Horizon Blue Cross Blue Shield of NJ Radiology Rules Bank

Transcription

1 Horizon Blue Cross Blue Shield of NJ Radiology Rules Bank * Rule added 05/30/13 Code Pay Code Do Not Pay Source Myelography, posterior fossa, radiological supervision and Fluoroscopy, up to one hour physician time Myelography, posterior fossa, radiological supervision and Fluoroscopy, more than one hour physician time Myelography, posterior fossa, radiological supervision and Myelography, posterior fossa, radiological supervision and Fluoroscopic guidance for needle placement Myelography, posterior fossa, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Cisternography, positive contrast, radiological supervision and Fluoroscopy, up to one hour physician time Cisternography, positive contrast, radiological supervision and Fluoroscopy, more than one hour physician time Cisternography, positive contrast, radiological supervision and Cisternography, positive contrast, radiological supervision and Fluoroscopic guidance for needle placement Cisternography, positive contrast, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures X-ray, mandible; complete, min of 4 views X-ray, mandible, partial, < 4 views X-ray, mastoids, complete, min of 3 views per side X-ray, mastoids, < 3 views per side X-ray facial bones, complete, min of 3 views X-ray, facial bones, < 3 views 1

2 70170 Dacryocystography, nasolacrimal duct, radiological supervision and Fluoroscopy, up to one hour physician time Dacryocystography, nasolacrimal duct, radiological supervision and Fluoroscopy, more than one hour physician time Dacryocystography, nasolacrimal duct, radiological supervision and Dacryocystography, nasolacrimal duct, radiological supervision and Fluoroscopic guidance for needle placement Dacryocystography, nasolacrimal duct, radiological supervision and Radiopharmaceutical dacryocystography X-rays, sinuses, paranasal, complete min of 3 views X-ray, sinuses, paranasal, < 3 views Complete, min of 4 views X-ray, skull, < 4 views X-ray exam of teeth, single view X-ray exam of teeth, single view X-ray exam teeth; complete full mouth X-ray exam of teeth, single view CPT Definition X-ray exam teeth; complete full mouth X-ray exam of teeth, single view CPT Definition X-ray TMJ, bilateral X-ray TMJ, unilateral TMJ arthrography, radiological supervision and Fluoroscopy, up to one hour physician time TMJ arthrography, radiological supervision and Fluoroscopy, more than one hour physician time TMJ arthrography, radiological supervision and

3 70332 TMJ arthrography, radiological supervision and Fluoroscopic guidance for needle placement MRI, TMJ TMJ arthrography, radiological supervision and CPT Definition Panoramic X-ray of Jaws X-ray exam of teeth, single view Panoramic X-ray of Jaws X-ray exam of teeth, single view Panoramic X-ray of Jaws X-ray exam teeth; complete full mouth Pharynx or larynx, including fluoro and/or magnification technique X-ray, neck, soft tissue Pharynx or larynx, including fluoro and/or magnification technique X-ray, pharynx and/or cervical esophagus Pharynx or larynx, including fluoro and/or magnification technique Swallowing function W cineradiography /videoradiography Pharynx or larynx, including fluoro and/or magnification technique Fluoroscopy, up to one hour physician time Pharynx or larynx, including fluoro and/or magnification technique Fluoroscopy, more than one hour physician time Pharynx or larynx, including fluoro and/or magnification technique Complex dynamic pharyngeal and speech evaluation by cine or video recording Pharynx or larynx, including fluoro and/or magnification technique Complex dynamic pharyngeal and speech evaluation by cine or video recording X-ray, pharynx and/or cervical esophagus Complex dynamic pharyngeal and speech evaluation by cine or video recording Swallowing function W cineradiography /videoradiography 3

4 70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording X-ray GI tract, upper, W or WO delayed films, WO KUB CPT Definition Complex dynamic pharyngeal and speech evaluation by cine or video recording Fluoroscopy, up to one hour physician time Complex dynamic pharyngeal and speech evaluation by cine or video recording Fluoroscopy, more than one hour physician time Complex dynamic pharyngeal and speech evaluation by cine or video recording Laryngography, contrast, radiological supervision and Fluoroscopy, up to one hour physician time Laryngography, contrast, radiological supervision and Fluoroscopy, more than one hour physician time Laryngography, contrast, radiological supervision and Sialography, radiological supervision and Fluoroscopy, up to one hour physician time Sialography, radiological supervision and Fluoroscopy, more than one hour physician time Sialography, radiological supervision and Sialography, radiological supervision and Fluoroscopic guidance for needle placement CT head WO contrast CT orbit WO contrast CT head WO contrast CT orbit W contrast CT head WO contrast CT orbit WO & W contrast 4

5 70450 CT head WO contrast CT limited or localized follow-up study CT Head W contrast CT head WO contrast CT Head W contrast CT orbit WO contrast CT Head W contrast CT orbit W contrast CT Head W contrast CT orbit WO & W contrast CT Head W contrast Fluoroscopy, up to one hour physician time CT Head W contrast Fluoroscopy, more than one hour physician time CT Head W contrast CT limited or localized follow-up study CT Head W contrast CT Head W contrast US guidance intra-operative CT Head W contrast CT Head W contrast Fluoroscopic guidance for needle placement CT head WO & W contrast CT head WO contrast CT head WO & W contrast CT head W contrast 5

6 70470 CT head WO & W contrast CT orbit WO contrast CT head WO & W contrast CT orbit W contrast CT head WO & W contrast CT orbit WO & W contrast CT head WO & W contrast Fluoroscopy, up to one hour physician time CT head WO & W contrast Fluoroscopy, more than one hour physician time CT head WO & W contrast CT limited or localized follow-up study CT head WO & W contrast CT head WO & W contrast US guidance intra-operative CT head WO & W contrast CT head WO & W contrast Fluoroscopic guidance for needle placement CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast MRI orbit, face, neck, W contrast CPT Definition CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast MRI face, orbit, face, WO & W contrast CPT Definition CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast CT limited or localized follow-up study CT orbit, sella, W contrast CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast 6

7 70481 CT orbit, sella, W contrast MRI orbit, face, neck, WO contrast CPT Definition CT orbit, sella, W contrast MRI orbit, face, neck, W contrast CPT Definition CT orbit, sella, W contrast MRI face, orbit, face, WO & W contrast CPT Definition CT orbit, sella, W contrast Fluoroscopy, up to one hour physician time CT orbit, sella, W contrast Fluoroscopy, more than one hour physician time CT orbit, sella, W contrast CT limited or localized follow-up study CT orbit, sella, W contrast CT orbit, sella, W contrast US guidance intra-operative CT orbit, sella, W contrast CT orbit, sella, W contrast Fluoroscopic guidance for needle placement CT orbit WO & W contrast CT orbit WO contrast CT orbit WO & W contrast CT orbit W contrast CT orbit WO & W contrast MRI orbit, face, neck, WO contrast CPT Definition CT orbit WO & W contrast MRI orbit, face, neck, W contrast CPT Definition 7

8 70482 CT orbit WO & W contrast MRI face, orbit, face, WO & W contrast CPT Definition CT orbit WO & W contrast Fluoroscopy, up to one hour physician time CT orbit WO & W contrast Fluoroscopy, more than one hour physician time CT orbit WO & W contrast CT limited or localized follow-up study CT orbit WO & W contrast CT orbit WO & W contrast US guidance intra-operative CT orbit WO & W contrast CT orbit WO & W contrast Fluoroscopic guidance for needle placement CT maxillofacial WO contrast CT limited or localized follow-up study CT maxillofacial W contrast CT maxillofacial area, WO contrast CT maxillofacial W contrast Fluoroscopy, up to one hour physician time CT maxillofacial W contrast Fluoroscopy, more than one hour physician time CT maxillofacial W contrast CT limited or localized follow-up study CT maxillofacial W contrast

9 70487 CT maxillofacial W contrast US guidance intra-operative CT maxillofacial W contrast CT maxillofacial W contrast Fluoroscopic guidance for needle placement CT maxillofacial WO & W contrast CT maxillofacial area, WO contrast CT maxillofacial WO & W contrast CT maxillofacial area, W contrast CT maxillofacial WO & W contrast Fluoroscopy, up to one hour physician time CT maxillofacial WO & W contrast Fluoroscopy, more than one hour physician time CT maxillofacial WO & W contrast CT limited or localized follow-up study CT maxillofacial WO & W contrast CT maxillofacial WO & W contrast US guidance intra-operative CT maxillofacial WO & W contrast CT maxillofacial WO & W contrast Fluoroscopic guidance for needle placement CT soft tissue neck, WO contrast MRI orbit, face, neck, WO contrast CPT Definition CT soft tissue neck, WO contrast MRI orbit, face, neck, W contrast CPT Definition 9

10 70490 CT soft tissue neck, WO contrast MRI face, orbit, face, WO & W contrast CPT Definition CT soft tissue neck, WO contrast CT limited or localized follow-up study CT soft tissue neck, WO contrast Parathyroid planar imaging; * CT soft tissue, neck, W contrast CT soft tissue neck WO contrast CT soft tissue, neck, W contrast MRI orbit, face, neck, WO contrast CPT Definition CT soft tissue, neck, W contrast MRI orbit, face, neck, W contrast CPT Definition CT soft tissue, neck, W contrast MRI face, orbit, face, WO & W contrast CPT Definition CT soft tissue, neck, W contrast Fluoroscopy, up to one hour physician time CT soft tissue, neck, W contrast Fluoroscopy, more than one hour physician time CT soft tissue, neck, W contrast CT limited or localized follow-up study CT soft tissue, neck, W contrast CT soft tissue, neck, W contrast CT soft tissue, neck, W contrast Fluoroscopic guidance for needle placement CT soft tissue, neck, W contrast Parathyroid planar imaging; * 10

11 70492 CT soft tissue, neck, WO & W contrast CT soft tissue neck WO contrast CT soft tissue, neck, WO & W contrast CT soft tissue, neck W contrast CT soft tissue, neck, WO & W contrast MRI orbit, face, neck, WO contrast CPT Definition CT soft tissue, neck, WO & W contrast MRI orbit, face, neck, W contrast CPT Definition CT soft tissue, neck, WO & W contrast MRI face, orbit, face, WO & W contrast CPT Definition CT soft tissue, neck, WO & W contrast Fluoroscopy, up to one hour physician time CT soft tissue, neck, WO & W contrast Fluoroscopy, more than one hour physician time CT soft tissue, neck, WO & W contrast CT limited or localized follow-up study CT soft tissue, neck, WO & W contrast CT soft tissue, neck, WO & W contrast US guidance intra-operative CT soft tissue, neck, WO & W contrast CT soft tissue, neck, WO & W contrast Fluoroscopic guidance for needle placement CT soft tissue, neck, WO & W contrast Parathyroid planar imaging; * CTA head W contrast, including noncontrast images, if performed, and image postprocessing CT head WO contrast 11

12 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing CT head W contrast CTA head W contrast, including noncontrast images, if performed, and image postprocessing CT head WO & W contrast CTA head W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, up to one hour physician time CTA head W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, more than one hour physician time CTA head W contrast, including noncontrast images, if performed, and image postprocessing D Rendering WO Postprocessing CTA head W contrast, including noncontrast images, if performed, and image postprocessing D Rendering W Postprocessing CTA head W contrast, including noncontrast images, if performed, and image postprocessing CT limited or localized follow-up study CTA head W contrast, including noncontrast images, if performed, and image postprocessing CTA head W contrast, including noncontrast images, if performed, and image postprocessing US guidance intra-operative CTA head W contrast, including noncontrast images, if performed, and image postprocessing CTA head W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopic guidance for needle placement CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CT soft tissue neck WO contrast CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CT soft tissue, neck W contrast CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CT soft tissue neck WO & W contrast 12

13 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, up to one hour physician time CTA neck W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, more than one hour physician time CTA neck W contrast, including noncontrast images, if performed, and image postprocessing D Rendering WO Postprocessing CTA neck W contrast, including noncontrast images, if performed, and image postprocessing D Rendering W Postprocessing CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CT limited or localized follow-up study CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CTA neck W contrast, including noncontrast images, if performed, and image postprocessing US guidance intra-operative CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CTA neck W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopic guidance for needle placement MRI orbit, face and/or neck WO contrast MRA neck WO contrast MRI orbit, face and/or neck WO contrast MRA neck W contrast MRI orbit, face and/or neck, W contrast MRI orbit, face, neck, WO contrast MRI orbit, face and/or neck, W contrast Fluoroscopy, up to one hour physician time MRI orbit, face and/or neck, W contrast Fluoroscopy, more than one hour physician time 13

14 70542 MRI orbit, face and/or neck, W contrast MRI orbit, face and/or neck, W contrast US guidance intra-operative MRI orbit, face and/or neck, W contrast MRI orbit, face and/or neck, W contrast Fluoroscopic guidance for needle placement MRI orbit, face and/or neck, WO & W contrast MRI orbit, face, neck, WO contrast MRI orbit, face and/or neck, WO & W contrast MRI orbit, face, neck, W contrast MRI orbit, face and/or neck, WO & W contrast Fluoroscopy, up to one hour physician time MRI orbit, face and/or neck, WO & W contrast Fluoroscopy, more than one hour physician time MRI orbit, face and/or neck, WO & W contrast MRI orbit, face and/or neck, WO & W contrast US guidance intra-operative MRI orbit, face and/or neck, WO & W contrast MRI orbit, face and/or neck, WO & W contrast Fluoroscopic guidance for needle placement MRA, head WO contrast CTA head CPT Definition MRA, head WO contrast D Rendering WO Postprocessing 14

15 70544 MRA, head WO contrast D Rendering W Postprocessing MRA, head W contrast CTA head CPT Definition MRA, head W contrast MRA head, WO contrast MRA, head W contrast Fluoroscopy, up to one hour physician time MRA, head W contrast Fluoroscopy, more than one hour physician time MRA, head W contrast D Rendering WO Postprocessing MRA, head W contrast D Rendering W Postprocessing MRA, head W contrast MRA, head W contrast US guidance intra-operative MRA, head W contrast MRA, head W contrast Fluoroscopic guidance for needle placement MRA, head WO & W contrast CTA head CPT Definition MRA, head WO & W contrast MRA head, WO contrast MRA, head WO & W contrast MRA head, W contrast 15

16 70546 MRA, head WO & W contrast Fluoroscopy, up to one hour physician time MRA, head WO & W contrast Fluoroscopy, more than one hour physician time MRA, head WO & W contrast D Rendering WO Postprocessing MRA, head WO & W contrast D Rendering W Postprocessing MRA, head WO & W contrast MRA, head WO & W contrast US guidance intra-operative MRA, head WO & W contrast MRA, head WO & W contrast Fluoroscopic guidance for needle placement MRA, neck WO contrast CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition MRA, neck WO contrast Fluoroscopy, up to one hour physician time MRA, neck WO contrast Fluoroscopy, more than one hour physician time MRA, neck WO contrast D Rendering WO Postprocessing MRA, neck WO contrast D Rendering W Postprocessing MRA, neck WO contrast

17 70547 MRA, neck WO contrast US guidance intra-operative MRA, neck WO contrast MRA, neck WO contrast Fluoroscopic guidance for needle placement MRA neck W contrast CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition MRA neck W contrast MRA neck WO contrast MRA neck W contrast Fluoroscopy, up to one hour physician time MRA neck W contrast Fluoroscopy, more than one hour physician time MRA neck W contrast D Rendering WO Postprocessing MRA neck W contrast D Rendering W Postprocessing MRA neck W contrast MRA neck W contrast US guidance intra-operative MRA neck W contrast MRA neck W contrast Fluoroscopic guidance for needle placement MRA neck WO & W contrast CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition 17

18 70549 MRA neck WO & W contrast MRA neck WO contrast MRA neck WO & W contrast MRA neck W contrast MRA neck WO & W contrast Fluoroscopy, up to one hour physician time MRA neck WO & W contrast Fluoroscopy, more than one hour physician time MRA neck WO & W contrast D Rendering WO Postprocessing MRA neck WO & W contrast D Rendering W Postprocessing MRA neck WO & W contrast MRA neck WO & W contrast US guidance intra-operative MRA neck WO & W contrast MRA neck WO & W contrast Fluoroscopic guidance for needle placement MRI brain WO contrast MRI brain, functional, W neuro functioning test by physician or psychologist MRI brain WO contrast MRI brain, during open intracranial procedure; WO contrast MRI brain WO contrast MRI brain WO contrast MRI brain W contrast MRI brain, functional, WO neuro functioning test by physician or psychologist 18

19 70552 MRI brain W contrast MRI brain, functional, W neuro functioning test by physician or psychologist MRI brain W contrast Fluoroscopy, up to one hour physician time MRI brain W contrast Fluoroscopy, more than one hour physician time MRI brain W contrast MRI brain W contrast US guidance intra-operative MRI brain W contrast MRI brain W contrast Fluoroscopic guidance for needle placement MRI brain WO & W contrast MRI brain WO contrast MRI brain WO & W contrast MRI brain W contrast MRI brain WO & W contrast MRI brain, functional, WO neuro functioning test by physician or psychologist MRI brain WO & W contrast MRI brain, functional, W neuro functioning test by physician or psychologist MRI brain WO & W contrast Fluoroscopy, up to one hour physician time MRI brain WO & W contrast Fluoroscopy, more than one hour physician time MRI brain WO & W contrast

20 70553 MRI brain WO & W contrast US guidance intra-operative MRI brain WO & W contrast MRI brain WO & W contrast Fluoroscopic guidance for needle placement MRI brain, functional, WO neuro functioning test by physician or psychologist MRI brain WO contrast MRI brain, functional, WO neuro functioning test by physician or psychologist MRI brain, during open intracranial procedure; WO contrast MRI brain, functional, WO neuro functioning test by physician or psychologist MRI brain, during open intracranial procedure; W contrast MRI brain, functional, WO neuro functioning test by physician or psychologist MRI brain, during open intracranial procedure; WO & W contrast MRI brain, functional, W neuro functioning test by physician or psychologist MRI brain, functional, WO neuro functioning test by physician or psychologist MRI brain, functional, W neuro functioning test by physician or psychologist MRI brain, during open intracranial procedure; WO contrast MRI brain, functional, W neuro functioning test by physician or psychologist MRI brain, during open intracranial procedure; W contrast MRI brain, functional, W neuro functioning test by physician or psychologist MRI brain, during open intracranial procedure; WO & W contrast MRI brain, during open intracranial procedure; WO contrast MRA head, WO contrast MRI brain, during open intracranial procedure; WO contrast MRA head, W contrast MRI brain, during open intracranial procedure; WO contrast MRA head WO & W contrast 20

21 70557 MRI brain, during open intracranial procedure; WO contrast MRI brain W contrast MRI brain, during open intracranial procedure; WO contrast MRI brain WO & W contrast MRI brain, during open intracranial procedure; WO contrast MR guidance for needle placement radiological supervision and MRI brain, during open intracranial procedure; W contrast MRA head, WO contrast MRI brain, during open intracranial procedure; W contrast MRA head, W contrast MRI brain, during open intracranial procedure; W contrast MRA head WO & W contrast MRI brain, during open intracranial procedure; W contrast MRI brain WO contrast MRI brain, during open intracranial procedure; W contrast MRI brain W contrast MRI brain, during open intracranial procedure; W contrast MRI brain WO & W contrast MRI brain, during open intracranial procedure; W contrast MRI brain, during open intracranial procedure; WO contrast MRI brain, during open intracranial procedure; W contrast Fluoroscopy, up to one hour physician time MRI brain, during open intracranial procedure; W contrast Fluoroscopy, more than one hour physician time MRI brain, during open intracranial procedure; W contrast MRI brain, during open intracranial procedure; W contrast

22 70558 MRI brain, during open intracranial procedure; W contrast Fluoroscopic guidance for needle placement MRI brain, during open intracranial procedure; W contrast MR guidance for needle placement radiological supervision and MRI brain, during open intracranial procedure; WO & W contrast MRA head, WO contrast MRI brain, during open intracranial procedure; WO & W contrast MRA head, W contrast MRI brain, during open intracranial procedure; WO & W contrast MRA head WO & W contrast MRI brain, during open intracranial procedure; WO & W contrast MRI brain WO contrast MRI brain, during open intracranial procedure; WO & W contrast MRI brain W contrast MRI brain, during open intracranial procedure; WO & W contrast MRI brain WO & W contrast MRI brain, during open intracranial procedure; WO & W contrast MRI brain, during open intracranial procedure; WO contrast MRI brain, during open intracranial procedure; WO & W contrast MRI brain, during open intracranial procedure; W contrast MRI brain, during open intracranial procedure; WO & W contrast Fluoroscopy, up to one hour physician time MRI brain, during open intracranial procedure; WO & W contrast Fluoroscopy, more than one hour physician time MRI brain, during open intracranial procedure; WO & W contrast MRI brain, during open intracranial procedure; WO & W contrast

23 70559 MRI brain, during open intracranial procedure; WO & W contrast Fluoroscopic guidance for needle placement MRI brain, during open intracranial procedure; WO & W contrast MR guidance for needle placement radiological supervision and X-ray, chest; single view, frontal X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections X-ray, chest; single view, frontal X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray, chest; single view, frontal X-ray, chest, complete min 4 views X-ray, chest; single view, frontal X-ray, chest, complete min 4 views, Fluoroscopy X-ray, chest; single view, frontal 0175T CAD Including Computer Algorithm Analysis Of Digital Image Data For Lesion Detection, W Further Physician Review For Interpretation And Report, W or WO Digitization Of Film Radiographic Images, Chest Radiograph(S) Performed remote from primary viewing X-ray, chest; single view, stereo, frontal X-ray, chest; single view, frontal X-ray, chest; single view, stereo, frontal X-ray, chest ; 2 views, front and lateral X-ray, chest; single view, stereo, frontal X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray, chest ; 2 views, front and lateral X-ray, chest ; 2 views, front and lateral X-ray, chest ; 2 views, front and lateral X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray, chest ; 2 views, front and lateral X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections X-ray, chest ; 2 views, front and lateral X-ray, chest, 2 views, front and lateral; fluoroscopy 23

24 71020 X-ray, chest ; 2 views, front and lateral X-ray, chest, complete min 4 views X-ray, chest ; 2 views, front and lateral X-ray, chest, complete min 4 views, Fluoroscopy X-ray, chest ; 2 views, front and lateral X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, chest ; 2 views, front and lateral X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray, chest ; 2 views, front and lateral 0175T CAD Including Computer Algorithm Analysis Of Digital Image Data For Lesion Detection, W Further Physician Review For Interpretation And Report, W or WO Digitization Of Film Radiographic Images, Chest Radiograph(S) Performed remote from primary viewing X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray, chest; single view, frontal X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray, chest, complete min 4 views X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray, chest, complete min 4 views, Fluoroscopy X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 0175T CAD Including Computer Algorithm Analysis Of Digital Image Data For Lesion Detection, W Further Physician Review For Interpretation And Report, W or WO Digitization Of Film Radiographic Images, Chest Radiograph(S) Performed remote from primary viewing X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections X-ray, chest, 2 views, front and lateral; fluoroscopy Chest X-ray, 2 views, front and lateral; W oblique projections X-ray, chest, complete min 4 views, Fluoroscopy 24

25 71022 Chest X-ray, 2 views, front and lateral; W oblique projections X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray, chest, 2 views, front and lateral; W oblique projections 0175T CAD Including Computer Algorithm Analysis Of Digital Image Data For Lesion Detection, W Further Physician Review For Interpretation And Report, WOr WO Digitization Of Film Radiographic Images, Chest Radiograph(S) Performed remote from primary viewing X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray, chest, complete min 4 views, Fluoroscopy X-ray, chest, 2 views, front and lateral; fluoroscopy Fluoroscopy, up to one hour physician time X-ray, chest, 2 views, front and lateral; fluoroscopy Fluoroscopy, more than one hour physician time X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray, chest, complete min 4 views X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections X-ray, chest, complete min 4 views X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray, chest, complete min 4 views X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray, chest, complete min 4 views 0175T CAD Including Computer Algorithm Analysis Of Digital Image Data For Lesion Detection, W Further Physician Review For Interpretation And Report, WOr WO Digitization Of Film Radiographic Images, Chest Radiograph(S) Performed remote from primary viewing X-ray, chest, complete min 4 views, Fluoroscopy X-ray, chest, complete min 4 views X-ray, chest, complete min 4 views, Fluoroscopy Fluoroscopy, up to one hour physician time X-ray, chest, complete min 4 views, Fluoroscopy Fluoroscopy, more than one hour physician time X-ray, chest, complete min 4 views, Fluoroscopy

26 71100 X-ray, ribs, unilateral, 2 views X-ray, chest; single view, frontal X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, chest; single view, frontal X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, chest, complete min 4 views X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, chest, complete min 4 views, Fluoroscopy X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray, Ribs Unilat 2 views X-ray, ribs, bilateral, 3 views X-ray, chest; single view, frontal X-ray, ribs, bilateral, 3 views X-ray, Ribs Unilat 2 views X-ray, ribs, bilateral, 3 views X-ray ribs, unilateral, including posteroanterior chest; min 3 views X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray, chest; single view, frontal X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray, ribs, unilateral, 2 views X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray ribs, unilateral, including posteroanterior chest; min 3 views 26

27 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views X-ray, ribs, bilateral; 3 views CT thorax, WO contrast MRI chest, WO contrast CPT Definition CT thorax, WO contrast MRI chest, W contrast CPT Definition CT thorax, WO contrast MRI Chest, WO & W contrast CPT Definition CT thorax, WO contrast CT heart, WO contrast material, W quantitative evaluation of coronary calcium CT thorax, WO contrast CT limited or localized follow-up study CT thorax, W contrast CT thorax, WO contrast CT thorax, W contrast MRI chest, WO contrast CPT Definition CT thorax, W contrast MRI chest, W contrast CPT Definition CT thorax, W contrast MRI Chest, WO & W contrast CPT Definition CT thorax, W contrast CT heart, WO contrast material, W quantitative evaluation of coronary calcium CT thorax, W contrast Fluoroscopy, up to one hour physician time CT thorax, W contrast Fluoroscopy, more than one hour physician time CT thorax, W contrast CT limited or localized follow-up study 27

28 71260 CT thorax, W contrast CT thorax, W contrast US guidance intra-operative CT thorax, W contrast CT thorax, W contrast Fluoroscopic guidance for needle placement CT thorax, WO & W contrast CT thorax, WO contrast CT thorax, WO & W contrast CT thorax, W contrast CT thorax, WO & W contrast MRI chest, WO contrast CPT Definition CT thorax, WO & W contrast MRI chest, W contrast CPT Definition CT thorax, WO & W contrast MRI Chest, WO & W contrast CPT Definition CT thorax, WO & W contrast CT heart, WO contrast material, W quantitative evaluation of coronary calcium CT thorax, WO & W contrast Fluoroscopy, up to one hour physician time CT thorax, WO & W contrast Fluoroscopy, more than one hour physician time CT thorax, WO & W contrast CT limited or localized follow-up study CT thorax, WO & W contrast

29 71270 CT thorax, WO & W contrast US guidance intra-operative CT thorax, WO & W contrast CT thorax, WO & W contrast Fluoroscopic guidance for needle placement CTA chest (noncoronary) CT thorax, WO contrast CTA chest (noncoronary) CT thorax, W contrast CTA chest (noncoronary) CT thorax, WO & W contrast CTA chest (noncoronary) Fluoroscopy, up to one hour physician time CTA chest (noncoronary) Fluoroscopy, more than one hour physician time CTA chest (noncoronary) D Rendering WO Postprocessing CTA chest (noncoronary) D Rendering W Postprocessing CTA chest (noncoronary) CT limited or localized follow-up study CTA chest (noncoronary) CTA chest (noncoronary) US guidance intra-operative CTA chest (noncoronary)

30 71275 CTA chest (noncoronary) Fluoroscopic guidance for needle placement MRI chest, W contrast MRI chest, WO contrast MRI chest, W contrast Fluoroscopy, up to one hour physician time MRI chest, W contrast Fluoroscopy, more than one hour physician time MRI chest, W contrast MRI chest, W contrast US guidance intra-operative MRI chest, W contrast MRI chest, W contrast Fluoroscopic guidance for needle placement MRI Chest, WO & W contrast MRI chest, WO contrast MRI Chest, WO & W contrast MRI chest, W contrast MRI Chest, WO & W contrast MRA chest (excluding myocardium) W/WO contrast MRI Chest, WO & W contrast Fluoroscopy, up to one hour physician time MRI Chest, WO & W contrast Fluoroscopy, more than one hour physician time MRI Chest, WO & W contrast

31 71552 MRI Chest, WO & W contrast US guidance intra-operative MRI Chest, WO & W contrast MRI Chest, WO & W contrast Fluoroscopic guidance for needle placement MRA chest (excluding myocardium) W or WO contrast CTA chest (noncoronary) CPT Definition MRA chest (excluding myocardium) W or WO contrast MRI chest, WO contrast MRA chest (excluding myocardium) W or WO contrast MRI chest, W contrast MRA chest (excluding myocardium) W or WO contrast Fluoroscopy, up to one hour physician time MRA chest (excluding myocardium) W or WO contrast Fluoroscopy, more than one hour physician time MRA chest (excluding myocardium) W or WO contrast D Rendering WO Postprocessing MRA chest (excluding myocardium) W or WO contrast D Rendering W Postprocessing MRA chest (excluding myocardium) W or WO contrast MRA chest (excluding myocardium) W or WO contrast US guidance intra-operative MRA chest (excluding myocardium) W or WO contrast MRA chest (excluding myocardium) W or WO contrast Fluoroscopic guidance for needle placement 31

32 72010 X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, spine, single view, specify level X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, cervical spine, 2 or 3 views X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, cervical spine, min 4 views X-ray, spine, entire, survey study, anteroposterior and lateral Complete, including oblique & flex and/or extension studies X-ray, spine, entire, survey study, anteroposterior and lateral X-ray thoracolumbar spine, scoliosis X-ray, spine, entire, survey study, anteroposterior and lateral X-ray thoracic spine, 2 views X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, thoracic spine, 3 views X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, thoracic spine, min 4 views X-ray, spine, entire, survey study, anteroposterior and lateral Thoracolumbar 2 views X-ray, spine, entire, survey study, anteroposterior and lateral Scoliosis study, including supine and erect studies X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, lumbosacral spine, 2 or 3 views X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, lumbosacral spine, min 4 views X-ray, spine, entire, survey study, anteroposterior and lateral X-ray, lumbosacral spine, complete, including bending views X-ray, spine, entire, survey study, anteroposterior and lateral X-ray of the lumbar spine bending views only minimum of 4 views 32

33 72020 X-ray, spine, single view, specify level DEXA one or more sites, vertebral fracture assessment CPT Definition X-ray, cervical spine, 2 or 3 views X-ray, spine, single view, specify level CPT Definition X-ray, cervical spine, min 4 views X-ray, spine, single view, specify level X-ray, cervical spine, min 4 views X-ray, cervical spine, 2 or 3 views X-ray, spine, cervical, including oblique & flex and/or extension studies X-ray, spine, single view, specify level X-ray, spine, cervical, including oblique & flex and/or extension studies X-ray, cervical spine, 2 or 3 views X-ray, spine, cervical, including oblique & flex and/or extension studies X-ray, cervical spine, min 4 views X-ray, thoracolumbar spine, scoliosis X-ray, spine, single view, specify level CPT Definition X-ray, thoracolumbar spine, scoliosis Scoliosis study, including supine and erect studies X-ray, thoracic spine, 2 views X-ray, spine, single view, specify level CPT Definition X-ray, thoracic spine, 2 views Scoliosis study, including supine and erect studies X-ray, thoracic spine, 3 views X-ray, spine, single view, specify level CPT Definition X-ray, thoracic spine, 3 views X-ray thoracic spine, 2 views X-ray, thoracic spine, 3 views Scoliosis study, including supine and erect studies 33

34 72074 X-ray, thoracic spine, min 4 views X-ray, spine, single view, specify level CPT Definition X-ray, thoracic spine, min 4 views X-ray thoracolumbar spine, scoliosis X-ray, thoracic spine, min 4 views X-ray thoracic spine, 2 views X-ray, thoracic spine, min 4 views X-ray, thoracic spine, 3 views X-ray, thoracic spine, min 4 views Scoliosis study, including supine and erect studies X-ray, thoracolumbar spine, 2 views X-ray, spine, single view, specify level CPT Definition X-ray, thoracolumbar spine, 2 views X-ray thoracolumbar spine, scoliosis X-ray, thoracolumbar spine, 2 views X-ray thoracic spine, 2 views X-ray, thoracolumbar spine, 2 views X-ray, thoracic spine, 3 views X-ray, thoracolumbar spine, 2 views X-ray, thoracic spine, min 4 views Scoliosis study, including supine and erect studies X-ray, spine, single view, specify level CPT Definition Scoliosis study, including supine and erect studies X-ray, thoracolumbar spine, 2 views X-ray, lumbosacral spine, 2 or 3 views X-ray, spine, single view, specify level CPT Definition X-ray, lumbosacral spine, min 4 views X-ray, spine, single view, specify level 34

35 72110 X-ray, lumbosacral spine, min 4 views X-ray, lumbosacral spine, 2 or 3 views X-ray, lumbosacral spine, min 4 views X-ray, lumbosacral spine, complete, including bending views X-ray, lumbosacral spine, complete, including bending views X-ray, spine, single view, specify level CPT Definition X-ray, lumbosacral spine, complete, including bending views X-ray, lumbosacral spine, 2 or 3 views X-ray, lumbosacral spine, complete, including bending views X-ray of the lumbar spine bending views only minimum of 4 views X-ray of the lumbar spine bending views only minimum of 4 views X-ray, lumbosacral spine, 2 or 3 views CPT Definition X-ray of the lumbar spine bending views only minimum of 4 views X-ray, lumbosacral spine, min 4 views CT cervical spine WO contrast X-ray, spine, single view, specify level CPT Definition CT cervical spine WO contrast X-ray, cervical spine, 2 or 3 views CPT Definition CT cervical spine WO contrast X-ray, cervical spine, min 4 views CPT Definition CT cervical spine WO contrast Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies CPT Definition CT cervical spine WO contrast Myelography, cervical, radiological supervision and CPT Definition CT cervical spine WO contrast CT limited or localized follow-up study CT cervical spine W contrast Radiologic examination, spine, single view, specify level CPT Definition 35

36 72126 CT cervical spine W contrast X-ray, cervical spine, 2 or 3 views CPT Definition CT cervical spine W contrast X-ray, cervical spine, min 4 views CPT Definition CT cervical spine W contrast Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies CPT Definition CT cervical spine W contrast CT cervical spine WO contrast CT cervical spine W contrast Myelography, cervical, radiological supervision and CPT Definition CT cervical spine W contrast Fluoroscopy, up to one hour physician time CT cervical spine W contrast Fluoroscopy, more than one hour physician time CT cervical spine W contrast CT limited or localized follow-up study CT cervical spine W contrast CT cervical spine W contrast US guidance intra-operative CT cervical spine W contrast CT cervical spine W contrast Fluoroscopic guidance for needle placement CT cervical spine WO & W contrast X-ray, cervical spine, 2 or 3 views CPT Definition CT cervical spine WO & W contrast CT cervical spine WO contrast 36

37 72127 CT cervical spine WO & W contrast CT cervical spine W contrast CT cervical spine WO & W contrast Fluoroscopy, up to one hour physician time CT cervical spine WO & W contrast Fluoroscopy, more than one hour physician time CT cervical spine WO & W contrast CT limited or localized follow-up study CT cervical spine WO & W contrast CT cervical spine WO & W contrast US guidance intra-operative CT cervical spine WO & W contrast CT cervical spine WO & W contrast Fluoroscopic guidance for needle placement CT thoracic spine WO contrast X-ray thoracic spine, 2 views CPT Definition CT thoracic spine WO contrast X-ray, thoracic spine, 3 views CPT Definition CT thoracic spine WO contrast X-ray, thoracic spine, min 4 views CPT Definition CT thoracic spine WO contrast Thoracolumbar 2 views CPT Definition CT thoracic spine WO contrast Myelography, thoracic, radiological supervision and CPT Definition CT thoracic spine WO contrast CT guidance percutaneous vertebroplasty 37

38 72128 CT thoracic spine WO contrast CT limited or localized follow-up study CT thoracic spine W contrast X-ray thoracic spine, 2 views CPT Definition CT thoracic spine W contrast X-ray, thoracic spine, 3 views CPT Definition CT thoracic spine W contrast X-ray, thoracic spine, min 4 views CPT Definition CT thoracic spine W contrast Thoracolumbar 2 views CPT Definition CT thoracic spine W contrast CT thoracic spine WO contrast CT thoracic spine W contrast Myelography, thoracic, radiological supervision and CPT Definition CT thoracic spine W contrast CT guidance percutaneous vertebroplasty CT thoracic spine W contrast Fluoroscopy, up to one hour physician time CT thoracic spine W contrast Fluoroscopy, more than one hour physician time CT thoracic spine W contrast CT limited or localized follow-up study CT thoracic spine W contrast CT thoracic spine W contrast US guidance intra-operative CT thoracic spine W contrast

39 72129 CT thoracic spine W contrast Fluoroscopic guidance for needle placement CT thoracic spine WO & W contrast X-ray thoracic spine, 2 views CPT Definition CT thoracic spine WO & W contrast X-ray, thoracic spine, 3 views CPT Definition CT thoracic spine WO & W contrast X-ray, thoracic spine, min 4 views CPT Definition CT thoracic spine WO & W contrast Thoracolumbar 2 views CPT Definition CT thoracic spine WO & W contrast CT thoracic spine WO contrast CT thoracic spine WO & W contrast CT thoracic spine W contrast CT thoracic spine WO & W contrast CT guidance percutaneous vertebroplasty CT thoracic spine WO & W contrast Fluoroscopy, up to one hour physician time CT thoracic spine WO & W contrast Fluoroscopy, more than one hour physician time CT thoracic spine WO & W contrast CT limited or localized follow-up study CT thoracic spine WO & W contrast CT thoracic spine WO & W contrast US guidance intra-operative CT thoracic spine WO & W contrast

40 72130 CT thoracic spine WO & W contrast Fluoroscopic guidance for needle placement CT lumbar spine WO contrast CT guidance percutaneous vertebroplasty CT lumbar spine WO contrast CT limited or localized follow-up study CT lumbar spine; W contrast Radiologic examination, spine, lumbosacral; 2 or 3 views CPT Definition CT lumbar spine; W contrast Radiologic examination, spine, lumbosacral; minimum of 4 views CPT Definition CT lumbar spine; W contrast Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views CPT Definition CT lumbar spine; W contrast X-ray of the lumbar spine bending views only minimum of 4 views CPT Definition CT lumbar spine; W contrast CT lumbar spine, WO contrast CT lumbar spine; W contrast Myelography, lumbosacral, radiological supervision and CPT Definition CT lumbar spine; W contrast CT guidance percutaneous vertebroplasty CPT Definition CT lumbar spine; W contrast Fluoroscopy, up to one hour physician time CPT Definition CT lumbar spine; W contrast Fluoroscopy, more than one hour physician time CPT Definition CT lumbar spine; W contrast CT limited or localized follow-up study CT lumbar spine; W contrast

41 72132 CT lumbar spine; W contrast US guidance intra-operative CT lumbar spine; W contrast CT lumbar spine; W contrast Fluoroscopic guidance for needle placement CT lumbar spine WO & W contrast CT lumbar spine, WO contrast CT lumbar spine WO & W contrast CT lumbar spine, W contrast CT lumbar spine WO & W contrast CT guidance percutaneous vertebroplasty CT lumbar spine WO & W contrast Fluoroscopy, up to one hour physician time CT lumbar spine WO & W contrast Fluoroscopy, more than one hour physician time CT lumbar spine WO & W contrast CT limited or localized follow-up study CT lumbar spine WO & W contrast CT lumbar spine WO & W contrast US guidance intra-operative CT lumbar spine WO & W contrast CT lumbar spine WO & W contrast Fluoroscopic guidance for needle placement MRI spinal canal, cervical W contrast MRI spinal canal, cervical WO contrast 41

42 72142 MRI spinal canal, cervical W contrast Fluoroscopy, up to one hour physician time MRI spinal canal, cervical W contrast Fluoroscopy, more than one hour physician time MRI spinal canal, cervical W contrast MRI spinal canal, cervical W contrast US guidance intra-operative MRI spinal canal, cervical W contrast MRI spinal canal, cervical W contrast Fluoroscopic guidance for needle placement MRI spinal canal, thoracic W contrast MRI spinal canal, thoracic WO contrast MRI spinal canal, thoracic W contrast Fluoroscopy, up to one hour physician time MRI spinal canal, thoracic W contrast Fluoroscopy, more than one hour physician time MRI spinal canal, thoracic W contrast MRI spinal canal, thoracic W contrast US guidance intra-operative MRI spinal canal, thoracic W contrast MRI spinal canal, thoracic W contrast Fluoroscopic guidance for needle placement MRI spinal canal, lumbar W contrast MRI spinal canal, lumbar WO contrast 42

43 72149 MRI spinal canal, lumbar W contrast Fluoroscopy, up to one hour physician time MRI spinal canal, lumbar W contrast Fluoroscopy, more than one hour physician time MRI spinal canal, lumbar W contrast MRI spinal canal, lumbar W contrast US guidance intra-operative MRI spinal canal, lumbar W contrast MRI spinal canal, lumbar W contrast Fluoroscopic guidance for needle placement MRI spinal canal, cervical WO & W contrast MRI spinal canal, cervical WO contrast MRI spinal canal, cervical WO & W contrast MRI spinal canal, cervical W contrast MRI spinal canal, cervical WO & W contrast Fluoroscopy, up to one hour physician time MRI spinal canal, cervical WO & W contrast Fluoroscopy, more than one hour physician time MRI spinal canal, cervical WO & W contrast MRI spinal canal, cervical WO & W contrast US guidance intra-operative MRI spinal canal, cervical WO & W contrast MRI spinal canal, cervical WO & W contrast Fluoroscopic guidance for needle placement 43

44 72157 MRI T spine W & W/O contrast MRI spinal canal, thoracic WO contrast MRI T spine W & W/O contrast MRI spinal canal, thoracic W contrast MRI T spine W & W/O contrast Fluoroscopy, up to one hour physician time MRI T spine W & W/O contrast Fluoroscopy, more than one hour physician time MRI T spine W & W/O contrast MRI T spine W & W/O contrast US guidance intra-operative MRI T spine W & W/O contrast MRI T spine W & W/O contrast Fluoroscopic guidance for needle placement MRI spinal canal, lumbar WO & W contrast MRI spinal canal, lumbar WO contrast MRI spinal canal, lumbar WO & W contrast MRI spinal canal, lumbar W contrast MRI spinal canal, lumbar WO & W contrast Fluoroscopy, up to one hour physician time MRI spinal canal, lumbar WO & W contrast Fluoroscopy, more than one hour physician time MRI spinal canal, lumbar WO & W contrast MRI spinal canal, lumbar WO & W contrast US guidance intra-operative 44

45 72158 MRI spinal canal, lumbar WO & W contrast MRI spinal canal, lumbar WO & W contrast Fluoroscopic guidance for needle placement MRA spinal canal and contents, WO or W contrast MRI Cervical Spine W/O Contrast MRA spinal canal and contents, W or Wout contrast MRI Cervical Spine W/ Contrast MRA spinal canal and contents, W or Wout contrast MRI Thoracic Spine W/O Contrast MRA spinal canal and contents, W or Wout contrast MRI Thoracic Spine W/ Contrast MRA spinal canal and contents, W or Wout contrast MRI spinal canal, lumbar WO contrast MRA spinal canal and contents, W or Wout contrast MRI Lumbar Spine W/ Contrast MRA spinal canal and contents, W or Wout contrast MRI C Spine W/ & W/O Contrast MRA spinal canal and contents, W or Wout contrast MRI T Spine W/ & W/O Contrast MRA spinal canal and contents, W or Wout contrast MRI L Spine W/ & W/O Contrast MRA spinal canal and contents, W or Wout contrast Fluoroscopy, up to one hour physician time MRA spinal canal and contents, W or Wout contrast Fluoroscopy, more than one hour physician time MRA spinal canal and contents, W or Wout contrast D Rendering WO Postprocessing 45

46 72159 MRA spinal canal and contents, W or Wout contrast D Rendering W Postprocessing MRA spinal canal and contents, W or Wout contrast Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and MRA spinal canal and contents, W or Wout contrast Ultrasonic guidance, intraoperative MRA spinal canal and contents, W or Wout contrast Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) X-ray pelvis, complete, min 3 views X-ray, pelvis, 1 or 2 views CTA pelvis WO & W contrast and further sections including image postprocessing CT pelvis WO contrast CTA pelvis WO & W contrast and further sections including image postprocessing CT pelvis W contrast CTA pelvis WO & W contrast and further sections including image postprocessing CT pelvis WO & W contrast CTA pelvis WO & W contrast and further sections including image postprocessing CT abdomen and pelvis; WO contrast material CTA pelvis WO & W contrast and further sections including image postprocessing CT abdomen and pelvis; W contrast material(s) CTA pelvis WO & W contrast and further sections including image postprocessing CT abdomen and pelvis; WO & W contrast CTA pelvis WO & W contrast and further sections including image postprocessing Fluoroscopy, up to one hour physician time CTA pelvis WO & W contrast and further sections including image postprocessing Fluoroscopy, more than one hour physician time CTA pelvis WO & W contrast and further sections including image postprocessing D Rendering WO Postprocessing 46

47 72191 CTA pelvis WO & W contrast and further sections including image postprocessing D Rendering W Postprocessing CTA pelvis WO & W contrast and further sections including image postprocessing CT limited or localized follow-up study CTA pelvis WO & W contrast and further sections including image postprocessing CTA pelvis WO & W contrast and further sections including image postprocessing US guidance intra-operative CTA pelvis WO & W contrast and further sections including image postprocessing CTA pelvis WO & W contrast and further sections including image postprocessing Fluoroscopic guidance for needle placement CT pelvis WO contrast X-ray, abdomen, single anteroposterior view CPT Definition CT pelvis WO contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition CT pelvis WO contrast X-ray abdomen, complete, including decubitus and/or erect CPT Definition CT pelvis WO contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT pelvis WO contrast CT limited or localized follow-up study CT pelvis W contrast CT pelvis WO contrast CT pelvis W contrast X-ray, abdomen, single anteroposterior view CPT Definition CT pelvis W contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 47

48 72193 CT pelvis W contrast X-ray abdomen, complete, including decubitus and/or erect CPT Definition CT pelvis W contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT pelvis W contrast Fluoroscopy, up to one hour physician time CT pelvis W contrast Fluoroscopy, more than one hour physician time CT pelvis W contrast CT limited or localized follow-up study CT pelvis W contrast CT pelvis W contrast US guidance intra-operative CT pelvis W contrast CT pelvis W contrast Fluoroscopic guidance for needle placement CT pelvis WO & W contrast CT pelvis WO contrast CT pelvis WO & W contrast CT pelvis W contrast CT pelvis WO & W contrast X-ray, abdomen, single anteroposterior view CPT Definition CT pelvis WO & W contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition CT pelvis WO & W contrast X-ray abdomen, complete, including decubitus and/or erect CPT Definition 48

49 72194 CT pelvis WO & W contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT pelvis WO & W contrast Fluoroscopy, up to one hour physician time CT pelvis WO & W contrast Fluoroscopy, more than one hour physician time CT pelvis WO & W contrast CT limited or localized follow-up study CT pelvis WO & W contrast CT pelvis WO & W contrast US guidance intra-operative CT pelvis WO & W contrast CT pelvis WO & W contrast Fluoroscopic guidance for needle placement MRI pelvis, WO contrast CT pelvis WO contrast CPT Definition MRI pelvis, WO contrast CT pelvis W contrast CPT Definition MRI pelvis, WO contrast CT pelvis WO & W contrast CPT Definition MRI pelvis, W contrast CT pelvis WO contrast CPT Definition MRI pelvis, W contrast CT pelvis W contrast CPT Definition MRI pelvis, W contrast CT pelvis WO & W contrast CPT Definition 49

50 72196 MRI pelvis, W contrast MRI pelvis WO contrast MRI pelvis, W contrast Fluoroscopy, up to one hour physician time MRI pelvis, W contrast Fluoroscopy, more than one hour physician time MRI pelvis, W contrast MRI pelvis, W contrast US guidance intra-operative MRI pelvis, W contrast MRI pelvis, W contrast Fluoroscopic guidance for needle placement MRI pelvis, WO & W contrast CT pelvis WO contrast CPT Definition MRI pelvis, WO & W contrast CT pelvis W contrast CPT Definition MRI pelvis, WO & W contrast CT pelvis WO & W contrast CPT Definition MRI pelvis, WO & W contrast MRI pelvis WO contrast MRI pelvis, WO & W contrast MRI pelvis W contrast MRI pelvis, WO & W contrast MRA pelvis WO & W contrast MRI pelvis, WO & W contrast Fluoroscopy, up to one hour physician time 50

51 72197 MRI pelvis, WO & W contrast Fluoroscopy, more than one hour physician time MRI pelvis, WO & W contrast MRI pelvis, WO & W contrast US guidance intra-operative MRI pelvis, WO & W contrast MRI pelvis, WO & W contrast Fluoroscopic guidance for needle placement MRA pelvis WO & W contrast CTA pelvis, W contrast, including noncontrast images CPT Definition MRA pelvis WO & W contrast MRI pelvis WO contrast MRA pelvis WO & W contrast MRI pelvis W contrast MRA pelvis WO & W contrast Fluoroscopy, up to one hour physician time MRA pelvis WO & W contrast Fluoroscopy, more than one hour physician time MRA pelvis WO & W contrast D Rendering WO Postprocessing MRA pelvis WO & W contrast D Rendering W Postprocessing MRA pelvis WO & W contrast MRA pelvis WO & W contrast US guidance intra-operative 51

52 72198 MRA pelvis WO & W contrast MRA pelvis WO & W contrast Fluoroscopic guidance for needle placement X-ray sacroiliac joints; three or more views X-ray, sacroiliac joints; less than three views Myelography, cervical, radiological supervision and Myelography, thoracic, radiological supervision and Myelography, cervical, radiological supervision and Myelography, lumbosacral, radiological supervision and Myelography, cervical, radiological supervision and Fluoroscopy, up to one hour physician time Myelography, cervical, radiological supervision and Fluoroscopy, more than one hour physician time Myelography, cervical, radiological supervision and Myelography, cervical, radiological supervision and Fluoroscopic guidance for needle placement Myelography, cervical, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Myelography, thoracic, radiological supervision and Myelography, lumbosacral, radiological supervision and Myelography, thoracic, radiological supervision and Fluoroscopy, up to one hour physician time Myelography, thoracic, radiological supervision and Fluoroscopy, more than one hour physician time Myelography, thoracic, radiological supervision and

53 72255 Myelography, thoracic, radiological supervision and Fluoroscopic guidance for needle placement Myelography, thoracic, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Myelography, lumbosacral, radiological supervision and Radiologic examination, spine, lumbosacral; 2 or 3 views CPT Definition Myelography, lumbosacral, radiological supervision and Radiologic examination, spine, lumbosacral; minimum of 4 views CPT Definition Myelography, lumbosacral, radiological supervision and Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views CPT Definition Myelography, lumbosacral, radiological supervision and Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views CPT Definition Myelography, lumbosacral, radiological supervision and Fluoroscopy, up to one hour physician time Myelography, lumbosacral, radiological supervision and Fluoroscopy, more than one hour physician time Myelography, lumbosacral, radiological supervision and Myelography, lumbosacral, radiological supervision and Fluoroscopic guidance for needle placement Myelography, lumbosacral, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Myelography, two or more regions, radiological supervision and Myelography, cervical, radiological supervision and Myelography, two or more regions, radiological supervision and Myelography, thoracic, radiological supervision and Myelography, two or more regions, radiological supervision and Myelography, lumbosacral, radiological supervision and 53

54 72270 Myelography, two or more regions, radiological supervision and Fluoroscopy, up to one hour physician time Myelography, two or more regions, radiological supervision and Fluoroscopy, more than one hour physician time Myelography, two or more regions, radiological supervision and Myelography, two or more regions, radiological supervision and Fluoroscopic guidance for needle placement Myelography, two or more regions, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Epidurography, radiological supervision and Fluoroscopy, up to one hour physician time Epidurography, radiological supervision and Fluoroscopy, more than one hour physician time Epidurography, radiological supervision and Epidurography, radiological supervision and Fluoroscopic guidance for needle placement Epidurography, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Discography, cervical or thoracic, radiological supervision and Fluoroscopy, up to one hour physician time Discography, cervical or thoracic, radiological supervision and Fluoroscopy, more than one hour physician time Discography, cervical or thoracic, radiological supervision and Discography, cervical or thoracic, radiological supervision and Fluoroscopic guidance for needle placement 54

55 72285 Discography, cervical or thoracic, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Fluoroscopic guidance percutaneous vertebroplasty Venography, epidural, radiological supervision and Fluoroscopic guidance percutaneous vertebroplasty Fluoroscopy, up to one hour physician time Fluoroscopic guidance percutaneous vertebroplasty Fluoroscopy, more than one hour physician time Fluoroscopic guidance percutaneous vertebroplasty Fluoroscopic guidance percutaneous vertebroplasty Fluoroscopic guidance for needle placement Fluoroscopic guidance percutaneous vertebroplasty Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures CT guidance percutaneous vertebroplasty Fluoroscopic guidance percutaneous vertebroplasty CT guidance percutaneous vertebroplasty Venography, epidural, radiological supervision and CT guidance percutaneous vertebroplasty CT limited or localized follow-up study CT guidance percutaneous vertebroplasty CT guidance stereotactic localization Discography, lumbar, radiological supervision and Fluoroscopy, up to one hour physician time Discography, lumbar, radiological supervision and Fluoroscopy, more than one hour physician time Discography, lumbar, radiological supervision and

56 72295 Discography, lumbar, radiological supervision and Fluoroscopic guidance for needle placement Discography, lumbar, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures X-ray, shoulder, Complete min 2 views X-ray, shoulder, 1 view X-ray, shoulder, arthrography, radiological supervision and X-ray, shoulder, 1 view X-ray, shoulder, arthrography, radiological supervision and X-ray, shoulder, Complete min 2 views X-ray, shoulder, arthrography, radiological supervision and Fluoroscopy, up to one hour physician time X-ray, shoulder, arthrography, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, shoulder, arthrography, radiological supervision and X-ray, shoulder, arthrography, radiological supervision and Fluoroscopic guidance for needle placement X-ray, shoulder, arthrography, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures X-ray, elbow, complete, minimum 3 views X-ray, elbow; 2 views X-ray, elbow, arthrography, radiological supervision and X-ray, elbow; 2 views X-ray, elbow, arthrography, radiological supervision and X-ray, elbow, complete, minimum 3 views X-ray, elbow, arthrography, radiological supervision and Fluoroscopy, up to one hour physician time 56

57 73085 X-ray, elbow, arthrography, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, elbow, arthrography, radiological supervision and X-ray, elbow, arthrography, radiological supervision and Fluoroscopic guidance for needle placement X-ray, elbow, arthrography, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures X-ray, upper extremity, infant, min 2 views X-ray, forearm, 2 views X-ray wrist, complete, min 3 views X-ray, wrist, 2 views X-ray, wrist, arthrography, radiological supervision and X-ray, wrist, 2 views X-ray, wrist, arthrography, radiological supervision and X-ray, wrist, complete, min 3 views X-ray, wrist, arthrography, radiological supervision and Fluoroscopy, up to one hour physician time X-ray, wrist, arthrography, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, wrist, arthrography, radiological supervision and X-ray, wrist, arthrography, radiological supervision and Fluoroscopic guidance for needle placement X-ray, wrist, arthrography, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures X-ray, hand, 2 views X-ray, finger(s), min 2 views 57

58 73130 X-ray, hand, min. 3 views X-ray, hand, 2 views X-ray, hand, min. 3 views X-ray, finger(s), min 2 views CT upper extremity, WO contrast MRI upper extremity, other than joint, WO contrast CPT Definition CT upper extremity, WO contrast MRI upper extremity, other than joint, W contrast CPT Definition CT upper extremity, WO contrast MRI upper extremity joint, WO contrast CPT Definition CT upper extremity, WO contrast MRI upper extremity joint, W contrast CPT Definition CT upper extremity, WO contrast MRI, any joint of upper extremity, W or WO contrast CPT Definition CT upper extremity, WO contrast CT limited or localized follow-up study CT upper extremity, W contrast CT upper extremity, WO contrast CT upper extremity, W contrast MRI upper extremity, other than joint, WO contrast CPT Definition CT upper extremity, W contrast MRI upper extremity, other than joint, W contrast CPT Definition CT upper extremity, W contrast MRI upper extremity, other than joint, W contrast CPT Definition CT upper extremity, W contrast MRI upper extremity joint, WO contrast CPT Definition CT upper extremity, W contrast MRI upper extremity joint, W contrast CPT Definition 58

59 73201 CT upper extremity, W contrast MRI, any joint of upper extremity, W or WO contrast CPT Definition CT upper extremity, W contrast Fluoroscopy, up to one hour physician time CT upper extremity, W contrast Fluoroscopy, more than one hour physician time CT upper extremity, W contrast CT limited or localized follow-up study CT upper extremity, W contrast CT upper extremity, W contrast US guidance intra-operative CT upper extremity, W contrast CT upper extremity, W contrast Fluoroscopic guidance for needle placement CT upper extremity, WO & W and further sections CT upper extremity, WO contrast CT upper extremity, WO & W and further sections CT upper extremity, W contrast CT upper extremity, WO & W and further sections MRI upper extremity, other than joint, WO contrast CPT Definition CT upper extremity, WO & W and further sections MRI upper extremity, other than joint, W contrast CPT Definition CT upper extremity, WO & W and further sections MRI upper extremity, other than joint, WO & W contrast CPT Definition CT upper extremity, WO & W and further sections MRI upper extremity joint, WO contrast CPT Definition 59

60 73202 CT upper extremity, WO & W and further sections MRI upper extremity joint, W contrast CPT Definition CT upper extremity, WO & W and further sections MRI, any joint of upper extremity, W or WO contrast CPT Definition CT upper extremity, WO & W and further sections Fluoroscopy, up to one hour physician time CT upper extremity, WO & W and further sections Fluoroscopy, more than one hour physician time CT upper extremity, WO & W and further sections CT limited or localized follow-up study CT upper extremity, WO & W and further sections CT upper extremity, WO & W and further sections US guidance intra-operative CT upper extremity, WO & W and further sections CT upper extremity, WO & W and further sections Fluoroscopic guidance for needle placement CTA upper extremity WO & W contrast and further sections including image postprocessing CT upper extremity, WO contrast CTA upper extremity WO & W contrast and further sections including image postprocessing CT upper extremity, W contrast CTA upper extremity WO & W contrast and further sections including image postprocessing CT upper extremity, WO & W and further sections CTA upper extremity WO & W contrast and further sections including image postprocessing Fluoroscopy, up to one hour physician time CTA upper extremity WO & W contrast and further sections including image postprocessing Fluoroscopy, more than one hour physician time 60

61 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing D Rendering WO Postprocessing CTA upper extremity WO & W contrast and further sections including image postprocessing D Rendering W Postprocessing CTA upper extremity WO & W contrast and further sections including image postprocessing CT limited or localized follow-up study CTA upper extremity WO & W contrast and further sections including image postprocessing CTA upper extremity WO & W contrast and further sections including image postprocessing US guidance intra-operative CTA upper extremity WO & W contrast and further sections including image postprocessing CTA upper extremity WO & W contrast and further sections including image postprocessing Fluoroscopic guidance for needle placement MRI upper extremity, other than joint, W contrast CT upper extremity, WO contrast CPT Definition MRI upper extremity, other than joint, W contrast MRI upper extremity, other than joint, WO contrast MRI upper extremity, other than joint, W contrast Fluoroscopy, up to one hour physician time MRI upper extremity, other than joint, W contrast Fluoroscopy, more than one hour physician time MRI upper extremity, other than joint, W contrast MRI upper extremity, other than joint, W contrast US guidance intra-operative MRI upper extremity, other than joint, W contrast

62 73219 MRI upper extremity, other than joint, W contrast Fluoroscopic guidance for needle placement MRI upper extremity, other than joint, WO & W contrast MRI upper extremity, other than joint, WO contrast MRI upper extremity, other than joint, WO & W contrast MRI upper extremity, other than joint, W contrast MRI upper extremity, other than joint, WO & W contrast Fluoroscopy, up to one hour physician time MRI upper extremity, other than joint, WO & W contrast Fluoroscopy, more than one hour physician time MRI upper extremity, other than joint, WO & W contrast MRI upper extremity, other than joint, WO & W contrast US guidance intra-operative MRI upper extremity, other than joint, WO & W contrast MRI upper extremity, other than joint, WO & W contrast Fluoroscopic guidance for needle placement MRI any joint of upper extremity, W contrast MRI upper extremity joint, WO contrast MRI any joint of upper extremity, WO & W contrast MRI upper extremity joint, WO contrast MRI any joint of upper extremity, WO & W contrast MRI upper extremity joint, W contrast MRA upper extremity, WO & W contrast CTA upper extremity WO & W contrast and further sections including image postprocessing CPT Definition MRA upper extremity, WO & W contrast MRI, upper extremity, other than joint; without contrast material(s) 62

63 73225 MRA upper extremity, WO & W contrast Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) MRA upper extremity, WO & W contrast MRI, upper extremity, other than joint; WO & W contrast and further sequences MRA upper extremity, WO & W contrast MRI upper extremity joint, WO contrast MRA upper extremity, WO & W contrast MRI upper extremity joint, W contrast MRA upper extremity, WO & W contrast MRI any joint of upper extremity, WO & W contrast MRA upper extremity, WO & W contrast Fluoroscopy, up to one hour physician time MRA upper extremity, WO & W contrast Fluoroscopy, more than one hour physician time MRA upper extremity, WO & W contrast D Rendering WO Postprocessing MRA upper extremity, WO & W contrast D Rendering W Postprocessing MRA upper extremity, WO & W contrast Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and MRA upper extremity, WO & W contrast Ultrasonic guidance, intraoperative MRA upper extremity, WO & W contrast Fluoroscopic guidance for needle placement X-ray, hip, unilateral complete min 2 views X-ray, hip, unilateral, 1 view X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis X-ray, pelvis, 1 or 2 views 63

64 73520 X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis X-ray pelvis, complete, min 3 views CPT Definition X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis X-ray, hip, unilateral, 1 view X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis X-ray hip unilateral complete min 2 views X-ray, hip, arthrography, radiological supervision and X-ray, hip, unilateral, 1 view X-ray, hip, arthrography, radiological supervision and X-ray hip unilateral complete min 2 views X-ray, hip, arthrography, radiological supervision and X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis X-ray, hip, arthrography, radiological supervision and Fluoroscopy, up to one hour physician time X-ray, hip, arthrography, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, hip, arthrography, radiological supervision and X-ray, hip, arthrography, radiological supervision and Fluoroscopic guidance for needle placement X-ray, hip, arthrography, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures CPT Definition X-ray, pelvis and hips, infant or child, min. 2 views X-ray, pelvis, 1 or 2 views X-ray, knee, 3 views X-ray, knee 1 or 2 views X-ray, knee, complete 4 or more views X-ray, knee 1 or 2 views 64

65 73564 X-ray, knee, complete 4 or more views X-ray, knee, 3 views X-ray, knee, complete 4 or more views X-ray both knees, standing, anteroposterior X-ray both knees, standing, anteroposterior X-ray, knee, 3 views X-ray knee, arthrography, radiological supervision and X-ray, knee 1 or 2 views X-ray knee, arthrography, radiological supervision and Fluoroscopy, up to one hour physician time X-ray knee, arthrography, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, knee, arthrography, radiological supervision and X-ray knee, arthrography, radiological supervision and Fluoroscopic guidance for needle placement X-ray knee, arthrography, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures X-ray, tibia and fibula, 2 views X-ray, lower extremity, infant, min 2 views X-ray, lower extremity, infant, min 2 views X-ray, ankle, complete min 3 views X-ray, ankle, 2 views X-ray lower extremity, infant, min 2 views X-ray, ankle, complete, min 3 views X-ray, ankle, 2 views X-ray, ankle, arthrography, radiological supervision and X-ray, ankle, 2 views 65

66 73615 X-ray, ankle, arthrography, radiological supervision and X-ray, ankle, complete min 3 views X-ray, ankle, arthrography, radiological supervision and Fluoroscopy, up to one hour physician time X-ray, ankle, arthrography, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, ankle, arthrography, radiological supervision and X-ray, ankle, arthrography, radiological supervision and Fluoroscopic guidance for needle placement X-ray, ankle, arthrography, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures X-ray, foot 2 views X-ray, toes, 2 views X-ray, Foot complete min 3 views X-ray, foot, 2 views X-ray, Foot complete min 3 views X-ray toes, 2 views CPT Definition CT lower extremity, WO contrast MRI lower extremity (other then joint), WO contrast CPT Definition CT lower extremity, WO contrast MRI lower extremity, W contrast CPT Definition CT lower extremity, WO contrast MRI lower extremity, WO & W contrast CPT Definition CT lower extremity, WO contrast MRI lower extremity joint, WO contrast CPT Definition CT lower extremity, WO contrast MRI lower ext joint, WO & W contrast CPT Definition 66

67 73700 CT lower extremity, WO contrast CT limited or localized follow-up study CT lower extremity, W contrast CT lower extremity, WO contrast CT lower extremity, W contrast MRI lower extremity (other then joint), WO contrast CPT Definition CT lower extremity, W contrast MRI lower extremity, W contrast CPT Definition CT lower extremity, W contrast MRI lower extremity, WO & W contrast CPT Definition CT lower extremity, W contrast MRI lower extremity joint, WO contrast CPT Definition CT lower extremity, W contrast MRI lower ext joint, W contrast CPT Definition CT lower extremity, W contrast MRI lower ext joint, WO & W contrast CPT Definition CT lower extremity, W contrast Fluoroscopy, up to one hour physician time CT lower extremity, W contrast Fluoroscopy, more than one hour physician time CT lower extremity, W contrast CT limited or localized follow-up study CT lower extremity, W contrast CT lower extremity, W contrast US guidance intra-operative CT lower extremity, W contrast

68 73701 CT lower extremity, W contrast Fluoroscopic guidance for needle placement CT lower extremity WO & W contrast CT lower extremity, WO contrast CT lower extremity WO & W contrast CT lower extremity, W contrast CT lower extremity WO & W contrast MRI lower extremity (other then joint), WO contrast CPT Definition CT lower extremity WO & W contrast MRI lower extremity, W contrast CPT Definition CT lower extremity WO & W contrast MRI lower extremity, WO & W contrast CPT Definition CT lower extremity WO & W contrast MRI lower extremity joint, WO contrast CPT Definition CT lower extremity WO & W contrast MRI lower ext joint, W contrast CPT Definition CT lower extremity WO & W contrast MRI lower ext joint, WO & W contrast CPT Definition CT lower extremity WO & W contrast Fluoroscopy, up to one hour physician time CT lower extremity WO & W contrast Fluoroscopy, more than one hour physician time CT lower extremity WO & W contrast CT limited or localized follow-up study CT lower extremity WO & W contrast CT lower extremity WO & W contrast US guidance intra-operative 68

69 73702 CT lower extremity WO & W contrast CT lower extremity WO & W contrast Fluoroscopic guidance for needle placement CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing CTA pelvis, W contrast, including noncontrast images CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing CT lower extremity, WO contrast CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing CT lower extremity, W contrast CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing CT lower extremity WO & W contrast CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing Fluoroscopy, up to one hour physician time CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing Fluoroscopy, more than one hour physician time CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing D Rendering WO Postprocessing CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing D Rendering W Postprocessing CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing CT limited or localized follow-up study CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing US guidance intra-operative CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing

70 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing Fluoroscopic guidance for needle placement MRI lower extremity, W contrast MRI lower extremity (other then joint), WO contrast MRI lower extremity, W contrast Fluoroscopy, up to one hour physician time MRI lower extremity, W contrast Fluoroscopy, more than one hour physician time MRI lower extremity, W contrast MRI lower extremity, W contrast US guidance intra-operative MRI lower extremity, W contrast MRI lower extremity, W contrast Fluoroscopic guidance for needle placement MRI lower extremity, WO & W contrast MRI lower extremity (other then joint), WO contrast MRI lower extremity, WO & W contrast MRI lower extremity, W contrast MRI lower extremity, WO & W contrast MRA, lower extremity, W or WO contrast MRI lower extremity, WO & W contrast Fluoroscopy, up to one hour physician time MRI lower extremity, WO & W contrast Fluoroscopy, more than one hour physician time MRI lower extremity, WO & W contrast

71 73720 MRI lower extremity, WO & W contrast US guidance intra-operative MRI lower extremity, WO & W contrast MRI lower extremity, WO & W contrast Fluoroscopic guidance for needle placement MRI lower ext joint, W contrast MRI lower extremity joint, WO contrast MRI lower ext joint, WO & W contrast CT lower extremity, WO contrast CPT Definition MRI lower ext joint, WO & W contrast MRI lower extremity joint, WO contrast MRI lower ext joint, WO & W contrast MRI lower ext joint, W contrast MRI lower ext joint, WO & W contrast MRA, lower extremity, W or WO contrast MRA lower extremity WO & W contrast CTA W contrast material, including noncontrast images, if performed, and image postprocessing CPT Definition MRA lower extremity WO & W contrast MRI lower extremity (other then joint), WO contrast MRA lower extremity WO & W contrast MRI lower extremity, W contrast MRA lower extremity WO & W contrast MRI lower extremity joint, WO contrast MRA lower extremity WO & W contrast MRI lower ext joint, W contrast MRA lower extremity WO & W contrast Fluoroscopy, up to one hour physician time 71

72 73725 MRA lower extremity WO & W contrast Fluoroscopy, more than one hour physician time MRA lower extremity WO & W contrast D Rendering WO Postprocessing MRA lower extremity WO & W contrast D Rendering W Postprocessing MRA lower extremity WO & W contrast MRA lower extremity WO & W contrast US guidance intra-operative MRA lower extremity WO & W contrast MRA lower extremity WO & W contrast Fluoroscopic guidance for needle placement X-ray, abdomen, anteroposterior and additional oblique and cone views X-ray, abdomen, single anteroposterior view X-ray, abdomen, complete, including decubitus and/or erect X-ray, chest; single view, frontal CPT Definition X-ray, abdomen, complete, including decubitus and/or erect X-ray, abdomen, single anteroposterior view X-ray, abdomen, complete, including decubitus and/or erect X-ray, abdomen, anteroposterior and additional oblique and cone views X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest X-ray, chest; single view, frontal X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest X-ray, abdomen, single anteroposterior view X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest X-ray, abdomen, anteroposterior and additional oblique and cone views 72

73 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest X-ray, abdomen, complete, including decubitus and/or erect CT abdomen, WO contrast CT pelvis WO contrast CT abdomen, WO contrast CT pelvis W contrast CT abdomen, WO contrast CT pelvis WO & W contrast CT abdomen, WO contrast X-ray, abdomen, single anteroposterior view CPT Definition CT abdomen, WO contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition CT abdomen, WO contrast X-ray abdomen, complete, including decubitus and/or erect CPT Definition CT abdomen, WO contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT abdomen, WO contrast MRI abdomen, WO contrast CPT Definition CT abdomen, WO contrast MRI abdomen W contrast CPT Definition CT abdomen, WO contrast MRI abdomen WO & W contrast CPT Definition CT abdomen, WO contrast CT limited or localized follow-up study CT abdomen, W contrast CT pelvis WO contrast CT abdomen, W contrast CT pelvis W contrast 73

74 74160 CT abdomen, W contrast CT pelvis WO & W contrast CT abdomen, W contrast X-ray, abdomen, single anteroposterior view CPT Definition CT abdomen, W contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition CT abdomen, W contrast X-ray abdomen, complete, including decubitus and/or erect CPT Definition CT abdomen, W contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT abdomen, W contrast CT abdomen, WO contrast CT abdomen, W contrast MRI abdomen, WO contrast CPT Definition CT abdomen, W contrast MRI abdomen W contrast CPT Definition CT abdomen, W contrast MRI abdomen WO & W contrast CPT Definition CT abdomen, W contrast Fluoroscopy, up to one hour physician time CT abdomen, W contrast Fluoroscopy, more than one hour physician time CT abdomen, W contrast CT limited or localized follow-up study CT abdomen, W contrast CT abdomen, W contrast US guidance intra-operative 74

75 74160 CT abdomen, W contrast CT abdomen, W contrast Fluoroscopic guidance for needle placement CT abdomen WO & W contrast CT pelvis WO contrast CT abdomen WO & W contrast CT pelvis W contrast CT abdomen WO & W contrast CT pelvis WO & W contrast CT abdomen WO & W contrast X-ray, abdomen, single anteroposterior view CPT Definition CT abdomen WO & W contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition CT abdomen WO & W contrast X-ray abdomen, complete, including decubitus and/or erect CPT Definition CT abdomen WO & W contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT abdomen WO & W contrast CT abdomen, WO contrast CT abdomen WO & W contrast CT abdomen W contrast CT abdomen WO & W contrast MRI abdomen, WO contrast CPT Definition CT abdomen WO & W contrast MRI abdomen W contrast CPT Definition CT abdomen WO & W contrast MRI abdomen WO & W contrast CPT Definition 75

76 74170 CT abdomen WO & W contrast Fluoroscopy, up to one hour physician time CT abdomen WO & W contrast Fluoroscopy, more than one hour physician time CT abdomen WO & W contrast CT limited or localized follow-up study CT abdomen WO & W contrast CT abdomen WO & W contrast US guidance intra-operative CT abdomen WO & W contrast CT abdomen WO & W contrast Fluoroscopic guidance for needle placement CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CTA pelvis, W contrast, including noncontrast images CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT pelvis WO contrast CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT pelvis W contrast CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT pelvis WO & W contrast CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen, WO contrast CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen W contrast 76

77 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen WO & W contrast CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CTA abdomen, W contrast material, including noncontrast images, if performed, and image postprocessing CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen and pelvis; WO contrast material CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen and pelvis; W contrast material(s) CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen and pelvis; WO contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, up to one hour physician time CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, more than one hour physician time CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing D Rendering WO Postprocessing CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing D Rendering W Postprocessing CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CT limited or localized follow-up study CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing US guidance intra-operative CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopic guidance for needle placement 77

78 74175 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, W contrast, including noncontrast images, if performed, and image postprocessing CTA pelvis, W contrast, including noncontrast images CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, W contrast, including noncontrast images, if performed, and image postprocessing CTA W contrast material, including noncontrast images, if performed, and image postprocessing CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen, WO contrast CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen W contrast CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen WO & W contrast CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen and pelvis; WO contrast material CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen and pelvis; W contrast material(s) CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CT abdomen and pelvis; WO & W contrast CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, up to one hour physician time CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopy, more than one hour physician time CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing D Rendering WO Postprocessing CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing D Rendering W Postprocessing CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CT limited or localized follow-up study CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing

79 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing US guidance intra-operative CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing Fluoroscopic guidance for needle placement CT abdomen and pelvis; WO contrast CT pelvis WO contrast CT abdomen and pelvis; WO contrast CT pelvis W contrast CT abdomen and pelvis; WO contrast CT pelvis WO & W contrast CT abdomen and pelvis; WO contrast X-ray, abdomen, single anteroposterior view CPT Definition CT abdomen and pelvis; WO contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition CT abdomen and pelvis; WO contrast X-ray, abdomen, complete, including decubitus and/or erect CPT Definition CT abdomen and pelvis; WO contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT abdomen and pelvis; WO contrast CT abdomen, WO contrast CT abdomen and pelvis; WO contrast CT abdomen W contrast CT abdomen and pelvis; WO contrast CT abdomen WO & W contrast CT abdomen and pelvis; WO contrast CT colonography, screening, including image postprocessing CPT Definition 79

80 74176 CT abdomen and pelvis; WO contrast CT limited or localized follow-up study CT abdomen and pelvis; W contrast CT pelvis WO contrast CT abdomen and pelvis; W contrast CT pelvis W contrast CT abdomen and pelvis; W contrast CT pelvis WO & W contrast CT abdomen and pelvis; W contrast X-ray, abdomen, single anteroposterior view CPT Definition CT abdomen and pelvis; W contrast X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition CT abdomen and pelvis; W contrast X-ray, abdomen, complete, including decubitus and/or erect CPT Definition CT abdomen and pelvis; W contrast X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition CT abdomen and pelvis; W contrast CT abdomen, WO contrast CT abdomen and pelvis; W contrast CT abdomen W contrast CT abdomen and pelvis; W contrast CT abdomen WO & W contrast CT abdomen and pelvis; W contrast CT abdomen and pelvis; WO contrast material CT abdomen and pelvis; W contrast CT colonography, screening, including image postprocessing CPT Definition CT abdomen and pelvis; W contrast CT limited or localized follow-up study 80

81 74178 CT abdomen and pelvis; WO & W contrast CT pelvis WO contrast CT abdomen and pelvis; WO & W contrast CT pelvis W contrast CT abdomen and pelvis; WO & W contrast CT pelvis WO & W contrast CT abdomen and pelvis; WO & W contrast X-ray, abdomen, single anteroposterior view CPT Definition CT abdomen and pelvis; WO & W contrast CT abdomen, WO contrast CT abdomen and pelvis; WO & W contrast CT abdomen W contrast CT abdomen and pelvis; WO & W contrast CT abdomen WO & W contrast CT abdomen and pelvis; WO & W contrast CT abdomen and pelvis; WO contrast CT abdomen and pelvis; WO & W contrast CT abdomen and pelvis; W contrast CT abdomen and pelvis; WO & W contrast CT colonography, screening, including image postprocessing CPT Definition CT abdomen and pelvis; WO & W contrast CT limited or localized follow-up study MRI abdomen W contrast MRI abdomen, WO contrast MRI abdomen W contrast Fluoroscopy, up to one hour physician time MRI abdomen W contrast Fluoroscopy, more than one hour physician time 81

82 74182 MRI abdomen W contrast MRI abdomen W contrast US guidance intra-operative MRI abdomen W contrast MRI abdomen W contrast Fluoroscopic guidance for needle placement MRI abdomen WO & W contrast MRI abdomen, WO contrast MRI abdomen WO & W contrast MRI abdomen W contrast MRI abdomen WO & W contrast MRA, abdomen, WO or W contrast MRI abdomen WO & W contrast Fluoroscopy, up to one hour physician time MRI abdomen WO & W contrast Fluoroscopy, more than one hour physician time MRI abdomen WO & W contrast MRI abdomen WO & W contrast US guidance intra-operative MRI abdomen WO & W contrast MRI abdomen WO & W contrast Fluoroscopic guidance for needle placement MRA abdomen WO or W contrast CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition 82

83 74185 MRA abdomen WO or W contrast MRI abdomen, WO contrast MRA abdomen WO or W contrast MRI abdomen W contrast MRA abdomen WO or W contrast CT angiography, abdominal aorta & bilateral iliofemoral lower extremity runoff, w/contrast material including noncontrast images, if performed, and image postprocessing CPT Definition MRA abdomen WO or W contrast Fluoroscopy, up to one hour physician time MRA abdomen WO or W contrast Fluoroscopy, more than one hour physician time MRA abdomen WO or W contrast D Rendering WO Postprocessing MRA abdomen WO or W contrast D Rendering W Postprocessing MRA abdomen WO or W contrast MRA abdomen WO or W contrast US guidance intra-operative MRA abdomen WO or W contrast MRA abdomen WO or W contrast Fluoroscopic guidance for needle placement X-ray Peritoneogram radiological supervision and Fluoroscopy, up to one hour physician time X-ray Peritoneogram radiological supervision and Fluoroscopy, more than one hour physician time X-ray Peritoneogram radiological supervision and

84 74190 X-ray Peritoneogram radiological supervision and Fluoroscopic guidance for needle placement X-ray pharynx and/or cervical esophagus Fluoroscopy, up to one hour physician time X-ray pharynx and/or cervical esophagus Fluoroscopy, more than one hour physician time X-ray pharynx and/or cervical esophagus X-ray esophagus X-ray, pharynx and/or cervical esophagus X-ray esophagus Fluoroscopy, up to one hour physician time X-ray esophagus Fluoroscopy, more than one hour physician time X-ray esophagus Swallowing function W cineradiography /videoradiography X-ray, pharynx and/or cervical esophagus Swallowing function W cineradiography /videoradiography X-ray, esophagus Swallowing function W cineradiography /videoradiography Fluoroscopy, up to one hour physician time Swallowing function W cineradiography /videoradiography Fluoroscopy, more than one hour physician time Swallowing function W cineradiography /videoradiography Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and Fluoroscopy, up to one hour physician time 84

85 74235 Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and Fluoroscopy, more than one hour physician time Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and Fluoroscopic guidance for needle placement X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray, abdomen, single anteroposterior view X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray abdomen, complete, including decubitus and/or erect CPT Definition X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray, pharynx and/or cervical esophagus X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray, esophagus X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray GI tract, upper, W or WO delayed films, WO KUB Fluoroscopy, up to one hour physician time X-ray GI tract, upper, W or WO delayed films, WO KUB Fluoroscopy, more than one hour physician time X-ray GI tract, upper, W or WO delayed films, WO KUB

86 74241 X-ray GI tract, upper, W or WO delayed films, W KUB X-ray, abdomen, single anteroposterior view X-ray GI tract, upper, W or WO delayed films, W KUB X-ray, abdomen, anteroposterior and additional oblique and cone views X-ray GI tract, upper, W or WO delayed films, W KUB X-ray abdomen, complete, including decubitus and/or erect CPT Definition X-ray GI tract, upper, W or WO delayed films, W KUB X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray GI tract, upper, W or WO delayed films, W KUB X-ray, pharynx and/or cervical esophagus X-ray GI tract, upper, W or WO delayed films, W KUB X-ray, esophagus X-ray GI tract, upper, W or WO delayed films, W KUB X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray GI tract, upper, W or WO delayed films, W KUB X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films X-ray GI tract, upper, W or WO delayed films, W KUB X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray GI tract, upper, W or WO delayed films, W KUB Fluoroscopy, up to one hour physician time X-ray GI tract, upper, W or WO delayed films, W KUB Fluoroscopy, more than one hour physician time X-ray GI tract, upper, W or WO delayed films, W KUB X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray, abdomen, single anteroposterior view X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray, abdomen, anteroposterior and additional oblique and cone views 86

87 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray abdomen, complete, including decubitus and/or erect X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray, pharynx and/or cervical esophagus X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray, esophagus X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray, small intestine, multi serial films X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films Fluoroscopy, up to one hour physician time X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films Fluoroscopy, more than one hour physician time X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray, abdomen, single anteroposterior view X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray, abdomen, anteroposterior and additional oblique and cone views X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray abdomen, complete, including decubitus and/or erect CPT Definition X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray, pharynx and/or cervical esophagus X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray, esophagus 87

88 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films Fluoroscopy, up to one hour physician time X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films Fluoroscopy, more than one hour physician time X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray, abdomen, single anteroposterior view X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray, abdomen, anteroposterior and additional oblique and cone views X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray abdomen, complete, including decubitus and/or erect CPT Definition X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray, pharynx and/or cervical esophagus X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray, esophagus X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray GI tract, upper, W or WO delayed films, WO KUB 88

89 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray GI tract, upper, W or WO delayed films, WO KUB X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films WO KUB X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB Fluoroscopy, up to one hour physician time X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB Fluoroscopy, more than one hour physician time X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB X-ray, abdomen, single anteroposterior view X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray abdomen, complete, including decubitus and/or erect CPT Definition X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray, pharynx and/or cervical esophagus X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray, esophagus X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films 89

90 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray, small intestine, multi serial films X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough Fluoroscopy, up to one hour physician time X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough Fluoroscopy, more than one hour physician time X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough X-ray, small intestine, multi serial films X-ray, abdomen, single anteroposterior view X-ray, small intestine, multi serial films X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition X-ray, small intestine, multi serial films X-ray abdomen, complete, including decubitus and/or erect CPT Definition X-ray, small intestine, multi serial films X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray, small intestine, multi serial films Fluoroscopy, up to one hour physician time X-ray, small intestine, multi serial films Fluoroscopy, more than one hour physician time X-ray, small intestine, multi serial films X-ray, small intestine, multi serial films, via enteroclysis tube X-ray, abdomen, single anteroposterior view X-ray, small intestine, multi serial films, via enteroclysis tube X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition X-ray, small intestine, multi serial films, via enteroclysis tube X-ray abdomen, complete, including decubitus and/or erect CPT Definition 90

91 74251 X-ray, small intestine, multi serial films, via enteroclysis tube X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray, small intestine, multi serial films, via enteroclysis tube X-ray, small intestine, multi serial films X-ray, small intestine, multi serial films, via enteroclysis tube Fluoroscopy, up to one hour physician time X-ray, small intestine, multi serial films, via enteroclysis tube Fluoroscopy, more than one hour physician time X-ray, small intestine, multi serial films, via enteroclysis tube Duodenography, hypotonic X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films WO KUB Duodenography, hypotonic X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB Duodenography, hypotonic X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough Duodenography, hypotonic Fluoroscopy, up to one hour physician time Duodenography, hypotonic Fluoroscopy, more than one hour physician time Duodenography, hypotonic CT colonography, diagnostic, including image postprocessing; WO contrast CT pelvis WO contrast CT colonography, diagnostic, including image postprocessing; WO contrast CT pelvis W contrast CT colonography, diagnostic, including image postprocessing; WO contrast CT pelvis WO & W contrast 91

92 74261 CT colonography, diagnostic, including image postprocessing; WO contrast CT abdomen, WO contrast CT colonography, diagnostic, including image postprocessing; WO contrast CT abdomen W contrast CT colonography, diagnostic, including image postprocessing; WO contrast CT abdomen WO & W contrast CT colonography, diagnostic, including image postprocessing; WO contrast CTA abdomen and pelvis; WO contrast material CT colonography, diagnostic, including image postprocessing; WO contrast CTA abdomen and pelvis; W contrast material(s) CT colonography, diagnostic, including image postprocessing; WO contrast CT abdomen and pelvis; WO & W contrast CT colonography, diagnostic, including image postprocessing; WO contrast CT colonography, screening, including image postprocessing CT colonography, diagnostic, including image postprocessing; WO contrast Fluoroscopy, up to one hour physician time CT colonography, diagnostic, including image postprocessing; WO contrast Fluoroscopy, more than one hour physician time CT colonography, diagnostic, including image postprocessing; WO contrast D Rendering WO Postprocessing CT colonography, diagnostic, including image postprocessing; WO contrast D Rendering W Postprocessing CT colonography, diagnostic, including image postprocessing; WO contrast CT colonography, diagnostic, including image postprocessing; WO contrast Fluoroscopic guidance for needle placement CT colonography, diagnostic, including image postprocessing; WO & W contrast CT pelvis WO contrast 92

93 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast CT pelvis W contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast CT pelvis WO & W contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast CT abdomen, WO contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast CT abdomen W contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast CT abdomen WO & W contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast CTA abdomen and pelvis; WO contrast material CT colonography, diagnostic, including image postprocessing; WO & W contrast CTA abdomen and pelvis; W contrast material(s) CT colonography, diagnostic, including image postprocessing; WO & W contrast CT abdomen and pelvis; WO & W contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast CT colonography, diagnostic, including image postprocessing; WO contrast material CT colonography, diagnostic, including image postprocessing; WO & W contrast CT colonography, screening, including image postprocessing CT colonography, diagnostic, including image postprocessing; WO & W contrast Fluoroscopy, up to one hour physician time CT colonography, diagnostic, including image postprocessing; WO & W contrast Fluoroscopy, more than one hour physician time CT colonography, diagnostic, including image postprocessing; WO & W contrast D Rendering WO Postprocessing CT colonography, diagnostic, including image postprocessing; WO & W contrast D Rendering W Postprocessing 93

94 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast US guidance intra-operative CT colonography, diagnostic, including image postprocessing; WO & W contrast CT colonography, diagnostic, including image postprocessing; WO & W contrast Fluoroscopic guidance for needle placement CT colonography, screening, including image postprocessing CT Pelvis W/O Contrast CT colonography, screening, including image postprocessing CT Pelvis W/ Contrast CT colonography, screening, including image postprocessing CT Pelvis W/O & W/ Contrast CT colonography, screening, including image postprocessing Computed tomography, abdomen; without contrast material CT colonography, screening, including image postprocessing Computed tomography, abdomen; with contrast material(s) CT colonography, screening, including image postprocessing Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections CT colonography, screening, including image postprocessing Fluoroscopy (separate procedure), up to one hour physician time, other than or (eg, cardiac fluoroscopy) CT colonography, screening, including image postprocessing D Rendering WO Postprocessing CT colonography, screening, including image postprocessing D Rendering W Postprocessing X-ray, colon, barium enema, W or WO KUB X-ray, abdomen, single anteroposterior view 94

95 74270 X-ray, colon, barium enema, W or WO KUB X-ray, abdomen, anteroposterior and additional oblique and cone views X-ray, colon, barium enema, W or WO KUB X-ray abdomen, complete, including decubitus and/or erect CPT Definition X-ray, colon, barium enema, W or WO KUB X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray, colon, barium enema, W or WO KUB X-ray Barium Enema air contrast W high density barium, W or WO glucagon X-ray, colon, barium enema, W or WO KUB Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction X-ray, colon, barium enema, W or WO KUB Fluoroscopy, up to one hour physician time X-ray, colon, barium enema, W or WO KUB Fluoroscopy, more than one hour physician time X-ray, colon, barium enema, W or WO KUB X-ray, colon, barium enema, W or WO KUB US guidance intra-operative X-ray, colon, barium enema, W or WO KUB X-ray, colon, barium enema, W or WO KUB Fluoroscopic guidance for needle placement X-ray, Barium Enema air contrast W high density barium, W or WO glucagon X-ray, abdomen, single anteroposterior view X-ray, Barium Enema air contrast W high density barium, W or WO glucagon X-ray, abdomen, anteroposterior and additional oblique and cone views X-ray, Barium Enema air contrast W high density barium, W or WO glucagon X-ray abdomen, complete, including decubitus and/or erect CPT Definition 95

96 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition X-ray, Barium Enema air contrast W high density barium, W or WO glucagon Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction X-ray, Barium Enema air contrast W high density barium, W or WO glucagon Fluoroscopy, up to one hour physician time X-ray, Barium Enema air contrast W high density barium, W or WO glucagon Fluoroscopy, more than one hour physician time X-ray, Barium Enema air contrast W high density barium, W or WO glucagon Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction Fluoroscopy, up to one hour physician time Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction Fluoroscopy, more than one hour physician time Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction Cholecystography, oral contrast; Fluoroscopy, up to one hour physician time Cholecystography, oral contrast; Fluoroscopy, more than one hour physician time Cholecystography, oral contrast; Cholecystography, oral contrast; additional or repeat examination or multiple day examination Fluoroscopy, up to one hour physician time Cholecystography, oral contrast; additional or repeat examination or multiple day examination Fluoroscopy, more than one hour physician time Cholecystography, oral contrast; additional or repeat examination or multiple day examination

97 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and Cholecystography, oral contrast; Cholangiography and/or pancreatography; intraoperative, radiological supervision and Cholecystography, oral contrast; additional or repeat examination or multiple day examination Cholangiography and/or pancreatography; intraoperative, radiological supervision and Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Cholangiography and/or pancreatography; intraoperative, radiological supervision and Fluoroscopy, up to one hour physician time Cholangiography and/or pancreatography; intraoperative, radiological supervision and Fluoroscopy, more than one hour physician time Cholangiography and/or pancreatography; intraoperative, radiological supervision and Cholangiography and/or pancreatography; intraoperative, radiological supervision and Fluoroscopic guidance for needle placement Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and Cholecystography, oral contrast; Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and Cholecystography, oral contrast; additional or repeat examination or multiple day examination Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Cholecystography, oral contrast; Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Cholecystography, oral contrast; additional or repeat examination or multiple day examination Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Fluoroscopy, up to one hour physician time Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Fluoroscopy, more than one hour physician time 97

98 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Fluoroscopic guidance for needle placement Cholangiography, percutaneous, transhepatic, radiological supervision and Cholecystography, oral contrast; Cholangiography, percutaneous, transhepatic, radiological supervision and Cholecystography, oral contrast; additional or repeat examination or multiple day examination Cholangiography, percutaneous, transhepatic, radiological supervision and Cholangiography and/or pancreatography; intraoperative, radiological supervision and Cholangiography, percutaneous, transhepatic, radiological supervision and Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and Cholangiography, percutaneous, transhepatic, radiological supervision and Cholangiography and/or pancreatography; through existing catheter, radiological supervision and Cholangiography, percutaneous, transhepatic, radiological supervision and Fluoroscopy, up to one hour physician time Cholangiography, percutaneous, transhepatic, radiological supervision and Fluoroscopy, more than one hour physician time Cholangiography, percutaneous, transhepatic, radiological supervision and Cholangiography, percutaneous, transhepatic, radiological supervision and Fluoroscopic guidance for needle placement Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and Fluoroscopy, up to one hour physician time Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and Fluoroscopy, more than one hour physician time Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and

99 74327 Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and Fluoroscopic guidance for needle placement Endoscopic catheterization of the biliary ductal system, radiological supervision and Fluoroscopy, up to one hour physician time Endoscopic catheterization of the biliary ductal system, radiological supervision and Fluoroscopy, more than one hour physician time Endoscopic catheterization of the biliary ductal system, radiological supervision and Endoscopic catheterization of the biliary ductal system, radiological supervision and Fluoroscopic guidance for needle placement Endoscopic catheterization of the pancreatic ductal system, radiological supervision and Fluoroscopy, up to one hour physician time Endoscopic catheterization of the pancreatic ductal system, radiological supervision and Fluoroscopy, more than one hour physician time Endoscopic catheterization of the pancreatic ductal system, radiological supervision and Endoscopic catheterization of the pancreatic ductal system, radiological supervision and Fluoroscopic guidance for needle placement Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and Endoscopic catheterization of the biliary ductal system, radiological supervision and Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and Endoscopic catheterization of the pancreatic ductal system, radiological supervision and Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and Fluoroscopy, up to one hour physician time Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and Fluoroscopy, more than one hour physician time Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and

100 74330 Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and Fluoroscopic guidance for needle placement Introduction of long gastrointestinal tube, including multiple fluoroscopies and films, radiological supervision and X-ray, abdomen, single anteroposterior view Introduction of long gastrointestinal tube, including multiple fluoroscopies and films, radiological supervision and Fluoroscopy, up to one hour physician time Introduction of long gastrointestinal tube, including multiple fluoroscopies and films, radiological supervision and Fluoroscopy, more than one hour physician time Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and films, radiological supervision and Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and films, radiological supervision and Fluoroscopic guidance for needle placement Percutaneous placement of enteroclysis tube, radiological supervision and X-ray, abdomen, single anteroposterior view Percutaneous placement of enteroclysis tube, radiological supervision and Fluoroscopy, up to one hour physician time Percutaneous placement of enteroclysis tube, radiological supervision and Fluoroscopy, more than one hour physician time Percutaneous placement of enteroclysis tube, radiological supervision and Percutaneous placement of enteroclysis tube, radiological supervision and Fluoroscopic guidance for needle placement Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and X-ray, abdomen, single anteroposterior view Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and Fluoroscopy, up to one hour physician time Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and Fluoroscopy, more than one hour physician time 100

101 74360 Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and Fluoroscopic guidance for needle placement Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and X-ray, abdomen, single anteroposterior view Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and Fluoroscopy, up to one hour physician time Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and Fluoroscopy, more than one hour physician time Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and Fluoroscopic guidance for needle placement Urography intravenous, W or WO KUB, W or WO tomography X-ray, abdomen, single anteroposterior view Urography intravenous, W or WO KUB, W or WO tomography X-ray, abdomen, anteroposterior and additional oblique and cone views Urography intravenous, W or WO KUB, W or WO tomography X-ray abdomen, complete, including decubitus and/or erect CPT Definition Urography intravenous, W or WO KUB, W or WO tomography X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest Urography intravenous, W or WO KUB, W or WO tomography Urography, infusion, drip and/or bolus technique Urography intravenous, W or WO KUB, W or WO tomography Urography, retrograde, W or WO KUB Urography intravenous, W or WO KUB, W or WO tomography Fluoroscopy, up to one hour physician time 101

102 74400 Urography intravenous, W or WO KUB, W or WO tomography Fluoroscopy, more than one hour physician time Urography intravenous, W or WO KUB, W or WO tomography X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral Urography intravenous, W or WO KUB, W or WO tomography X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral Urography intravenous, W or WO KUB, W or WO tomography Urography intravenous, W or WO KUB, W or WO tomography US guidance intra-operative Urography intravenous, W or WO KUB, W or WO tomography Urography intravenous, W or WO KUB, W or WO tomography Fluoroscopic guidance for needle placement Urography, infusion, drip and/or bolus technique X-ray, abdomen, single anteroposterior view Urography, infusion, drip and/or bolus technique X-ray, abdomen, anteroposterior and additional oblique and cone views Urography, infusion, drip and/or bolus technique X-ray abdomen, complete, including decubitus and/or erect Urography, infusion, drip and/or bolus technique Urography, retrograde, W or WO KUB Urography, infusion, drip and/or bolus technique Urography infusion drip and/or Bolus; W nephrotomography Urography, infusion, drip and/or bolus technique X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral Urography, infusion, drip and/or bolus technique X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral 102

103 74415 Urography infusion drip and/or Bolus; W nephrotomography X-ray, abdomen, single anteroposterior view Urography infusion drip and/or Bolus; W nephrotomography X-ray, abdomen, anteroposterior and additional oblique and cone views Urography infusion drip and/or Bolus; W nephrotomography X-ray abdomen, complete, including decubitus and/or erect Urography infusion drip and/or Bolus; W nephrotomography Urography intravenous, W or WO KUB, W or WO tomography Urography infusion drip and/or Bolus; W nephrotomography Urography, infusion, drip and/or bolus technique Urography infusion drip and/or Bolus; W nephrotomography Urography, retrograde, W or WO KUB Urography infusion drip and/or Bolus; W nephrotomography Urography infusion drip and/or Bolus; W nephrotomography Urography infusion drip and/or Bolus; W nephrotomography X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral CPT Definition Urography infusion drip and/or Bolus; W nephrotomography X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral Urography, retrograde, W or WO KUB X-ray, abdomen, single anteroposterior view Urography, retrograde, W or WO KUB X-ray, abdomen, anteroposterior and additional oblique and cone views Urography, retrograde, W or WO KUB X-ray abdomen, complete, including decubitus and/or erect Urography, retrograde, W or WO KUB Urography infusion drip and/or Bolus; W nephrotomography Urography, retrograde, W or WO KUB Cystography, min 3 views, radiological supervision and 103

104 74420 Urography, retrograde, W or WO KUB Urethrocystography, retrograde, radiological supervision and Urography, retrograde, W or WO KUB Urethrocystography, voiding, radiological supervision and Urography, retrograde, W or WO KUB Fluoroscopy, up to one hour physician time Urography, retrograde, W or WO KUB Fluoroscopy, more than one hour physician time Urography, retrograde, W or WO KUB X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral CPT Definition Urography, retrograde, W or WO KUB X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral Urography, retrograde, W or WO KUB Urography, retrograde, W or WO KUB US guidance intra-operative Urography, retrograde, W or WO KUB Urography, retrograde, W or WO KUB Fluoroscopic guidance for needle placement Urography antegrade-radiological supervision and X-ray, abdomen, single anteroposterior view Urography antegrade-radiological supervision and X-ray, abdomen, anteroposterior and additional oblique and cone views Urography antegrade-radiological supervision and X-ray abdomen, complete, including decubitus and/or erect Urography antegrade-radiological supervision and Urography intravenous, W or WO KUB, W or WO tomography 104

105 74425 Urography antegrade-radiological supervision and Fluoroscopy, up to one hour physician time Urography antegrade-radiological supervision and Fluoroscopy, more than one hour physician time Urography antegrade-radiological supervision and X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral CPT Definition Urography antegrade-radiological supervision and X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral Urography antegrade-radiological supervision and Urography antegrade-radiological supervision and Fluoroscopic guidance for needle placement Cystography, min 3 views, radiological supervision and X-ray, abdomen, single anteroposterior view Cystography, min 3 views, radiological supervision and Urethrocystography, voiding, radiological supervision and Cystography, min 3 views, radiological supervision and Fluoroscopy, up to one hour physician time Cystography, min 3 views, radiological supervision and Fluoroscopy, more than one hour physician time Cystography, minimum of three views, radiological supervision and Vasography, vesiculography, or epididymography, radiological supervision and X-ray, abdomen, single anteroposterior view Vasography, vesiculography, or epididymography, radiological supervision and Urethrocystography, retrograde, radiological supervision and Vasography, vesiculography, or epididymography, radiological supervision and Fluoroscopy, up to one hour physician time 105

106 74440 Vasography, vesiculography, or epididymography, radiological supervision and Fluoroscopy, more than one hour physician time Vasography, vesiculography, or epididymography, radiological supervision and Vasography, vesiculography, or epididymography, radiological supervision and US guidance intra-operative Vasography, vesiculography, or epididymography, radiological supervision and Vasography, vesiculography, or epididymography, radiological supervision and Fluoroscopic guidance for needle placement Corpora cavernosography, radiological supervision and X-ray, abdomen, single anteroposterior view Corpora cavernosography, radiological supervision and Fluoroscopy, up to one hour physician time Corpora cavernosography, radiological supervision and Fluoroscopy, more than one hour physician time Corpora cavernosography, radiological supervision and Corpora cavernosography, radiological supervision and US guidance intra-operative Corpora cavernosography, radiological supervision and Corpora cavernosography, radiological supervision and Fluoroscopic guidance for needle placement Urethrocystography, retrograde, radiological supervision and X-ray, abdomen, single anteroposterior view Urethrocystography, retrograde, radiological supervision and Fluoroscopy, up to one hour physician time 106

107 74450 Urethrocystography, retrograde, radiological supervision and Fluoroscopy, more than one hour physician time Urethrocystography, retrograde, radiological supervision and Urethrocystography, retrograde, radiological supervision and Fluoroscopic guidance for needle placement Urethrocystography, voiding, radiological supervision and X-ray, abdomen, single anteroposterior view Urethrocystography, voiding, radiological supervision and Urethrocystography, retrograde, radiological supervision and Urethrocystography, voiding, radiological supervision and Fluoroscopy, up to one hour physician time Urethrocystography, voiding, radiological supervision and Fluoroscopy, more than one hour physician time Urethrocystography, voiding, radiological supervision and X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and Fluoroscopy, up to one hour physician time X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and Fluoroscopic guidance for needle placement Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Fluoroscopy, up to one hour physician time Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Fluoroscopy, more than one hour physician time 107

108 74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Fluoroscopic guidance for needle placement Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Fluoroscopy, up to one hour physician time Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Fluoroscopy, more than one hour physician time Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and Fluoroscopic guidance for needle placement Dilation of nephrostomy, ureters, or urethra, radiological supervision and Fluoroscopy, up to one hour physician time Dilation of nephrostomy, ureters, or urethra, radiological supervision and Fluoroscopy, more than one hour physician time Dilation of nephrostomy, ureters, or urethra, radiological supervision and Dilation of nephrostomy, ureters, or urethra, radiological supervision and Dilation of nephrostomy, ureters, or urethra, radiological supervision and Fluoroscopic guidance for needle placement 108

109 74740 Hysterosalpingography, radiological supervision and Fluoroscopy, up to one hour physician time Hysterosalpingography, radiological supervision and Fluoroscopy, more than one hour physician time Hysterosalpingography, radiological supervision and Transcervical catheterization of fallopian tube, radiological supervision and Hysterosalpingography, radiological supervision and Transcervical catheterization of fallopian tube, radiological supervision and Fluoroscopy, up to one hour physician time Transcervical catheterization of fallopian tube, radiological supervision and Fluoroscopy, more than one hour physician time Transcervical catheterization of fallopian tube, radiological supervision and Transcervical catheterization of fallopian tube, radiological supervision and Fluoroscopic guidance for needle placement Perineogram Fluoroscopy, up to one hour physician time Perineogram Fluoroscopy, more than one hour physician time Perineogram Perineogram Fluoroscopic guidance for needle placement Cardiac MRI for Morphology and Function WO Contrast D Rendering WO Postprocessing Cardiac MRI for Morphology and Function WO Contrast D Rendering W Postprocessing 109

110 75559 Cardiac MRI of the Heart Morphology and Function W stress imaging, WO contrast Cardiac MRI for morphology and Function WO contrast Cardiac MRI of the Heart Morphology and Function W stress imaging, WO contrast D Rendering WO Postprocessing Cardiac MRI of the Heart Morphology and Function W stress imaging, WO contrast D Rendering W Postprocessing Cardiac MRI for morphology and function WO & W contrast Cardiac MRI for morphology and Function WO contrast Cardiac MRI for morphology and function WO & W contrast MRI of the Heart Morphology and Function W stress WO contrast Cardiac MRI for morphology and function WO & W contrast Fluoroscopy, up to one hour physician time Cardiac MRI for morphology and function WO & W contrast Fluoroscopy, more than one hour physician time Cardiac MRI for morphology and function WO & W contrast D Rendering WO Postprocessing Cardiac MRI for morphology and function WO & W contrast D Rendering W Postprocessing Cardiac MRI for morphology and function WO & W contrast Cardiac MRI for morphology and function WO & W contrast US guidance intra-operative Cardiac MRI for morphology and function WO & W contrast Cardiac MRI for morphology and function WO & W contrast Fluoroscopic guidance for needle placement Cardiac MRI for morphology and function WO & W contrast, W stress imaging Cardiac MRI for morphology and Function WO contrast 110

111 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging MRI of the Heart Morphology and Function W stress WO contrast Cardiac MRI for morphology and function WO & W contrast, W stress imaging Cardiac MRI for morphology and function WO & W contrast Cardiac MRI for morphology and function WO & W contrast, W stress imaging Fluoroscopy, up to one hour physician time Cardiac MRI for morphology and function WO & W contrast, W stress imaging Fluoroscopy, more than one hour physician time Cardiac MRI for morphology and function WO & W contrast, W stress imaging D Rendering WO Postprocessing Cardiac MRI for morphology and function WO & W contrast, W stress imaging D Rendering W Postprocessing Cardiac MRI for morphology and function WO & W contrast, W stress imaging Cardiac MRI for morphology and function WO & W contrast, W stress imaging US guidance intra-operative Cardiac MRI for morphology and function WO & W contrast, W stress imaging Cardiac MRI for morphology and function WO & W contrast, W stress imaging Fluoroscopic guidance for needle placement Cardiac MRI for velocity flow mapping D Rendering WO Postprocessing Cardiac MRI for velocity flow mapping D Rendering W Postprocessing CT heart, WO contrast, W quantitative evaluation of coronary calcium Fluoroscopy, up to one hour physician time CT heart, WO contrast, W quantitative evaluation of coronary calcium Fluoroscopy, more than one hour physician time 111

112 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium Cineradiography/videoradiography, except where specifically included CT heart, WO contrast, W quantitative evaluation of coronary calcium Cineradiography/videoradiography to complement routine examination CT heart, WO contrast, W quantitative evaluation of coronary calcium D Rendering WO Postprocessing CT heart, WO contrast, W quantitative evaluation of coronary calcium D Rendering W Postprocessing CT heart, WO contrast, W quantitative evaluation of coronary calcium CT heart, WO contrast, W quantitative evaluation of coronary calcium Fluoroscopic guidance for needle placement CT heart, W contrast, for evaluation of cardiac structure and morphology CT thorax, WO contrast CT heart, W contrast, for evaluation of cardiac structure and morphology CT thorax, W contrast CT heart, W contrast, for evaluation of cardiac structure and morphology CT thorax, WO & W contrast CT heart, W contrast, for evaluation of cardiac structure and morphology CT heart, WO contrast material, W quantitative evaluation of coronary calcium CT heart, W contrast, for evaluation of cardiac structure and morphology Fluoroscopy, up to one hour physician time CT heart, W contrast, for evaluation of cardiac structure and morphology Fluoroscopy, more than one hour physician time CT heart, W contrast, for evaluation of cardiac structure and morphology Cineradiography/videoradiography, except where specifically included CT heart, W contrast, for evaluation of cardiac structure and morphology Cineradiography/videoradiography to complement routine examination 112

113 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology D Rendering WO Postprocessing CT heart, W contrast, for evaluation of cardiac structure and morphology D Rendering W Postprocessing CT heart, W contrast, for evaluation of cardiac structure and morphology CT heart, W contrast, for evaluation of cardiac structure and morphology US guidance intra-operative CT heart, W contrast, for evaluation of cardiac structure and morphology CT heart, W contrast, for evaluation of cardiac structure and morphology Fluoroscopic guidance for needle placement CT heart, W contrast material, for evaluation of cardiac structure and morphology CT thorax, WO contrast CT heart, W contrast material, for evaluation of cardiac structure and morphology CT thorax, W contrast CT heart, W contrast material, for evaluation of cardiac structure and morphology CT thorax, WO & W contrast CT heart, W contrast material, for evaluation of cardiac structure and morphology CT heart, WO contrast material, W quantitative evaluation of coronary calcium CT heart, W contrast material, for evaluation of cardiac structure and morphology CT heart, W contrast, for evaluation of cardiac structure and morphology CT heart, W contrast material, for evaluation of cardiac structure and morphology CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CT heart, W contrast material, for evaluation of cardiac structure and morphology Fluoroscopy, up to one hour physician time CT heart, W contrast material, for evaluation of cardiac structure and morphology Fluoroscopy, more than one hour physician time 113

114 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology Cineradiography/videoradiography, except where specifically included CT heart, W contrast material, for evaluation of cardiac structure and morphology Cineradiography/videoradiography to complement routine examination CT heart, W contrast material, for evaluation of cardiac structure and morphology D Rendering WO Postprocessing CT heart, W contrast material, for evaluation of cardiac structure and morphology D Rendering W Postprocessing CT heart, W contrast material, for evaluation of cardiac structure and morphology CT heart, W contrast material, for evaluation of cardiac structure and morphology US guidance intra-operative CT heart, W contrast material, for evaluation of cardiac structure and morphology CT heart, W contrast material, for evaluation of cardiac structure and morphology Fluoroscopic guidance for needle placement CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CT thorax, WO contrast CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CT thorax, W contrast CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CT thorax, WO & W contrast CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CTA chest (noncoronary) CPT Definition CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CT heart, WO contrast material, W quantitative evaluation of coronary calcium CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CT heart, W contrast, for evaluation of cardiac structure and morphology 114

115 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing Fluoroscopy, up to one hour physician time CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing Cineradiography/videoradiography, except where specifically included CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing Cineradiography/videoradiography to complement routine examination CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing D Rendering WO Postprocessing CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing D Rendering W Postprocessing CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing US guidance intra-operative CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing Fluoroscopic guidance for needle placement Aortography, thoracic, WO serialography, radiological supervision and Venography, caval, superior, W serialography, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Fluoroscopy, up to one hour physician time Aortography, thoracic, WO serialography, radiological supervision and Fluoroscopy, more than one hour physician time 115

116 75600 Aortography, thoracic, WO serialography, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and US guidance intra-operative Aortography, thoracic, WO serialography, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Fluoroscopic guidance for needle placement Aortography, thoracic, by serialography, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Venography, caval, superior, W serialography, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Fluoroscopy, up to one hour physician time Aortography, thoracic, by serialography, radiological supervision and Fluoroscopy, more than one hour physician time Aortography, thoracic, by serialography, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and US guidance intra-operative Aortography, thoracic, by serialography, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Fluoroscopic guidance for needle placement 116

117 75625 Aortography, abdominal, by serialography, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Fluoroscopy, up to one hour physician time Aortography, abdominal, by serialography, radiological supervision and Fluoroscopy, more than one hour physician time Aortography, abdominal, by serialography, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and US guidance intra-operative Aortography, abdominal, by serialography, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Fluoroscopic guidance for needle placement Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Venography, extremity, unilateral, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Venography, extremity, bilateral, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and 117

118 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Fluoroscopy, up to one hour physician time Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Fluoroscopy, more than one hour physician time Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and US guidance intra-operative Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Fluoroscopic guidance for needle placement CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CTA pelvis, W contrast, including noncontrast images CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CT lower extremity, WO contrast CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CT lower extremity, W contrast CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CT lower extremity WO & W contrast CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CTA W contrast material, including noncontrast images, if performed, and image postprocessing CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CT abdomen, WO contrast 118

119 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CT abdomen W contrast CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CT abdomen WO & W contrast CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, W contrast, including noncontrast images, if performed, and image postprocessing CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing Fluoroscopy, up to one hour physician time CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing Fluoroscopy, more than one hour physician time CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing D Rendering WO Postprocessing CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing D Rendering W Postprocessing CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing US guidance intra-operative CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing Fluoroscopic guidance for needle placement 119

120 75658 Angiography, brachial, retrograde, radiological supervision and Venography, extremity, unilateral, radiological supervision and Angiography, brachial, retrograde, radiological supervision and Venography, extremity, bilateral, radiological supervision and Angiography, brachial, retrograde, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, brachial, retrograde, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, brachial, retrograde, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, brachial, retrograde, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, brachial, retrograde, radiological supervision and Angiography, brachial, retrograde, radiological supervision and US guidance intra-operative Angiography, brachial, retrograde, radiological supervision and Angiography, brachial, retrograde, radiological supervision and Fluoroscopic guidance for needle placement Angiography, spinal, selective, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, spinal, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, spinal, selective, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, spinal, selective, radiological supervision and Fluoroscopy, more than one hour physician time 120

121 75705 Angiography, spinal, selective, radiological supervision and Angiography, spinal, selective, radiological supervision and US guidance intra-operative Angiography, spinal, selective, radiological supervision and Angiography, spinal, selective, radiological supervision and Fluoroscopic guidance for needle placement Angiography, extremity, unilateral, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Venography, extremity, unilateral, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Venography, extremity, bilateral, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, extremity, unilateral, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, extremity, unilateral, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, extremity, unilateral, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, extremity, unilateral, radiological supervision and Angiography, extremity, unilateral, radiological supervision and US guidance intra-operative Angiography, extremity, unilateral, radiological supervision and

122 75710 Angiography, extremity, unilateral, radiological supervision and Fluoroscopic guidance for needle placement Angiography, extremity, bilateral, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Venography, extremity, unilateral, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Venography, extremity, bilateral, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, extremity, bilateral, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, extremity, bilateral, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, extremity, bilateral, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, extremity, bilateral, radiological supervision and Angiography, extremity, bilateral, radiological supervision and US guidance intra-operative Angiography, extremity, bilateral, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Fluoroscopic guidance for needle placement Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Splenoportography, radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and 122

123 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Fluoroscopy, up to one hour physician time Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Fluoroscopy, more than one hour physician time Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and US guidance intra-operative Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Fluoroscopic guidance for needle placement Angiography, adrenal, unilateral, selective, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time 123

124 75731 Angiography, adrenal, unilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, adrenal, unilateral, selective, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and US guidance intra-operative Angiography, adrenal, unilateral, selective, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Angiography, adrenal, bilateral, selective, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, adrenal, bilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, adrenal, bilateral, selective, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and US guidance intra-operative 124

125 75733 Angiography, adrenal, bilateral, selective, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Angiography, pelvic, selective or supraselective, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, pelvic, selective or supraselective, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, pelvic, selective or supraselective, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and US guidance intra-operative Angiography, pelvic, selective or supraselective, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Fluoroscopic guidance for needle placement Angiography, pulmonary, unilateral, selective, radiological supervision and Angiography, internal mammary, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 125

126 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, pulmonary, unilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, pulmonary, unilateral, selective, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and US guidance intra-operative Angiography, pulmonary, unilateral, selective, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Angiography, pulmonary, bilateral, selective, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Angiography, internal mammary, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, pulmonary, bilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, pulmonary, bilateral, selective, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and US guidance intra-operative 126

127 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and US guidance intra-operative Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and Fluoroscopic guidance for needle placement Angiography, internal mammary, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography, internal mammary, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, internal mammary, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, internal mammary, radiological supervision and Fluoroscopy, more than one hour physician time 127

128 75756 Angiography, internal mammary, radiological supervision and Angiography, internal mammary, radiological supervision and US guidance intra-operative Angiography, internal mammary, radiological supervision and Angiography, internal mammary, radiological supervision and Fluoroscopic guidance for needle placement Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Fluoroscopy, up to one hour physician time Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Fluoroscopy, more than one hour physician time Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and US guidance intra-operative Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Fluoroscopic guidance for needle placement Angiography, arteriovenous shunt, complete eveluation of dialysis access, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Angiography, arteriovenous shunt, complete eveluation of dialysis access, radiological supervision and Lymphangiography, extremity only, unilateral, radiological supervision and Fluoroscopy, up to one hour physician time 128

129 75801 Lymphangiography, extremity only, unilateral, radiological supervision and Fluoroscopy, more than one hour physician time Lymphangiography, extremity only, unilateral, radiological supervision and Lymphangiography, extremity only, unilateral, radiological supervision and US guidance intra-operative Lymphangiography, extremity only, unilateral, radiological supervision and Lymphangiography, extremity only, unilateral, radiological supervision and Fluoroscopic guidance for needle placement Lymphangiography, extremity only, bilateral, radiological supervision and Lymphangiography, extremity only, unilateral, radiological supervision and Lymphangiography, extremity only, bilateral, radiological supervision and Fluoroscopy, up to one hour physician time Lymphangiography, extremity only, bilateral, radiological supervision and Fluoroscopy, more than one hour physician time Lymphangiography, extremity only, bilateral, radiological supervision and Lymphangiography, extremity only, bilateral, radiological supervision and US guidance intra-operative Lymphangiography, extremity only, bilateral, radiological supervision and Lymphangiography, extremity only, bilateral, radiological supervision and Fluoroscopic guidance for needle placement Lymphangiography, extremity only, unilateral, radiological supervision and Fluoroscopy, up to one hour physician time Lymphangiography, extremity only, unilateral, radiological supervision and Fluoroscopy, more than one hour physician time 129

130 75805 Lymphangiography, extremity only, unilateral, radiological supervision and US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation Lymphangiography, extremity only, unilateral, radiological supervision and Lymphangiography, extremity only, unilateral, radiological supervision and US guidance intra-operative Lymphangiography, extremity only, unilateral, radiological supervision and Lymphangiography, extremity only, unilateral, radiological supervision and Fluoroscopic guidance for needle placement Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and Lymphangiography, extremity only, unilateral, radiological supervision and Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and Fluoroscopy, up to one hour physician time Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and Fluoroscopy, more than one hour physician time Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and US guidance intra-operative Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and Fluoroscopic guidance for needle placement Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and Fluoroscopy, up to one hour physician time Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and Fluoroscopy, more than one hour physician time 130

131 75809 Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and US guidance intra-operative Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and Fluoroscopic guidance for needle placement Splenoportography, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Splenoportography, radiological supervision and Fluoroscopy, up to one hour physician time Splenoportography, radiological supervision and Fluoroscopy, more than one hour physician time Splenoportography, radiological supervision and Splenoportography, radiological supervision and US guidance intra-operative Splenoportography, radiological supervision and Splenoportography, radiological supervision and Fluoroscopic guidance for needle placement Venography, extremity, unilateral, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, extremity, unilateral, radiological supervision and Fluoroscopy, up to one hour physician time Venography, extremity, unilateral, radiological supervision and Fluoroscopy, more than one hour physician time 131

132 75820 Venography, extremity, unilateral, radiological supervision and Venography, extremity, unilateral, radiological supervision and US guidance intra-operative Venography, extremity, unilateral, radiological supervision and Fluoroscopic guidance for needle placement Venography, extremity, unilateral, radiological supervision and Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) Venography, extremity, unilateral, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, extremity, unilateral, radiological supervision and Venous thrombosis imaging, venogram; bilateral Venography, extremity, bilateral, radiological supervision and Venography, extremity, unilateral Venography, extremity, bilateral, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, extremity, bilateral, radiological supervision and Fluoroscopy, up to one hour physician time Venography, extremity, bilateral, radiological supervision and Fluoroscopy, more than one hour physician time Venography, extremity, bilateral, radiological supervision and Venography, extremity, bilateral, radiological supervision and US guidance intra-operative Venography, extremity, bilateral, radiological supervision and Fluoroscopic guidance for needle placement Venography, caval, inferior, W serialography, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 132

133 75825 Venography, caval, inferior, W serialography, radiological supervision and Fluoroscopy, up to one hour physician time Venography, caval, inferior, W serialography, radiological supervision and Fluoroscopy, more than one hour physician time Venography, caval, inferior, W serialography, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and US guidance intra-operative Venography, caval, inferior, W serialography, radiological supervision and Fluoroscopic guidance for needle placement Venography, caval, superior, W serialography, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, caval, superior, W serialography, radiological supervision and Fluoroscopy, up to one hour physician time Venography, caval, superior, W serialography, radiological supervision and Fluoroscopy, more than one hour physician time Venography, caval, superior, W serialography, radiological supervision and Venography, caval, superior, W serialography, radiological supervision and US guidance intra-operative Venography, caval, superior, W serialography, radiological supervision and Fluoroscopic guidance for needle placement Venography, renal, unilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, renal, unilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time Venography, renal, unilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time 133

134 75831 Venography, renal, unilateral, selective, radiological supervision and Venography, renal, unilateral, selective, radiological supervision and US guidance intra-operative Venography, renal, unilateral, selective, radiological supervision and Venography, renal, unilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Venography, renal, bilateral, selective, radiological supervision and Venography, renal, unilateral, selective, radiological supervision and Venography, renal, bilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, renal, bilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time Venography, renal, bilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time Venography, renal, bilateral, selective, radiological supervision and Venography, renal, bilateral, selective, radiological supervision and US guidance intra-operative Venography, renal, bilateral, selective, radiological supervision and Venography, renal, bilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Venography, adrenal, unilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time 134

135 75840 Venography, adrenal, unilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time Venography, adrenal, unilateral, selective, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and US guidance intra-operative Venography, adrenal, unilateral, selective, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Venography, adrenal, bilateral, selective, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and Fluoroscopy, up to one hour physician time Venography, adrenal, bilateral, selective, radiological supervision and Fluoroscopy, more than one hour physician time Venography, adrenal, bilateral, selective, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and US guidance intra-operative Venography, adrenal, bilateral, selective, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and Fluoroscopic guidance for needle placement Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 135

136 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Fluoroscopy, up to one hour physician time Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Fluoroscopy, more than one hour physician time Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and US guidance intra-operative Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Fluoroscopic guidance for needle placement Venography, superior sagittal sinus, radiological supervision and Angiography, carotid, cervical, bilateral, radiological supervision and Venography, superior sagittal sinus, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, superior sagittal sinus, radiological supervision and Fluoroscopy, up to one hour physician time Venography, superior sagittal sinus, radiological supervision and Fluoroscopy, more than one hour physician time Venography, superior sagittal sinus, radiological supervision and Venography, superior sagittal sinus, radiological supervision and US guidance intra-operative Venography, superior sagittal sinus, radiological supervision and Venography, superior sagittal sinus, radiological supervision and Fluoroscopic guidance for needle placement 136

137 75872 Venography, epidural, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, epidural, radiological supervision and Fluoroscopy, up to one hour physician time Venography, epidural, radiological supervision and Fluoroscopy, more than one hour physician time Venography, epidural, radiological supervision and Venography, epidural, radiological supervision and US guidance intra-operative Venography, epidural, radiological supervision and Venography, epidural, radiological supervision and Fluoroscopic guidance for needle placement Venography, orbital, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Venography, orbital, radiological supervision and Fluoroscopy, up to one hour physician time Venography, orbital, radiological supervision and Fluoroscopy, more than one hour physician time Venography, orbital, radiological supervision and Venography, orbital, radiological supervision and US guidance intra-operative Venography, orbital, radiological supervision and Venography, orbital, radiological supervision and Fluoroscopic guidance for needle placement 137

138 75880 Venography, orbital, radiological supervision and Acute venous thrombosis imaging, peptide Venography, orbital, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, orbital, radiological supervision and Venous thrombosis imaging, venogram; bilateral Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Fluoroscopy, up to one hour physician time Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Fluoroscopy, more than one hour physician time Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and US guidance intra-operative Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Fluoroscopic guidance for needle placement Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Fluoroscopy, up to one hour physician time Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Fluoroscopy, more than one hour physician time 138

139 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and US guidance intra-operative Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Fluoroscopic guidance for needle placement Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and Fluoroscopy, up to one hour physician time Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and Fluoroscopy, more than one hour physician time Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and US guidance intra-operative Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and Fluoroscopic guidance for needle placement Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Fluoroscopy, up to one hour physician time 139

140 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Fluoroscopy, more than one hour physician time Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and US guidance intra-operative Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Fluoroscopic guidance for needle placement Venous sampling through catheter, W or WO angiography, radiological supervision and Splenoportography, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, extremity, unilateral, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, extremity, bilateral, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, caval, superior, W serialography, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, renal, unilateral, selective, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, renal, bilateral, selective, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and 140

141 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and Angiography, carotid, cervical, bilateral, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, superior sagittal sinus, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, epidural, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Venography, orbital, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Fluoroscopy, up to one hour physician time Venous sampling through catheter, W or WO angiography, radiological supervision and Fluoroscopy, more than one hour physician time Venous sampling through catheter, W or WO angiography, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and US guidance intra-operative Venous sampling through catheter, W or WO angiography, radiological supervision and Venous sampling through catheter, W or WO angiography, radiological supervision and Fluoroscopic guidance for needle placement 141

142 75894 Transcatheter therapy, embolization, any method, radiological supervision and Urography infusion drip and/or Bolus; W nephrotomography CPT Definition Transcatheter therapy, embolization, any method, radiological supervision and Aortography, thoracic, without serialography, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Transcatheter therapy, embolization, any method, radiological supervision and Angiography, brachial, retrograde, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, spinal, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and 142

143 75894 Transcatheter therapy, embolization, any method, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, internal mammary, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) Transcatheter therapy, embolization, any method, radiological supervision and Splenoportography, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, extremity, unilateral, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, extremity, bilateral, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, caval, inferior, with serialography, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, caval, superior, with serialography, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, renal, unilateral, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, renal, bilateral, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and 143

144 75894 Transcatheter therapy, embolization, any method, radiological supervision and Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, superior sagittal sinus, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, epidural, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venography, orbital, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Transcatheter therapy, embolization, any method, radiological supervision and Fluoroscopy, up to one hour physician time Transcatheter therapy, embolization, any method, radiological supervision and Fluoroscopy, more than one hour physician time Transcatheter therapy, embolization, any method, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and US guidance intra-operative 144

145 75894 Transcatheter therapy, embolization, any method, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Fluoroscopic guidance for needle placement Transcatheter therapy, infusion, any method, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Transcatheter therapy, infusion, any method, radiological supervision and Transcatheter therapy, embolization, any method, radiological supervision and Transcatheter therapy, infusion, any method, radiological supervision and Fluoroscopy, up to one hour physician time Transcatheter therapy, infusion, any method, radiological supervision and Fluoroscopy, more than one hour physician time Transcatheter therapy, infusion, any method, radiological supervision and Transcatheter therapy, infusion, any method, radiological supervision and US guidance intra-operative Transcatheter therapy, infusion, any method, radiological supervision and Transcatheter therapy, infusion, any method, radiological supervision and Fluoroscopic guidance for needle placement Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Aortography, thoracic, without serialography, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Aortography, thoracic, by serialography, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Aortography, abdominal, by serialography, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 145

146 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion CTA abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, brachial, retrograde, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, spinal, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, extremity, unilateral, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, extremity, bilateral, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, adrenal, unilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, adrenal, bilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, pelvic, selective or supraselective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, pulmonary, unilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, pulmonary, bilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, internal mammary, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) 146

147 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis a Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Splenoportography, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, extremity, unilateral, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, extremity, bilateral, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, caval, inferior, with serialography, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, caval, superior, with serialography, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, renal, unilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, renal, bilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, adrenal, unilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, adrenal, bilateral, selective, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, superior sagittal sinus, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, epidural, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venography, orbital, radiological supervision and 147

148 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Fluoroscopy, up to one hour physician time Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Fluoroscopy, more than one hour physician time Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion US guidance intra-operative Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion Fluoroscopic guidance for needle placement Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 148

149 75901 Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and Venography, caval, inferior, with serialography, radiological supervision and Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and Venography, caval, superior, with serialography, radiological supervision and Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and Fluoroscopy, up to one hour physician time Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and Fluoroscopy, more than one hour physician time Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and US guidance intra-operative Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and Fluoroscopic guidance for needle placement Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and Venography, caval, superior, with serialography, radiological supervision and 149

150 75902 Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and Fluoroscopy, up to one hour physician time Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and Fluoroscopy, more than one hour physician time Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and US guidance intra-operative Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and Fluoroscopic guidance for needle placement Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel Fluoroscopy, up to one hour physician time Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel Fluoroscopy, more than one hour physician time Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel D Rendering WO Postprocessing Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel D Rendering W Postprocessing Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel

151 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel US guidance intra-operative Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel Fluoroscopic guidance for needle placement Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel Fluoroscopy, up to one hour physician time Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel Fluoroscopy, more than one hour physician time Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel D Rendering WO Postprocessing Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel D Rendering W Postprocessing Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel US guidance intra-operative Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and 151

152 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Fluoroscopy, up to one hour physician time Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Fluoroscopy, more than one hour physician time Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Cineradiography/videoradiography, except where specifically included 152

153 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Cineradiography/videoradiography to complement routine examination Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and US guidance intra-operative Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Fluoroscopic guidance for needle placement Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 153

154 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Fluoroscopy, up to one hour physician time Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Fluoroscopy, more than one hour physician time Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Cineradiography/videoradiography, except where specifically included Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Cineradiography/videoradiography to complement routine examination Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and US guidance intra-operative Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Fluoroscopic guidance for needle placement 154

155 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, using ilio-iliac tube endoprosthesis, radiological supervision and Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Fluoroscopy, up to one hour physician time Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Fluoroscopy, more than one hour physician time 155

156 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Cineradiography/videoradiography, except where specifically included Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Cineradiography/videoradiography to complement routine examination Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and US guidance intra-operative Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and Fluoroscopic guidance for needle placement Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Aortography, thoracic, WO serialography, radiological supervision and Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Aortography, thoracic, by serialography, radiological supervision and Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Fluoroscopy, up to one hour physician time Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Fluoroscopy, more than one hour physician time 156

157 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Cineradiography/videoradiography, except where specifically included Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Cineradiography/videoradiography to complement routine examination Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) US guidance intra-operative Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Fluoroscopic guidance for needle placement Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Aortography, thoracic, WO serialography, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Fluoroscopy, up to one hour physician time Fluoroscopy, more than one hour physician time Cineradiography/videoradiography, except where specifically included 157

158 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s). not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) Cineradiography/videoradiography to complement routine examination US guidance intra-operative Fluoroscopic guidance for needle placement Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Fluoroscopy, up to one hour physician time Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Fluoroscopy, more than one hour physician time Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Cineradiography/videoradiography, except where specifically included Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Cineradiography/videoradiography to complement routine examination Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and

159 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and US guidance intra-operative Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and Fluoroscopic guidance for needle placement Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Aortography, thoracic, WO serialography, radiological supervision and Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Fluoroscopy, up to one hour physician time Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Fluoroscopy, more than one hour physician time Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Cineradiography/videoradiography, except where specifically included Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Cineradiography/videoradiography to complement routine examination Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and US guidance intra-operative Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and

160 75959 Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and Fluoroscopic guidance for needle placement Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Aortography, thoracic, without serialography, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Aortography, thoracic, by serialography, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Aortography, abdominal, by serialography, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, brachial, retrograde, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, spinal, selective, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, extremity, unilateral, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, extremity, bilateral, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, adrenal, unilateral, selective, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, adrenal, bilateral, selective, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, pelvic, selective or supraselective, radiological supervision and 160

161 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, pulmonary, unilateral, selective, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, pulmonary, bilateral, selective, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, internal mammary, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Angiography, internal mammary, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Splenoportography, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, extremity, unilateral, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, extremity, bilateral, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, caval, inferior, with serialography, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, caval, superior, with serialography, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, renal, unilateral, selective, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, renal, bilateral, selective, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, adrenal, unilateral, selective, radiological supervision and 161

162 75960 Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, adrenal, bilateral, selective, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, superior sagittal sinus, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, epidural, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Venography, orbital, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and Transcatheter introduction of intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and, each vessel Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Fluoroscopy, up to one hour physician time Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Fluoroscopy, more than one hour physician time Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel US guidance intra-operative 162

163 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel Fluoroscopic guidance for needle placement Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and Aortography, thoracic, without serialography, radiological supervision and Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Transluminal balloon angioplasty, peripheral artery, radiological supervision and Angiography, brachial, retrograde, radiological supervision and Transluminal balloon angioplasty, peripheral artery, radiological supervision and Angiography, spinal, selective, radiological supervision and Transluminal balloon angioplasty, peripheral artery, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Transluminal balloon angioplasty, peripheral artery, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Transluminal balloon angioplasty, peripheral artery, radiological supervision and Angiography, internal mammary, radiological supervision and Transluminal balloon angioplasty, peripheral artery, radiological supervision and Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis Transluminal balloon angioplasty, peripheral artery, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 163

164 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and Fluoroscopy, up to one hour physician time Transluminal balloon angioplasty, peripheral artery, radiological supervision and Fluoroscopy, more than one hour physician time Transluminal balloon angioplasty, peripheral artery, radiological supervision and Transluminal balloon angioplasty, peripheral artery, radiological supervision and US guidance intra-operative Transluminal balloon angioplasty, peripheral artery, radiological supervision and Transluminal balloon angioplasty, peripheral artery, radiological supervision and Fluoroscopic guidance for needle placement Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and Fluoroscopy, up to one hour physician time Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and Fluoroscopy, more than one hour physician time Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and US guidance intra-operative Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and Fluoroscopic guidance for needle placement Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 164

165 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Fluoroscopy, up to one hour physician time Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Fluoroscopy, more than one hour physician time Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and US guidance intra-operative Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and Fluoroscopic guidance for needle placement Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and Fluoroscopy, up to one hour physician time 165

166 75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and Fluoroscopy, more than one hour physician time Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and US guidance intra-operative Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and (List separately in addition to code for primary procedure) Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and (List separately in addition to code for primary procedure) Fluoroscopic guidance for needle placement Transcatheter biopsy, radiological supervision and Aortography, thoracic, without serialography, radiological supervision and Transcatheter biopsy, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Transcatheter biopsy, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Transcatheter biopsy, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Transcatheter biopsy, radiological supervision and Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing Transcatheter biopsy, radiological supervision and Angiography, brachial, retrograde, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, spinal, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, extremity, bilateral, radiological supervision and 166

167 75970 Transcatheter biopsy, radiological supervision and Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, adrenal, unilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, adrenal, bilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, pelvic, selective or supraselective, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, internal mammary, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, internal mammary, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) Transcatheter biopsy, radiological supervision and Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis Transcatheter biopsy, radiological supervision and Splenoportography, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, extremity, unilateral, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, extremity, bilateral, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and 167

168 75970 Transcatheter biopsy, radiological supervision and Venography, caval, superior, W serialography, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, renal, unilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, renal, bilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and Transcatheter biopsy, radiological supervision and Angiography, carotid, cervical, bilateral, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, superior sagittal sinus, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, epidural, radiological supervision and Transcatheter biopsy, radiological supervision and Venography, orbital, radiological supervision and Transcatheter biopsy, radiological supervision and Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Transcatheter biopsy, radiological supervision and Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Transcatheter biopsy, radiological supervision and Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and Transcatheter biopsy, radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Transcatheter biopsy, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 168

169 75970 Transcatheter biopsy, radiological supervision and Fluoroscopy, up to one hour physician time Transcatheter biopsy, radiological supervision and Fluoroscopy, more than one hour physician time Transcatheter biopsy, radiological supervision and Transcatheter biopsy, radiological supervision and US guidance intra-operative Transcatheter biopsy, radiological supervision and Transcatheter biopsy, radiological supervision and Fluoroscopic guidance for needle placement Transluminal balloon angioplasty, venous, radiological supervision and Splenoportography, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, extremity, unilateral, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, extremity, bilateral, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, caval, superior, W serialography, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, renal, unilateral, selective, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, renal, bilateral, selective, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, adrenal, unilateral, selective, radiological supervision and 169

170 75978 Transluminal balloon angioplasty, venous, radiological supervision and Venography, adrenal, bilateral, selective, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Angiography, carotid, cervical, bilateral, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, superior sagittal sinus, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, epidural, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venography, orbital, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and Fluoroscopy, up to one hour physician time Transluminal balloon angioplasty, venous, radiological supervision and Fluoroscopy, more than one hour physician time Transluminal balloon angioplasty, venous, radiological supervision and Transluminal balloon angioplasty, venous, radiological supervision and US guidance intra-operative Transluminal balloon angioplasty, venous, radiological supervision and

171 75978 Transluminal balloon angioplasty, venous, radiological supervision and Fluoroscopic guidance for needle placement Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Cholangiography, percutaneous, transhepatic, radiological supervision and Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients Wan inoperable mechanical biliary obstruction, radiological supervision and Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Radiological guidance for percutaneous drainage Wplacement of catheter, radiological supervision and Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Fluoroscopy, up to one hour physician time Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Fluoroscopy, more than one hour physician time Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and Fluoroscopic guidance for needle placement Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Cholangiography, percutaneous, transhepatic, radiological supervision and Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Radiological guidance for percutaneous drainage Wplacement of catheter, radiological supervision and Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Fluoroscopy, up to one hour physician time 171

172 75982 Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Fluoroscopy, more than one hour physician time Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients W an inoperable mechanical biliary obstruction, radiological supervision and Fluoroscopic guidance for needle placement Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients Wan inoperable mechanical biliary obstruction, radiological supervision and Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and Fluoroscopy, up to one hour physician time Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and Fluoroscopy, more than one hour physician time Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and Fluoroscopic guidance for needle placement Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and Fluoroscopy, up to one hour physician time Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and Fluoroscopy, more than one hour physician time Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and D Rendering WO Postprocessing 172

173 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and D Rendering W Postprocessing Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and US guidance intra-operative Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and Fluoroscopic guidance for needle placement Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and CT guidance for needle placement, supervision and Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and MR guidance for needle placement radiological supervision and Fluoroscopy, up to one hour physician time Cineradiography/videoradiography to complement routine examination Fluoroscopy, up to one hour physician time Fluoroscopy, more than one hour physician time Fluoroscopy, up to one hour physician time X-ray from nose to rectum for foreign body, single view, child X-ray, chest; single view, frontal X-ray from nose to rectum for foreign body, single view, child X-ray, chest; single view, stereo, frontal X-ray from nose to rectum for foreign body, single view, child Chest X-ray, 2 views, front and lateral 173

174 76010 X-ray from nose to rectum for foreign body, single view, child X-ray, chest, 2 views, front and lateral; W apical lordotic procedure X-ray from nose to rectum for foreign body, single view, child X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections X-ray from nose to rectum for foreign body, single view, child X-ray, chest, 2 views, front and lateral; fluoroscopy X-ray from nose to rectum for foreign body, single view, child X-ray, chest, complete min 4 views X-ray from nose to rectum for foreign body, single view, child X-ray, chest, complete min 4 views, Fluoroscopy X-ray from nose to rectum for foreign body, single view, child X-ray, chest, special views X-ray from nose to rectum for foreign body, single view, child X-ray, abdomen, single anteroposterior view X-ray, abscess, fistula or sinus tract study, radiological supervision and Fluoroscopy, up to one hour physician time X-ray, abscess, fistula or sinus tract study, radiological supervision and Fluoroscopy, more than one hour physician time X-ray, abscess, fistula or sinus tract study, radiological supervision and X-ray, abscess, fistula or sinus tract study, radiological supervision and Fluoroscopic guidance for needle placement X-ray single plane body section other than W urography Urography intravenous, W or WO KUB, W or WO tomography X-ray single plane body section other than W urography Urography, infusion, drip and/or bolus technique X-ray single plane body section other than W urography Urography infusion drip &/OR Bolus; W nephrotomography 174

175 76100 X-ray single plane body section other than W urography Urography, retrograde, W or WO KUB X-ray single plane body section other than W urography Urography infusion drip and/or Bolus; W nephrotomography X-ray single plane body section other than W urography Fluoroscopy, up to one hour physician time X-ray single plane body section other than W urography Fluoroscopy, more than one hour physician time X-ray single plane body section other than W urography X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral Fluoroscopy, up to one hour physician time X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral Fluoroscopy, more than one hour physician time X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral Fluoroscopy, up to one hour physician time X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral Fluoroscopy, more than one hour physician time X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; bilateral Cineradiography/videoradiography, except where specifically included Fluoroscopy, up to one hour physician time Cineradiography/videoradiography, except where specifically included Fluoroscopy, more than one hour physician time 175

176 76120 Cineradiography/videoradiography, except where specifically included Cineradiography/videoradiography, except where specifically included Fluoroscopic guidance for needle placement Cineradiography/videoradiography, except where specifically included Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Cineradiography/videoradiography to complement routine examination Fluoroscopy, more than one hour physician time Cineradiography/videoradiography to complement routine examination Cineradiography/videoradiography, except where specifically included D Rendering WO Postprocessing 0159T Computer aided detection, including computer algorithm analysis of MRI image data for lesion detection/characterization, pharmacokinetic analysis, W further physician review for, breast MRI D Rendering W Postprocessing D Rendering WO Postprocessing D Rendering W Postprocessing 0159T Computer aided detection, including computer algorithm analysis of MRI image data for lesion detection/characterization, pharmacokinetic analysis, W further physician review for, breast MRI Echoencephalography, real time W/image documentation, including A-mode encephalography as secondary US guidance intra-operative US soft tissues of head and neck US guidance intra-operative US chest, real time W image documentation US guidance intra-operative US breast(s) W image documentation US guidance intra-operative US, abdomen, real time W image documentation, complete US, abdomen, real time W documentation, limited US, abdomen, real time W image documentation, complete US, retroperitoneal, real time W documentation, complete CPT Definition 176

177 76700 US, abdomen, real time W image documentation, complete US guidance intra-operative US, abdomen, real time W documentation, limited US guidance intra-operative US, retroperitoneal, real time W documentation, complete US, retroperitoneal, real time W documentation, limited US, retroperitoneal, real time W documentation, complete US guidance intra-operative US, retroperitoneal, real time W documentation, limited US, pelvic; limited or follow-up US, retroperitoneal, real time W documentation, limited US guidance intra-operative US transplanted kidney, real time and duplex Doppler W/image documentation US, retroperitoneal, real time W documentation, limited US transplanted kidney, real time and duplex Doppler W/image documentation US guidance intra-operative US spinal canal and contents US guidance intra-operative US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pregnant uterus, real time W/image documentation, limited, one or more fetuses US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 177

178 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation Fetal biophysical profile W non-stress testing CPT Definition US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation Fetal biophysical profile WO non-stress testing CPT Definition US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US transvaginal US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US guidance intra-operative US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation US, pregnant uterus, real time W/image documentation, limited, one or more fetuses CPT Definition US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus CPT Definition US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation Fetal biophysical profile W non-stress testing CPT Definition US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation Fetal biophysical profile WO non-stress testing CPT Definition US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation US guidance intra-operative US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US, pregnant uterus, real time W/image documentation, limited, one or more fetuses US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US transvaginal 178

179 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation Saline infusion sonohysterography (SIS), including color flow doppler, when performed US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US, pelvic, (non-ob) real time W documentation, complete US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US, pelvic; limited or follow-up US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US guidance intra-operative Each additional gestation US, pregnant uterus, real time W/image documentation, limited, one or more fetuses Each additional gestation US guidance intra-operative US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation CPT Definition US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US, pregnant uterus, real time W/image documentation, limited, one or more fetuses US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US transvaginal US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first Saline infusion sonohysterography (SIS), including color flow doppler, when performed US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US, pelvic, (non-ob) real time W documentation, complete 179

180 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US, pelvic; limited or follow-up US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pregnant uterus, real time and documentation, fetal & maternal W detailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation CPT Definition US, pregnant uterus, real time and documentation, fetal & maternal W detailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US, pregnant uterus, real time W/image documentation, limited, one or more fetuses CPT Definition US, pregnant uterus, real time and documentation, fetal & maternal W detailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus CPT Definition US pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation CPT Definition US pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US transvaginal US pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation US, pelvic; limited or follow-up US pregnant uterus, real time W image documentation, limited, one or more fetuses US, pelvic; limited or follow-up US pregnant uterus, real time W image documentation, limited, one or more fetuses US guidance intra-operative US pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation US pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus US, pregnant uterus, real time W/image documentation, limited, one or more fetuses US pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus US, pelvic; limited or follow-up US pregnant uterus, real time image documentation US transvaginal 180

181 76817 US pregnant uterus, real time image documentation Saline infusion sonohysterography (SIS), including color flow doppler, when performed US pregnant uterus, real time image documentation US, pelvic, (non-ob) real time W documentation, complete US pregnant uterus, real time image documentation US, pelvic; limited or follow-up US pregnant uterus, real time image documentation US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US pregnant uterus, real time image documentation US guidance intra-operative Fetal biophysical profile W non-stress testing D Rendering WO Postprocessing Fetal biophysical profile W non-stress testing D Rendering W Postprocessing Fetal biophysical profile W non-stress testing Fetal biophysical profile WO non-stress testing Fetal biophysical profile WO non-stress testing D Rendering WO Postprocessing Fetal biophysical profile WO non-stress testing D Rendering W Postprocessing Doppler velocimetry, fetal; umbilical artery Doppler echocardiography fetal, cardio-vascular P and/or C wave complete CPT Definition Doppler velocimetry, fetal; umbilical artery Doppler echocardiography fetal, cardio-vascular P and/or C wave follow-up or repeat study Doppler velocimetry, fetal; middle cerebral artery D Rendering WO Postprocessing Doppler velocimetry, fetal; middle cerebral artery D Rendering W Postprocessing 181

182 76821 Doppler velocimetry, fetal; middle cerebral artery Doppler echocardiography fetal, cardio-vascular P and/or C wave follow-up or repeat study Echocardiogram, fetal cardiovascular system Doppler echocardiography, color flow velocity mapping CPT Definition Echocardiogram fetal, follow-up or repeat study Echocardiography, fetal, W or WO M-mode recording Echocardiogram fetal, follow-up or repeat study Doppler echocardiography, color flow velocity mapping CPT Definition Doppler echocardiography, fetal, complete D Rendering WO Postprocessing Doppler echocardiography, fetal, complete D Rendering W Postprocessing Doppler echocardiography, fetal, complete, follow-up or repeat study D Rendering WO Postprocessing Doppler echocardiography, fetal, complete, follow-up or repeat study D Rendering W Postprocessing Doppler echocardiography, fetal, complete, follow-up or repeat study Doppler echocardiography fetal, cardio-vascular P and/or C wave complete US transvaginal US, pregnant uterus, real time W/image documentation, limited, one or more fetuses US transvaginal US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus Saline infusion sonohysterography (SIS), including color flow doppler, when performed US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation Saline infusion sonohysterography (SIS), including color flow doppler, when performed US, pregnant uterus, real time W/image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation Saline infusion sonohysterography (SIS), including color flow doppler, when performed US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 182

183 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus Saline infusion sonohysterography (SIS), including color flow doppler, when performed US transvaginal Saline infusion sonohysterography (SIS), including color flow doppler, when performed US, pelvic, (non-ob) real time W documentation, complete CPT Definition US, pelvic, (non-ob) real time W/documentation, complete US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pelvic, (non-ob) real time W/documentation, complete US, pregnant uterus, real time W/image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation US, pelvic, (non-ob) real time W/documentation, complete US, pregnant uterus, real time W/image documentation, limited, one or more fetuses US, pelvic, (non-ob) real time W/documentation, complete US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus US, pelvic, (non-ob) real time W/documentation, complete US, pelvic; limited or follow-up US, pelvic, (non-ob) real time W/documentation, complete US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pelvic, (non-ob) real time W/documentation, complete US guidance intra-operative US, pelvic; limited or follow-up US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation US, pelvic; limited or follow-up US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation US, pelvic; limited or follow-up US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pelvic; limited or follow-up US guidance intra-operative 183

184 76872 US, transrectal US, transrectal; prostate volume study for brachytherapy treatment planning US, transrectal; prostate volume study for brachytherapy treatment planning US, extremity, nonvascular, real-time W/image documentation; complete US, extremity, nonvascular, real-time W/image documentation; limited, anatomic Specific US, extremity, nonvascular, real-time W/image documentation; complete US guidance intra-operative US, extremity, nonvascular, real-time W/image documentation; limited, anatomic specific US guidance intra-operative US, infant hips, real time Wdocument, dynamic (requiring physician manipulation) US infant hips, limited, static Ultrasonic guidance for pericardiocentesis, imaging supervision and Fluoroscopy, up to one hour physician time Ultrasonic guidance for pericardiocentesis, imaging supervision and Fluoroscopy, more than one hour physician time Ultrasonic guidance for pericardiocentesis, imaging supervision and D Rendering WO Postprocessing Ultrasonic guidance for pericardiocentesis, imaging supervision and D Rendering W Postprocessing Ultrasonic guidance for pericardiocentesis, imaging supervision and Ultrasonic guidance for pericardiocentesis, imaging supervision and US guidance intra-operative Ultrasonic guidance for pericardiocentesis, imaging supervision and Ultrasonic guidance for pericardiocentesis, imaging supervision and Fluoroscopic guidance for needle placement 184

185 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and MR guidance for needle placement radiological supervision and Ultrasonic guidance for endomyocardial biopsy, imaging supervision and US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae Fluoroscopy, up to one hour physician time US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae Fluoroscopy, more than one hour physician time US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae D Rendering WO Postprocessing US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae D Rendering W Postprocessing US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae US guidance intra-operative US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae Fluoroscopic guidance for needle placement US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae MR guidance for needle placement radiological supervision and US guidance for vascular access requiring US evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime US visualization of vascular needle entry, W permanent recording and reporting Fluoroscopy, up to one hour physician time US guidance for vascular access requiring US evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime US visualization of vascular needle entry, W permanent recording and reporting Fluoroscopy, more than one hour physician time US guidance for vascular access requiring US evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime US visualization of vascular needle entry, W permanent recording and reporting

186 76937 US guidance for vascular access requiring US evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime US visualization of vascular needle entry, W permanent recording and reporting US guidance intra-operative US guidance for vascular access requiring US evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime US visualization of vascular needle entry, W permanent recording and reporting Fluoroscopic guidance for needle placement US Guidance for, and monitoring of, parenchymal tissue ablation US guidance intra-operative Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Fluoroscopy, up to one hour physician time Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Fluoroscopy, more than one hour physician time Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pregnant uterus, real time W/image documentation, limited, one or more fetuses Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Echocardiography, fetal, W or WO M-mode recording Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Echocardiogram fetal, follow-up or repeat study Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Doppler echocardiography fetal, cardio-vascular P and/or C wave complete Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Doppler echocardiography fetal, cardio-vascular P and/or C wave follow-up or repeat study 186

187 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US transvaginal Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and US guidance intra-operative Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and Fluoroscopic guidance for needle placement Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and MR guidance for needle placement radiological supervision and Ultrasonic guidance for needle placement, imaging supervision and Fluoroscopy, more than one hour physician time Ultrasonic guidance for needle placement, imaging supervision and US breast(s) W image documentation CPT Definition Ultrasonic guidance for needle placement, imaging supervision and US guidance intra-operative Ultrasonic guidance for needle placement, imaging supervision and Fluoroscopic guidance for needle placement Ultrasonic guidance for needle placement, imaging supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Ultrasonic guidance for needle placement, imaging supervision and CT guidance for needle placement, supervision and Ultrasonic guidance for needle placement, imaging supervision and MR guidance for needle placement radiological supervision and Ultrasonic guidance for needle placement, imaging supervision and Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 187

188 76942 Ultrasonic guidance for needle placement, imaging supervision and Mammographic guidance for needle placement, breast, each lesion, radiological supervision and Ultrasonic guidance for needle placement, imaging supervision and Computer-aided detection diagnostic mammography CPT Definition Computer-aided detection screening mammography CPT Definition Mammography; unilateral CMS Policy Mammography; bilateral CMS Policy Screening mammography, bilateral (2-view film study of each breast) CMS Policy Ultrasonic guidance for needle placement, imaging supervision and G0202 Screening mammography, producing direct digital image, bilateral, all views CMS Policy Ultrasonic guidance for needle placement, imaging supervision and G0204 Diagnostic mammography, producing direct digital image, bilateral, all views CMS Policy Ultrasonic guidance for needle placement, imaging supervision and G0206 Diagnostic mammography, producing direct digital image, unilateral, all views CMS Policy Ultrasonic guidance for chorionic villus sampling, imaging supervision and Fluoroscopy, up to one hour physician time Ultrasonic guidance for chorionic villus sampling, imaging supervision and Fluoroscopy, more than one hour physician time Ultrasonic guidance for chorionic villus sampling, imaging supervision and Ultrasonic guidance for chorionic villus sampling, imaging supervision and US guidance for amniocentesis, imaging supervision and Ultrasonic guidance for chorionic villus sampling, imaging supervision and US guidance intra-operative 188

189 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and Ultrasonic guidance for chorionic villus sampling, imaging supervision and Fluoroscopic guidance for needle placement Ultrasonic guidance for chorionic villus sampling, imaging supervision and MR guidance for needle placement radiological supervision and Ultrasonic guidance for amniocentesis, imaging supervision and Fluoroscopy, up to one hour physician time Ultrasonic guidance for amniocentesis, imaging supervision and Fluoroscopy, more than one hour physician time Ultrasonic guidance for amniocentesis, imaging supervision and Ultrasonic guidance for amniocentesis, imaging supervision and US guidance intra-operative Ultrasonic guidance for amniocentesis, imaging supervision and Ultrasonic guidance for amniocentesis, imaging supervision and Fluoroscopic guidance for needle placement Ultrasonic guidance for amniocentesis, imaging supervision and MR guidance for needle placement radiological supervision and Ultrasonic guidance for aspiration of ova, imaging supervision and Fluoroscopy, up to one hour physician time Ultrasonic guidance for aspiration of ova, imaging supervision and Fluoroscopy, more than one hour physician time Ultrasonic guidance for aspiration of ova, imaging supervision and US guidance for aspiration of ova, imaging supervision and US guidance for chorionic villus sampling, imaging supervision and 189

190 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and US guidance intra-operative Ultrasonic guidance for aspiration of ova, imaging supervision and Ultrasonic guidance for aspiration of ova, imaging supervision and Fluoroscopic guidance for needle placement Ultrasonic guidance for aspiration of ova, imaging supervision and MR guidance for needle placement radiological supervision and Ultrasonic guidance for placement of radiation therapy fields Ultrasonic guidance for interstitial radioelement application Fluoroscopy, up to one hour physician time Ultrasonic guidance for interstitial radioelement application US, transrectal Ultrasonic guidance for interstitial radioelement application US, transrectal; prostate volume study for brachytherapy treatment planning Ultrasonic guidance for interstitial radioelement application Fluoroscopic guidance for needle placement US study follow up (specify) Ultrasonic guidance for interstitial radioelement application US study follow up (specify) US guidance intra-operative Gastrointestinal endoscopic US, supervision and D Rendering WO Postprocessing Gastrointestinal endoscopic US, supervision and D Rendering W Postprocessing Gastrointestinal endoscopic US, supervision and

191 76975 Gastrointestinal endoscopic US, supervision and US guidance intra-operative X-ray, chest; single view, frontal X-ray, chest ; 2 views, front and lateral * Venography, extremity, unilateral, radiological supervision and Venography, extremity, bilateral, radiological supervision and Venography, caval, inferior, W serialography, radiological supervision and Venography, caval, superior, W serialography, radiological supervision and Fluoroscopy, up to one hour physician time Fluoroscopy, more than one hour physician time US guidance intra-operative Fluoroscopic guidance for needle placement Fluoroscopic guidance for needle placement Fluoroscopy, up to one hour physician time Fluoroscopic guidance for needle placement Fluoroscopy, more than one hour physician time 191

192 77002 Fluoroscopic guidance for needle placement Cineradiography/videoradiography to complement routine examination Fluoroscopic guidance for needle placement Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Fluoroscopic guidance for needle placement Mammographic guidance for needle placement, breast, each lesion, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Fluoroscopy, up to one hour physician time Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Fluoroscopy, more than one hour physician time Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Cineradiography/videoradiography to complement routine examination Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Mammographic guidance for needle placement, breast, each lesion, radiological supervision and CT guidance for stereotactic localization CT head WO contrast Standard of Practice CT guidance for stereotactic localization CT head W contrast Standard of Practice CT guidance for stereotactic localization CT head WO & W contrast Standard of Practice CT guidance for stereotactic localization CT orbit WO contrast Standard of Practice CT guidance for stereotactic localization CT orbit W contrast Standard of Practice CT guidance for stereotactic localization CT orbit WO & W contrast Standard of Practice CT guidance for stereotactic localization CT maxillofacial area, WO contrast Standard of Practice 192

193 77011 CT guidance for stereotactic localization CT maxillofacial area, W contrast Standard of Practice CT guidance for stereotactic localization CT maxillofacial area, WO & W contrast Standard of Practice CT guidance for stereotactic localization CT soft tissue neck WO contrast Standard of Practice CT guidance for stereotactic localization CT soft tissue, neck W contrast Standard of Practice CT guidance for stereotactic localization CT soft tissue neck WO & W contrast Standard of Practice CT guidance for stereotactic localization CTA head Standard of Practice CT guidance for stereotactic localization CTA neck W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice CT guidance for stereotactic localization CT thorax W/O contrast Standard of Practice CT guidance for stereotactic localization CT thorax, W contrast Standard of Practice CT guidance for stereotactic localization CT thorax, WO & W contrast Standard of Practice CT guidance for stereotactic localization CTA chest (noncoronary) Standard of Practice CT guidance for stereotactic localization CT cervical spine WO contrast Standard of Practice CT guidance for stereotactic localization CT cervical spine W contrast Standard of Practice CT guidance for stereotactic localization CT cervical spine WO & W contrast Standard of Practice 193

194 77011 CT guidance for stereotactic localization CT thoracic spine WO contrast Standard of Practice CT guidance for stereotactic localization CT thoracic spine W contrast Standard of Practice CT guidance for stereotactic localization CT thoracic spine W/O & W contrast Standard of Practice CT guidance for stereotactic localization CT lumbar spine, WO contrast Standard of Practice CT guidance for stereotactic localization CT lumbar spine, W contrast Standard of Practice CT guidance for stereotactic localization CT lumbar spine WO & W contrast Standard of Practice CT guidance for stereotactic localization CTA pelvis, W contrast, including noncontrast images Standard of Practice CT guidance for stereotactic localization CT pelvis WO contrast Standard of Practice CT guidance for stereotactic localization CT pelvis W contrast Standard of Practice CT guidance for stereotactic localization CT pelvis WO & W contrast Standard of Practice CT guidance for stereotactic localization CT upper extremity, WO contrast Standard of Practice CT guidance for stereotactic localization CT upper extremity, W contrast Standard of Practice CT guidance for stereotactic localization CT upper extremity, WO & W and further sections Standard of Practice CT guidance for stereotactic localization CTA upper extremity WO & W contrast and further sections including image postprocessing Standard of Practice 194

195 77011 CT guidance for stereotactic localization CT lower extremity, WO contrast Standard of Practice CT guidance for stereotactic localization CT lower extremity, W contrast Standard of Practice CT guidance for stereotactic localization CT lower extremity WO & W contrast Standard of Practice CT guidance for stereotactic localization CTA W contrast material, including noncontrast images, if performed, and image postprocessing Standard of Practice CT guidance for stereotactic localization CT abdomen, WO contrast Standard of Practice CT guidance for stereotactic localization CT abdomen W contrast Standard of Practice CT guidance for stereotactic localization CT abdomen WO & W contrast Standard of Practice CT guidance for stereotactic localization CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice CT guidance for stereotactic localization CT angiography, abdominal aorta & bilateral iliofemoral lower extremity runoff, w/contrast material including noncontrast images, if performed, and image postprocessing Standard of Practice CT guidance for stereotactic localization CT limited or localized follow-up study Standard of Practice CT guidance for stereotactic localization CT guidance for needle placement, supervision and CT guidance for stereotactic localization CT guidance for and monitoring of tissue ablation Standard of Practice CT guidance for stereotactic localization Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and CT guidance for stereotactic localization CT guidance percutaneous vertebroplasty Standard of Practice 195

196 77012 CT guidance for needle placement, supervision and CT head WO contrast Standard of Practice CT guidance for needle placement, supervision and CT head W contrast Standard of Practice CT guidance for needle placement, supervision and CT head WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CT orbit WO contrast Standard of Practice CT guidance for needle placement, supervision and CT orbit W contrast Standard of Practice CT guidance for needle placement, supervision and CT orbit WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CT maxillofacial area, WO contrast Standard of Practice CT guidance for needle placement, supervision and CT maxillofacial area, W contrast Standard of Practice CT guidance for needle placement, supervision and CT maxillofacial area, WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CT soft tissue neck WO contrast Standard of Practice CT guidance for needle placement, supervision and CT soft tissue, neck W contrast Standard of Practice CT guidance for needle placement, supervision and CT soft tissue neck WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CTA head Standard of Practice CT guidance for needle placement, supervision and CTA neck W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice 196

197 77012 CT guidance for needle placement, supervision and CT thorax W/O contrast Standard of Practice CT guidance for needle placement, supervision and CT thorax, W contrast Standard of Practice CT guidance for needle placement, supervision and CT thorax, WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CTA chest (noncoronary) Standard of Practice CT guidance for needle placement, supervision and CT cervical spine WO contrast Standard of Practice CT guidance for needle placement, supervision and CT cervical spine W contrast Standard of Practice CT guidance for needle placement, supervision and CT cervical spine WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CT thoracic spine WO contrast Standard of Practice CT guidance for needle placement, supervision and CT thoracic spine W contrast Standard of Practice CT guidance for needle placement, supervision and CT thoracic spine W/O & W contrast Standard of Practice CT guidance for needle placement, supervision and CT lumbar spine, WO contrast Standard of Practice CT guidance for needle placement, supervision and CT lumbar spine, W contrast Standard of Practice CT guidance for needle placement, supervision and CT lumbar spine WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CTA pelvis, W contrast, including noncontrast images Standard of Practice 197

198 77012 CT guidance for needle placement, supervision and CT pelvis WO contrast Standard of Practice CT guidance for needle placement, supervision and CT pelvis W contrast Standard of Practice CT guidance for needle placement, supervision and CT pelvis WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CT guidance percutaneous vertebroplasty CPT Definition CT guidance for needle placement, supervision and CT upper extremity, WO contrast Standard of Practice CT guidance for needle placement, supervision and CT upper extremity, W contrast Standard of Practice CT guidance for needle placement, supervision and CT upper extremity, WO & W and further sections Standard of Practice CT guidance for needle placement, supervision and CTA upper extremity WO & W contrast and further sections including image postprocessing Standard of Practice CT guidance for needle placement, supervision and CT lower extremity, WO contrast Standard of Practice CT guidance for needle placement, supervision and CT lower extremity, W contrast Standard of Practice CT guidance for needle placement, supervision and CT lower extremity WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CTA W contrast material, including noncontrast images, if performed, and image postprocessing Standard of Practice CT guidance for needle placement, supervision and CT abdomen, WO contrast Standard of Practice CT guidance for needle placement, supervision and CT abdomen W contrast Standard of Practice 198

199 77012 CT guidance for needle placement, supervision and CT abdomen WO & W contrast Standard of Practice CT guidance for needle placement, supervision and CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice CT guidance for needle placement, supervision and CT angiography, abdominal aorta & bilateral iliofemoral lower extremity runoff, w/contrast material including noncontrast images, if performed, and image postprocessing Standard of Practice CT guidance for needle placement, supervision and Fluoroscopy, up to one hour physician time CT guidance for needle placement, supervision and Fluoroscopy, more than one hour physician time CT guidance for needle placement, supervision and CT limited or localized follow-up study CT guidance for needle placement, supervision and CT guidance for needle placement, supervision and Fluoroscopic guidance for needle placement CT guidance for needle placement, supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures CT guidance for needle placement, supervision and Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and CT guidance for needle placement, supervision and Mammographic guidance for needle placement, breast, each lesion, radiological supervision and CT guidance for needle placement, supervision and Mammography, unilateral CMS Policy* CT guidance for needle placement, supervision and Mammography; bilateral CMS Policy* CT guidance for needle placement, supervision and Screening mammography, bilateral CMS Policy* 199

200 77012 CT guidance for needle placement, supervision and G0202 Screening mammography producing direct digital image, bilateral CMS Policy* CT guidance for needle placement, supervision and G0204 Mammography, producing direct digital image, bilateral, all views CMS Policy* CT guidance for needle placement, supervision and G0206 Mammography, producing direct digital image, unilateral, all views CMS Policy* CT guidance for and monitoring of tissue ablation CT limited or localized follow-up study CT guidance for and monitoring of tissue ablation US Guidance for, and monitoring of, parenchymal tissue ablation CT guidance for and monitoring of tissue ablation CT guidance for needle placement, supervision and CT guidance for placement of radiation therapy fields CT limited or localized follow-up study MR guidance for needle placement radiological supervision and D Rendering WO Postprocessing CPT Definition MR guidance for needle placement radiological supervision and D Rendering W Postprocessing CPT Definition MR guidance for needle placement radiological supervision and MR guidance for needle placement radiological supervision and Fluoroscopic guidance for needle placement MR guidance for needle placement radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures MR guidance for needle placement radiological supervision and CT guidance for needle placement, supervision and MR guidance for needle placement radiological supervision and Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 200

201 77021 MR guidance for needle placement radiological supervision and Mammographic guidance for needle placement, breast, each lesion, radiological supervision and MR guidance for needle placement radiological supervision and Computer-aided detection diagnostic mammography CPT Definition MR guidance for needle placement radiological supervision and Computer-aided detection screening mammography CPT Definition MR guidance for needle placement radiological supervision and Mammography, unilateral CMS Policy* MR guidance for needle placement radiological supervision and Mammography; bilateral CMS Policy* MR guidance for needle placement radiological supervision and Screening mammography, bilateral CMS Policy* MR guidance for needle placement radiological supervision and G0202 Screening mammography producing direct digital image, bilateral CMS Policy* MR guidance for needle placement radiological supervision and G0204 Mammography, producing direct digital image, bilateral, all views CMS Policy* MR guidance for needle placement radiological supervision and G0206 Mammography, producing direct digital image, unilateral, all views CMS Policy* MR guidance for needle placement radiological supervision and MRI breast unilateral W and/or WO contrast CPT Definition MR guidance for needle placement radiological supervision and MRI breast W and/or WO contrast; bilateral CPT Definition MRI guidance for, and monitoring of, parenchymal tissue ablation US Guidance for, and monitoring of, parenchymal tissue ablation MRI guidance for, and monitoring of, parenchymal tissue ablation CT guidance for and monitoring of tissue ablation MRI guidance for, and monitoring of, parenchymal tissue ablation MR guidance for needle placement radiological supervision and 201

202 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and US breast(s) W image documentation CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Fluoroscopic guidance for needle placement Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Mammographic guidance for needle placement, breast, each lesion, radiological supervision and Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Computer-aided detection diagnostic mammography CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Computer-aided detection screening mammography CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Mammography, unilateral CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Mammography; bilateral CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and Screening mammography, bilateral CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and MRI breast Unilateral W and/or WO contrast CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and MRI breast W and/or WO contrast; bilateral CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and G0202 Screening mammography producing direct digital image, bilateral CPT Definition Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and G0204 Mammography, producing direct digital image, bilateral, all views CPT Definition 202

203 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and G0206 Mammography, producing direct digital image, unilateral, all views CPT Definition Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and Mammography, unilateral CMS Policy* Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and Mammography; bilateral CMS Policy* Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and Screening mammography, bilateral CMS Policy* Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and G0202 Screening mammography producing direct digital image, bilateral CMS Policy* Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and G0204 Mammography, producing direct digital image, bilateral, all views CMS Policy* Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and G0206 Mammography, producing direct digital image, unilateral, all views CMS Policy* Mammography; unilateral Computer-aided detection screening mammography CPT Definition Mammography, bilateral Computer-aided detection screening mammography CPT Definition Mammography, bilateral Mammography, unilateral Mammography, bilateral G0206 Mammography, producing direct digital image, unilateral, all views Screening mammography, bilateral Computer-aided detection diagnostic mammography CPT Definition MRI breast Unilateral WO & or W contrast, unilateral D Rendering WO Postprocessing CPT Definition 203

204 77058 MRI breast Unilateral WO & or W contrast, unilateral D Rendering W Postprocessing CPT Definition MRI breast Unilateral WO & or W contrast, unilateral MRI breast Unilateral WO & or W contrast, unilateral MRI breast WO & or W contrast; bilateral D Rendering WO Postprocessing CPT Definition MRI breast WO & or W contrast; bilateral D Rendering W Postprocessing CPT Definition MRI breast WO & or W contrast; bilateral MRI breast WO & or W contrast; bilateral MRI breast WO & or W contrast; bilateral MRI breast Unilateral W and/or WO contrast X-ray, osseous survey; complete X-rays, osseous survey, limited X-ray, osseous survey; complete X-ray, osseous survey, infant X-ray, osseous survey, infant X-rays, osseous survey, limited Joint survey, single view, 2 or more joints Fluoroscopy, up to one hour physician time Joint survey, single view, 2 or more joints Joint survey, single view, 2 or more joints Fluoroscopic guidance for needle placement 204

205 77078 CT bone density study CT limited or localized follow-up study CT bone density study US bone density measure CT bone density study DEXA one or more sites, axial CT bone density study DEXA one or more sites, appendicular skeleton CT bone density study DEXA one or more sites, vertebral fracture assessment CT bone density study G0130 Single energy X-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g.: radius, wrist, heel) DEXA one or more sites, axial X-ray, spine, entire, survey study, anteroposterior and lateral CPT Definition DEXA one or more sites, axial X-ray, spine, single view, specify level CPT Definition DEXA one or more sites, axial X-ray thoracic spine, 2 views CPT Definition DEXA one or more sites, axial X-ray, thoracic spine, 3 views CPT Definition DEXA one or more sites, axial X-ray, thoracic spine, min 4 views CPT Definition DEXA one or more sites, axial Thoracolumbar 2 views CPT Definition DEXA one or more sites, axial X-ray, lumbosacral spine, 2 or 3 views CPT Definition DEXA one or more sites, axial X-ray, lumbosacral spine, min 4 views CPT Definition 205

206 77080 DEXA one or more sites, axial X-ray, lumbosacral spine, complete, including bending views CPT Definition DEXA one or more sites, axial X-ray of the lumbar spine bending views only minimum of 4 views CPT Definition DEXA one or more sites, axial US bone density measure CPT Definition DEXA one or more sites, axial DEXA one or more sites, vertebral fracture assessment CPT Definition DEXA one or more sites, appendicular skeleton X-ray, spine, entire, survey study, anteroposterior and lateral CPT Definition DEXA one or more sites, appendicular skeleton X-ray, spine, single view, specify level CPT Definition DEXA one or more sites, appendicular skeleton X-ray thoracic spine, 2 views CPT Definition DEXA one or more sites, appendicular skeleton X-ray, thoracic spine, 3 views CPT Definition DEXA one or more sites, appendicular skeleton X-ray, thoracic spine, min 4 views CPT Definition DEXA one or more sites, appendicular skeleton Thoracolumbar 2 views CPT Definition DEXA one or more sites, appendicular skeleton X-ray, lumbosacral spine, 2 or 3 views CPT Definition DEXA one or more sites, appendicular skeleton X-ray, lumbosacral spine, min 4 views CPT Definition DEXA one or more sites, appendicular skeleton X-ray, lumbosacral spine, complete, including bending views CPT Definition DEXA one or more sites, appendicular skeleton X-ray of the lumbar spine bending views only minimum of 4 views CPT Definition 206

207 77081 DEXA one or more sites, appendicular skeleton US bone density measure DEXA one or more sites, appendicular skeleton DEXA one or more sites, axial * DEXA one or more sites, appendicular skeleton DEXA one or more sites, vertebral fracture assessment CPT Definition DEXA one or more sites, appendicular skeleton G0130 Single energy X-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g.: radius, wrist, heel) MRI bone marrow blood supply Intensity modulated radiation therapy plan CT orbit WO contrast Intensity modulated radiation therapy plan CT orbit W contrast Intensity modulated radiation therapy plan CT orbit WO & W contrast Thyroid uptake, single or multiple quantitative measurement(s) Fluoroscopy, up to one hour physician time * Thyroid uptake, single or multiple quantitative measurement(s) Fluoroscopy, more than one hour physician time * Thyroid uptake, single or multiple quantitative measurement(s) D Rendering WO Postprocessing * Thyroid uptake, single or multiple quantitative measurement(s) D Rendering W Postprocessing * Thyroid uptake, single or multiple quantitative measurement(s) * Thyroid uptake, single or multiple quantitative measurement(s) * 207

208 78012 Thyroid uptake, single or multiple quantitative measurement(s) Fluoroscopic guidance for needle placement * Thyroid uptake, single or multiple quantitative measurement(s) Non-cardiac vascular flow imaging (ie, angiography, venography) * Thyroid imaging (including vascular flow, when performed); Fluoroscopy, up to one hour physician time * Thyroid imaging (including vascular flow, when performed); Fluoroscopy, more than one hour physician time * Thyroid imaging (including vascular flow, when performed); D Rendering WO Postprocessing * Thyroid imaging (including vascular flow, when performed); D Rendering W Postprocessing * Thyroid imaging (including vascular flow, when performed); * Thyroid imaging (including vascular flow, when performed); * Thyroid imaging (including vascular flow, when performed); Fluoroscopic guidance for needle placement * Thyroid imaging (including vascular flow, when performed); Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) * Thyroid imaging (including vascular flow, when performed); Non-cardiac vascular flow imaging (ie, angiography, venography) * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Fluoroscopy, more than one hour physician time * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) D Rendering WO Postprocessing * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) D Rendering W Postprocessing * 208

209 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Fluoroscopic guidance for needle placement * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Fluoroscopy, up to one hour physician time * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Fluoroscopy, more than one hour physician time * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Thyroid imaging (including vascular flow, when performed); * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Thyroid carcinoma metastases imaging, limited area * Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) Non-cardiac vascular flow imaging (ie, angiography, venography) * Thyroid carcinoma metastases imaging, limited area Fluoroscopy, up to one hour physician time Thyroid carcinoma metastases imaging, limited area Fluoroscopy, more than one hour physician time Thyroid carcinoma metastases imaging, limited area D Rendering WO Postprocessing Thyroid carcinoma metastases imaging, limited area D Rendering W Postprocessing Thyroid carcinoma metastases imaging, limited area

210 78015 Thyroid carcinoma metastases imaging, limited area US guidance intra-operative Thyroid carcinoma metastases imaging, limited area Thyroid carcinoma metastases imaging, limited area Fluoroscopic guidance for needle placement Thyroid carcinoma metastases imaging, limited area Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) * Thyroid carcinoma metastases imaging, limited area Thyroid imaging (including vascular flow, when performed); * Thyroid carcinoma metastases imaging, limited area Thyroid carcinoma metastases uptake CPT Definition Thyroid carcinoma metastases imaging; W additional studies Fluoroscopy, up to one hour physician time Thyroid carcinoma metastases imaging; W additional studies Fluoroscopy, more than one hour physician time Thyroid carcinoma metastases imaging; W additional studies D Rendering WO Postprocessing Thyroid carcinoma metastases imaging; W additional studies D Rendering W Postprocessing Thyroid carcinoma metastases imaging; W additional studies Thyroid carcinoma metastases imaging; W additional studies US guidance intra-operative Thyroid carcinoma metastases imaging; W additional studies Thyroid carcinoma metastases imaging; W additional studies Fluoroscopic guidance for needle placement 210

211 78016 Thyroid carcinoma metastases imaging; W additional studies Thyroid carcinoma metastases imaging, limited area Thyroid carcinoma metastases imaging; whole body Fluoroscopy, up to one hour physician time Thyroid carcinoma metastases imaging; whole body Fluoroscopy, more than one hour physician time Thyroid carcinoma metastases imaging; whole body D Rendering WO Postprocessing Thyroid carcinoma metastases imaging; whole body D Rendering W Postprocessing Thyroid carcinoma metastases imaging; whole body Thyroid carcinoma metastases imaging; whole body US guidance intra-operative Thyroid carcinoma metastases imaging; whole body Thyroid carcinoma metastases imaging; whole body Fluoroscopic guidance for needle placement Thyroid carcinoma metastases imaging; whole body Infusion or instillation of radioelement solution Thyroid carcinoma metastases imaging; whole body Supervision, handling, loading or radiation source Thyroid carcinoma metastases imaging; whole body Thyroid carcinoma metastases imaging, limited area Parathyroid imaging Fluoroscopy, up to one hour physician time Parathyroid imaging Fluoroscopy, more than one hour physician time 211

212 78070 Parathyroid imaging D Rendering WO Postprocessing Parathyroid imaging D Rendering W Postprocessing Parathyroid imaging Parathyroid imaging US guidance intra-operative Parathyroid imaging Parathyroid imaging Fluoroscopic guidance for needle placement Parathyroid planar imaging; with tomographic (SPECT) Fluoroscopy, up to one hour physician time * Parathyroid planar imaging; with tomographic (SPECT) Fluoroscopy, more than one hour physician time * Parathyroid planar imaging; with tomographic (SPECT) D Rendering WO Postprocessing * Parathyroid planar imaging; with tomographic (SPECT) D Rendering W Postprocessing * Parathyroid planar imaging; with tomographic (SPECT) * Parathyroid planar imaging; with tomographic (SPECT) * Parathyroid planar imaging; with tomographic (SPECT) Fluoroscopic guidance for needle placement * Parathyroid planar imaging; with tomographic (SPECT) Parathyroid imaging * 212

213 78071 Parathyroid planar imaging; with tomographic (SPECT) Non-cardiac vascular flow imaging (ie, angiography, venography) * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization Fluoroscopy, up to one hour physician time * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization Fluoroscopy, more than one hour physician time * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization D Rendering WO Postprocessing * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization D Rendering W Postprocessing * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization Fluoroscopic guidance for needle placement * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization Parathyroid imaging * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization Parathyroid planar imaging; with tomographic (SPECT) * Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization Non-cardiac vascular flow imaging (ie, angiography, venography) * Adrenal imaging, cortex and/or medulla Fluoroscopy, up to one hour physician time Adrenal imaging, cortex and/or medulla Fluoroscopy, more than one hour physician time Adrenal imaging, cortex and/or medulla D Rendering WO Postprocessing 213

214 78075 Adrenal imaging, cortex and/or medulla D Rendering W Postprocessing Adrenal imaging, cortex and/or medulla Adrenal imaging, cortex and/or medulla US guidance intra-operative Adrenal imaging, cortex and/or medulla Adrenal imaging, cortex and/or medulla Fluoroscopic guidance for needle placement Bone marrow imaging; limited area Fluoroscopy, up to one hour physician time Bone marrow imaging; limited area Fluoroscopy, more than one hour physician time Bone marrow imaging; limited area D Rendering WO Postprocessing Bone marrow imaging; limited area D Rendering W Postprocessing Bone marrow imaging; limited area Bone marrow imaging; limited area US guidance intra-operative Bone marrow imaging; limited area Bone marrow imaging; limited area Fluoroscopic guidance for needle placement Bone marrow imaging; multiple areas Fluoroscopy, up to one hour physician time 214

215 78103 Bone marrow imaging; multiple areas Fluoroscopy, more than one hour physician time Bone marrow imaging; multiple areas D Rendering WO Postprocessing Bone marrow imaging; multiple areas D Rendering W Postprocessing Bone marrow imaging; multiple areas Bone marrow imaging; multiple areas US guidance intra-operative Bone marrow imaging; multiple areas Bone marrow imaging; multiple areas Fluoroscopic guidance for needle placement Bone marrow imaging; multiple areas Bone marrow imaging; limited area Bone marrow imaging; whole body Fluoroscopy, up to one hour physician time Bone marrow imaging; whole body Fluoroscopy, more than one hour physician time Bone marrow imaging; whole body D Rendering WO Postprocessing Bone marrow imaging; whole body D Rendering W Postprocessing Bone marrow imaging; whole body Bone marrow imaging; whole body US guidance intra-operative 215

216 78104 Bone marrow imaging; whole body Bone marrow imaging; whole body Fluoroscopic guidance for needle placement Bone marrow imaging; whole body Bone marrow imaging; limited area Bone marrow imaging; whole body Bone marrow imaging; multiple areas Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Fluoroscopy, up to one hour physician time Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Fluoroscopy, more than one hour physician time Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling D Rendering WO Postprocessing Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling D Rendering W Postprocessing Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling US guidance intra-operative Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Fluoroscopic guidance for needle placement Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Fluoroscopy, up to one hour physician time Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Fluoroscopy, more than one hour physician time 216

217 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings D Rendering WO Postprocessing Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings D Rendering W Postprocessing Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings US guidance intra-operative Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Fluoroscopic guidance for needle placement Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Red cell volume determination, single sampling Fluoroscopy, up to one hour physician time Red cell volume determination, single sampling Fluoroscopy, more than one hour physician time Red cell volume determination, single sampling D Rendering WO Postprocessing Red cell volume determination, single sampling D Rendering W Postprocessing Red cell volume determination, single sampling Red cell volume determination, single sampling US guidance intra-operative Red cell volume determination, single sampling

218 78120 Red cell volume determination, single sampling Fluoroscopic guidance for needle placement Red cell volume determination, multiple samplings Fluoroscopy, up to one hour physician time Red cell volume determination, multiple samplings Fluoroscopy, more than one hour physician time Red cell volume determination, multiple samplings D Rendering WO Postprocessing Red cell volume determination, multiple samplings D Rendering W Postprocessing Red cell volume determination, multiple samplings Red cell volume determination, multiple samplings US guidance intra-operative Red cell volume determination, multiple samplings Red cell volume determination, multiple samplings Fluoroscopic guidance for needle placement Red cell volume determination, multiple samplings Red cell volume determination, single sampling Whole blood volume determination, including separate measurement of plasma volume and red cell volume Fluoroscopy, up to one hour physician time Whole blood volume determination, including separate measurement of plasma volume and red cell volume Fluoroscopy, more than one hour physician time Whole blood volume determination, including separate measurement of plasma volume and red cell volume D Rendering WO Postprocessing Whole blood volume determination, including separate measurement of plasma volume and red cell volume D Rendering W Postprocessing 218

219 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume Whole blood volume determination, including separate measurement of plasma volume and red cell volume US guidance intra-operative Whole blood volume determination, including separate measurement of plasma volume and red cell volume Whole blood volume determination, including separate measurement of plasma volume and red cell volume Fluoroscopic guidance for needle placement Whole blood volume determination, including separate measurement of plasma volume and red cell volume Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Whole blood volume determination, including separate measurement of plasma volume and red cell volume Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Whole blood volume determination, including separate measurement of plasma volume and red cell volume Red cell volume determination, single sampling Whole blood volume determination, including separate measurement of plasma volume and red cell volume Red cell volume determination, multiple samplings Red cell survival study; Fluoroscopy, up to one hour physician time Red cell survival study; Fluoroscopy, more than one hour physician time Red cell survival study; D Rendering WO Postprocessing Red cell survival study; D Rendering W Postprocessing Red cell survival study; Red cell survival study; US guidance intra-operative 219

220 78130 Red cell survival study; Red cell survival study; Fluoroscopic guidance for needle placement Differential organ/tissues kinetic Fluoroscopy, up to one hour physician time Differential organ/tissues kinetic Fluoroscopy, more than one hour physician time Differential organ/tissues kinetic D Rendering WO Postprocessing Differential organ/tissues kinetic D Rendering W Postprocessing Differential organ/tissues kinetic Differential organ/tissues kinetic US guidance intra-operative Differential organ/tissues kinetic Differential organ/tissues kinetic Fluoroscopic guidance for needle placement Differential organ/tissues kinetic Red cell survival study Differential organ/tissues kinetic Labeled red cell sequestration, differential organ/tissue Labeled red cell sequestration, differential organ/tissue Fluoroscopy, up to one hour physician time Labeled red cell sequestration, differential organ/tissue Fluoroscopy, more than one hour physician time 220

221 78140 Labeled red cell sequestration, differential organ/tissue D Rendering WO Postprocessing Labeled red cell sequestration, differential organ/tissue D Rendering W Postprocessing Labeled red cell sequestration, differential organ/tissue Labeled red cell sequestration, differential organ/tissue US guidance intra-operative Labeled red cell sequestration, differential organ/tissue Labeled red cell sequestration, differential organ/tissue Fluoroscopic guidance for needle placement Spleen imaging only W or WO vascular flow Fluoroscopy, up to one hour physician time Spleen imaging only W or WO vascular flow Fluoroscopy, more than one hour physician time Spleen imaging only W or WO vascular flow D Rendering WO Postprocessing Spleen imaging only W or WO vascular flow D Rendering W Postprocessing Spleen imaging only W or WO vascular flow Spleen imaging only W or WO vascular flow US guidance intra-operative Spleen imaging only W or WO vascular flow Spleen imaging only W or WO vascular flow Fluoroscopic guidance for needle placement 221

222 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization Fluoroscopy, up to one hour physician time Kinetics, study of platelet survival, W or WO differential organ/tissue localization Fluoroscopy, more than one hour physician time Kinetics, study of platelet survival, W or WO differential organ/tissue localization D Rendering WO Postprocessing Kinetics, study of platelet survival, W or WO differential organ/tissue localization D Rendering W Postprocessing Kinetics, study of platelet survival, W or WO differential organ/tissue localization Kinetics, study of platelet survival, W or WO differential organ/tissue localization US guidance intra-operative Kinetics, study of platelet survival, W or WO differential organ/tissue localization Kinetics, study of platelet survival, W or WO differential organ/tissue localization Fluoroscopic guidance for needle placement Kinetics, study of platelet survival, W or WO differential organ/tissue localization Platelet Survival Platelet survival study Fluoroscopy, up to one hour physician time Platelet survival study Fluoroscopy, more than one hour physician time Platelet survival study D Rendering WO Postprocessing Platelet survival study D Rendering W Postprocessing Platelet survival study

223 78191 Platelet survival study US guidance intra-operative Platelet survival study Platelet survival study Fluoroscopic guidance for needle placement Lymphatics and lymph nodes imaging Fluoroscopy, up to one hour physician time Lymphatics and lymph nodes imaging Fluoroscopy, more than one hour physician time Lymphatics and lymph nodes imaging D Rendering WO Postprocessing Lymphatics and lymph nodes imaging D Rendering W Postprocessing Lymphatics and lymph nodes imaging Lymphatics and lymph nodes imaging US guidance intra-operative Lymphatics and lymph nodes imaging Lymphatics and lymph nodes imaging Fluoroscopic guidance for needle placement Liver imaging, static only Fluoroscopy, up to one hour physician time Liver imaging, static only Fluoroscopy, more than one hour physician time Liver imaging, static only D Rendering WO Postprocessing 223

224 78201 Liver imaging, static only D Rendering W Postprocessing Liver imaging, static only Liver imaging, static only US guidance intra-operative Liver imaging; static only Liver imaging, static only Fluoroscopic guidance for needle placement Liver imaging, SPECT Liver imaging, static only Liver imaging, SPECT W vascular flow Liver imaging, static only Liver imaging, W vascular flow Fluoroscopy, up to one hour physician time Liver imaging, W vascular flow Fluoroscopy, more than one hour physician time Liver imaging, W vascular flow D Rendering WO Postprocessing Liver imaging, W vascular flow D Rendering W Postprocessing Liver imaging, W vascular flow Liver imaging, W vascular flow US guidance intra-operative Liver imaging, W vascular flow

225 78202 Liver imaging, W vascular flow Fluoroscopic guidance for needle placement Liver imaging, W vascular flow Liver imaging, static only Liver imaging, SPECT Liver imaging, W vascular flow Liver imaging, SPECT W vascular flow Liver imaging, W vascular flow Liver imaging, SPECT Fluoroscopy, up to one hour physician time Liver imaging, SPECT Fluoroscopy, more than one hour physician time Liver imaging, SPECT D Rendering WO Postprocessing Liver imaging, SPECT D Rendering W Postprocessing Liver imaging, SPECT Liver imaging, SPECT US guidance intra-operative Liver imaging, SPECT Liver imaging, SPECT Fluoroscopic guidance for needle placement Liver imaging, SPECT W vascular flow Fluoroscopy, up to one hour physician time Liver imaging, SPECT W vascular flow Fluoroscopy, more than one hour physician time 225

226 78206 Liver imaging, SPECT W vascular flow D Rendering WO Postprocessing Liver imaging, SPECT W vascular flow D Rendering W Postprocessing Liver imaging, SPECT W vascular flow Liver imaging, SPECT W vascular flow US guidance intra-operative Liver imaging, SPECT W vascular flow Liver imaging, SPECT W vascular flow Fluoroscopic guidance for needle placement Liver imaging, SPECT W vascular flow Liver imaging, SPECT Liver & spleen imaging, static only Fluoroscopy, up to one hour physician time Liver & spleen imaging, static only Fluoroscopy, more than one hour physician time Liver & spleen imaging, static only D Rendering WO Postprocessing Liver & spleen imaging, static only D Rendering W Postprocessing Liver & spleen imaging, static only Liver & spleen imaging, static only US guidance intra-operative Liver & spleen imaging, static only

227 78215 Liver & spleen imaging, static only Fluoroscopic guidance for needle placement Liver & spleen imaging, static only Spleen imaging only W or WO vascular flow Liver & spleen imaging, static only Liver imaging, static only Liver imaging, W vascular flow Liver & spleen imaging, static only Liver imaging, SPECT Liver & spleen imaging, static only Liver imaging, SPECT W vascular flow Liver & spleen imaging, static only Liver & spleen imaging, W vascular flow Fluoroscopy, up to one hour physician time Liver & spleen imaging, W vascular flow Fluoroscopy, more than one hour physician time Liver & spleen imaging, W vascular flow D Rendering WO Postprocessing Liver & spleen imaging, W vascular flow D Rendering W Postprocessing Liver & spleen imaging, W vascular flow Liver & spleen imaging, W vascular flow US guidance intra-operative Liver & spleen imaging, W vascular flow Liver & spleen imaging, W vascular flow Fluoroscopic guidance for needle placement 227

228 78216 Liver & spleen imaging, W vascular flow Spleen imaging only W or WO vascular flow Liver imaging, static only Non-cardiac vascular flow imaging (ie, angiography, venography) Liver imaging, W vascular flow Liver & spleen imaging, W vascular flow Liver imaging, SPECT Liver & spleen imaging, W vascular flow Liver imaging, SPECT W vascular flow Liver & spleen imaging, W vascular flow Liver & spleen imaging, static only Liver & spleen imaging, W vascular flow Hepatobiliary system imaging, including gallbladder when present; Fluoroscopy, up to one hour physician time Hepatobiliary system imaging, including gallbladder when present; Fluoroscopy, more than one hour physician time Hepatobiliary system imaging, including gallbladder when present; D Rendering WO Postprocessing Hepatobiliary system imaging, including gallbladder when present; D Rendering W Postprocessing Hepatobiliary system imaging, including gallbladder when present; Hepatobiliary system imaging, including gallbladder when present; US guidance intra-operative Hepatobiliary system imaging, including gallbladder when present; Hepatobiliary system imaging, including gallbladder when present; Fluoroscopic guidance for needle placement 228

229 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Fluoroscopy, up to one hour physician time Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Fluoroscopy, more than one hour physician time Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed D Rendering WO Postprocessing Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed D Rendering W Postprocessing Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed US guidance intra-operative Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Fluoroscopic guidance for needle placement Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Hepatobiliary system imaging, including gallbladder when present; Salivary gland imaging Fluoroscopy, up to one hour physician time Salivary gland imaging Fluoroscopy, more than one hour physician time Salivary gland imaging D Rendering WO Postprocessing Salivary gland imaging D Rendering W Postprocessing Salivary gland imaging

230 78230 Salivary gland imaging US guidance intra-operative Salivary gland imaging; Salivary gland imaging Fluoroscopic guidance for needle placement Salivary gland imaging; W serial images Fluoroscopy, up to one hour physician time Salivary gland imaging; W serial images Fluoroscopy, more than one hour physician time Salivary gland imaging; W serial images D Rendering WO Postprocessing Salivary gland imaging; W serial images D Rendering W Postprocessing Salivary gland imaging; W serial images Salivary gland imaging; W serial images US guidance intra-operative Salivary gland imaging; W serial images Salivary gland imaging; W serial images Fluoroscopic guidance for needle placement Salivary gland imaging; W serial images Salivary gland imaging, Salivary gland function study Fluoroscopy, up to one hour physician time Salivary gland function study Fluoroscopy, more than one hour physician time 230

231 78232 Salivary gland function study D Rendering WO Postprocessing Salivary gland function study D Rendering W Postprocessing Salivary gland function study Salivary gland function study US guidance intra-operative Salivary gland function study Salivary gland function study Fluoroscopic guidance for needle placement Esophageal motility Fluoroscopy, up to one hour physician time Esophageal motility Fluoroscopy, more than one hour physician time Esophageal motility D Rendering WO Postprocessing Esophageal motility D Rendering W Postprocessing Esophageal motility Esophageal motility US guidance intra-operative Esophageal motility Esophageal motility Fluoroscopic guidance for needle placement 231

232 78261 Gastric mucosa imaging Fluoroscopy, up to one hour physician time Gastric mucosa imaging Fluoroscopy, more than one hour physician time Gastric mucosa imaging D Rendering WO Postprocessing Gastric mucosa imaging D Rendering W Postprocessing Gastric mucosa imaging Gastric mucosa imaging US guidance intra-operative Gastric mucosa imaging Gastric mucosa imaging Fluoroscopic guidance for needle placement Gastroesophageal reflux study Fluoroscopy, up to one hour physician time Gastroesophageal reflux study Fluoroscopy, more than one hour physician time Gastroesophageal reflux study D Rendering WO Postprocessing Gastroesophageal reflux study D Rendering W Postprocessing Gastroesophageal reflux study Gastroesophageal reflux study US guidance intra-operative 232

233 78262 Gastroesophageal reflux study Gastroesophageal reflux study Fluoroscopic guidance for needle placement Gastric emptying study Fluoroscopy, up to one hour physician time Gastric emptying study Fluoroscopy, more than one hour physician time Gastric emptying study D Rendering WO Postprocessing Gastric emptying study D Rendering W Postprocessing Gastric emptying study Gastric emptying study US guidance intra-operative Gastric emptying study Gastric emptying study Fluoroscopic guidance for needle placement Urea breath test, C-14 (isotopic); acquisition for analysis D Rendering WO Postprocessing Urea breath test, C-14 (isotopic); acquisition for analysis D Rendering W Postprocessing Urea breath test, C-14 (isotopic); analysis D Rendering WO Postprocessing Urea breath test, C-14 (isotopic); analysis D Rendering W Postprocessing 233

234 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor Fluoroscopy, up to one hour physician time Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor Fluoroscopy, more than one hour physician time Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor D Rendering WO Postprocessing Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor D Rendering W Postprocessing Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor US guidance intra-operative Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor Fluoroscopic guidance for needle placement Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor Fluoroscopy, up to one hour physician time Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor Fluoroscopy, more than one hour physician time Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor D Rendering WO Postprocessing Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor D Rendering W Postprocessing Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor US guidance intra-operative 234

235 78271 Vitamin B-12 absorption study (eg, Schilling test); Wintrinsic factor Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor Fluoroscopic guidance for needle placement Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor Vitamin B-12 absorption study, WO intrinsic factor (Schilling test) Vitamin B-12 absorption study combined W & WO intrinsic factor Fluoroscopy, up to one hour physician time Vitamin B-12 absorption study combined W & WO intrinsic factor Fluoroscopy, more than one hour physician time Vitamin B-12 absorption study combined W & WO intrinsic factor D Rendering WO Postprocessing Vitamin B-12 absorption study combined W & WO intrinsic factor D Rendering W Postprocessing Vitamin B-12 absorption study combined W & WO intrinsic factor Vitamin B-12 absorption study combined W & WO intrinsic factor US guidance intra-operative Vitamin B-12 absorption study combined W & WO intrinsic factor Vitamin B-12 absorption study combined W & WO intrinsic factor Fluoroscopic guidance for needle placement Vitamin B-12 absorption study combined W & WO intrinsic factor Vitamin B-12 absorption study, WO intrinsic factor (Schilling test) Vitamin B-12 absorption study combined W & WO intrinsic factor Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor Acute gastrointestinal blood loss imaging Fluoroscopy, up to one hour physician time 235

236 78278 Acute gastrointestinal blood loss imaging Fluoroscopy, more than one hour physician time Acute gastrointestinal blood loss imaging D Rendering WO Postprocessing Acute gastrointestinal blood loss imaging D Rendering W Postprocessing Acute gastrointestinal blood loss imaging Acute gastrointestinal blood loss imaging US guidance intra-operative Acute gastrointestinal blood loss imaging Acute gastrointestinal blood loss imaging Fluoroscopic guidance for needle placement Gastrointestinal protein loss Fluoroscopy, up to one hour physician time Gastrointestinal protein loss Fluoroscopy, more than one hour physician time Gastrointestinal protein loss D Rendering WO Postprocessing Gastrointestinal protein loss D Rendering W Postprocessing Gastrointestinal protein loss Gastrointestinal protein loss US guidance intra-operative Gastrointestinal protein loss

237 78282 Gastrointestinal protein loss Fluoroscopic guidance for needle placement Intestine imaging Fluoroscopy, up to one hour physician time Intestine imaging Fluoroscopy, more than one hour physician time Intestine imaging D Rendering WO Postprocessing Intestine imaging D Rendering W Postprocessing Intestine imaging Intestine imaging US guidance intra-operative Intestine imaging Intestine imaging Fluoroscopic guidance for needle placement Peritoneal-venous shunt patency test Fluoroscopy, up to one hour physician time Peritoneal-venous shunt patency test Fluoroscopy, more than one hour physician time Peritoneal-venous shunt patency test D Rendering WO Postprocessing Peritoneal-venous shunt patency test D Rendering W Postprocessing Peritoneal-venous shunt patency test

238 78291 Peritoneal-venous shunt patency test US guidance intra-operative Peritoneal-venous shunt patency test Peritoneal-venous shunt patency test Fluoroscopic guidance for needle placement Bone and/or joint imaging; limited area Fluoroscopy, up to one hour physician time Bone and/or joint imaging; limited area Fluoroscopy, more than one hour physician time Bone and/or joint imaging; limited area D Rendering WO Postprocessing Bone and/or joint imaging; limited area D Rendering W Postprocessing Bone and/or joint imaging; limited area Bone and/or joint imaging; limited area US guidance intra-operative Bone and/or joint imaging; limited area Bone and/or joint imaging; limited area Fluoroscopic guidance for needle placement Bone and/or joint imaging; multiple areas Fluoroscopy, up to one hour physician time Bone and/or joint imaging; multiple areas Fluoroscopy, more than one hour physician time Bone and/or joint imaging; multiple areas D Rendering WO Postprocessing 238

239 78305 Bone and/or joint imaging; multiple areas D Rendering W Postprocessing Bone and/or joint imaging; multiple areas Bone and/or joint imaging; multiple areas US guidance intra-operative Bone and/or joint imaging; multiple areas Bone and/or joint imaging; multiple areas Fluoroscopic guidance for needle placement Bone and/or joint imaging; multiple areas Bone and/or joint imaging; limited area Bone and/or joint imaging; whole body Fluoroscopy, up to one hour physician time Bone and/or joint imaging; whole body Fluoroscopy, more than one hour physician time Bone and/or joint imaging; whole body D Rendering WO Postprocessing Bone and/or joint imaging; whole body D Rendering W Postprocessing Bone and/or joint imaging; whole body Bone and/or joint imaging; whole body US guidance intra-operative Bone and/or joint imaging; whole body Bone and/or joint imaging; whole body Fluoroscopic guidance for needle placement 239

240 78306 Bone and/or joint imaging; whole body Bone and/or joint imaging, limited area Bone and/or joint imaging; whole body Bone and/or joint imaging; multiple areas Bone and/or joint imaging; three phase study Fluoroscopy, up to one hour physician time Bone and/or joint imaging; three phase study Fluoroscopy, more than one hour physician time Bone and/or joint imaging; three phase study D Rendering WO Postprocessing Bone and/or joint imaging; three phase study D Rendering W Postprocessing Bone and/or joint imaging; three phase study Bone and/or joint imaging; three phase study US guidance intra-operative Bone and/or joint imaging; three phase study Bone and/or joint imaging; three phase study Fluoroscopic guidance for needle placement Bone and/or joint imaging; three phase study Bone and/or joint imaging; limited area Bone and/or joint imaging; three phase study Bone and/or joint imaging; multiple areas Bone and/or joint imaging; 3 phase study Non-cardiac vascular flow imaging (ie, angiography, venography) Bone and/or joint imaging; tomographic (SPECT) Fluoroscopy, up to one hour physician time 240

241 78320 Bone and/or joint imaging; tomographic (SPECT) Fluoroscopy, more than one hour physician time Bone and/or joint imaging; tomographic (SPECT) D Rendering WO Postprocessing Bone and/or joint imaging; tomographic (SPECT) D Rendering W Postprocessing Bone and/or joint imaging; tomographic (SPECT) Bone and/or joint imaging; tomographic (SPECT) US guidance intra-operative Bone and/or joint imaging; tomographic (SPECT) Bone and/or joint imaging; tomographic (SPECT) Fluoroscopic guidance for needle placement Bone and/or joint imaging; tomographic (SPECT) Bone and/or joint imaging, limited area Bone and/or joint imaging; tomographic (SPECT) Bone and/or joint imaging; multiple areas Bone density study, one or more sites; single photon absorptiometry D Rendering WO Postprocessing CPT Definition Bone density study, one or more sites; single photon absorptiometry D Rendering W Postprocessing CPT Definition Bone density study, one or more sites; dual photon absorptiometry, one or more sites D Rendering WO Postprocessing Bone density study, one or more sites; dual photon absorptiometry, one or more sites D Rendering W Postprocessing Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations Fluoroscopy, up to one hour physician time 241

242 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations Fluoroscopy, more than one hour physician time Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations D Rendering WO Postprocessing Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations D Rendering W Postprocessing Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations US guidance intra-operative Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations Fluoroscopic guidance for needle placement Cardiac shunt detection Fluoroscopy, up to one hour physician time Cardiac shunt detection Fluoroscopy, more than one hour physician time Cardiac shunt detection D Rendering WO Postprocessing Cardiac shunt detection D Rendering W Postprocessing Cardiac shunt detection Cardiac shunt detection US guidance intra-operative Cardiac Shunt imaging

243 78428 Cardiac shunt detection Fluoroscopic guidance for needle placement Non-cardiac vascular flow imaging Venography, extremity, unilateral, radiological supervision and Non-cardiac vascular flow imaging Venography, extremity, bilateral, radiological supervision and Non-cardiac vascular flow imaging Venography, caval, inferior, W serialography, radiological supervision and Non-cardiac vascular flow imaging Venography, caval, superior, W serialography, radiological supervision and Non-cardiac vascular flow imaging Venography, renal, unilateral, selective, radiological supervision and Non-cardiac vascular flow imaging Venography, renal, bilateral, selective, radiological supervision and Non-cardiac vascular flow imaging Venography, adrenal, unilateral, selective, radiological supervision and Non-cardiac vascular flow imaging Venography, adrenal, bilateral, selective, radiological supervision and Non-cardiac vascular flow imaging Angiography, carotid, cervical, bilateral, radiological supervision and Non-cardiac vascular flow imaging Venography, superior sagittal sinus, radiological supervision and Non-cardiac vascular flow imaging Venography, epidural, radiological supervision and Non-cardiac vascular flow imaging Venography, orbital, radiological supervision and Non-cardiac vascular flow imaging Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 243

244 78445 Non-cardiac vascular flow imaging Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Non-cardiac vascular flow imaging Hepatic venography, wedged or free, W/hemodynamic evaluation, radiological supervision and Non-cardiac vascular flow imaging Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Non-cardiac vascular flow imaging Fluoroscopy, up to one hour physician time Non-cardiac vascular flow imaging Fluoroscopy, more than one hour physician time Non-cardiac vascular flow imaging D Rendering WO Postprocessing Non-cardiac vascular flow imaging D Rendering W Postprocessing Non-cardiac vascular flow imaging Non-cardiac vascular flow imaging US guidance intra-operative Radionuclide Venogram Non-Cardiac Non-cardiac vascular flow imaging Fluoroscopic guidance for needle placement Acute venous thrombosis imaging, peptide Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial perfusion imaging, tomographic (SPECT) Fluoroscopy, up to one hour physician time Myocardial perfusion imaging, tomographic (SPECT) Fluoroscopy, more than one hour physician time 244

245 78451 Myocardial perfusion imaging, tomographic (SPECT) D Rendering WO Postprocessing Myocardial perfusion imaging, tomographic (SPECT) D Rendering W Postprocessing Myocardial perfusion imaging, tomographic (SPECT) Myocardial perfusion imaging, tomographic (SPECT) US guidance intra-operative Myocardial perfusion imaging, tomographic (SPECT) Myocardial perfusion imaging, tomographic (SPECT) Fluoroscopic guidance for needle placement Myocardial perfusion imaging, tomographic (SPECT) MPI,planar,single study, at rest or stress Myocardial perfusion imaging, tomographic (SPECT) MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Myocardial perfusion imaging, tomographic (SPECT) Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition Myocardial perfusion imaging, tomographic (SPECT) Myocardial imaging, infarction avid, W ejection fraction, CPT Definition Myocardial perfusion imaging, tomographic (SPECT) Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition Myocardial perfusion imaging, tomographic (SPECT) Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Myocardial perfusion imaging, tomographic (SPECT) Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction Myocardial perfusion imaging, tomographic (SPECT) Cardiac blood pool imaging, first pass, single study 245

246 78451 Myocardial perfusion imaging, tomographic (SPECT) Cardiac blood pool imaging, first pass, multiple studies Myocardial perfusion imaging, tomographic (SPECT) Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, W or WO quantitative processing Myocardial perfusion imaging, tomographic (SPECT) Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique Myocardial perfusion imaging, tomographic (SPECT) Pulmonary perfusion imaging, particulate Myocardial perfusion imaging, tomographic (SPECT) Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Myocardial perfusion imaging, tomographic (SPECT) Quantitative differential pulmonary perfusion, including imaging when performed Myocardial perfusion imaging, tomographic (SPECT) Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Myocardial perfusion imaging, tomographic (SPECT) Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Fluoroscopy, up to one hour physician time Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Fluoroscopy, more than one hour physician time Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection D Rendering WO Postprocessing Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection D Rendering W Postprocessing Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection US guidance intra-operative 246

247 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Fluoroscopic guidance for needle placement Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Myocardial perfusion imaging, tomographic (SPECT) Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection MPI,planar,single study, at rest or stress Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Myocardial imaging, infarction avid, W ejection fraction, CPT Definition Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Cardiac blood pool imaging, first pass, single study Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Cardiac blood pool imaging, first pass, multiple studies Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, Wor WOquantitative processing Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 247

248 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Pulmonary perfusion imaging, particulate Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Quantitative differential pulmonary perfusion, including imaging when performed Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography MPI,planar,single study, at rest or stress Fluoroscopy, up to one hour physician time MPI,planar,single study, at rest or stress Fluoroscopy, more than one hour physician time MPI,planar,single study, at rest or stress D Rendering WO Postprocessing MPI,planar,single study, at rest or stress D Rendering W Postprocessing MPI,planar,single study, at rest or stress MPI,planar,single study, at rest or stress US guidance intra-operative MPI,planar,single study, at rest or stress MPI,planar,single study, at rest or stress Fluoroscopic guidance for needle placement MPI,planar,single study, at rest or stress Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition 248

249 78453 MPI,planar,single study, at rest or stress Myocardial imaging, infarction avid, W ejection fraction, CPT Definition MPI,planar,single study, at rest or stress Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition MPI,planar,single study, at rest or stress Cardiac blood pool imaging, gated, single study, resting or stress, wall motion MPI,planar,single study, at rest or stress Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction MPI,planar,single study, at rest or stress Cardiac blood pool imaging, first pass, single study MPI,planar,single study, at rest or stress Cardiac blood pool imaging, first pass, multiple studies MPI,planar,single study, at rest or stress Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique MPI,planar,single study, at rest or stress Pulmonary perfusion imaging, particulate MPI,planar,single study, at rest or stress Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging MPI,planar,single study, at rest or stress Quantitative differential pulmonary perfusion, including imaging when performed MPI,planar,single study, at rest or stress Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed MPI,planar,single study, at rest or stress Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Fluoroscopy, up to one hour physician time MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Fluoroscopy, more than one hour physician time 249

250 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection D Rendering WO Postprocessing MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection D Rendering W Postprocessing MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection US guidance intra-operative MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Fluoroscopic guidance for needle placement MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection MPI,planar,single study, at rest or stress MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Myocardial imaging, infarction avid, W ejection fraction, CPT Definition MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Cardiac blood pool imaging, gated, single study, resting or stress, wall motion MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Cardiac blood pool imaging, first pass, single study MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Cardiac blood pool imaging, first pass, multiple studies 250

251 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Pulmonary perfusion imaging, particulate MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Quantitative differential pulmonary perfusion, including imaging when performed MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Acute venous thrombosis imaging, peptide Venography, extremity, bilateral, radiological supervision and Acute venous thrombosis imaging, peptide Venography, caval, inferior, W serialography, radiological supervision and Acute venous thrombosis imaging, peptide Venography, caval, superior, W serialography, radiological supervision and Acute venous thrombosis imaging, peptide Venography, renal, unilateral, selective, radiological supervision and Acute venous thrombosis imaging, peptide Venography, renal, bilateral, selective, radiological supervision and Acute venous thrombosis imaging, peptide Venography, adrenal, unilateral, selective, radiological supervision and Acute venous thrombosis imaging, peptide Venography, adrenal, bilateral, selective, radiological supervision and Acute venous thrombosis imaging, peptide Angiography, carotid, cervical, bilateral, radiological supervision and 251

252 78456 Acute venous thrombosis imaging, peptide Venography, superior sagittal sinus, radiological supervision and Acute venous thrombosis imaging, peptide Venography, epidural, radiological supervision and Acute venous thrombosis imaging, peptide Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Acute venous thrombosis imaging, peptide Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Acute venous thrombosis imaging, peptide Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and Acute venous thrombosis imaging, peptide Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Acute venous thrombosis imaging, peptide Fluoroscopy, up to one hour physician time Acute venous thrombosis imaging, peptide Fluoroscopy, more than one hour physician time Acute venous thrombosis imaging, peptide D Rendering WO Postprocessing Acute venous thrombosis imaging, peptide D Rendering W Postprocessing Acute venous thrombosis imaging, peptide Acute venous thrombosis imaging, peptide US guidance intra-operative Acute venous thrombosis imaging, peptide Acute venous thrombosis imaging, peptide Fluoroscopic guidance for needle placement 252

253 78457 Venous thrombosis imaging, venogram; unilateral Venography, extremity, bilateral, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, caval, inferior, W serialography, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, caval, superior, W serialography, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, renal, unilateral, selective, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, renal, bilateral, selective, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, adrenal, unilateral, selective, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, adrenal, bilateral, selective, radiological supervision and Venous thrombosis imaging, venogram; unilateral Angiography, carotid, cervical, bilateral, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, superior sagittal sinus, radiological supervision and Venous thrombosis imaging, venogram; unilateral Venography, epidural, radiological supervision and Venous thrombosis imaging, venogram; unilateral Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Venous thrombosis imaging, venogram; unilateral Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Venous thrombosis imaging, venogram; unilateral Hepatic venography, wedged or free, W/hemodynamic evaluation, radiological supervision and Venous thrombosis imaging, venogram; unilateral Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 253

254 78457 Venous thrombosis imaging, venogram; unilateral Fluoroscopy, up to one hour physician time Venous thrombosis imaging, venogram; unilateral Fluoroscopy, more than one hour physician time Venous thrombosis imaging, venogram; unilateral D Rendering WO Postprocessing Venous thrombosis imaging, venogram; unilateral D Rendering W Postprocessing Venous thrombosis imaging, venogram; unilateral Venous thrombosis imaging, venogram; unilateral US guidance intra-operative Venous thrombosis imaging, venogram; unilateral Venous thrombosis imaging, venogram; unilateral Fluoroscopic guidance for needle placement Venous thrombosis imaging, venogram; unilateral Non-cardiac vascular flow imaging Venous thrombosis imaging, venogram; unilateral Acute venous thrombosis imaging, peptide Venous thrombosis imaging, bilateral Venography, extremity, bilateral, radiological supervision and Venous thrombosis imaging, bilateral Venography, caval, inferior, W serialography, radiological supervision and Venous thrombosis imaging, bilateral Venography, caval, superior, W serialography, radiological supervision and Venous thrombosis imaging, bilateral Venography, renal, unilateral, selective, radiological supervision and 254

255 78458 Venous thrombosis imaging, bilateral Venography, renal, bilateral, selective, radiological supervision and Venous thrombosis imaging, bilateral Venography, adrenal, unilateral, selective, radiological supervision and Venous thrombosis imaging, bilateral Venography, adrenal, bilateral, selective, radiological supervision and Venous thrombosis imaging, bilateral Angiography, carotid, cervical, bilateral, radiological supervision and Venous thrombosis imaging, bilateral Venography, superior sagittal sinus, radiological supervision and Venous thrombosis imaging, bilateral Venography, epidural, radiological supervision and Venous thrombosis imaging, bilateral Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and Venous thrombosis imaging, bilateral Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and Venous thrombosis imaging, bilateral Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and Venous thrombosis imaging, bilateral Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and Venous thrombosis imaging, bilateral Fluoroscopy, up to one hour physician time Venous thrombosis imaging, bilateral Fluoroscopy, more than one hour physician time Venous thrombosis imaging, bilateral D Rendering WO Postprocessing Venous thrombosis imaging, bilateral D Rendering W Postprocessing 255

256 78458 Venous thrombosis imaging, bilateral Venous thrombosis imaging, bilateral US guidance intra-operative Venous thrombosis imaging, bilateral Venous thrombosis imaging, bilateral Fluoroscopic guidance for needle placement Venous thrombosis imaging, bilateral Non-cardiac vascular flow imaging Venous thrombosis imaging, bilateral Acute venous thrombosis imaging, peptide Venous thrombosis imaging, bilateral Venous thrombosis imaging, venogram; unilateral Myocardial imaging, positron emission tomography (PET), metabolic evaluation D Rendering WO Postprocessing Myocardial imaging, positron emission tomography (PET), metabolic evaluation D Rendering W Postprocessing Myocardial imaging, Infarction avid, planar, qualitative or quantitative Fluoroscopy, up to one hour physician time Myocardial imaging, Infarction avid, planar, qualitative or quantitative Fluoroscopy, more than one hour physician time Myocardial imaging, Infarction avid, planar, qualitative or quantitative D Rendering WO Postprocessing Myocardial imaging, Infarction avid, planar, qualitative or quantitative D Rendering W Postprocessing Myocardial imaging, Infarction avid, planar, qualitative or quantitative

257 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative US guidance intra-operative Myocardial imaging, Infarction avid, planar, qualitative or quantitative Myocardial imaging, Infarction avid, planar, qualitative or quantitative Fluoroscopic guidance for needle placement Myocardial imaging, Infarction avid, planar, qualitative or quantitative Myocardial imaging, infarction avid, W ejection fraction, Myocardial imaging, Infarction avid, planar, qualitative or quantitative Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Myocardial imaging, Infarction avid, planar, qualitative or quantitative Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique Fluoroscopy, up to one hour physician time Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique Fluoroscopy, more than one hour physician time Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique D Rendering WO Postprocessing Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique D Rendering W Postprocessing Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique US guidance intra-operative Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique Fluoroscopic guidance for needle placement 257

258 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Fluoroscopy, up to one hour physician time Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Fluoroscopy, more than one hour physician time Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification D Rendering WO Postprocessing Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification D Rendering W Postprocessing Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification US guidance intra-operative Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Fluoroscopic guidance for needle placement Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Myocardial imaging, infarction avid, W ejection fraction, Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Cardiac blood pool imaging, gated, single study, resting or stress, wall motion CPT Definition Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Fluoroscopy, up to one hour physician time Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Fluoroscopy, more than one hour physician time 258

259 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion D Rendering WO Postprocessing Cardiac blood pool imaging, gated, single study, resting or stress, wall motion D Rendering W Postprocessing Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Cardiac blood pool imaging, gated, single study, resting or stress, wall motion US guidance intra-operative Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Fluoroscopic guidance for needle placement Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Cardiac blood pool imaging, first pass, single study Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Fluoroscopy, up to one hour physician time Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Fluoroscopy, more than one hour physician time Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification D Rendering WO Postprocessing Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification D Rendering W Postprocessing Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification US guidance intra-operative 259

260 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Fluoroscopic guidance for needle placement Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cardiac blood pool imaging, first pass, single study CPT definition Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cardiac blood pool imaging, first pass, multiple studies Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, Wor WOquantitative processing Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Cardiac blood pool imaging, first pass, single study Fluoroscopy, up to one hour physician time Cardiac blood pool imaging, first pass, single study Fluoroscopy, more than one hour physician time Cardiac blood pool imaging, first pass, single study D Rendering WO Postprocessing Cardiac blood pool imaging, first pass, single study D Rendering W Postprocessing Cardiac blood pool imaging, first pass, single study Cardiac blood pool imaging, first pass, single study US guidance intra-operative 260

261 78481 Cardiac blood pool imaging, first pass, single study Cardiac blood pool imaging, first pass, single study Fluoroscopic guidance for needle placement Cardiac blood pool imaging, first pass, single study Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique Cardiac blood pool imaging, first pass, single study Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Cardiac blood pool imaging, first pass, multiple studies Fluoroscopy, up to one hour physician time Cardiac blood pool imaging, first pass, multiple studies Fluoroscopy, more than one hour physician time Cardiac blood pool imaging, first pass, multiple studies D Rendering WO Postprocessing Cardiac blood pool imaging, first pass, multiple studies D Rendering W Postprocessing Cardiac blood pool imaging, first pass, multiple studies Cardiac blood pool imaging, first pass, multiple studies US guidance intra-operative Cardiac blood pool imaging, first pass, multiple studies Cardiac blood pool imaging, first pass, multiple studies Fluoroscopic guidance for needle placement Cardiac blood pool imaging, first pass, multiple studies Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Cardiac blood pool imaging, first pass, multiple studies Cardiac blood pool imaging, first pass, single study 261

262 78483 Cardiac blood pool imaging, first pass, multiple studies Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, Wor WOquantitative processing Cardiac blood pool imaging, first pass, multiple studies Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique Cardiac blood pool imaging, first pass, multiple studies Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Myocardial imaging, PET, perfusion; single study at rest or stress D Rendering WO Postprocessing Myocardial imaging, PET, perfusion; single study at rest or stress D Rendering W Postprocessing Myocardial imaging, PET, perfusion; multiple studies at rest or stress D Rendering WO Postprocessing Myocardial imaging, PET, perfusion; multiple studies at rest or stress D Rendering W Postprocessing Myocardial imaging, PET, perfusion; multiple studies at rest or stress Myocardial imaging, PET, perfusion; single study at rest or stress Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Fluoroscopy, up to one hour physician time Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Fluoroscopy, more than one hour physician time Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing D Rendering WO Postprocessing Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing D Rendering W Postprocessing Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing US guidance intra-operative 262

263 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Fluoroscopic guidance for needle placement Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Cardiac blood pool imaging, first pass, single study Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Pulmonary ventilation imaging (eg, aerosol or gas) Fluoroscopy, up to one hour physician time Pulmonary ventilation imaging (eg, aerosol or gas) Fluoroscopy, more than one hour physician time Pulmonary ventilation imaging (eg, aerosol or gas) D Rendering WO Postprocessing Pulmonary ventilation imaging (eg, aerosol or gas) D Rendering W Postprocessing Pulmonary ventilation imaging (eg, aerosol or gas) Pulmonary ventilation imaging (eg, aerosol or gas) US guidance intra-operative Pulmonary ventilation imaging (eg, aerosol or gas) Pulmonary ventilation imaging (eg, aerosol or gas) Fluoroscopic guidance for needle placement 263

264 78580 Pulmonary perfusion imaging, particulate Fluoroscopy, up to one hour physician time Pulmonary perfusion imaging, particulate Fluoroscopy, more than one hour physician time Pulmonary perfusion imaging, particulate D Rendering WO Postprocessing Pulmonary perfusion imaging, particulate D Rendering W Postprocessing Pulmonary perfusion imaging, particulate Pulmonary perfusion imaging, particulate US guidance intra-operative Pulmonary perfusion imaging, particulate Pulmonary perfusion imaging, particulate Fluoroscopic guidance for needle placement Pulmonary perfusion imaging, particulate Respiratory nuclear exam CPT Definition Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Fluoroscopy, up to one hour physician time Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Fluoroscopy, more than one hour physician time Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging D Rendering WO Postprocessing Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging D Rendering W Postprocessing Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging

265 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging US guidance intra-operative Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Fluoroscopic guidance for needle placement Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Pulmonary ventilation imaging (eg, aerosol or gas) Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Pulmonary perfusion imaging (eg, particulate) Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Quantitative differential pulmonary perfusion, including imaging when performed Fluoroscopy, up to one hour physician time Quantitative differential pulmonary perfusion, including imaging when performed Fluoroscopy, more than one hour physician time Quantitative differential pulmonary perfusion, including imaging when performed D Rendering WO Postprocessing Quantitative differential pulmonary perfusion, including imaging when performed D Rendering W Postprocessing Quantitative differential pulmonary perfusion, including imaging when performed Quantitative differential pulmonary perfusion, including imaging when performed US guidance intra-operative Quantitative differential pulmonary perfusion, including imaging when performed Quantitative differential pulmonary perfusion, including imaging when performed Fluoroscopic guidance for needle placement 265

266 78597 Quantitative differential pulmonary perfusion, including imaging when performed Pulmonary ventilation imaging (eg, aerosol or gas) Quantitative differential pulmonary perfusion, including imaging when performed Pulmonary perfusion imaging (eg, particulate) Quantitative differential pulmonary perfusion, including imaging when performed Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Fluoroscopy, up to one hour physician time Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Fluoroscopy, more than one hour physician time Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed D Rendering WO Postprocessing Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed D Rendering W Postprocessing Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed US guidance intra-operative Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Fluoroscopic guidance for needle placement Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Pulmonary ventilation imaging (eg, aerosol or gas) Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Pulmonary perfusion imaging (eg, particulate) Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Quantitative differential pulmonary perfusion, including imaging when performed 266

267 78600 Brain imaging, less than 4 static views Fluoroscopy, up to one hour physician time Brain imaging, less than 4 static views Fluoroscopy, more than one hour physician time Brain imaging, less than 4 static views D Rendering WO Postprocessing Brain imaging, less than 4 static views D Rendering W Postprocessing Brain imaging, less than 4 static views Brain imaging, less than 4 static views US guidance intra-operative Brain imaging, less than 4 static views Brain imaging, less than 4 static views Fluoroscopic guidance for needle placement Brain imaging, less than 4 static views Brain imaging, vascular flow only Brain imaging W vascular flow Fluoroscopy, up to one hour physician time Brain imaging W vascular flow Fluoroscopy, more than one hour physician time Brain imaging W vascular flow D Rendering WO Postprocessing Brain imaging W vascular flow D Rendering W Postprocessing Brain imaging W vascular flow

268 78601 Brain imaging W vascular flow US guidance intra-operative Brain imaging W vascular flow Brain imaging W vascular flow Fluoroscopic guidance for needle placement Brain imaging W vascular flow Brain imaging, less than 4 static views Brain imaging W vascular flow Brain imaging, vascular flow only CPT Definition Brain imaging minimum 4 static views Fluoroscopy, up to one hour physician time Brain imaging minimum 4 static views Fluoroscopy, more than one hour physician time Brain imaging minimum 4 static views D Rendering WO Postprocessing Brain imaging minimum 4 static views D Rendering W Postprocessing Brain imaging minimum 4 static views Brain imaging minimum 4 static views US guidance intra-operative Brain imaging minimum 4 static views Brain imaging minimum 4 static views Fluoroscopic guidance for needle placement Brain imaging minimum 4 static views Brain imaging, less than 4 static views 268

269 78605 Brain imaging minimum 4 static views Brain imaging W vascular flow CPT Definition Brain imaging minimum 4 static views Brain imaging, vascular flow only CPT Definition Brain imaging minimum 4 static views; W vascular flow Fluoroscopy, up to one hour physician time Brain imaging minimum 4 static views; W vascular flow Fluoroscopy, more than one hour physician time Brain imaging minimum 4 static views; W vascular flow D Rendering WO Postprocessing Brain imaging minimum 4 static views; W vascular flow D Rendering W Postprocessing Brain imaging minimum 4 static views; W vascular flow Brain imaging minimum 4 static views; W vascular flow US guidance intra-operative Brain imaging minimum 4 static views; W vascular flow Brain imaging minimum 4 static views; W vascular flow Fluoroscopic guidance for needle placement Brain imaging minimum 4 static views; W vascular flow Brain imaging, less than 4 static views Brain imaging minimum 4 static views; W vascular flow Brain imaging W vascular flow Brain imaging minimum 4 static views; W vascular flow Brain imaging minimum 4 static views Brain imaging minimum 4 static views; W vascular flow Brain imaging, vascular flow only 269

270 78607 Brain imaging minimum 4 static views; W vascular flow Brain imaging, vascular flow only Brain imaging tomographic SPECT Fluoroscopy, more than one hour physician time Brain imaging tomographic SPECT D Rendering WO Postprocessing Brain imaging tomographic SPECT D Rendering W Postprocessing Brain imaging tomographic SPECT Brain imaging tomographic SPECT US guidance intra-operative Brain imaging tomographic SPECT Brain imaging tomographic SPECT Fluoroscopic guidance for needle placement Brain imaging tomographic SPECT Brain imaging, less than 4 static views Brain imaging tomographic SPECT Brain imaging W vascular flow Brain imaging tomographic SPECT Brain imaging minimum 4 static views Brain imaging tomographic SPECT Brain imaging minimum 4 static views; Wvascular flow Brain imaging, PET; metabolic evaluation D Rendering WO Postprocessing Brain imaging, PET; metabolic evaluation D Rendering W Postprocessing 270

271 78608 Brain imaging, PET; metabolic evaluation A9526 Nitrogen N-13 ammonia Brain imaging, PET; metabolic evaluation A9555 Rb82 rubidium Brain imaging, PET; perfusion evaluation D Rendering WO Postprocessing Brain imaging, PET; perfusion evaluation D Rendering W Postprocessing Brain imaging, vascular flow only Fluoroscopy, up to one hour physician time Brain imaging, vascular flow only Fluoroscopy, more than one hour physician time Brain imaging, vascular flow only D Rendering WO Postprocessing Brain imaging, vascular flow only D Rendering W Postprocessing Brain imaging, vascular flow only Brain imaging, vascular flow only US guidance intra-operative Brain imaging, vascular flow only Brain imaging, vascular flow only Fluoroscopic guidance for needle placement Cerebrospinal fluid flow, imaging; cisternography Fluoroscopy, up to one hour physician time Cerebrospinal fluid flow, imaging; cisternography Fluoroscopy, more than one hour physician time 271

272 78630 Cerebrospinal fluid flow, imaging; cisternography D Rendering WO Postprocessing Cerebrospinal fluid flow, imaging; cisternography D Rendering W Postprocessing Cerebrospinal fluid flow, imaging; cisternography Ultrasound, spinal canal and contents Cerebrospinal fluid flow, imaging; cisternography Cerebrospinal fluid flow, imaging; cisternography US guidance intra-operative Cerebrospinal fluid flow, imaging; cisternography Cerebrospinal fluid flow, imaging; cisternography Fluoroscopic guidance for needle placement Cerebrospinal fluid flow, imaging; cisternography Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Cerebrospinal fluid flow, imaging; ventriculography Fluoroscopy, up to one hour physician time Cerebrospinal fluid flow, imaging; ventriculography Fluoroscopy, more than one hour physician time Cerebrospinal fluid flow, imaging; ventriculography D Rendering WO Postprocessing Cerebrospinal fluid flow, imaging; ventriculography D Rendering W Postprocessing Cerebrospinal fluid flow, imaging; ventriculography Ultrasound, spinal canal and contents Cerebrospinal fluid flow, imaging; ventriculography

273 78635 Cerebrospinal fluid flow, imaging; ventriculography US guidance intra-operative Cerebrospinal fluid flow, imaging; ventriculography Cerebrospinal fluid flow, imaging; ventriculography Fluoroscopic guidance for needle placement Cerebrospinal fluid flow, imaging; ventriculography Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Cerebrospinal fluid flow, imaging; ventriculography Cerebrospinal fluid flow, imaging; cisternography Cerebrospinal fluid flow, imaging; shunt evaluation Fluoroscopy, up to one hour physician time Cerebrospinal fluid flow, imaging; shunt evaluation Fluoroscopy, more than one hour physician time Cerebrospinal fluid flow, imaging; shunt evaluation D Rendering WO Postprocessing Cerebrospinal fluid flow, imaging; shunt evaluation D Rendering W Postprocessing Cerebrospinal fluid flow, imaging; shunt evaluation Ultrasound, spinal canal and contents Cerebrospinal fluid flow, imaging; shunt evaluation Cerebrospinal fluid flow, imaging; shunt evaluation US guidance intra-operative Cerebrospinal fluid flow, imaging; shunt evaluation Cerebrospinal fluid flow, imaging; shunt evaluation Fluoroscopic guidance for needle placement 273

274 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) Fluoroscopy, up to one hour physician time Cerebrospinal fluid flow, imaging; tomographic (SPECT) Fluoroscopy, more than one hour physician time Cerebrospinal fluid flow, imaging; tomographic (SPECT) D Rendering WO Postprocessing Cerebrospinal fluid flow, imaging; tomographic (SPECT) D Rendering W Postprocessing Cerebrospinal fluid flow, imaging; tomographic (SPECT) Ultrasound, spinal canal and contents Cerebrospinal fluid flow, imaging; tomographic (SPECT) Cerebrospinal fluid flow, imaging; tomographic (SPECT) US guidance intra-operative Cerebrospinal fluid flow, imaging; tomographic (SPECT) Cerebrospinal fluid flow, imaging; tomographic (SPECT) Fluoroscopic guidance for needle placement Cerebrospinal fluid flow, imaging; tomographic (SPECT) Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Cerebrospinal fluid leakage detection and localization Fluoroscopy, up to one hour physician time Cerebrospinal fluid leakage detection and localization Fluoroscopy, more than one hour physician time Cerebrospinal fluid leakage detection and localization D Rendering WO Postprocessing Cerebrospinal fluid leakage detection and localization D Rendering W Postprocessing 274

275 78650 Cerebrospinal fluid leakage detection and localization Ultrasound, spinal canal and contents Cerebrospinal fluid leakage detection and localization Cerebrospinal fluid leakage detection and localization US guidance intra-operative Cerebrospinal fluid leakage detection and localization Cerebrospinal fluid leakage detection and localization Fluoroscopic guidance for needle placement Cerebrospinal fluid leakage detection and localization Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures Cerebrospinal fluid leakage detection and localization Cerebrospinal fluid flow, imaging; cisternography Cerebrospinal fluid leakage detection and localization Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Radiopharmaceutical dacryocystography Fluoroscopy, up to one hour physician time Radiopharmaceutical dacryocystography Fluoroscopy, more than one hour physician time Radiopharmaceutical dacryocystography D Rendering WO Postprocessing Radiopharmaceutical dacryocystography D Rendering W Postprocessing Radiopharmaceutical dacryocystography Radiopharmaceutical dacryocystography US guidance intra-operative 275

276 78660 Radiopharmaceutical Dacryocystorgraphy Radiopharmaceutical dacryocystography Fluoroscopic guidance for needle placement Kidney imaging; morphology Fluoroscopy, up to one hour physician time Kidney imaging; morphology Fluoroscopy, more than one hour physician time Kidney imaging, morphology D Rendering WO Postprocessing Kidney imaging, morphology D Rendering W Postprocessing Kidney imaging; morphology Kidney imaging; morphology US guidance intra-operative Kidney imaging Morphology Kidney imaging; morphology Fluoroscopic guidance for needle placement Kidney imaging; morphology W vascular flow Fluoroscopy, up to one hour physician time Kidney imaging; morphology W vascular flow Fluoroscopy, more than one hour physician time Kidney imaging; morphology W vascular flow D Rendering WO Postprocessing Kidney imaging; morphology W vascular flow D Rendering W Postprocessing 276

277 78701 Kidney imaging; morphology W vascular flow Kidney imaging; morphology W vascular flow US guidance intra-operative Kidney imaging; morphology W vascular flow Kidney imaging; morphology W vascular flow Fluoroscopic guidance for needle placement Kidney imaging; morphology W vascular flow Kidney imaging, morphology Kidney imaging; morphology W vascular flow Kidney imaging, morphology, tomographic, SPECT Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Fluoroscopy, up to one hour physician time Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Fluoroscopy, more than one hour physician time Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention D Rendering WO Postprocessing Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention D Rendering W Postprocessing Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention US guidance intra-operative Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Fluoroscopic guidance for needle placement 277

278 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney imaging, morphology Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney imaging; morphology W vascular flow Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney function study - non-imaging radioisotopic Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Fluoroscopy, up to one hour physician time Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Fluoroscopy, more than one hour physician time Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention D Rendering WO Postprocessing Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention D Rendering W Postprocessing Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention US guidance intra-operative Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Fluoroscopic guidance for needle placement Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Kidney imaging; morphology Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Kidney imaging; morphology W vascular flow Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 278

279 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Kidney function study - non-imaging radioisotopic Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Fluoroscopy, up to one hour physician time Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Fluoroscopy, more than one hour physician time Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention D Rendering WO Postprocessing Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention D Rendering W Postprocessing Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention US guidance intra-operative Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Fluoroscopic guidance for needle placement Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney imaging; morphology Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney imaging; morphology W vascular flow Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney function study - non-imaging radioisotopic 279

280 78710 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Fluoroscopy, up to one hour physician time Kidney imaging, morphology, tomographic, SPECT Fluoroscopy, more than one hour physician time Kidney imaging, morphology, tomographic, SPECT D Rendering WO Postprocessing Kidney imaging, morphology, tomographic, SPECT D Rendering W Postprocessing Kidney imaging, morphology, tomographic, SPECT Kidney imaging, morphology, tomographic, SPECT US guidance intra-operative Kidney imaging, morphology, tomographic, SPECT Kidney imaging, morphology, tomographic, SPECT Fluoroscopic guidance for needle placement Kidney imaging, morphology, tomographic, SPECT Kidney imaging; morphology Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, tomographic, SPECT Kidney imaging, morphology, tomographic, SPECT Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Kidney imaging, morphology, tomographic, SPECT Kidney function study, non-imaging radioisotopic Fluoroscopy, up to one hour physician time Kidney function study, non-imaging radioisotopic Fluoroscopy, more than one hour physician time 280

281 78725 Kidney function study, non-imaging radioisotopic D Rendering WO Postprocessing Kidney function study, non-imaging radioisotopic D Rendering W Postprocessing Kidney function study, non-imaging radioisotopic Kidney function study, non-imaging radioisotopic US guidance intra-operative Kidney function study, non-imaging radioisotopic Kidney function study, non-imaging radioisotopic Fluoroscopic guidance for needle placement Kidney function study, non-imaging radioisotopic Kidney imaging; morphology W vascular flow Kidney imaging; morphology W vascular flow Kidney function study - non-imaging radioisotopic Ureteral reflux study Fluoroscopy, up to one hour physician time Ureteral reflux study Fluoroscopy, more than one hour physician time Ureteral reflux study D Rendering WO Postprocessing Ureteral reflux study D Rendering W Postprocessing Ureteral reflux study Ureteral reflux study US guidance intra-operative 281

282 78740 Ureteral reflux study Ureteral reflux study Fluoroscopic guidance for needle placement Testicular imaging W vascular flow Fluoroscopy, up to one hour physician time Testicular imaging W vascular flow Fluoroscopy, more than one hour physician time Testicular imaging W vascular flow D Rendering WO Postprocessing Testicular imaging W vascular flow D Rendering W Postprocessing Testicular imaging W vascular flow Testicular imaging W vascular flow US guidance intra-operative Testicular imaging W vascular flow Testicular imaging W vascular flow Fluoroscopic guidance for needle placement Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Fluoroscopy, up to one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Fluoroscopy, more than one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area D Rendering WO Postprocessing Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area D Rendering W Postprocessing 282

283 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area US guidance intra-operative Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Fluoroscopic guidance for needle placement Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Radiopharmaceutical localization of inflammatory process, whole body CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Injection procedure for radiopharmaceutical localization Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Fluoroscopy, up to one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Fluoroscopy, more than one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas D Rendering WO Postprocessing Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas D Rendering W Postprocessing Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas US guidance intra-operative Radiopharm Localization Of Tumor, Multi Areas

284 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Fluoroscopic guidance for needle placement Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Radiopharmaceutical localization of inflammatory process, whole body CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Injection procedure for radiopharmaceutical localization Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Fluoroscopy, up to one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Fluoroscopy, more than one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging D Rendering WO Postprocessing Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging D Rendering W Postprocessing Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging US guidance intra-operative Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Fluoroscopic guidance for needle placement Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 284

285 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Radiopharmaceutical localization of inflammatory process, whole body CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Injection procedure for radiopharmaceutical localization Radiopharmaceutical localization of tumor, SPECT Fluoroscopy, up to one hour physician time Radiopharmaceutical localization of tumor, SPECT Fluoroscopy, more than one hour physician time Radiopharm localization of tumor, SPECT D Rendering WO Postprocessing Radiopharm localization of tumor, SPECT D Rendering W Postprocessing Radiopharmaceutical localization of tumor, SPECT Radiopharmaceutical localization of tumor, SPECT US guidance intra-operative Radiopharm Localization Of Tumor, SPECT Radiopharmaceutical localization of tumor, SPECT Fluoroscopic guidance for needle placement Tumor Imaging SPECT Parathyroid Imaging CPT Definition Radiopharm localization of tumor, SPECT Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 285

286 78803 Radiopharm localization of tumor, SPECT Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Radiopharmaceutical localization of tumor, SPECT Radiopharmaceutical localization of inflammatory process, whole body CPT Definition Radiopharmaceutical localization of tumor, SPECT Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition Radiopharmaceutical localization of tumor, SPECT Injection procedure for radiopharmaceutical localization Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Fluoroscopy, up to one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Fluoroscopy, more than one hour physician time Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging D Rendering WO Postprocessing Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging D Rendering W Postprocessing Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging US guidance intra-operative Radiopharmaceutical Localization Of Tumor Or Distribution Of Radiopharmaceutical Agent(S); Whole Body, Requiring 2 Or More Days imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Fluoroscopic guidance for needle placement Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Spleen imaging only W or WO vascular flow Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Lymph system imaging 286

287 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Liver imaging, static only Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Liver & spleen imaging, static only Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Radiopharm localization of tumor, SPECT Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Radiopharmaceutical localization of inflammatory process, whole body CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Injection procedure for radiopharmaceutical localization Radiopharm localization of inflammatory process, limited area Fluoroscopy, up to one hour physician time Radiopharm localization of inflammatory process, limited area Fluoroscopy, more than one hour physician time Radiopharm localization of inflammatory process, limited area D Rendering WO Postprocessing Radiopharm localization of inflammatory process, limited area D Rendering W Postprocessing Radiopharm localization of inflammatory process, limited area

288 78805 Radiopharm localization of inflammatory process, limited area US guidance intra-operative Radiopharm Localization Of Abscess, Limited Area Radiopharm localization of inflammatory process, limited area Fluoroscopic guidance for needle placement Radiopharm localization of inflammatory process, limited area Injection procedure for radiopharmaceutical localization Radiopharm localization of inflammatory process, limited area Fluoroscopy, up to one hour physician time Radiopharm localization of inflammatory process, limited area Fluoroscopy, more than one hour physician time Radiopharm localization of inflammatory process, whole body D Rendering WO Postprocessing Radiopharm localization of inflammatory process, whole body D Rendering W Postprocessing CPT Definition Radiopharm localization of inflammatory process, whole body Radiopharm localization of inflammatory process, whole body US guidance intra-operative Radiopharm localization of inflammatory process, whole body Radiopharm localization of inflammatory process, whole body Fluoroscopic guidance for needle placement Radiopharm localization of inflammatory process, whole body Parathyroid imaging CPT Definition Radiopharm localization of inflammatory process, whole body Adrenal imaging CPT Definition 288

289 78806 Radiopharm localization of inflammatory process, whole body Radiopharm localization of inflammatory process, limited area Radiopharm localization of inflammatory process, whole body Injection procedure for radiopharmaceutical localization Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Fluoroscopy, up to one hour physician time Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Fluoroscopy, more than one hour physician time Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) D Rendering WO Postprocessing Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) D Rendering W Postprocessing Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) US guidance intra-operative Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Fluoroscopic guidance for needle placement Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Radiopharm localization of inflammatory process, limited area Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Injection procedure for radiopharmaceutical localization Injection procedure for radiopharmaceutical localization Fluoroscopy, up to one hour physician time Injection procedure for radiopharmaceutical localization Fluoroscopy, more than one hour physician time 289

290 78808 Injection procedure for radiopharmaceutical localization Injection procedure for radiopharmaceutical localization US guidance intra-operative Injection procedure for radiopharmaceutical localization Injection procedure for radiopharmaceutical localization Fluoroscopic guidance for needle placement PET imaging; limited area (e.g., chest, head/neck) CT head WO contrast PET imaging; limited area (e.g., chest, head/neck) CT orbit WO contrast PET imaging; limited area (e.g., chest, head/neck) CT maxillofacial area, WO contrast PET imaging; limited area (e.g., chest, head/neck) CT soft tissue neck WO contrast PET imaging; limited area (e.g., chest, head/neck) CT soft tissue, neck W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT soft tissue neck WO & W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT thorax, WO contrast PET imaging; limited area (e.g., chest, head/neck) CT thorax, W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT thorax, WO & W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT cervical spine WO contrast 290

291 78811 PET imaging; limited area (e.g., chest, head/neck) CT thoracic spine WO contrast PET imaging; limited area (e.g., chest, head/neck) CT lumbar spine, WO contrast PET imaging; limited area (e.g., chest, head/neck) CT pelvis WO contrast PET imaging; limited area (e.g., chest, head/neck) CT pelvis W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT pelvis WO & W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT upper extremity, WO contrast PET imaging; limited area (e.g., chest, head/neck) CT lower extremity, WO contrast PET imaging; limited area (e.g., chest, head/neck) CT abdomen, WO contrast PET imaging; limited area (e.g., chest, head/neck) CT abdomen W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT abdomen WO & W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CTA abdomen and pelvis; WO contrast material PET imaging; limited area (e.g., chest, head/neck) CTA abdomen and pelvis; W contrast material(s) Standard of Practice PET imaging; limited area (e.g., chest, head/neck) CT abdomen and pelvis; WO & W contrast Standard of Practice PET imaging; limited area (e.g., chest, head/neck) D Rendering WO Postprocessing 291

292 78811 PET imaging; limited area (e.g., chest, head/neck) D Rendering W Postprocessing PET imaging; limited area (e.g., chest, head/neck) A9526 Nitrogen N-13 ammonia PET imaging; limited area (e.g., chest, head/neck) A9555 Rb82 rubidium PET imaging; skull base to mid-thigh CT head WO contrast PET imaging; skull base to mid-thigh CT orbit WO contrast PET imaging; skull base to mid-thigh CT maxillofacial area, WO contrast PET imaging; skull base to mid-thigh CT soft tissue neck WO contrast PET imaging; skull base to mid-thigh CT soft tissue, neck W contrast Standard of Practice PET imaging; skull base to mid-thigh CT soft tissue neck WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CT thorax, WO contrast PET imaging; skull base to mid-thigh CT thorax, W contrast Standard of Practice PET imaging; skull base to mid-thigh CT thorax, WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CT cervical spine WO contrast PET imaging; skull base to mid-thigh CT thoracic spine WO contrast 292

293 78812 PET imaging; skull base to mid-thigh CT lumbar spine, WO contrast PET imaging; skull base to mid-thigh CT pelvis WO contrast PET imaging; skull base to mid-thigh CT pelvis W contrast Standard of Practice PET imaging; skull base to mid-thigh CT pelvis WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CT upper extremity, WO contrast PET imaging; skull base to mid-thigh CT lower extremity, WO contrast PET imaging; skull base to mid-thigh CT abdomen, WO contrast PET imaging; skull base to mid-thigh CT abdomen W contrast Standard of Practice PET imaging; skull base to mid-thigh CT abdomen WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CTA abdomen and pelvis; WO contrast material PET imaging; skull base to mid-thigh CTA abdomen and pelvis; W contrast material(s) Standard of Practice PET imaging; skull base to mid-thigh CT abdomen and pelvis; WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh D Rendering WO Postprocessing PET imaging; skull base to mid-thigh D Rendering W Postprocessing 293

294 78812 PET imaging; skull base to mid-thigh PET imaging; limited area (e.g., chest, head/neck) PET imaging; skull base to mid-thigh A9526 Nitrogen N-13 ammonia PET imaging; skull base to mid-thigh A9555 Rb82 rubidium PET imaging; skull base to mid-thigh CT head WO contrast PET imaging; skull base to mid-thigh CT orbit WO contrast PET imaging; skull base to mid-thigh CT maxillofacial area, WO contrast PET imaging; skull base to mid-thigh CT soft tissue neck WO contrast PET imaging; skull base to mid-thigh CT soft tissue, neck W contrast Standard of Practice PET imaging; skull base to mid-thigh CT soft tissue neck WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CT thorax, WO contrast PET imaging; skull base to mid-thigh CT thorax, W contrast Standard of Practice PET imaging; skull base to mid-thigh CT thorax, WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CT cervical spine WO contrast PET imaging; skull base to mid-thigh CT thoracic spine WO contrast 294

295 78813 PET imaging; skull base to mid-thigh CT lumbar spine, WO contrast PET imaging; skull base to mid-thigh CT pelvis WO contrast PET imaging; skull base to mid-thigh CT pelvis W contrast Standard of Practice PET imaging; skull base to mid-thigh CT pelvis WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CT upper extremity, WO contrast PET imaging; skull base to mid-thigh CT lower extremity, WO contrast PET imaging; skull base to mid-thigh CT abdomen, WO contrast PET imaging; skull base to mid-thigh CT abdomen W contrast Standard of Practice PET imaging; skull base to mid-thigh CT abdomen WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh CTA abdomen and pelvis; WO contrast material PET imaging; skull base to mid-thigh CTA abdomen and pelvis; W contrast material(s) Standard of Practice PET imaging; skull base to mid-thigh CT abdomen and pelvis; WO & W contrast Standard of Practice PET imaging; skull base to mid-thigh D Rendering WO Postprocessing PET imaging; skull base to mid-thigh D Rendering W Postprocessing 295

296 78813 PET imaging; skull base to mid-thigh PET imaging; limited area (e.g., chest, head/neck) PET imaging; skull base to mid-thigh PET imaging; skull base to mid-thigh PET imaging; skull base to mid-thigh A9526 Nitrogen N-13 ammonia PET imaging; skull base to mid-thigh A9555 Rb82 rubidium PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT head WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT orbit WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT maxillofacial area, WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT soft tissue neck WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT soft tissue, neck W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT soft tissue neck WO & W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT thorax, WO contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT thorax, W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT thorax, WO & W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT cervical spine WO contrast 296

297 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT thoracic spine WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT lumbar spine, WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT pelvis WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT pelvis W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT pelvis WO & W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT upper extremity, WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT lower extremity, WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT abdomen, WO contrast PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT abdomen W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT abdomen WO & W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT abdomen and pelvis; WO contrast material PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT abdomen and pelvis; W contrast material(s) Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) CT abdomen and pelvis; WO & W contrast Standard of Practice PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) D Rendering WO Postprocessing 297

298 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) D Rendering W Postprocessing PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) PET imaging; limited area (e.g., chest, head/neck) PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) PET imaging; skull base to mid-thigh PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) PET imaging; whole body PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) A9526 Nitrogen N-13 ammonia PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) A9555 Rb82 rubidium PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT head WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT head W contrast CPT Definition PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT orbit WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT maxillofacial area, WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT soft tissue neck WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT soft tissue, neck W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT soft tissue neck WO & W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT thorax, WO contrast 298

299 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT thorax, W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT thorax, WO & W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT cervical spine WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT thoracic spine WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT lumbar spine, WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT pelvis WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT pelvis W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT pelvis WO & W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT upper extremity, WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT lower extremity, WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT abdomen, WO contrast PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT abdomen W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT abdomen WO & W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CTA abdomen and pelvis; WO contrast material 299

300 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CTA abdomen and pelvis; W contrast material(s) Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh CT abdomen and pelvis; WO & W contrast Standard of Practice PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh D Rendering WO Postprocessing PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh D Rendering W Postprocessing PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh PET imaging; limited area (e.g., chest, head/neck) PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh PET imaging; skull base to mid-thigh PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh PET imaging; whole body PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh A9526 Nitrogen N-13 ammonia PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh A9555 Rb82 rubidium PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT head WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT orbit WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT maxillofacial area, WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT soft tissue neck WO contrast 300

301 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT soft tissue, neck W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT soft tissue neck WO & W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT thorax, WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT thorax, W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT thorax, WO & W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT cervical spine WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT thoracic spine WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT lumbar spine, WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT pelvis WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT pelvis W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT pelvis WO & W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT upper extremity, WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT lower extremity, WO contrast PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT abdomen, WO contrast 301

302 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT abdomen W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT abdomen WO & W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT abdomen and pelvis; WO contrast material PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT abdomen and pelvis; W contrast material(s) Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body CT abdomen and pelvis; WO & W contrast Standard of Practice PET W acquired CT for attenuation correction and anatomical localization imaging; whole body D Rendering WO Postprocessing PET W acquired CT for attenuation correction and anatomical localization imaging; whole body D Rendering W Postprocessing PET W acquired CT for attenuation correction and anatomical localization imaging; whole body PET imaging; limited area (e.g., chest, head/neck) PET W acquired CT for attenuation correction and anatomical localization imaging; whole body PET imaging; skull base to mid-thigh PET W acquired CT for attenuation correction and anatomical localization imaging; whole body PET imaging; whole body PET W acquired CT for attenuation correction and anatomical localization imaging; whole body PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) PET W acquired CT for attenuation correction and anatomical localization imaging; whole body PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh PET W acquired CT for attenuation correction and anatomical localization imaging; whole body A9526 Nitrogen N-13 ammonia PET W acquired CT for attenuation correction and anatomical localization imaging; whole body A9555 Rb82 rubidium 302

303 93303 Transthoracic echocardiography for congenital cardiac anomalies; complete Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Transthoracic echocardiography for congenital cardiac anomalies; complete Echocardiography, transthoracic, real-time W/image documentation (2D) includes M-mode recording when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, W/ an Transthoracic echocardiography for congenital cardiac anomalies; complete Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study Transthoracic echocardiography for congenital cardiac anomalies; complete C8922 Transthoracic echocardiography w/contrast for congential cardiac anomalies; f/u or limited study (crosswalked to 93304) Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Transthoracic echocardiography for congenital cardiac anomalies; complete Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Doppler echocardiography, pulsed wave and/or continuous wave Wspectral display; complete Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Doppler echocardiography, follow-up or limited study CPT Definition Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Doppler echocardiography, color flow velocity mapping CPT Definition Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography C8924 Transthoracic echocardiography w/contrast, real-time w/image documentation (2D), w or w/o m-mode recording; f/u or limited study (crosswalked to 93308) Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study 303

304 93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography Doppler echocardiography, pulsed wave and/or continuous wave Wspectral display; complete CPT Definition Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography Doppler echocardiography, follow-up or limited study Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography Doppler echocardiography, color flow velocity mapping Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography C8924 Transthoracic echocardiography w/contrast, real-time w/image documentation (2D), w or w/o m-mode recording; f/u or limited study (crosswalked to 93308) Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ECG monitoring, and/or pharmacological stress; W physician supervision, W and report Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report Transthoracic echocardiography for congenital cardiac anomalies; complete Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study CPT Definition Echocardiography, transthoracic, real-time W/image documentation (2D), W or WOM-mode recording, during rest and cardiovascular stress test, W and report Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Echocardiography, transthoracic, real-time W/image documentation (2D), W or WO M-mode recording, during rest and cardiovascular stress test, W/ and report Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WO spectral and color flow doppler echocardiography CPT Definition Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report Echocardiography, transthoracic, real-time W/image documentation (2D) W or WO M-mode recording; follow-up or limited study Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic Echocardiography, monitoring, with supervision transthoracic, by a physician real-time w/image or other qualified documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Echocardiography, transthoracic, real-time W/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, W/ Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ECG monitoring, and/or pharmacological stress; W physician supervision, W/ and report Cardiovascular stress test W/physician supervision, WO/ and report Cardiovascular stress test tracing only WO/ and report 304

305 93351 Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; Cardiovascular stress test tracing and report only including performance of continuous electrocardiographic Echocardiography, monitoring, with supervision transthoracic, by a physician real-time w/image or other qualified documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or Transthoracic echocardiography for congenital cardiac anomalies; pharmacologically induced stress, w/ and report; complete including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography Echocardiography, transthoracic, real-time W/image documentation (2D) includes M-mode recording when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, W an Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed X-ray, chest, complete min 4 views, Fluoroscopy Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Aortography, thoracic, WO serialography, radiological supervision and Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Aortography, thoracic, by serialography, radiological supervision and Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Angiography, pulmonary, unilateral, selective, radiological supervision and Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Angiography, pulmonary, bilateral, selective, radiological supervision and Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Angiography, internal mammary, radiological supervision and 305

306 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Fluoroscopy, up to one hour physician time Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Fluoroscopy, more than one hour physician time Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed X-ray, chest, complete min 4 views, Fluoroscopy Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, thoracic, WO serialography, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, thoracic, by serialography, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, abdominal, by serialography, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, extremity, unilateral, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, extremity, bilateral, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, pulmonary, unilateral, selective, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, pulmonary, bilateral, selective, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 306

307 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, internal mammary, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Fluoroscopy, up to one hour physician time Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Fluoroscopy, more than one hour physician time Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed X-ray, chest, complete min 4 views, Fluoroscopy Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, thoracic, WO serialography, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, thoracic, by serialography, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, abdominal, by serialography, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, extremity, unilateral, radiological supervision and 307

308 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, extremity, bilateral, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, pulmonary, unilateral, selective, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, pulmonary, bilateral, selective, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, internal mammary, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Fluoroscopy, up to one hour physician time Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Fluoroscopy, more than one hour physician time Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; W right heart catheterization 308

309 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; X-ray, chest, complete min 4 views, Fluoroscopy imaging supervision and ; Aortography, thoracic, WO serialography, radiological supervision and imaging supervision and ; Aortography, thoracic, by serialography, radiological supervision and imaging supervision and ; Aortography, abdominal, by serialography, radiological supervision and imaging supervision and ; Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and imaging supervision and ; Angiography, extremity, unilateral, radiological supervision and imaging supervision and ; Angiography, extremity, bilateral, radiological supervision and imaging supervision and ; Angiography, pulmonary, unilateral, selective, radiological supervision and imaging supervision and ; Angiography, pulmonary, bilateral, selective, radiological supervision and imaging supervision and ; Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and imaging supervision and ; Angiography, internal mammary, radiological supervision and imaging supervision and ; Angiography, selective, each additional vessel studied after basic examination, radiological supervision and imaging supervision and ; Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 309

310 93454 imaging supervision and ; Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and imaging supervision and ; Fluoroscopy, up to one hour physician time imaging supervision and ; Fluoroscopy, more than one hour physician time imaging supervision and ; Left heart catheterization by transseptal puncture through intact septum or by transapical puncture imaging supervision and ; W catheter placement(s) in bypass graft(s) X-ray, chest, complete min 4 views, Fluoroscopy imaging supervision and ; W catheter placement(s) in bypass graft(s) Aortography, thoracic, WO serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Aortography, thoracic, by serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Aortography, abdominal, by serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Angiography, extremity, unilateral, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Angiography, extremity, bilateral, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Angiography, pulmonary, unilateral, selective, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Angiography, pulmonary, bilateral, selective, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 310

311 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) Angiography, internal mammary, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Angiography, selective, each additional vessel studied after basic examination, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft(s) Fluoroscopy, up to one hour physician time imaging supervision and ; W catheter placement(s) in bypass graft(s) Fluoroscopy, more than one hour physician time imaging supervision and ; W catheter placement(s) in bypass graft(s) imaging supervision and ; imaging supervision and ; W catheter placement(s) in bypass graft(s) Left heart catheterization by transseptal puncture through intact septum or by transapical puncture imaging supervision and ; Wright heart catheterization X-ray, chest, complete min 4 views, Fluoroscopy imaging supervision and ; W right heart catheterization Aortography, thoracic, WO serialography, radiological supervision and imaging supervision and ; W right heart catheterization Aortography, thoracic, by serialography, radiological supervision and imaging supervision and ; W right heart catheterization Aortography, abdominal, by serialography, radiological supervision and imaging supervision and ; W right heart catheterization Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and imaging supervision and ; W right heart catheterization Angiography, extremity, unilateral, radiological supervision and 311

312 93456 imaging supervision and ; W right heart catheterization Angiography, extremity, bilateral, radiological supervision and imaging supervision and ; W right heart catheterization Angiography, pulmonary, unilateral, selective, radiological supervision and imaging supervision and ; W right heart catheterization Angiography, pulmonary, bilateral, selective, radiological supervision and imaging supervision and ; W right heart catheterization Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and imaging supervision and ; W right heart catheterization Angiography, internal mammary, radiological supervision and imaging supervision and ; W right heart catheterization Angiography, selective, each additional vessel studied after basic examination, radiological supervision and imaging supervision and ; W right heart catheterization Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and imaging supervision and ; W right heart catheterization Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and imaging supervision and ; W right heart catheterization Fluoroscopy, up to one hour physician time imaging supervision and ; W right heart catheterization Fluoroscopy, more than one hour physician time imaging supervision and ; W right heart catheterization Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography imaging supervision and ; W right heart catheterization Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed imaging supervision and ; W right heart catheterization imaging supervision and ; imaging supervision and ; W right heart catheterization imaging supervision and ; W catheter placement(s) in bypass graft(s) 312

313 93456 imaging supervision and ; W right heart catheterization imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W catheter placement(s) in bypass graft X-ray, chest, complete min 4 views, Fluoroscopy imaging supervision and ; W catheter placement(s) in bypass graft Aortography, thoracic, WO serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Aortography, thoracic, by serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Aortography, abdominal, by serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Angiography, extremity, unilateral, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Angiography, extremity, bilateral, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Angiography, pulmonary, unilateral, selective, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Angiography, pulmonary, bilateral, selective, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Angiography, internal mammary, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Angiography, selective, each additional vessel studied after basic examination, radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 313

314 93457 imaging supervision and ; W catheter placement(s) in bypass graft Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and imaging supervision and ; W catheter placement(s) in bypass graft Fluoroscopy, up to one hour physician time imaging supervision and ; W catheter placement(s) in bypass graft Fluoroscopy, more than one hour physician time imaging supervision and ; W catheter placement(s) in bypass graft Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography imaging supervision and ; W catheter placement(s) in bypass graft Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed imaging supervision and ; W catheter placement(s) in bypass graft Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; W catheter placement(s) in bypass graft imaging supervision and ; imaging supervision and ; W catheter placement(s) in bypass graft imaging supervision and ; W catheter placement(s) in bypass graft(s) imaging supervision and ; W catheter placement(s) in bypass graft imaging supervision and ; W right heart catheterization imaging supervision and ; W catheter placement(s) in bypass graft imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W catheter placement(s) in bypass graft imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W catheter placement(s) in bypass graft Left heart catheterization by transseptal puncture through intact septum or by transapical puncture imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography X-ray, chest, complete min 4 views, Fluoroscopy imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, thoracic, WO serialography, radiological supervision and 314

315 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, thoracic, by serialography, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, abdominal, by serialography, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, extremity, unilateral, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, extremity, bilateral, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, pulmonary, unilateral, selective, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, pulmonary, bilateral, selective, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, internal mammary, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, selective, each additional vessel studied after basic examination, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Fluoroscopy, up to one hour physician time imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Fluoroscopy, more than one hour physician time 315

316 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W catheter placement(s) in bypass graft(s) imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography X-ray, chest, complete min 4 views, Fluoroscopy imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, thoracic, WO serialography, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, thoracic, by serialography, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, abdominal, by serialography, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, extremity, unilateral, radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, extremity, bilateral, radiological supervision and imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, pulmonary, unilateral, selective, radiological supervision and imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, pulmonary, bilateral, selective, radiological supervision and imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 316

317 93459 imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, internal mammary, radiological supervision and imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography Angiography, selective, each additional vessel studied after basic examination, radiological supervision and imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Fluoroscopy, up to one hour physician time imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Fluoroscopy, more than one hour physician time imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W catheter placement(s) in bypass graft(s) imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right heart catheterization imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography X-ray, chest, complete min 4 views, Fluoroscopy 317

318 imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography Aortography, thoracic, WO serialography, radiological supervision and Aortography, thoracic, by serialography, radiological supervision and Aortography, abdominal, by serialography, radiological supervision and Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and Angiography, extremity, unilateral, radiological supervision and Angiography, extremity, bilateral, radiological supervision and Angiography, pulmonary, unilateral, selective, radiological supervision and Angiography, pulmonary, bilateral, selective, radiological supervision and Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and Angiography, internal mammary, radiological supervision and Angiography, selective, each additional vessel studied after basic examination, radiological supervision and Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and Fluoroscopy, up to one hour physician time 318

319 imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization for left ventriculography Fluoroscopy, more than one hour physician time Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; imaging supervision and ; W catheter placement(s) in bypass graft(s) imaging supervision and ; W right heart catheterization imaging supervision and ; W catheter placement(s) in bypass graft imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography X-ray, chest, complete min 4 views, Fluoroscopy imaging supervision and ; W right and left heart catheterization for left ventriculography Aortography, thoracic, WO serialography, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Aortography, thoracic, by serialography, radiological supervision and 319

320 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography Aortography, abdominal, by serialography, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Angiography, extremity, unilateral, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Angiography, extremity, bilateral, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Angiography, pulmonary, unilateral, selective, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Angiography, pulmonary, bilateral, selective, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Angiography, internal mammary, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Angiography, selective, each additional vessel studied after basic examination, radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and imaging supervision and ; W right and left heart catheterization for left ventriculography Fluoroscopy, up to one hour physician time imaging supervision and ; W right and left heart catheterization for left ventriculography Fluoroscopy, more than one hour physician time imaging supervision and ; W right and left heart catheterization for left ventriculography Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 320

321 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed imaging supervision and ; W right and left heart catheterization for left ventriculography Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; W right and left heart catheterization for left ventriculography Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed imaging supervision and ; W right and left heart catheterization for left ventriculography imaging supervision and ; imaging supervision and ; W right and left heart catheterization for left ventriculography imaging supervision and ; W catheter placement(s) in bypass graft(s) imaging supervision and ; W right and left heart catheterization for left ventriculography imaging supervision and ; W right heart catheterization imaging supervision and ; W right and left heart catheterization for left ventriculography imaging supervision and ; W catheter placement(s) in bypass graft imaging supervision and ; W right and left heart catheterization for left ventriculography imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization for left ventriculography imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and ; W right and left heart catheterization for left ventriculography imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography Duplex scan of extracranial arteries complete bilateral US soft tissues of head and neck CPT Definition Duplex scan of extracranial arteries unilateral or limited US soft tissues of head and neck CPT Definition Noninvasive physiologic studies of extremity veins, complete bilateral study US, extremity, nonvascular, real-time W/image documentation; complete Noninvasive physiologic studies of extremity veins, complete bilateral study US, extremity, nonvascular, real-time W/image documentation; complete 321

322 93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study US, extremity, nonvascular, real-time W/image documentation; limited, anatomic Specific Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study US, extremity, nonvascular, real-time W/image documentation; limited, anatomic Specific 0042T CT perfusion brain CT head W contrast 0042T CT perfusion brain CT head WO & W contrast A9500 Technetium Tc-99m sestamibi, diagnostic, per study dose, up to 40 millicuries A9502 Technetium Tc-99m tetrofosmin, diagnostic, per study dose Code definition A9500 Technetium Tc-99m sestamibi, diagnostic, per study dose, up to 40 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9501 Technetium Tc-99m teboroxime, diagnostic, per study dose A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9502 Technetium Tc-99m tetrofosmin, diagnostic, per study dose A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9503 Supply of radiopharmaceutical diagnostic imaging agent, Technetium Tc 99m, medronate, up to 30 millicurie A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9504 Supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m apcitide A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9510 Supply of radiopharmaceutical diagnostic imaging agent, technetium Tc 99m disofenin, per vial A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9521 Supply of radiopharmaceutical diagnostic imaging agent, technetium Tc 99m exametazine, per dose A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9536 Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9537 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie 322

323 A9538 Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9539 Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9540 Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9541 Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9550 Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9551 Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9557 Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9560 Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9561 Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9562 Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9566 Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9567 Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9568 Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie A9569 Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose A9512 Technetium Tc-99m pertechnetate, diagnostic, per millicurie 323

324 C8900 MRA W contrast, abdomen (crosswalked to 74185) Fluoroscopy, up to one hour physician time C8900 MRA W contrast, abdomen (crosswalked to 74185) Fluoroscopy, more than one hour physician time C8900 MRA W contrast, abdomen (crosswalked to 74185) D Rendering WO Postprocessing C8900 MRA W contrast, abdomen (crosswalked to 74185) D Rendering W Postprocessing C8900 MRA W contrast, abdomen (crosswalked to 74185) C8900 MRA W contrast, abdomen (crosswalked to 74185) US guidance intra-operative C8900 MRA W contrast, abdomen (crosswalked to 74185) Fluoroscopic guidance for needle placement C8901 MRA WO contrast, abdomen(crosswalked to 74185) Fluoroscopy, more than one hour physician time C8901 MRA WO contrast, abdomen(crosswalked to 74185) Fluoroscopy, more than one hour physician time C8901 MRA WO contrast, abdomen(crosswalked to 74185) D Rendering WO Postprocessing C8901 MRA WO contrast, abdomen(crosswalked to 74185) D Rendering W Postprocessing C8901 MRA WO contrast, abdomen(crosswalked to 74185) C8901 MRA WO contrast, abdomen(crosswalked to 74185) US guidance intra-operative C8901 MRA WO contrast, abdomen(crosswalked to 74185) Fluoroscopic guidance for needle placement 324

325 C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) Fluoroscopy, up to one hour physician time C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) Fluoroscopy, more than one hour physician time C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) D Rendering WO Postprocessing C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) D Rendering W Postprocessing C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) US guidance intra-operative C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) Fluoroscopic guidance for needle placement C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) Fluoroscopy, up to one hour physician time C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) Fluoroscopy, more than one hour physician time C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) US guidance intra-operative C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) Fluoroscopic guidance for needle placement C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) Fluoroscopy, up to one hour physician time C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) Fluoroscopy, more than one hour physician time 325

326 C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) US guidance intra-operative C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) Fluoroscopic guidance for needle placement C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) Fluoroscopy, up to one hour physician time C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) Fluoroscopy, more than one hour physician time C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) US guidance intra-operative C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) Fluoroscopic guidance for needle placement C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, up to one hour physician time C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, more than one hour physician time C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) US guidance intra-operative C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) Fluoroscopic guidance for needle placement C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) C8903 MRI Wcontrast, breast; unilateral (crosswalked to 77058) C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) C8904 MRI WOcontrast, breast; unilateral (crosswalked to 77058) 326

327 C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) C8905 MRI Wand WOcontrast, breast; unilateral (crosswalked to 77058) C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, up to one hour physician time C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, more than one hour physician time C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) Fluoroscopic guidance for needle placement C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) C8903 MRI Wcontrast, breast; unilateral (crosswalked to 77058) C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) C8904 MRI WOcontrast, breast; unilateral (crosswalked to 77058) C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) C8905 MRI Wand WOcontrast, breast; unilateral (crosswalked to 77058) C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, more than one hour physician time C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, more than one hour physician time C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) US guidance intra-operative C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) Fluoroscopic guidance for needle placement C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) 327

328 C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) C8905 MRI Wand WO contrast, breast; unilateral (crosswalked to 77058) C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, more than one hour physician time C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) Fluoroscopy, more than one hour physician time C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) D Rendering WO Postprocessing C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) D Rendering W Postprocessing C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) US guidance intra-operative C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) Fluoroscopic guidance for needle placement C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) Fluoroscopy, more than one hour physician time C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) Fluoroscopy, more than one hour physician time C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) D Rendering WO Postprocessing C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) D Rendering W Postprocessing C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555)

329 C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) US guidance intra-operative C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) Fluoroscopic guidance for needle placement C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) Fluoroscopy, more than one hour physician time C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) Fluoroscopy, more than one hour physician time C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) D Rendering WO Postprocessing C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) D Rendering W Postprocessing C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) US guidance intra-operative C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) Fluoroscopic guidance for needle placement C8912 MRA W contrast, lower extremity (crosswalked to 73725) Fluoroscopy, more than one hour physician time C8912 MRA W contrast, lower extremity (crosswalked to 73725) Fluoroscopy, more than one hour physician time C8912 MRA W contrast, lower extremity (crosswalked to 73725) D Rendering WO Postprocessing C8912 MRA W contrast, lower extremity (crosswalked to 73725) D Rendering W Postprocessing C8912 MRA W contrast, lower extremity (crosswalked to 73725)

330 C8912 MRA W contrast, lower extremity (crosswalked to 73725) US guidance intra-operative C8912 MRA W contrast, lower extremity (crosswalked to 73725) Fluoroscopic guidance for needle placement C8913 MRA WO contrast, lower extremity (crosswalked to 73725) Fluoroscopy, more than one hour physician time C8913 MRA WO contrast, lower extremity (crosswalked to 73725) Fluoroscopy, more than one hour physician time C8913 MRA WO contrast, lower extremity (crosswalked to 73725) D Rendering WO Postprocessing C8913 MRA WO contrast, lower extremity (crosswalked to 73725) D Rendering W Postprocessing C8913 MRA WO contrast, lower extremity (crosswalked to 73725) C8913 MRA WO contrast, lower extremity (crosswalked to 73725) US guidance intra-operative C8913 MRA WO contrast, lower extremity (crosswalked to 73725) Fluoroscopic guidance for needle placement C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) Fluoroscopy, more than one hour physician time C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) Fluoroscopy, more than one hour physician time C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) D Rendering WO Postprocessing C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) D Rendering W Postprocessing C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725)

331 C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) US guidance intra-operative C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) Fluoroscopic guidance for needle placement C8918 MRA W contrast, pelvis (crosswalked to 72198) Fluoroscopy, more than one hour physician time C8918 MRA W contrast, pelvis (crosswalked to 72198) Fluoroscopy, more than one hour physician time C8918 MRA W contrast, pelvis (crosswalked to 72198) D Rendering WO Postprocessing C8918 MRA W contrast, pelvis (crosswalked to 72198) D Rendering W Postprocessing C8918 MRA W contrast, pelvis (crosswalked to 72198) C8918 MRA W contrast, pelvis (crosswalked to 72198) US guidance intra-operative C8918 MRA W contrast, pelvis (crosswalked to 72198) Fluoroscopic guidance for needle placement C8919 MRA WO contrast, pelvis (crosswalked to 72198) Fluoroscopy, more than one hour physician time C8919 MRA WO contrast, pelvis (crosswalked to 72198) Fluoroscopy, more than one hour physician time C8919 MRA WO contrast, pelvis (crosswalked to 72198) D Rendering WO Postprocessing C8919 MRA WO contrast, pelvis (crosswalked to 72198) D Rendering W Postprocessing C8919 MRA WO contrast, pelvis (crosswalked to 72198)

332 C8919 MRA WO contrast, pelvis (crosswalked to 72198) US guidance intra-operative C8919 MRA WO contrast, pelvis (crosswalked to 72198) Fluoroscopic guidance for needle placement C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) Fluoroscopy, more than one hour physician time C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) Fluoroscopy, more than one hour physician time C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) D Rendering WO Postprocessing C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) D Rendering W Postprocessing C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) US guidance intra-operative C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) Fluoroscopic guidance for needle placement C8921 Transthoracic echocardiography W contrast for congenital cardiac anomalies; complete (crosswalked to 93303) Transthoracic echocardiography for congenital cardiac anomalies; complete C8921 Transthoracic echocardiography W contrast for congenital cardiac anomalies; complete (crosswalked to 93303) Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study C8921 Transthoracic echocardiography W contrast for congenital cardiac anomalies; complete (crosswalked to 93303) C8922 Transthoracic echocardiography w/contrast for congenital cardiac anomalies; f/u or limited study (crosswalked to 93304) C8922 Transthoracic echocardiography W contrast for congential cardiac anomalies; f/u or limited study (crosswalked to 93304) Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 332

333 C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) Doppler echocardiography, pulsed wave and/or continuous wave Wspectral display; complete CPT Definition C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) Doppler echocardiography, follow-up or limited study CPT Definition C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) Doppler echocardiography color flow velocity mapping CPT Definition C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) C8924 Transthoracic echocardiography w/contrast, real-time w/image documentation (2D), w or w/o m-mode recording; f/u or limited study (crosswalked to 93308) C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) C8929 Transthoracic Echocardiography WContrast, Or WOContrast Followed By WContrast, Real-Time W/image Documentation (2d), Includes M-Mode Recording, When Performed, Complete, WSPECTral Doppler Echocardiography, And WColor Flow Doppler C8924 Transthoracic echocardiography w/contrast, real-time W image documentation (2D), W or WO M-mode recording; F/U or limited study (crosswalked to 93308) Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study C8925 Transeophageal echocardiography (tee) W contrast, real time W image documentation (2d) (W or WO M-mode recording); including probe placement, image acquistion, and report US guidance intra-operative C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) US guidance intra-operative C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ECG monitoring, and/or pharmacological stress; W physician supervision, W and report CPT Definition C8928 Transthoracic Echocardiography W Contrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Cardiovascular stress test W physician supervision, WO and report CPT Definition C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Cardiovascular stress test tracing only WO and report CPT Definition C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Cardiovascular stress test tracing and report only CPT Definition 333

334 C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study C8928 C8928 C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) C8923 Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report Echocardiography, transthoracic, real-time w/image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, w/ and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified Transthoracic echocardiography w/contrast, real-time w/image documentation (2D), w or w/o m-mode recording, complete (crosswalked to 93307) C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) C8924 Transthoracic echocardiography w/contrast, real-time w/image documentation (2D), w or w/o m-mode recording; f/u or limited study (crosswalked to 93308) C8928 Transthoracic Echocardiography WContrast, Real Time W/Image Documentation (2d), WO & W M-Mode Recording, During Rest And Cardiovascular Stress Test, W Interpretation And Report (Crosswalked To 93350) C8930 Transthoracic Echocardiography, W or WO contrast Followed By contrast, Real-Time W/image Documentation (2d), Includes M- Mode Recording, When Performed, During Rest And Cardiovascular Stress Test Using Treadmill, Bicycle Exercise C8929 Transthoracic Echocardiography W or WO contrast followed By WContrast, Real-Time W image Documentation (2d), Includes M- Mode Recording, When Performed, Complete, WSPECT Doppler Echocardiography, And W Color Flow Doppler US, chest (includes mediastinum), real time W image documentation C8929 Transthoracic Echocardiography W or WO contrast followed By WContrast, Real-Time W image Documentation (2d), Includes M- Mode Recording, When Performed, Complete, WSPECT Doppler Echocardiography, And W Color Flow Doppler C8924 Transthoracic echocardiography w/contrast, real-time w/image documentation (2D), w or w/o m-mode recording; f/u or limited study (crosswalked to 93308) C8930 Transthoracic Echocardiography, W or WO contrast Followed By contrast, Real-Time W/image Documentation (2d), Includes M- Mode Recording, When Performed, During Rest And Cardiovascular Stress Test Using Treadmill, Bicycle Exercise US guidance intra-operative C8930 Transthoracic Echocardiography, W or WO contrast Followed By contrast, Real-Time W/image Documentation (2d), Includes M- Mode Recording, When Performed, During Rest And Cardiovascular Stress Test Using Treadmill, Bicycle Exercise Transthoracic echocardiography for congenital cardiac anomalies; complete C8930 Transthoracic Echocardiography, W or WO contrast Followed By contrast, Real-Time W/image Documentation (2d), Includes M- Mode Recording, When Performed, During Rest And Cardiovascular Stress Test Using Treadmill, Bicycle Exercise Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study C8930 Transthoracic Echocardiography, W or WO contrast Followed By contrast, Real-Time W/image Documentation (2d), Includes M- Mode Recording, When Performed, During Rest And Cardiovascular Stress Test Using Treadmill, Bicycle Exercise C8929 Transthoracic Echocardiography W Contrast, Or WOContrast Followed By WContrast, Real-Time W/image Documentation (2d), Includes M-Mode Recording, When Performed, Complete, WSPECTral Doppler Echocardiography, And WColor Flow Doppler 334

335 G0202 Screen mammography digital, bilateral Computer-aided detection diagnostic mammography CPT Definition G0202 Screen mammography digital, bilateral Screening mammography, bilateral (2-view film study of each breast) G0204 Diagnostic mammography digital, bilateral Computer-aided detection screening mammography CPT Definition G0204 Diagnostic mammography digital, bilateral Mammography, unilateral G0204 Diagnostic mammography digital, bilateral Mammography; bilateral G0204 Diagnostic mammography digital, bilateral G0206 Mammography, producing direct digital image, unilateral, all views G0206 Diagnostic mammography digital, unilateral Computer-aided detection screening mammography CPT Definition G0206 Diagnostic mammography digital, unilateral Mammography, unilateral Thyroid carcinoma metastases imaging, limited area Non-cardiac vascular flow imaging (ie, angiography, venography) Thyroid carcinoma metastases imaging; W additional studies Non-cardiac vascular flow imaging (ie, angiography, venography) Thyroid carcinoma metastases imaging; whole body Non-cardiac vascular flow imaging (ie, angiography, venography) Thyroid carcinoma metastases uptake Non-cardiac vascular flow imaging (ie, angiography, venography) Parathyroid imaging Non-cardiac vascular flow imaging (ie, angiography, venography) Adrenal imaging, cortex and/or medulla Non-cardiac vascular flow imaging (ie, angiography, venography) 335

336 78102 Bone marrow imaging; limited area Non-cardiac vascular flow imaging (ie, angiography, venography) Bone marrow imaging; multiple areas Non-cardiac vascular flow imaging (ie, angiography, venography) Bone marrow imaging; whole body Non-cardiac vascular flow imaging (ie, angiography, venography) Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-cardiac vascular flow imaging (ie, angiography, venography) Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings Non-cardiac vascular flow imaging (ie, angiography, venography) Red cell volume determination, single sampling Non-cardiac vascular flow imaging (ie, angiography, venography) Red cell volume determination, multiple samplings Non-cardiac vascular flow imaging (ie, angiography, venography) Whole blood volume determination, including separate measurement of plasma volume and red cell volume Non-cardiac vascular flow imaging (ie, angiography, venography) Red cell survival study; Non-cardiac vascular flow imaging (ie, angiography, venography) Differential organ/tissues kinetic Non-cardiac vascular flow imaging (ie, angiography, venography) Labeled red cell sequestration, differential organ/tissue Non-cardiac vascular flow imaging (ie, angiography, venography) Spleen imaging only W or WO vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) Kinetics, study of platelet survival, W or WO differential organ/tissue localization Non-cardiac vascular flow imaging (ie, angiography, venography) Platelet survival study Non-cardiac vascular flow imaging (ie, angiography, venography) 336

337 78195 Lymphatics and lymph nodes imaging Non-cardiac vascular flow imaging (ie, angiography, venography) Liver imaging, static only Non-cardiac vascular flow imaging (ie, angiography, venography) Liver imaging, W vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) Liver imaging, SPECT Non-cardiac vascular flow imaging (ie, angiography, venography) Liver imaging, SPECT W vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) Liver & spleen imaging, static only Non-cardiac vascular flow imaging (ie, angiography, venography) Liver & spleen imaging, W vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) Hepatobiliary system imaging, including gallbladder when present; Non-cardiac vascular flow imaging (ie, angiography, venography) Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed Non-cardiac vascular flow imaging (ie, angiography, venography) Salivary gland imaging Non-cardiac vascular flow imaging (ie, angiography, venography) Salivary gland imaging; W serial images Non-cardiac vascular flow imaging (ie, angiography, venography) Salivary gland function study Non-cardiac vascular flow imaging (ie, angiography, venography) Esophageal motility Non-cardiac vascular flow imaging (ie, angiography, venography) Gastric mucosa imaging Non-cardiac vascular flow imaging (ie, angiography, venography) 337

338 78262 Gastroesophageal reflux study Non-cardiac vascular flow imaging (ie, angiography, venography) Gastric emptying study Non-cardiac vascular flow imaging (ie, angiography, venography) Urea breath test, C-14 (isotopic); acquisition for analysis Non-cardiac vascular flow imaging (ie, angiography, venography) Urea breath test, C-14 (isotopic); analysis Non-cardiac vascular flow imaging (ie, angiography, venography) Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor Non-cardiac vascular flow imaging (ie, angiography, venography) Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor Non-cardiac vascular flow imaging (ie, angiography, venography) Vitamin B-12 absorption study combined W & WO intrinsic factor Non-cardiac vascular flow imaging (ie, angiography, venography) Acute gastrointestinal blood loss imaging Non-cardiac vascular flow imaging (ie, angiography, venography) Gastrointestinal protein loss Non-cardiac vascular flow imaging (ie, angiography, venography) Intestine imaging Non-cardiac vascular flow imaging (ie, angiography, venography) Peritoneal-venous shunt patency test Non-cardiac vascular flow imaging (ie, angiography, venography) Bone and/or joint imaging; limited area Non-cardiac vascular flow imaging (ie, angiography, venography) Bone and/or joint imaging; multiple areas Non-cardiac vascular flow imaging (ie, angiography, venography) Bone and/or joint imaging; whole body Non-cardiac vascular flow imaging (ie, angiography, venography) 338

339 78320 Bone and/or joint imaging; tomographic (SPECT) Non-cardiac vascular flow imaging (ie, angiography, venography) Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations Non-cardiac vascular flow imaging (ie, angiography, venography) Cardiac shunt detection Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial perfusion imaging, tomographic (SPECT) Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection Non-cardiac vascular flow imaging (ie, angiography, venography) MPI,planar,single study, at rest or stress Non-cardiac vascular flow imaging (ie, angiography, venography) MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial imaging, positron emission tomography (PET), metabolic evaluation Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial imaging, Infarction avid, planar, qualitative or quantitative Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification Non-cardiac vascular flow imaging (ie, angiography, venography) Cardiac blood pool imaging, gated, single study, resting or stress, wall motion Non-cardiac vascular flow imaging (ie, angiography, venography) Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification Non-cardiac vascular flow imaging (ie, angiography, venography) Cardiac blood pool imaging, first pass, single study Non-cardiac vascular flow imaging (ie, angiography, venography) 339

340 78483 Cardiac blood pool imaging, first pass, multiple studies Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial imaging, PET, perfusion; single study at rest or stress Non-cardiac vascular flow imaging (ie, angiography, venography) Myocardial imaging, PET, perfusion; multiple studies at rest or stress Non-cardiac vascular flow imaging (ie, angiography, venography) Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing Non-cardiac vascular flow imaging (ie, angiography, venography) Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique Non-cardiac vascular flow imaging (ie, angiography, venography) Pulmonary ventilation imaging (eg, aerosol or gas) Non-cardiac vascular flow imaging (ie, angiography, venography) Pulmonary perfusion imaging, particulate Non-cardiac vascular flow imaging (ie, angiography, venography) Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging Non-cardiac vascular flow imaging (ie, angiography, venography) Quantitative differential pulmonary perfusion, including imaging when performed Non-cardiac vascular flow imaging (ie, angiography, venography) Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed Non-cardiac vascular flow imaging (ie, angiography, venography) Brain imaging, less than 4 static views Non-cardiac vascular flow imaging (ie, angiography, venography) Brain imaging W vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) Brain imaging minimum 4 static views Non-cardiac vascular flow imaging (ie, angiography, venography) Brain imaging minimum 4 static views; W vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) 340

341 78607 Brain imaging tomographic SPECT Non-cardiac vascular flow imaging (ie, angiography, venography) Brain imaging, vascular flow only Non-cardiac vascular flow imaging (ie, angiography, venography) Cerebrospinal fluid flow, imaging; cisternography Non-cardiac vascular flow imaging (ie, angiography, venography) Cerebrospinal fluid flow, imaging; cisternography Cerebrospinal fluid flow, imaging; tomographic (SPECT) Cerebrospinal fluid flow, imaging; ventriculography Non-cardiac vascular flow imaging (ie, angiography, venography) Cerebrospinal fluid flow, imaging; ventriculography Cerebrospinal fluid flow, imaging; tomographic (SPECT) Cerebrospinal fluid flow, imaging; shunt evaluation Non-cardiac vascular flow imaging (ie, angiography, venography) Cerebrospinal fluid flow, imaging; shunt evaluation Cerebrospinal fluid flow, imaging; tomographic (SPECT) Cerebrospinal fluid flow, imaging; tomographic (SPECT) Non-cardiac vascular flow imaging (ie, angiography, venography) Cerebrospinal fluid leakage detection and localization Non-cardiac vascular flow imaging (ie, angiography, venography) Cerebrospinal fluid leakage detection and localization Cerebrospinal fluid flow, imaging; tomographic (SPECT) Radiopharmaceutical Dacryocystorgraphy Non-cardiac vascular flow imaging (ie, angiography, venography) Kidney imaging Morphology Non-cardiac vascular flow imaging (ie, angiography, venography) Kidney imaging; morphology W vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) 341

342 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention Non-cardiac vascular flow imaging (ie, angiography, venography) Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention Non-cardiac vascular flow imaging (ie, angiography, venography) Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Non-cardiac vascular flow imaging (ie, angiography, venography) Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention Non-cardiac vascular flow imaging (ie, angiography, venography) Kidney imaging, morphology, tomographic, SPECT Kidney function study, non-imaging radioisotopic Kidney function study, non-imaging radioisotopic Non-cardiac vascular flow imaging (ie, angiography, venography) Urinary bladder residual study Non-cardiac vascular flow imaging (ie, angiography, venography) Ureteral reflux study Non-cardiac vascular flow imaging (ie, angiography, venography) Testicular imaging W vascular flow Non-cardiac vascular flow imaging (ie, angiography, venography) Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area Non-cardiac vascular flow imaging (ie, angiography, venography) Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas Non-cardiac vascular flow imaging (ie, angiography, venography) Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging Non-cardiac vascular flow imaging (ie, angiography, venography) Radiopharmaceutical localization of tumor, SPECT Non-cardiac vascular flow imaging (ie, angiography, venography) Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging Non-cardiac vascular flow imaging (ie, angiography, venography) 342

343 78805 Radiopharm localization of inflammatory process, limited area Non-cardiac vascular flow imaging (ie, angiography, venography) Radiopharm localization of inflammatory process, whole body Non-cardiac vascular flow imaging (ie, angiography, venography) Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) Non-cardiac vascular flow imaging (ie, angiography, venography) Injection procedure for radiopharmaceutical localization Non-cardiac vascular flow imaging (ie, angiography, venography) PET imaging; limited area (e.g., chest, head/neck) Non-cardiac vascular flow imaging (ie, angiography, venography) PET imaging; skull base to mid-thigh Non-cardiac vascular flow imaging (ie, angiography, venography) PET imaging; skull base to mid-thigh Non-cardiac vascular flow imaging (ie, angiography, venography) PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) Non-cardiac vascular flow imaging (ie, angiography, venography) PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh Non-cardiac vascular flow imaging (ie, angiography, venography) PET W acquired CT for attenuation correction and anatomical localization imaging; whole body Non-cardiac vascular flow imaging (ie, angiography, venography) Duplex scan of extremity veins; bilateral US, extremity, nonvascular, real-time W/image documentation; complete Duplex scan of extremity veins; bilateral US, extremity, nonvascular, real-time W/image documentation; complete 343

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