDOTIC RIBS - UNILATERAL RIBS - UNILATERAL & PA CHEST RIBS - BILATERAL RIBS - BILATERAL & CHEST STERNUM - MIN 2 VIEWS STERNOCLAVICULAR JOINTS SNIFF TEST UPPER EXTREMITIES CLAVICLE SCAPULA SHOULDER - COMPLETE SHOULDER - ACROMIOCLAVICULAR - BILAT HUMERUS - MIN 2 VIEWS ELBOW - 2 VIEWS ELBOW - COMPLETE FOREARM - MIN 2 VIEWS WRIST - 2 VIEWS WRIST - COMPLETE 3 VIEWS FINGER HAND - MIN 3 VIEWS HAND 2 VIEWS UPPER EXTREMITY INFANT UP TO 12 MONTHS MIN 2 VIEWS TIBIA & FIBULA ANKLE - LIMITED - LESS THAN 3 VIEWS ANKLE - COMPLETE - MIN 3 VIEWS FOOT - LIMITED - LESS THAN 3 VIEWS FOOT - COMPLETE MIN 3 VIEWS OS CALCIS TOES - MIN 2 VIEWS HIP & PELVIS - INFANT/CHILD - MIN 2 VIEWS LOWER EXTREMITY INFANT UP TO 12 MONTHS MIN 2 VIEWS ABDOMEN ABDOMEN - SURVEY ABDOMEN - LIMITED 2 VIEWS ABDOMEN - MIN 3 VIEWS ABDOMEN - OBSTRUCTION SERIES INCLUDING CHEST GI TRACT FLUOROSCOPY PHARYNX/CERVICAL ESOPHAGUS PHARYNX/LARYNX UPPER GI W/O KUB UPPER GI WITH SMALL BOWEL UPPER GI SERIES - DOUBLE CONTRAST SMALL BOWEL - MULTIPLE VIEWS G0120 COLON-RECTAL CANCER SCRN. HIGH RISK - BARIUM ENEMA G0106 COLON-RECTAL CANCER SCRN. - BARIUM ENEMA BARIUM ENEMA BARIUM ENEMA WITH AIR UPPER GI WITH SMALL BOWEL - DOUBLE CONTRAST UPPER GI WITH KUB URINARY TRACT UROGRAPHY (IVP) - LIMITED UROGRAPHY (IVP) WITH NEPHROTOMOGRAMS ILLIAL CONDUCT S & I ONLY ILIAL CONDUCT - INJECTION VOIDING CYSTOGRAPHY URETHROCYSTOGRAPHY RETROGRADE SKELETAL BONE AGE STUDY BONE LENGTH STUDY BONE - SURVEY - LIMITED - METASTASES BONE SURVEY - COMPLETE - METABOLIC SPINE & PELVIS SPINE - SURVEY (C, T + L) AP & LAT CERVICAL SPINE - 3 VIEWS OR LESS CERVICAL - 4 OR 5 VIEWS CERVICAL - 6 OR MORE VIEWS THORACIC - AP & LAT SCOLIOSIS STANDING LUMBOSACRAL SPINE - LESS THAN 4 VIEWS LUMBOSACRAL - MIN 4 VIEWS LUMBOSACRAL - 6 VIEWS & BENDING PELVIS - 1 OR 2 VIEWS PELVIS - COMPLETE - MIN 3 VIEWS SACROILIAC JOINTS SACRUM & COCCYX SPINE - SINGLE VIEW, SPECIFY LEVEL BREASTS G0206 MAMMOGRAPHY - UNILATERAL DIAGNOSTIC G0204 MAMMOGRAPHY - BILATERAL DIAGNOSTIC LOCALIZATION OF BREAST NODULE S & I ONLY (MAMMOGRAPHY) BREAST SPECIMEN - SURGICAL RADIOLOGICAL ADDITION LOC. BREAST NODULE S & I ONLY G0202 MAMMOGRAPHY SCREENING PRE - OP PLACEMENT NEEDLE LOCAL ADDT L PRE - OP PLACEMENT NEEDLE LOCAL LOCALIZATION GUIDANCE BREAST BX (STEREOTACTIC) GALACTOGRAM INJECTION GLACTOGRAM, SINGLE DUCT S&I GALACTOGRAM, MULTIPLE DUCTS S&I BREAST CYST ASPIRATION ADDITIONAL BREAST CYST ASPIRATION LOWER EXTREMITIES HIP - UNILATERAL - MIN 2 VIEWS HIPS - BILATERAL 2 VIEWS EACH FEMUR - INCLUDING 1 JOINT KNEE - COMPLETE MIN 3 VIEWS KNEE - 1 OR 2 VIEWS PATELLA KNEE WITH PATELLAR VIEW - 4 OR MORE VIEWS ARTHROGRAMS TMJ - S & I ONLY TMJ - INJECTION SACROILIAC JOINT S & I ONLY SACROILIAC JOINT INJECTION

3 LOWER EXTREMITY KNEE ARTHROGRAM - S & I ONLY KNEE ARTHROGRAM - INJECTION HIP ARTHROGRAM - S & I ONLY HIP ARTHROGRAM - INJECTION ANKLE ARTHROGRAM - S & I ONLY ANKLE ARTHROGRAM - INJECTION DUPLEX SCAN - CAROTID CIRCULATION PENILE DOPPLER VENOUS DOPPLER - BILAT. EXTREMITIES UPPER OR LOWER VISCERAL DOPPLER - LIMITED VENOUS DOPPLER - UNILAT. EXTREMITY UPPER OR LOWER UPPER EXTREMITY SHOULDER ARTHROGRAM - S & I ONLY SHOULDER ARTHROGRAM - INJECTION ELBOW ARTHROGRAM - S & I ONLY ELBOW ARTHROGRAM - INJECTION WRIST ARTHROGRAM - S & I ONLY WRIST ARTHROGRAM - INJECTION DEXA WRIST - BONE DENSITY - OSTEOPOROSIS SPINE-HIP CENTRAL BONE DENSITY - OSTEOPOROSIS DEXA WITH VETEBRAL FRACTURE ASSESMENT MISCELLANEOUS FLUOROSCOPIC GUIDANCE FISTULA X-RAY SINOGRAM INJECTION BX PROSTATE - ANY APPROACH INTRODUCTION CATHETER - SUPERIOR OR INFERIOR (PIC) RADIOLOGIC EXAM - SINGLE PLANE (TOMOGRAMS) FLUOROSCOPIC EXAM UP TO ONE HOUR ULTRASOUND HEAD & NECK REGIONS HEAD, NECK, THYROID, PARATHYROID ABDOMINAL (UPPER & LOWER) - PELVIC REGIONS ABDOMINAL - LIMITED - SINGLE ORGAN - QUADRANT ABDOMINAL (SURVEY) AND/OR GALLBLADDER/PANCREAS/SPLEEN/LIVER BLADDER ECHOGRAPHY (IF DONE WITH RENAL) BREAST(S) [UNILATERAL OR BILATERAL] FETAL BIOPHYSICAL PROFILE FETAL - LIMITED FOLLOW UP SCAN OB ULTRASOUND 2ND & 3RD TRIMESTER FOLLOW-UP LIMITED PELVIC AREA DOPPLER PELVIC SONOGRAM - NON-OBSTETRICAL PELVIC US LTD FOR FOLLICLE GROWTH PELVIS & TRANSVAGINAL PREGNANCY & TRANSVAGINAL PREGNANT UTERUS - EARLY 1ST TRIMESTER PREGNANT UTERUS - MULTIPLE GESTATION - 1ST TRIMESTER RENAL ABD. AORTA NODES TRANSRECTAL TRANSVAGINAL - NON-OBSTETRICAL EXTREMITIES EXTREMITY NON-VASCULAR COMPLETE INFANT HIP EXTREMITY NON-VASCULAR LTD ANATOMIC SPECIFIC DOPPLER STUDIES ARTERIAL DOPPLER BILAT UPPER OR LOWER EXTREMITY FULL EXAM LEVELS WITH ABI S - 3 OR MORE LEVELS ARTERIAL DOPPLER LIMITED BILAT. - UPPER OR LOWER EXTREMITY LEVELS OR UNILAT COMPLETE ARTERIAL DOPPLER - LOWER EXTREMITY BILAT. DUPLEX ARTERIAL DOPPLER - UNILAT. UPPER EXTREMITY DUPLEX ARTERIAL DOPPLER - UNILAT. LOWER EXTREMITY DUPLEX ARTERIAL DOPPLER - UPPER EXTREMITY BILAT. DUPLEX DOPPLER INFERIOR VENA CAVA OR AORTA, OR ILIAC VESSELS DOPPLER VISCERAL - ADD TO ABDOMINAL, SCROTAL, PELVIC, ULTRASOUND WHEN DONE ECHOCARDIOGRAM DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING D ECHO WITH STRESS & ELECTROCARDIOGRAM ULTRASOUND MISCELLANEOUS CHEST EXAM BONE DENSITY MEASUREMENT, PERIPHERAL SITES SPINAL CANAL TESTICULAR SCAN WITH COLOR DOPPLER U/S GUIDANCE FOR NEEDLE BIOPSY U/S BREAST CYST ASPIRATION NUCLEAR MEDICINE THYROID AREA THYROID IMAGING WITH UPTAKE, MULTIPLE DETERMINATION I-131 THYROID THERAPY PARATHYROID PLANAR IMAGING PARATHYROID SPECT/CT SALIVARY GLAND FUNCTION STUDY BONES BONE/JOINT IMAGING - LIMITED BONE IMAGING - MULTIPLE AREAS BONE IMAGING - WHOLE BODY BONE IMAGING BY THREE PHASE TECHNIQUE BONE MARROW IMAGING - LIMITED AREA BONE MARROW IMAGING - MULTIPLE AREAS BONE MARROW - WHOLE BODY SPECT BONE IMAGING (SPECT) - WHOLE BODY HEART/LUNG AREA GATED BLOOD POOL MUGA OR STRESS FIRST PASS FOR (RVEF) AND GATED BLOOD POOL MYOCARDIAL PERFUSION REST OR STRESS - PLANAR SINGLE MYOCARDIAL PERFUSION STRESS/REDISTRIBUTION - PLANAR MULTI MYOCARDIAL PERFUSION SPECT REST/STRESS WITH WALL MOTION, EJECTION FRACTION - SINGLE STUDY MYOCARDIAL PERFUSION SPECT REST/STRESS WITH WALL MOTION, EJECTION FRACTION - MULTIPLE BRAIN/HEAD AREA BRAIN IMAGING SPECT GI LIVER/SPLEEN IMAGE - STATIC LIVER/SPLEEN SCAN W/FLOW MECKEL S DIVERTICULUM SCAN GI BLEEDING SCAN LIVER - DISIDA SCAN W/O CCK LIVER - DISIDA SCAN W/CCK LIVER IMAGING + FLOW (HEMANGIOMA) SPECT + PLANA LIVER IMAGING (SPECT) GASTRIC EMPTYING STUDY GALLBLADDER IMAGING - (HDA SCAN) W/O CCK GALLBLADDER IMAGING - (HDA SCAN) W/CCK

4 GU KIDNEY PARENCHYMA IMAGING - FOR RENAL MASS TESTICULAR SCAN KIDNEY IMAGING & VASCULAR FLOW & FUNCTION STUDY RENAL IMAGING (WITH LASIX) CAPTOPRIL RENAL SCAN - PT. GETS 2 MAG3 DOSES TUMOR & INFLAMMATION BREAST MIBI TECHNICIAN GALLIUM TUMOR - MULTIPLE AREAS GALLIUM TUMOR - WHOLE BODY GALLIUM INFECTION - MULTIPLE AREAS GALLIUM INFECTION - WHOLE BODY WHOLE BODY WITH SPECT TAGGED WHITE BLOOD CELL IMAGING - LIMITED TAGGED WHITE BLOOD CELL IMAGING - WHOLE BODY NUCLEAR MEDICINE MISCELLANEOUS LYMPHATICS LYMPH NODES NUCLEAR MEDICINE PET SCAN PET/CT BREAST CANCER, WHOLE BODY PET FOR BRAIN IMAGING METABOLIC EVALUATION PET FOR BRAIN IMAGING PERFUSION EVALUATION PET FOR BRAIN IMAGING SEIZURE EVALUATION PET/CT FOR BREAST (MONITOR FOR TREATMENT) PET/CT FOR BREAST DIAGNOSIS PET/CT FOR BREAST STAGING/RESTAGING PET/CT FOR COLORECTAL CANCER, DX PET/CT FOR COLORECTAL CANCER, INITIAL PET/CT FOR COLORECTAL CANCER, RESTAGING PET/CT FOR COLORECTAL CANCER, WHOLE BODY PET/CT FOR ESOPHAGEAL CANCER, DX PET/CT FOR ESOPHAGEAL CANCER, INITIAL PET/CT FOR ESOPHAGEAL CANCER, RESTAGING PET/CT FOR ESOPHAGEAL CANCER, WHOLE BODY PET/CT FOR HEAD AND NECK CANCER, DX PET/CT FOR HEAD AND NECK CANCER, INITIAL PET/CT FOR HEAD AND NECK CANCER, RESTAGING PET/CT FOR HEAD AND NECK CANCER, WHOLE BODY PET/CT FOR LUNG CANCER, DX LUNG CA PET/CT FOR LUNG CANCER, INITIAL LUNG PET/CT FOR LUNG CANCER, RESTAGING LUNG PET/CT FOR LUNG CANCER, WHOLE BODY PET/CT FOR LYMPHOMA, DX LYMPHOMA PET/CT FOR LYMPHOMA, INITIAL PET/CT FOR LYMPHOMA, RESTAGING PET/CT FOR LYMPHOMA, WHOLE BODY PET/CT FOR MELANOMA, WHOLE BODY DX PET/CT FOR MELANOMA, WHOLE BODY INITIAL PET/CT FOR MELANOMA, WHOLE BODY RESTAGING G0219 PET/CT IMAGING WHL BOD MELANOMA, NONCOV INDICAT PET MYOCARD IMAG MULTI RES/STRESS PET MYOCARD PERF SINGLE STUDY RES/STRESS PET MYCARDIAL IMAG METABOLIC EVALUATION PET/CT THYROID RESTAGING FOLLICULAR CARCINOMA CT SCAN HEAD - AREA CT HEAD OR BRAIN W/O CONTRAST CT HEAD W/CONTRAST CT HEAD & FURTHER SECTION W/O & W CONTRAST CT ORBITS W/O CONTRAST CT ORBITS W/CONTRAST CT MAXILLOFACIAL W/O CONTRAST CT DENTAL CT 3 DIMENSIONAL RECONSTRUCTION - MULTIPLANAR, OBLIQUE CT SINUS STUDY CT ORBIT, SELLA, OUTER MIDDLE EAR/INNER EAR W/O CONTRAST & CONTRAST CT MAXILLOFACIAL WITH CONTRAST CT MAXILLOFACIAL W/O CONTRAST & CONTRAST CT SOFT TISSUE NECK W/O CONTRAST CT ANGIOGRAPHY HEAD CT ANGIOGRAPHY NECK CHEST CT CHEST W/O CONTRAST CT CHEST W/CONTRAST CT CHEST W & W/O CONTRAST ABDOMEN/PELVIS CT ABDOMEN W/O CONTRAST CT ABDOMEN W/CONTRAST CT ABDOMEN W & W/O CONTRAST CT ABDOMEN & PELVIS CT ABDOMEN & PELVIS W/CONTRAST CT ABDOMEN & PELVIS W/O & WITH CONTRAST CT PELVIS CT PELVIS W/CONTRAST CT PELVIS W/O & WITH CONTRAST CT COLONOGRAPHY, DIAGNOSTIC CT COLONOGRAPHY, SCREEING SPINE CT CERVICAL SPINE W/O CONTRAST CT CERVICAL SPINE W/CONTRAST CT CERVICAL W/O & W/CONTRAST CT THORACIC SPINE W/O CONTRAST CT THORACIC SPINE W/CONTRAST CT THORACIC SPINE W/O & W/CONTRAST CT LUMBAR W/O CONTRAST CT LUMBAR W/CONTRAST CT LUMBAR W/O & W/CONTRAST NECK AND/OR EXTREMITIES CT NECK CT NECK W/CONTRAST CT NECK W/O & W/CONTRAST CT UPPER EXTREMITY CT UPPER EXTREMITY W/CONTRAST CT UPPER EXTREMITY W/O & W/CONTRAST CT SCANOGRAM CT LOWER EXTREMITY W/O CONTRAST CT LOWER EXTREMITY W/CONTRAST CT LOWER EXTREMITY W/O & W/CONTRAST CTA CHEST & PELVIS CT ANGIOGRAPHY CHEST CT ANGIOGRAPHY PELVIS CTA EXTREMITY CTA ABDOMINAL AORTA BILAT ILIOFEMORAL RUNOFF CTA UPPER EXTREMITY CTA LOWER EXTREMITY CTA ABDOMEN CT ANGIOGRAPHY ABDOMEN W/O & WITH DYE CTA ABDOMEN/PELVIS MRI & MRA ABDOMEN ABDOMEN - WITH/WITHOUT CONTRAST MRA ABDOMEN PELVIS PELVIS - WITH/WITHOUT CONTRAST PELVIS - WITH ENDORECTAL COIL WITH CONTRAST

5 72198 MRA PELVIS MRI SPINAL CANAL & CONTENTS W/O CONTRAST & CONTRAST NEURO - HEAD BRAIN BRAIN - WITH/WITHOUT CONTRAST BRAIN FOR IAC - WITH CONTRAST FACE/ORBITS/NECK FACE/ORBITS/NECK - WITH/WITHOUT CONTRAST MRA HEAD MRA W/O & WITH CONTRAST HEAD MRA NECK W/O CONTRAST MRA NECK W/O & WITH CONTRAST SPINE SPINAL CORD - MYELOPATHY MRA SPINAL CANAL & CONTENTS - WITH OR WITHOUT CONTRAST CERVICAL CERVICAL - WITH/WITHOUT CONTRAST THORACIC THORACIC - WITH/WITHOUT CONTRAST LUMBAR LUMBAR - WITH/WITHOUT CONTRAST UPPER EXTREMITY NON - JOINT NON - JOINT - W/O & W/CONTRAST JOINT JOINT - WITH/WITHOUT CONTRAST MRA UPPER EXTREMITY LOWER EXTREMITY NON - JOINT NON - JOINT - WITH/WITHOUT CONTRAST JOINT JOINT - WITH/WITHOUT CONTRAST HIPS - LIMITED FOR FX MRA LOWER EXTREMITY MR SPECTROSCOPY NEURO-BRST TMJ TMJ MARROW BONE MARROW BODY CHEST CHEST - WITH/WITHOUT CONTRAST MRA CHEST - WITH CONTRAST HEART MRI - CARDIAC FOR MORPHOLOGY - W/O CONTRAST MRI - CARDIAC FOR FUNCTION - WITH/WITHOUT MORPHOLOGY - COMPLETE STUDY - MULTIPLE CHAMBERS MRI - CARDIAC FOR FUNCTION - STRESS IMAGING MRI - CARDIAC FOR VELOCITY FLOW MAPPING CT HEART, W/O CONTRAST MATERIAL, QUANTITATIVE EVALUATION OF CORONARY CALCIUM CT HEART, W/O CONTRAST MATERIAL, FOR EVALUATION OF CARDIAC STRUCTURE AND MORPHOLOGY (INCLUDING 3D IMAGING POST PROCESSING, ASSESSMENT OF CARDIAC FUNCTION, AND EVALUATION OF VENOUS STRUCTURES, IF PERFORMED) CT HEART, W/O CONTRAST MATERIAL, FOR EVALUATION OF CARDIAC STRUCTURE AND MORPHOLOGY IN THE SETTING OF CONGENITAL HEART DISEASE (INCLUDING 3D IMAGING POST PROCESSING, ASSESSMENT OF LV CARDIAC FUNCTION, RV STRUCTURE AND FUNCTION AND EVALUATION OF VENOUS STRUCTURES, IF PERFORMED) CT ANGIOGRAPHY, HEART, CORONARY ARTERIES AND BYPASS GRAFTS (WHEN PRESENT), WITH CONTRAST MATERIAL, INCLUDING 3D POST PROCESSING (INCLUDING EVALUATION OF CARDIAC STRUCTURE AND MORPHOLOGY, ASSESSMENT OF CARDIAC FUNCTION, AND EVALUATION OF VENOUS STRUCTURES, IF PERFORMED) MRI MISCELLANEOUS BREAST, UNILATERAL WITH OR W/O CONTRAST BREAST BILATERAL WITH OR WITHOUT CONTRAST BREAST MRI GUIDANCE TISSUE ABLATION MR ARTHROGRAM KNEE MR ARTHROGRAM SHOULDER LYMPHANGIOGRAPHY LYMPHANGIOGRAPHY EXTREMITY, UNI LYMPHANGIOGRAPHY, EXTREMITY ONLY, BILATERAL INJECTION LYMPHATIC SYSTEM

6 Turnersville MODALITY Cherry Hill Greentree Haddonfield Pennsauken Sicklerville & Women s Voorhees Center Women s Washington Center Township at Voorhees Radiography Fluoroscopy Ultrasound Mammography (CAD) Computed Tomography (CT Scan) MRI & MRA Nuclear Medicine & Cardiology PET Vascular Color Flow Doppler Bone Densitometry Osteoporosis Echocardiography turnersville & women s center WASHINGTON PROFESSIONAL CAMPUS II 901 ROUTE 168, SUITES TURNERSVILLE, NEW JERSEY FAX: cherry hill SOUTH JERSEY MEDICAL CENTER 1401 ROUTE 70 EAST, SUITE 9 CHERRY HILL, NEW JERSEY FAX: greentree (GREENTREE ROAD & LINCOLN DRIVE) 1000 LINCOLN CENTER 1000 LINCOLN DRIVE EAST, SUITE 1 MARLTON, NEW JERSEY FAX: Washington Twp. 239 HURFFVILLE-CROSS KEYS ROAD SUITE 140 SEWELL, NEW JERSEY FAX: pennsauken BROWNING ROAD MEDICAL CENTER 6650 BROWNING ROAD, SUITE M14 PENNSAUKEN, NEW JERSEY FAX: voorhees WEST JERSEY MEDICAL & PROFESSIONAL PLAZA 100 CARNIE BOULEVARD, SUITE B5 VOORHEES, NEW JERSEY FAX: haddonfield HADDON AVENUE, SUITE 5 HADDONFIELD, NEW JERSEY FAX: sicklerville THE HEALTH CENTER AT SICKLERVILLE 485 WILLIAMSTOWN-NEW FREEDOM ROAD SICKLERVILLE, NEW JERSEY FAX: women s center at voorhees WEST JERSEY MEDICAL & PROFESSIONAL PLAZA 100 CARNIE BOULEVARD, SUITE A4 VOORHEES, NEW JERSEY FAX:

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