2016 CPT Radiology, ECHO, and PET Codes Requiring Review Modality Body Part Group # CPT Description Default CPT "1"
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1 26 CPT Radiology, ECHO, and PET Codes Requiring Review (Please Note: Group # and Default CPT "" are for internal claims processing use only) Modality Body Part Default CPT "" CT Head 748 CT orbit, sella or posterior fossa; w/o contrast CT Head 748 CT orbit, sella or posterior fossa; wit contrast CT Head 7482 CT orbit, sella or posterior fossa; w/o contrast followed by contrast CT Head CT maxillofacial area (sinus); w/o contrast CT Head CT maxillofacial area (sinus); wit contrast CT Head CT maxillofacial area (sinus); w/o contrast followed by contrast CT Head CT ead or brain; w/o contrast CT Head CT ead or brain; wit contrast CT Head CT ead or brain; w/o contrast followed by contrast CT Neck CT soft tissue neck; w/o contrast CT Neck CT soft tissue neck; wit contrast CT Neck CT soft tissue neck; w/o contrast followed by contrast CT Cest CT torax; w/o contrast (noncardiac) CT Cest CT torax; wit contrast (noncardiac) CT Cest CT torax; w/o contrast followed by contrast (noncardiac) CT Abdomen CT abdomen; w/o contrast CT Abdomen CT abdomen; wit contrast CT Abdomen CT abdomen; w/o contrast followed by contrast CT Pelvis CT pelvis; w/o contrast CT Pelvis CT pelvis; wit contrast CT Pelvis CT pelvis; w/o contrast followed by contrast CT Spine CT cervical spine; w/o contrast CT Spine CT cervical spine; wit contrast CT Spine CT cervical spine; w/o contrast followed by contrast CT Spine CT toracic spine; w/o contrast CT Spine CT toracic spine; wit contrast CT Spine CT toracic spine; w/o contrast followed by contrast CT Spine 723 CT lumbar spine; w/o contrast CT Spine 7232 CT lumbar spine; wit contrast CT Spine 7233 CT lumbar spine; w/o contrast followed by contrast CT Extremity 732 CT upper extremity; w/o contrast CT Extremity 732 CT upper extremity; wit contrast CT Extremity 7322 CT upper extremity; w/o contrast followed by contrast CT Extremity CT lower extremity; w/o contrast CT Extremity CT lower extremity; wit contrast CT Extremity CT lower extremity; w/o contrast followed by contrast MRI Head MRI brain; w/o contrast MRI Head MRI brain; wit contrast MRI Head MRI brain; w/o contrast followed by contrast MRI Extremity MRI upper extremity, oter tan joint w/o contrast MRI Extremity MRI upper extremity, oter tan joint wit contrast MRI Extremity MRI upper extremity, oter tan joint w/o contrast followed by contrast MRI Spine MRI cervical spine; w/o contrast MRI Spine MRI cervical spine; wit contrast MRI Spine MRI cervical spine; w/o contrast followed by contrast MRI Spine MRI toracic spine; w/o contrast MRI Spine MRI toracic spine; wit contrast MRI Spine MRI toracic spine; w/o contrast followed by contrast MRI Spine MRI lumbar spine; w/o contrast MRI Spine MRI lumbar spine; wit contrast MRI Spine MRI lumbar spine; w/o contrast followed by contrast MRI Heart MRI Cardiac for morpology and function witout contrast material; MRI Heart MRI Cardiac for morpology and function witout contrast material; wit stress imaging 92 (-25)
2 MRI Heart MRI Cardiac for morpology and function witout contrast material(s), followed by contrast material(s) and furter sequences; MRI Heart MRI Cardiac for morpology and function witout contrast material(s), followed by contrast material(s) and furter sequences; wit stress imaging NUC Card Heart Myocardial perfusion SPECT single study including qualitative or quantitative wall motion, by st pass or gated tecnique, rest or stress NUC Card Heart Myocardial perfusion SPECT multiple studies including qualitative or quantitative wall motion, by st pass or gated tecnique, rest NUC Card Heart Myocardial perfusion planar single study including qualitative or quantitative wall motion, by st pass or gated tecnique, rest or stress NUC Card Heart Myocardial perfusion planar multiple studies including qualitative or quantitative wall motion, by st pass or gated tecnique, rest and/or stress MRI Head MRI orbit, face and neck; w/o contrast MRI Head MRI orbit, face and neck; wit contrast Modality Body Part Default CPT "" MRI Head MRI orbit, face and neck; w/o contrast followed by contrast MRI Head MRI temporomandibular joint(s) MRI Cest MRI cest; w/o contrast MRI Cest MRI cest; wit contrast MRI Cest MRI cest; w/o contrast followed by contrast MRI Abdomen MRI abdomen; w/o contrast MRI Abdomen MRI abdomen; wit contrast MRI Abdomen MRI abdomen; w/o contrast followed by contrast MRI Pelvis MRI pelvis; w/o contrast MRI Pelvis MRI pelvis; wit contrast MRI Pelvis MRI pelvis; w/o contrast followed by contrast MRI Breast MRI pelvis; Unilateral /27/4 MRI Breast MRI pelvis; Bi lateral /27/4 MRI Oter MRI bone marrow blood supply MRA Head MRA ead; w/o contrast MRA Head MRA ead; wit contrast MRA Head MRA ead; w/o contrast followed by contrast MRA Cest MRA cest; wit or w/o contrast MRA Abdomen MRA abdomen; wit or w/o contrast MRA Pelvis MRA pelvis; wit or w/o contrast MRA Extremity MRA upper extremity; wit or w/o contrast MRA Extremity MRA lower extremity; wit or w/o contrast MRA Spine MRA spinal canal and contents wit or w/o contrast CT Oter CT bone mineral density study; axial skeleton NUC Card Heart Planar, infarct avid; qualitative or quantitative NUC Card Heart Planar, infarct avid; wit by first pass tecnique NUC Card Heart SPECT, infarct avid; wit or w/o quantification MRI Extremity MRI lower extremity, oter tan joint w/o contrast MRI Extremity MRI lower extremity, oter tan joint w contrast MRI Extremity MRI lower extremity, oter tan joint w/o contrast followed by contrast MRI Extremity MRI lower extremity, any joint w/o contrast MRI Extremity MRI lower extremity, any joint w contrast MRI Extremity MRI lower extremity, any joint w/o contrast followed by contrast MRI Extremity MRI upper extremity, any joint w/o contrast MRI Extremity MRI upper extremity, any joint wit contrast 92 (-25)
3 MRI Extremity MRI upper extremity, any joint w/o contrast followed by contrast CTA Head CTA ead CTA Neck CTA neck MRA Neck MRA neck; w/o contrast MRA Neck MRA neck; wit contrast MRA Neck MRA neck; w/o contrast followed by contrast CTA Cest CTA cest (noncoronary) CTA Pelvis CTA pelvis CTA Extremity CTA upper extremity CTA Extremity CTA lower extremity CTA Abdomen CTA abdomen CTA Abdomen CTA abdominal aorta & bilateral iliofemoral lower extremity runoff CTA Abd/Pelvis CTA Abdomen & Pelvis MRI Oter MR Spectroscopy /27/4 NUC Card Heart Cardiac blood pool, gated equilibrium; planar, single study, wall motion plus NUC Card Heart Cardiac blood pool gated equilibrium; planar, multiple studies, wall motion study plus NUC Card Heart Cardiac blood pool first pass tec; single study, wall motion study plus ejection fraction NUC Card Heart Cardiac blood pool first pass tec; multiple studies, wall motion study plus NUC Card Heart Cardiac blood pool gated equilibrium, SPECT, at rest, wall motion study plus ECHOCARDIOGRAPHY CODES - EFFECTIVE 2/9/23 WA&OR, EFFECTIVE //25 ALASKA Default Stress Eco CPT "" Heart toracic Stress Eco, complete 2/9/23 AK Eff (SE) Stress Eco Heart /9/23 AK Eff Heart /9/23 AK Eff toracic Eco cardiac anomalies toracic Stress Eco, complete w cont EKG Modality Body Part Default CPT "" Heart WA, OR AK Eff toracic Eco cardiac anomalies, limited /5 Heart /9/23 AK Eff Heart /9/23 AK Eff toracic Eco complete w color & spectral toracic Eco complete wo color & spectral Heart /9/23 AK Eff toracic Eco limited 92 (-25)
4 9332 2/9/23 AK Eff ageal Eco /9/23 AK Eff ageal Eco probe only /9/23 AK Eff ageal Eco interpretation /9/23 AK Eff ageal Eco congenital /9/23 AK Eff ageal Eco congenital, probe only /9/23 AK Eff ageal Eco congenital interpretation Eco Add- Heart 9332 Doppler Eco complete Eco Add- Heart 9332 Doppler Eco limited Eco Add- Heart Doppler Eco flow velocity Eco Add- Heart Eco contrast agent (SE only) group 93 O Default CPT "" PET Head PET brain, metabolic evaluation PET Head PET brain, perfusion evaluation PET Heart PET myocardial, metabolic evaluation PET Heart PET myocardial, perfusion, single study PET Heart PET myocardial, perfusion, multiple studies PET Oter PET tumor imaging, limited Modality Body Part Default CPT "" PET Oter PET tumor imaging, skull to mid-tig PET Oter PET tumor imaging, wole body PET Oter PET tumor imaging wit concurrent CT, limited PET Oter PET tumor imaging wit concurrent CT, skull to mid-tig PET Oter PET tumor imaging wit concurrent CT, wole body CT Oter Eff Computed Tomograpic (CT) Colonagrapy, screening, including image postporcessing /27/4 CT Oter eff /27/24 Computed Tomograpic (CT) Colonagrapy,diagnostic, including image postprocessing; witout contrast material CT Oter Eff /27/24 Computed Tomograpic (CT) Colonagrapy,diagnostic, including image postprocessing; witout contrast material(s) including non-contrast images, if performed 92 (-25)
5 MRI Head Eff /27/24 MRI Head Eff /27/24 Functional MRI brain not requiring pysician or psycologist Functional MRI brain requiring pysician or psycologist CT Heart Eff /27/24 Computed Tomograpic, eart, witout contrast material, wit quantitive evaluation of coronay calcium CT Heart Eff /27/24 CT Heart Eff /27/24 Computed Tomograpic, eart, wit contrast material, for evaluation of cardiac structure and morpology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed) Computed Tomograpic, eart, wit contrast material, for evaluation of cardiac structure and morpology in te setting of congenital ear disease (including 3D image postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, is performed) CT Heart Eff /27/24 Computed tomograic angiogray, eart, coronary arteries and bypass graft(wen present), wit contrast material, including 3D image postprocessing including evaluation of cardiac structure and morpology, assessment of cardiac function, and evaluation of venous structures, if performed) CT Abd/Pelvis 7476 CT Abdomen & Pelvis witout contrast CT Abd/Pelvis 7477 CT Abdomen & Pelvis wit contrast CT Lung 2 S832 Low Dose CT Lung Cancer Screening (COMMERCIAL LOB) CT Abd/Pelvis 7478 CT Abdomen & Pelvis wo/w contrast MRI Cest 9 G297 Eff Low Dose CT Lung Cancer Screening 2/3/24 MRI Pelvis MRI Fetal 92 (-25)
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