Horizon Blue Cross Blue Shield of NJ Radiology Rules Bank

Horizon Blue Cross Blue Shield of NJ Radiology Rules Bank * Rule added 05/30/13 Code Pay Code Do Not Pay Source 70010 Myelography, posterior fossa, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 70010 Myelography, posterior fossa, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 70010 Myelography, posterior fossa, radiological supervision and 77001 70010 Myelography, posterior fossa, radiological supervision and 77002 Fluoroscopic guidance for needle placement 70010 Myelography, posterior fossa, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 70015 Cisternography, positive contrast, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 70015 Cisternography, positive contrast, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 70015 Cisternography, positive contrast, radiological supervision and 77001 70015 Cisternography, positive contrast, radiological supervision and 77002 Fluoroscopic guidance for needle placement 70015 Cisternography, positive contrast, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 70110 X-ray, mandible; complete, min of 4 views 70100 X-ray, mandible, partial, < 4 views 70130 X-ray, mastoids, complete, min of 3 views per side 70120 X-ray, mastoids, < 3 views per side 70150 X-ray facial bones, complete, min of 3 views 70140 X-ray, facial bones, < 3 views 1

70170 Dacryocystography, nasolacrimal duct, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 70170 Dacryocystography, nasolacrimal duct, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 70170 Dacryocystography, nasolacrimal duct, radiological supervision and 77001 70170 Dacryocystography, nasolacrimal duct, radiological supervision and 77002 Fluoroscopic guidance for needle placement 70170 Dacryocystography, nasolacrimal duct, radiological supervision and 78660 Radiopharmaceutical dacryocystography 70220 X-rays, sinuses, paranasal, complete min of 3 views 70210 X-ray, sinuses, paranasal, < 3 views 70260 Complete, min of 4 views 70250 X-ray, skull, < 4 views 70310 X-ray exam of teeth, single view 70300 X-ray exam of teeth, single view 70320 X-ray exam teeth; complete full mouth 70300 X-ray exam of teeth, single view CPT Definition 70320 X-ray exam teeth; complete full mouth 70310 X-ray exam of teeth, single view CPT Definition 70330 X-ray TMJ, bilateral 70328 X-ray TMJ, unilateral 70332 TMJ arthrography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 70332 TMJ arthrography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 70332 TMJ arthrography, radiological supervision and 77001 2

70332 TMJ arthrography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 70336 MRI, TMJ 70332 TMJ arthrography, radiological supervision and CPT Definition 70355 Panoramic X-ray of Jaws 70300 X-ray exam of teeth, single view 70355 Panoramic X-ray of Jaws 70310 X-ray exam of teeth, single view 70355 Panoramic X-ray of Jaws 70320 X-ray exam teeth; complete full mouth 70370 Pharynx or larynx, including fluoro and/or magnification technique 70360 X-ray, neck, soft tissue 70370 Pharynx or larynx, including fluoro and/or magnification technique 74210 X-ray, pharynx and/or cervical esophagus 70370 Pharynx or larynx, including fluoro and/or magnification technique 74230 Swallowing function W cineradiography /videoradiography 70370 Pharynx or larynx, including fluoro and/or magnification technique 76000 Fluoroscopy, up to one hour physician time 70370 Pharynx or larynx, including fluoro and/or magnification technique 76001 Fluoroscopy, more than one hour physician time 70370 Pharynx or larynx, including fluoro and/or magnification technique 77001 70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording 70370 Pharynx or larynx, including fluoro and/or magnification technique 70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording 74210 X-ray, pharynx and/or cervical esophagus 70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording 74230 Swallowing function W cineradiography /videoradiography 3

70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB CPT Definition 70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording 76000 Fluoroscopy, up to one hour physician time 70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording 76001 Fluoroscopy, more than one hour physician time 70371 Complex dynamic pharyngeal and speech evaluation by cine or video recording 77001 70373 Laryngography, contrast, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 70373 Laryngography, contrast, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 70373 Laryngography, contrast, radiological supervision and 77001 70390 Sialography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 70390 Sialography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 70390 Sialography, radiological supervision and 77001 70390 Sialography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 70450 CT head WO contrast 70480 CT orbit WO contrast 70450 CT head WO contrast 70481 CT orbit W contrast 70450 CT head WO contrast 70482 CT orbit WO & W contrast 4

70450 CT head WO contrast 76380 CT limited or localized follow-up study 70460 CT Head W contrast 70450 CT head WO contrast 70460 CT Head W contrast 70480 CT orbit WO contrast 70460 CT Head W contrast 70481 CT orbit W contrast 70460 CT Head W contrast 70482 CT orbit WO & W contrast 70460 CT Head W contrast 76000 Fluoroscopy, up to one hour physician time 70460 CT Head W contrast 76001 Fluoroscopy, more than one hour physician time 70460 CT Head W contrast 76380 CT limited or localized follow-up study 70460 CT Head W contrast 76942 70460 CT Head W contrast 76998 US guidance intra-operative 70460 CT Head W contrast 77001 70460 CT Head W contrast 77002 Fluoroscopic guidance for needle placement 70470 CT head WO & W contrast 70450 CT head WO contrast 70470 CT head WO & W contrast 70460 CT head W contrast 5

70470 CT head WO & W contrast 70480 CT orbit WO contrast 70470 CT head WO & W contrast 70481 CT orbit W contrast 70470 CT head WO & W contrast 70482 CT orbit WO & W contrast 70470 CT head WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70470 CT head WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70470 CT head WO & W contrast 76380 CT limited or localized follow-up study 70470 CT head WO & W contrast 76942 70470 CT head WO & W contrast 76998 US guidance intra-operative 70470 CT head WO & W contrast 77001 70470 CT head WO & W contrast 77002 Fluoroscopic guidance for needle placement 70480 CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast 70542 MRI orbit, face, neck, W contrast CPT Definition 70480 CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast 70543 MRI face, orbit, face, WO & W contrast CPT Definition 70480 CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast 76380 CT limited or localized follow-up study 70481 CT orbit, sella, W contrast 70480 CT orbit,sella, posterior fossa, outer, middle or inner ear, WO contrast 6

70481 CT orbit, sella, W contrast 70540 MRI orbit, face, neck, WO contrast CPT Definition 70481 CT orbit, sella, W contrast 70542 MRI orbit, face, neck, W contrast CPT Definition 70481 CT orbit, sella, W contrast 70543 MRI face, orbit, face, WO & W contrast CPT Definition 70481 CT orbit, sella, W contrast 76000 Fluoroscopy, up to one hour physician time 70481 CT orbit, sella, W contrast 76001 Fluoroscopy, more than one hour physician time 70481 CT orbit, sella, W contrast 76380 CT limited or localized follow-up study 70481 CT orbit, sella, W contrast 76942 70481 CT orbit, sella, W contrast 76998 US guidance intra-operative 70481 CT orbit, sella, W contrast 77001 70481 CT orbit, sella, W contrast 77002 Fluoroscopic guidance for needle placement 70482 CT orbit WO & W contrast 70480 CT orbit WO contrast 70482 CT orbit WO & W contrast 70481 CT orbit W contrast 70482 CT orbit WO & W contrast 70540 MRI orbit, face, neck, WO contrast CPT Definition 70482 CT orbit WO & W contrast 70542 MRI orbit, face, neck, W contrast CPT Definition 7

70482 CT orbit WO & W contrast 70543 MRI face, orbit, face, WO & W contrast CPT Definition 70482 CT orbit WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70482 CT orbit WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70482 CT orbit WO & W contrast 76380 CT limited or localized follow-up study 70482 CT orbit WO & W contrast 76942 70482 CT orbit WO & W contrast 76998 US guidance intra-operative 70482 CT orbit WO & W contrast 77001 70482 CT orbit WO & W contrast 77002 Fluoroscopic guidance for needle placement 70486 CT maxillofacial WO contrast 76380 CT limited or localized follow-up study 70487 CT maxillofacial W contrast 70486 CT maxillofacial area, WO contrast 70487 CT maxillofacial W contrast 76000 Fluoroscopy, up to one hour physician time 70487 CT maxillofacial W contrast 76001 Fluoroscopy, more than one hour physician time 70487 CT maxillofacial W contrast 76380 CT limited or localized follow-up study 70487 CT maxillofacial W contrast 76942 8

70487 CT maxillofacial W contrast 76998 US guidance intra-operative 70487 CT maxillofacial W contrast 77001 70487 CT maxillofacial W contrast 77002 Fluoroscopic guidance for needle placement 70488 CT maxillofacial WO & W contrast 70486 CT maxillofacial area, WO contrast 70488 CT maxillofacial WO & W contrast 70487 CT maxillofacial area, W contrast 70488 CT maxillofacial WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70488 CT maxillofacial WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70488 CT maxillofacial WO & W contrast 76380 CT limited or localized follow-up study 70488 CT maxillofacial WO & W contrast 76942 70488 CT maxillofacial WO & W contrast 76998 US guidance intra-operative 70488 CT maxillofacial WO & W contrast 77001 70488 CT maxillofacial WO & W contrast 77002 Fluoroscopic guidance for needle placement 70490 CT soft tissue neck, WO contrast 70540 MRI orbit, face, neck, WO contrast CPT Definition 70490 CT soft tissue neck, WO contrast 70542 MRI orbit, face, neck, W contrast CPT Definition 9

70490 CT soft tissue neck, WO contrast 70543 MRI face, orbit, face, WO & W contrast CPT Definition 70490 CT soft tissue neck, WO contrast 76380 CT limited or localized follow-up study 70490 CT soft tissue neck, WO contrast 78072 Parathyroid planar imaging; * 70491 CT soft tissue, neck, W contrast 70490 CT soft tissue neck WO contrast 70491 CT soft tissue, neck, W contrast 70540 MRI orbit, face, neck, WO contrast CPT Definition 70491 CT soft tissue, neck, W contrast 70542 MRI orbit, face, neck, W contrast CPT Definition 70491 CT soft tissue, neck, W contrast 70543 MRI face, orbit, face, WO & W contrast CPT Definition 70491 CT soft tissue, neck, W contrast 76000 Fluoroscopy, up to one hour physician time 70491 CT soft tissue, neck, W contrast 76001 Fluoroscopy, more than one hour physician time 70491 CT soft tissue, neck, W contrast 76380 CT limited or localized follow-up study 70491 CT soft tissue, neck, W contrast 76942 70491 CT soft tissue, neck, W contrast 77001 70491 CT soft tissue, neck, W contrast 77002 Fluoroscopic guidance for needle placement 70491 CT soft tissue, neck, W contrast 78072 Parathyroid planar imaging; * 10

70492 CT soft tissue, neck, WO & W contrast 70490 CT soft tissue neck WO contrast 70492 CT soft tissue, neck, WO & W contrast 70491 CT soft tissue, neck W contrast 70492 CT soft tissue, neck, WO & W contrast 70540 MRI orbit, face, neck, WO contrast CPT Definition 70492 CT soft tissue, neck, WO & W contrast 70542 MRI orbit, face, neck, W contrast CPT Definition 70492 CT soft tissue, neck, WO & W contrast 70543 MRI face, orbit, face, WO & W contrast CPT Definition 70492 CT soft tissue, neck, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70492 CT soft tissue, neck, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70492 CT soft tissue, neck, WO & W contrast 76380 CT limited or localized follow-up study 70492 CT soft tissue, neck, WO & W contrast 76942 70492 CT soft tissue, neck, WO & W contrast 76998 US guidance intra-operative 70492 CT soft tissue, neck, WO & W contrast 77001 70492 CT soft tissue, neck, WO & W contrast 77002 Fluoroscopic guidance for needle placement 70492 CT soft tissue, neck, WO & W contrast 78072 Parathyroid planar imaging; * 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 70450 CT head WO contrast 11

70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 70460 CT head W contrast 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 70470 CT head WO & W contrast 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 76000 Fluoroscopy, up to one hour physician time 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 76001 Fluoroscopy, more than one hour physician time 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 76376 3D Rendering WO Postprocessing 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 76377 3D Rendering W Postprocessing 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 76380 CT limited or localized follow-up study 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 76942 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 76998 US guidance intra-operative 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 77001 70496 CTA head W contrast, including noncontrast images, if performed, and image postprocessing 77002 Fluoroscopic guidance for needle placement 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 70490 CT soft tissue neck WO contrast 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 70491 CT soft tissue, neck W contrast 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 70492 CT soft tissue neck WO & W contrast 12

70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 76000 Fluoroscopy, up to one hour physician time 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 76001 Fluoroscopy, more than one hour physician time 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 76376 3D Rendering WO Postprocessing 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 76377 3D Rendering W Postprocessing 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 76380 CT limited or localized follow-up study 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 76942 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 76998 US guidance intra-operative 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 77001 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing 77002 Fluoroscopic guidance for needle placement 70540 MRI orbit, face and/or neck WO contrast 70547 MRA neck WO contrast 70540 MRI orbit, face and/or neck WO contrast 70548 MRA neck W contrast 70542 MRI orbit, face and/or neck, W contrast 70540 MRI orbit, face, neck, WO contrast 70542 MRI orbit, face and/or neck, W contrast 76000 Fluoroscopy, up to one hour physician time 70542 MRI orbit, face and/or neck, W contrast 76001 Fluoroscopy, more than one hour physician time 13

70542 MRI orbit, face and/or neck, W contrast 76942 70542 MRI orbit, face and/or neck, W contrast 76998 US guidance intra-operative 70542 MRI orbit, face and/or neck, W contrast 77001 70542 MRI orbit, face and/or neck, W contrast 77002 Fluoroscopic guidance for needle placement 70543 MRI orbit, face and/or neck, WO & W contrast 70540 MRI orbit, face, neck, WO contrast 70543 MRI orbit, face and/or neck, WO & W contrast 70542 MRI orbit, face, neck, W contrast 70543 MRI orbit, face and/or neck, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70543 MRI orbit, face and/or neck, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70543 MRI orbit, face and/or neck, WO & W contrast 76942 70543 MRI orbit, face and/or neck, WO & W contrast 76998 US guidance intra-operative 70543 MRI orbit, face and/or neck, WO & W contrast 77001 70543 MRI orbit, face and/or neck, WO & W contrast 77002 Fluoroscopic guidance for needle placement 70544 MRA, head WO contrast 70496 CTA head CPT Definition 70544 MRA, head WO contrast 76376 3D Rendering WO Postprocessing 14

70544 MRA, head WO contrast 76377 3D Rendering W Postprocessing 70545 MRA, head W contrast 70496 CTA head CPT Definition 70545 MRA, head W contrast 70544 MRA head, WO contrast 70545 MRA, head W contrast 76000 Fluoroscopy, up to one hour physician time 70545 MRA, head W contrast 76001 Fluoroscopy, more than one hour physician time 70545 MRA, head W contrast 76376 3D Rendering WO Postprocessing 70545 MRA, head W contrast 76377 3D Rendering W Postprocessing 70545 MRA, head W contrast 76942 70545 MRA, head W contrast 76998 US guidance intra-operative 70545 MRA, head W contrast 77001 70545 MRA, head W contrast 77002 Fluoroscopic guidance for needle placement 70546 MRA, head WO & W contrast 70496 CTA head CPT Definition 70546 MRA, head WO & W contrast 70544 MRA head, WO contrast 70546 MRA, head WO & W contrast 70545 MRA head, W contrast 15

70546 MRA, head WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70546 MRA, head WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70546 MRA, head WO & W contrast 76376 3D Rendering WO Postprocessing 70546 MRA, head WO & W contrast 76377 3D Rendering W Postprocessing 70546 MRA, head WO & W contrast 76942 70546 MRA, head WO & W contrast 76998 US guidance intra-operative 70546 MRA, head WO & W contrast 77001 70546 MRA, head WO & W contrast 77002 Fluoroscopic guidance for needle placement 70547 MRA, neck WO contrast 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition 70547 MRA, neck WO contrast 76000 Fluoroscopy, up to one hour physician time 70547 MRA, neck WO contrast 76001 Fluoroscopy, more than one hour physician time 70547 MRA, neck WO contrast 76376 3D Rendering WO Postprocessing 70547 MRA, neck WO contrast 76377 3D Rendering W Postprocessing 70547 MRA, neck WO contrast 76942 16

70547 MRA, neck WO contrast 76998 US guidance intra-operative 70547 MRA, neck WO contrast 77001 70547 MRA, neck WO contrast 77002 Fluoroscopic guidance for needle placement 70548 MRA neck W contrast 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition 70548 MRA neck W contrast 70547 MRA neck WO contrast 70548 MRA neck W contrast 76000 Fluoroscopy, up to one hour physician time 70548 MRA neck W contrast 76001 Fluoroscopy, more than one hour physician time 70548 MRA neck W contrast 76376 3D Rendering WO Postprocessing 70548 MRA neck W contrast 76377 3D Rendering W Postprocessing 70548 MRA neck W contrast 76942 70548 MRA neck W contrast 76998 US guidance intra-operative 70548 MRA neck W contrast 77001 70548 MRA neck W contrast 77002 Fluoroscopic guidance for needle placement 70549 MRA neck WO & W contrast 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition 17

70549 MRA neck WO & W contrast 70547 MRA neck WO contrast 70549 MRA neck WO & W contrast 70548 MRA neck W contrast 70549 MRA neck WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70549 MRA neck WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70549 MRA neck WO & W contrast 76376 3D Rendering WO Postprocessing 70549 MRA neck WO & W contrast 76377 3D Rendering W Postprocessing 70549 MRA neck WO & W contrast 76942 70549 MRA neck WO & W contrast 76998 US guidance intra-operative 70549 MRA neck WO & W contrast 77001 70549 MRA neck WO & W contrast 77002 Fluoroscopic guidance for needle placement 70551 MRI brain WO contrast 70555 MRI brain, functional, W neuro functioning test by physician or psychologist 70551 MRI brain WO contrast 70557 MRI brain, during open intracranial procedure; WO contrast 70552 MRI brain WO contrast 70551 MRI brain WO contrast 70552 MRI brain W contrast 70554 MRI brain, functional, WO neuro functioning test by physician or psychologist 18

70552 MRI brain W contrast 70555 MRI brain, functional, W neuro functioning test by physician or psychologist 70552 MRI brain W contrast 76000 Fluoroscopy, up to one hour physician time 70552 MRI brain W contrast 76001 Fluoroscopy, more than one hour physician time 70552 MRI brain W contrast 76942 70552 MRI brain W contrast 76998 US guidance intra-operative 70552 MRI brain W contrast 77001 70552 MRI brain W contrast 77002 Fluoroscopic guidance for needle placement 70553 MRI brain WO & W contrast 70551 MRI brain WO contrast 70553 MRI brain WO & W contrast 70552 MRI brain W contrast 70553 MRI brain WO & W contrast 70554 MRI brain, functional, WO neuro functioning test by physician or psychologist 70553 MRI brain WO & W contrast 70555 MRI brain, functional, W neuro functioning test by physician or psychologist 70553 MRI brain WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70553 MRI brain WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70553 MRI brain WO & W contrast 76942 19

70553 MRI brain WO & W contrast 76998 US guidance intra-operative 70553 MRI brain WO & W contrast 77001 70553 MRI brain WO & W contrast 77002 Fluoroscopic guidance for needle placement 70554 MRI brain, functional, WO neuro functioning test by physician or psychologist 70551 MRI brain WO contrast 70554 MRI brain, functional, WO neuro functioning test by physician or psychologist 70557 MRI brain, during open intracranial procedure; WO contrast 70554 MRI brain, functional, WO neuro functioning test by physician or psychologist 70558 MRI brain, during open intracranial procedure; W contrast 70554 MRI brain, functional, WO neuro functioning test by physician or psychologist 70559 MRI brain, during open intracranial procedure; WO & W contrast 70555 MRI brain, functional, W neuro functioning test by physician or psychologist 70554 MRI brain, functional, WO neuro functioning test by physician or psychologist 70555 MRI brain, functional, W neuro functioning test by physician or psychologist 70557 MRI brain, during open intracranial procedure; WO contrast 70555 MRI brain, functional, W neuro functioning test by physician or psychologist 70558 MRI brain, during open intracranial procedure; W contrast 70555 MRI brain, functional, W neuro functioning test by physician or psychologist 70559 MRI brain, during open intracranial procedure; WO & W contrast 70557 MRI brain, during open intracranial procedure; WO contrast 70544 MRA head, WO contrast 70557 MRI brain, during open intracranial procedure; WO contrast 70545 MRA head, W contrast 70557 MRI brain, during open intracranial procedure; WO contrast 70546 MRA head WO & W contrast 20

70557 MRI brain, during open intracranial procedure; WO contrast 70552 MRI brain W contrast 70557 MRI brain, during open intracranial procedure; WO contrast 70553 MRI brain WO & W contrast 70557 MRI brain, during open intracranial procedure; WO contrast 77021 MR guidance for needle placement radiological supervision and 70558 MRI brain, during open intracranial procedure; W contrast 70544 MRA head, WO contrast 70558 MRI brain, during open intracranial procedure; W contrast 70545 MRA head, W contrast 70558 MRI brain, during open intracranial procedure; W contrast 70546 MRA head WO & W contrast 70558 MRI brain, during open intracranial procedure; W contrast 70551 MRI brain WO contrast 70558 MRI brain, during open intracranial procedure; W contrast 70552 MRI brain W contrast 70558 MRI brain, during open intracranial procedure; W contrast 70553 MRI brain WO & W contrast 70558 MRI brain, during open intracranial procedure; W contrast 70557 MRI brain, during open intracranial procedure; WO contrast 70558 MRI brain, during open intracranial procedure; W contrast 76000 Fluoroscopy, up to one hour physician time 70558 MRI brain, during open intracranial procedure; W contrast 76001 Fluoroscopy, more than one hour physician time 70558 MRI brain, during open intracranial procedure; W contrast 76942 70558 MRI brain, during open intracranial procedure; W contrast 77001 21

70558 MRI brain, during open intracranial procedure; W contrast 77002 Fluoroscopic guidance for needle placement 70558 MRI brain, during open intracranial procedure; W contrast 77021 MR guidance for needle placement radiological supervision and 70559 MRI brain, during open intracranial procedure; WO & W contrast 70544 MRA head, WO contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 70545 MRA head, W contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 70546 MRA head WO & W contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 70551 MRI brain WO contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 70552 MRI brain W contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 70553 MRI brain WO & W contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 70557 MRI brain, during open intracranial procedure; WO contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 70558 MRI brain, during open intracranial procedure; W contrast 70559 MRI brain, during open intracranial procedure; WO & W contrast 76000 Fluoroscopy, up to one hour physician time 70559 MRI brain, during open intracranial procedure; WO & W contrast 76001 Fluoroscopy, more than one hour physician time 70559 MRI brain, during open intracranial procedure; WO & W contrast 76942 70559 MRI brain, during open intracranial procedure; WO & W contrast 77001 22

70559 MRI brain, during open intracranial procedure; WO & W contrast 77002 Fluoroscopic guidance for needle placement 70559 MRI brain, during open intracranial procedure; WO & W contrast 77021 MR guidance for needle placement radiological supervision and 71010 X-ray, chest; single view, frontal 71022 X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections 71010 X-ray, chest; single view, frontal 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 71010 X-ray, chest; single view, frontal 71030 X-ray, chest, complete min 4 views 71010 X-ray, chest; single view, frontal 71034 X-ray, chest, complete min 4 views, Fluoroscopy 71010 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 71015 X-ray, chest; single view, stereo, frontal 71010 X-ray, chest; single view, frontal 71015 X-ray, chest; single view, stereo, frontal 71020 X-ray, chest ; 2 views, front and lateral 71015 X-ray, chest; single view, stereo, frontal 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 71020 X-ray, chest ; 2 views, front and lateral 71010 X-ray, chest ; 2 views, front and lateral 71020 X-ray, chest ; 2 views, front and lateral 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71020 X-ray, chest ; 2 views, front and lateral 71022 X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections 71020 X-ray, chest ; 2 views, front and lateral 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 23

71020 X-ray, chest ; 2 views, front and lateral 71030 X-ray, chest, complete min 4 views 71020 X-ray, chest ; 2 views, front and lateral 71034 X-ray, chest, complete min 4 views, Fluoroscopy 71020 X-ray, chest ; 2 views, front and lateral 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71020 X-ray, chest ; 2 views, front and lateral 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71020 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 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71010 X-ray, chest; single view, frontal 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71022 X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71030 X-ray, chest, complete min 4 views 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71034 X-ray, chest, complete min 4 views, Fluoroscopy 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71021 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 71022 X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 71022 Chest X-ray, 2 views, front and lateral; W oblique projections 71034 X-ray, chest, complete min 4 views, Fluoroscopy 24

71022 Chest X-ray, 2 views, front and lateral; W oblique projections 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71022 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 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 71034 X-ray, chest, complete min 4 views, Fluoroscopy 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 76000 Fluoroscopy, up to one hour physician time 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 76001 Fluoroscopy, more than one hour physician time 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 77001 71030 X-ray, chest, complete min 4 views 71022 X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections 71030 X-ray, chest, complete min 4 views 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 71030 X-ray, chest, complete min 4 views 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71030 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 71034 X-ray, chest, complete min 4 views, Fluoroscopy 71030 X-ray, chest, complete min 4 views 71034 X-ray, chest, complete min 4 views, Fluoroscopy 76000 Fluoroscopy, up to one hour physician time 71034 X-ray, chest, complete min 4 views, Fluoroscopy 76001 Fluoroscopy, more than one hour physician time 71034 X-ray, chest, complete min 4 views, Fluoroscopy 77001 25

71100 X-ray, ribs, unilateral, 2 views 71010 X-ray, chest; single view, frontal 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71010 X-ray, chest; single view, frontal 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71022 X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71030 X-ray, chest, complete min 4 views 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71034 X-ray, chest, complete min 4 views, Fluoroscopy 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71100 X-ray, Ribs Unilat 2 views 71110 X-ray, ribs, bilateral, 3 views 71010 X-ray, chest; single view, frontal 71110 X-ray, ribs, bilateral, 3 views 71100 X-ray, Ribs Unilat 2 views 71110 X-ray, ribs, bilateral, 3 views 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71010 X-ray, chest; single view, frontal 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71100 X-ray, ribs, unilateral, 2 views 71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71101 X-ray ribs, unilateral, including posteroanterior chest; min 3 views 26

71111 X-ray ribs, bilateral, including posterioanterior chest, min 4 views 71110 X-ray, ribs, bilateral; 3 views 71250 CT thorax, WO contrast 71550 MRI chest, WO contrast CPT Definition 71250 CT thorax, WO contrast 71551 MRI chest, W contrast CPT Definition 71250 CT thorax, WO contrast 71552 MRI Chest, WO & W contrast CPT Definition 71250 CT thorax, WO contrast 75571 CT heart, WO contrast material, W quantitative evaluation of coronary calcium 71250 CT thorax, WO contrast 76380 CT limited or localized follow-up study 71260 CT thorax, W contrast 71250 CT thorax, WO contrast 71260 CT thorax, W contrast 71550 MRI chest, WO contrast CPT Definition 71260 CT thorax, W contrast 71551 MRI chest, W contrast CPT Definition 71260 CT thorax, W contrast 71552 MRI Chest, WO & W contrast CPT Definition 71260 CT thorax, W contrast 75571 CT heart, WO contrast material, W quantitative evaluation of coronary calcium 71260 CT thorax, W contrast 76000 Fluoroscopy, up to one hour physician time 71260 CT thorax, W contrast 76001 Fluoroscopy, more than one hour physician time 71260 CT thorax, W contrast 76380 CT limited or localized follow-up study 27

71260 CT thorax, W contrast 76942 71260 CT thorax, W contrast 76998 US guidance intra-operative 71260 CT thorax, W contrast 77001 71260 CT thorax, W contrast 77002 Fluoroscopic guidance for needle placement 71270 CT thorax, WO & W contrast 71250 CT thorax, WO contrast 71270 CT thorax, WO & W contrast 71260 CT thorax, W contrast 71270 CT thorax, WO & W contrast 71550 MRI chest, WO contrast CPT Definition 71270 CT thorax, WO & W contrast 71551 MRI chest, W contrast CPT Definition 71270 CT thorax, WO & W contrast 71552 MRI Chest, WO & W contrast CPT Definition 71270 CT thorax, WO & W contrast 75571 CT heart, WO contrast material, W quantitative evaluation of coronary calcium 71270 CT thorax, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 71270 CT thorax, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 71270 CT thorax, WO & W contrast 76380 CT limited or localized follow-up study 71270 CT thorax, WO & W contrast 76942 28

71270 CT thorax, WO & W contrast 76998 US guidance intra-operative 71270 CT thorax, WO & W contrast 77001 71270 CT thorax, WO & W contrast 77002 Fluoroscopic guidance for needle placement 71275 CTA chest (noncoronary) 71250 CT thorax, WO contrast 71275 CTA chest (noncoronary) 71260 CT thorax, W contrast 71275 CTA chest (noncoronary) 71270 CT thorax, WO & W contrast 71275 CTA chest (noncoronary) 76000 Fluoroscopy, up to one hour physician time 71275 CTA chest (noncoronary) 76001 Fluoroscopy, more than one hour physician time 71275 CTA chest (noncoronary) 76376 3D Rendering WO Postprocessing 71275 CTA chest (noncoronary) 76377 3D Rendering W Postprocessing 71275 CTA chest (noncoronary) 76380 CT limited or localized follow-up study 71275 CTA chest (noncoronary) 76942 71275 CTA chest (noncoronary) 76998 US guidance intra-operative 71275 CTA chest (noncoronary) 77001 29

71275 CTA chest (noncoronary) 77002 Fluoroscopic guidance for needle placement 71551 MRI chest, W contrast 71550 MRI chest, WO contrast 71551 MRI chest, W contrast 76000 Fluoroscopy, up to one hour physician time 71551 MRI chest, W contrast 76001 Fluoroscopy, more than one hour physician time 71551 MRI chest, W contrast 76942 71551 MRI chest, W contrast 76998 US guidance intra-operative 71551 MRI chest, W contrast 77001 71551 MRI chest, W contrast 77002 Fluoroscopic guidance for needle placement 71552 MRI Chest, WO & W contrast 71550 MRI chest, WO contrast 71552 MRI Chest, WO & W contrast 71551 MRI chest, W contrast 71552 MRI Chest, WO & W contrast 71555 MRA chest (excluding myocardium) W/WO contrast 71552 MRI Chest, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 71552 MRI Chest, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 71552 MRI Chest, WO & W contrast 76942 30

71552 MRI Chest, WO & W contrast 76998 US guidance intra-operative 71552 MRI Chest, WO & W contrast 77001 71552 MRI Chest, WO & W contrast 77002 Fluoroscopic guidance for needle placement 71555 MRA chest (excluding myocardium) W or WO contrast 71275 CTA chest (noncoronary) CPT Definition 71555 MRA chest (excluding myocardium) W or WO contrast 71550 MRI chest, WO contrast 71555 MRA chest (excluding myocardium) W or WO contrast 71551 MRI chest, W contrast 71555 MRA chest (excluding myocardium) W or WO contrast 76000 Fluoroscopy, up to one hour physician time 71555 MRA chest (excluding myocardium) W or WO contrast 76001 Fluoroscopy, more than one hour physician time 71555 MRA chest (excluding myocardium) W or WO contrast 76376 3D Rendering WO Postprocessing 71555 MRA chest (excluding myocardium) W or WO contrast 76377 3D Rendering W Postprocessing 71555 MRA chest (excluding myocardium) W or WO contrast 76942 71555 MRA chest (excluding myocardium) W or WO contrast 76998 US guidance intra-operative 71555 MRA chest (excluding myocardium) W or WO contrast 77001 71555 MRA chest (excluding myocardium) W or WO contrast 77002 Fluoroscopic guidance for needle placement 31

72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72020 X-ray, spine, single view, specify level 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72040 X-ray, cervical spine, 2 or 3 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72050 X-ray, cervical spine, min 4 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72052 Complete, including oblique & flex and/or extension studies 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72069 X-ray thoracolumbar spine, scoliosis 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72070 X-ray thoracic spine, 2 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72072 X-ray, thoracic spine, 3 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72074 X-ray, thoracic spine, min 4 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72080 Thoracolumbar 2 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72090 Scoliosis study, including supine and erect studies 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72100 X-ray, lumbosacral spine, 2 or 3 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72110 X-ray, lumbosacral spine, min 4 views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72114 X-ray, lumbosacral spine, complete, including bending views 72010 X-ray, spine, entire, survey study, anteroposterior and lateral 72120 X-ray of the lumbar spine bending views only minimum of 4 views 32

72020 X-ray, spine, single view, specify level 77082 DEXA one or more sites, vertebral fracture assessment CPT Definition 72040 X-ray, cervical spine, 2 or 3 views 72020 X-ray, spine, single view, specify level CPT Definition 72050 X-ray, cervical spine, min 4 views 72020 X-ray, spine, single view, specify level 72050 X-ray, cervical spine, min 4 views 72040 X-ray, cervical spine, 2 or 3 views 72052 X-ray, spine, cervical, including oblique & flex and/or extension studies 72020 X-ray, spine, single view, specify level 72052 X-ray, spine, cervical, including oblique & flex and/or extension studies 72040 X-ray, cervical spine, 2 or 3 views 72052 X-ray, spine, cervical, including oblique & flex and/or extension studies 72050 X-ray, cervical spine, min 4 views 72069 X-ray, thoracolumbar spine, scoliosis 72020 X-ray, spine, single view, specify level CPT Definition 72069 X-ray, thoracolumbar spine, scoliosis 72090 Scoliosis study, including supine and erect studies 72070 X-ray, thoracic spine, 2 views 72020 X-ray, spine, single view, specify level CPT Definition 72070 X-ray, thoracic spine, 2 views 72090 Scoliosis study, including supine and erect studies 72072 X-ray, thoracic spine, 3 views 72020 X-ray, spine, single view, specify level CPT Definition 72072 X-ray, thoracic spine, 3 views 72070 X-ray thoracic spine, 2 views 72072 X-ray, thoracic spine, 3 views 72090 Scoliosis study, including supine and erect studies 33

72074 X-ray, thoracic spine, min 4 views 72020 X-ray, spine, single view, specify level CPT Definition 72074 X-ray, thoracic spine, min 4 views 72069 X-ray thoracolumbar spine, scoliosis 72074 X-ray, thoracic spine, min 4 views 72070 X-ray thoracic spine, 2 views 72074 X-ray, thoracic spine, min 4 views 72072 X-ray, thoracic spine, 3 views 72074 X-ray, thoracic spine, min 4 views 72090 Scoliosis study, including supine and erect studies 72080 X-ray, thoracolumbar spine, 2 views 72020 X-ray, spine, single view, specify level CPT Definition 72080 X-ray, thoracolumbar spine, 2 views 72069 X-ray thoracolumbar spine, scoliosis 72080 X-ray, thoracolumbar spine, 2 views 72070 X-ray thoracic spine, 2 views 72080 X-ray, thoracolumbar spine, 2 views 72072 X-ray, thoracic spine, 3 views 72080 X-ray, thoracolumbar spine, 2 views 72074 X-ray, thoracic spine, min 4 views 72090 Scoliosis study, including supine and erect studies 72020 X-ray, spine, single view, specify level CPT Definition 72090 Scoliosis study, including supine and erect studies 72080 X-ray, thoracolumbar spine, 2 views 72100 X-ray, lumbosacral spine, 2 or 3 views 72020 X-ray, spine, single view, specify level CPT Definition 72110 X-ray, lumbosacral spine, min 4 views 72020 X-ray, spine, single view, specify level 34

72110 X-ray, lumbosacral spine, min 4 views 72100 X-ray, lumbosacral spine, 2 or 3 views 72110 X-ray, lumbosacral spine, min 4 views 72114 X-ray, lumbosacral spine, complete, including bending views 72114 X-ray, lumbosacral spine, complete, including bending views 72020 X-ray, spine, single view, specify level CPT Definition 72114 X-ray, lumbosacral spine, complete, including bending views 72100 X-ray, lumbosacral spine, 2 or 3 views 72114 X-ray, lumbosacral spine, complete, including bending views 72120 X-ray of the lumbar spine bending views only minimum of 4 views 72120 X-ray of the lumbar spine bending views only minimum of 4 views 72100 X-ray, lumbosacral spine, 2 or 3 views CPT Definition 72120 X-ray of the lumbar spine bending views only minimum of 4 views 72110 X-ray, lumbosacral spine, min 4 views 72125 CT cervical spine WO contrast 72020 X-ray, spine, single view, specify level CPT Definition 72125 CT cervical spine WO contrast 72040 X-ray, cervical spine, 2 or 3 views CPT Definition 72125 CT cervical spine WO contrast 72050 X-ray, cervical spine, min 4 views CPT Definition 72125 CT cervical spine WO contrast 72052 Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies CPT Definition 72125 CT cervical spine WO contrast 72240 Myelography, cervical, radiological supervision and CPT Definition 72125 CT cervical spine WO contrast 76380 CT limited or localized follow-up study 72126 CT cervical spine W contrast 72020 Radiologic examination, spine, single view, specify level CPT Definition 35

72126 CT cervical spine W contrast 72040 X-ray, cervical spine, 2 or 3 views CPT Definition 72126 CT cervical spine W contrast 72050 X-ray, cervical spine, min 4 views CPT Definition 72126 CT cervical spine W contrast 72052 Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies CPT Definition 72126 CT cervical spine W contrast 72125 CT cervical spine WO contrast 72126 CT cervical spine W contrast 72240 Myelography, cervical, radiological supervision and CPT Definition 72126 CT cervical spine W contrast 76000 Fluoroscopy, up to one hour physician time 72126 CT cervical spine W contrast 76001 Fluoroscopy, more than one hour physician time 72126 CT cervical spine W contrast 76380 CT limited or localized follow-up study 72126 CT cervical spine W contrast 76942 72126 CT cervical spine W contrast 76998 US guidance intra-operative 72126 CT cervical spine W contrast 77001 72126 CT cervical spine W contrast 77002 Fluoroscopic guidance for needle placement 72127 CT cervical spine WO & W contrast 72040 X-ray, cervical spine, 2 or 3 views CPT Definition 72127 CT cervical spine WO & W contrast 72125 CT cervical spine WO contrast 36

72127 CT cervical spine WO & W contrast 72126 CT cervical spine W contrast 72127 CT cervical spine WO & W contrast 76000 Fluoroscopy, up to one hour physician time 72127 CT cervical spine WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72127 CT cervical spine WO & W contrast 76380 CT limited or localized follow-up study 72127 CT cervical spine WO & W contrast 76942 72127 CT cervical spine WO & W contrast 76998 US guidance intra-operative 72127 CT cervical spine WO & W contrast 77001 72127 CT cervical spine WO & W contrast 77002 Fluoroscopic guidance for needle placement 72128 CT thoracic spine WO contrast 72070 X-ray thoracic spine, 2 views CPT Definition 72128 CT thoracic spine WO contrast 72072 X-ray, thoracic spine, 3 views CPT Definition 72128 CT thoracic spine WO contrast 72074 X-ray, thoracic spine, min 4 views CPT Definition 72128 CT thoracic spine WO contrast 72080 Thoracolumbar 2 views CPT Definition 72128 CT thoracic spine WO contrast 72255 Myelography, thoracic, radiological supervision and CPT Definition 72128 CT thoracic spine WO contrast 72292 CT guidance percutaneous vertebroplasty 37

72128 CT thoracic spine WO contrast 76380 CT limited or localized follow-up study 72129 CT thoracic spine W contrast 72070 X-ray thoracic spine, 2 views CPT Definition 72129 CT thoracic spine W contrast 72072 X-ray, thoracic spine, 3 views CPT Definition 72129 CT thoracic spine W contrast 72074 X-ray, thoracic spine, min 4 views CPT Definition 72129 CT thoracic spine W contrast 72080 Thoracolumbar 2 views CPT Definition 72129 CT thoracic spine W contrast 72128 CT thoracic spine WO contrast 72129 CT thoracic spine W contrast 72255 Myelography, thoracic, radiological supervision and CPT Definition 72129 CT thoracic spine W contrast 72292 CT guidance percutaneous vertebroplasty 72129 CT thoracic spine W contrast 76000 Fluoroscopy, up to one hour physician time 72129 CT thoracic spine W contrast 76001 Fluoroscopy, more than one hour physician time 72129 CT thoracic spine W contrast 76380 CT limited or localized follow-up study 72129 CT thoracic spine W contrast 76942 72129 CT thoracic spine W contrast 76998 US guidance intra-operative 72129 CT thoracic spine W contrast 77001 38

72129 CT thoracic spine W contrast 77002 Fluoroscopic guidance for needle placement 72130 CT thoracic spine WO & W contrast 72070 X-ray thoracic spine, 2 views CPT Definition 72130 CT thoracic spine WO & W contrast 72072 X-ray, thoracic spine, 3 views CPT Definition 72130 CT thoracic spine WO & W contrast 72074 X-ray, thoracic spine, min 4 views CPT Definition 72130 CT thoracic spine WO & W contrast 72080 Thoracolumbar 2 views CPT Definition 72130 CT thoracic spine WO & W contrast 72128 CT thoracic spine WO contrast 72130 CT thoracic spine WO & W contrast 72129 CT thoracic spine W contrast 72130 CT thoracic spine WO & W contrast 72292 CT guidance percutaneous vertebroplasty 72130 CT thoracic spine WO & W contrast 76000 Fluoroscopy, up to one hour physician time 72130 CT thoracic spine WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72130 CT thoracic spine WO & W contrast 76380 CT limited or localized follow-up study 72130 CT thoracic spine WO & W contrast 76942 72130 CT thoracic spine WO & W contrast 76998 US guidance intra-operative 72130 CT thoracic spine WO & W contrast 77001 39

72130 CT thoracic spine WO & W contrast 77002 Fluoroscopic guidance for needle placement 72131 CT lumbar spine WO contrast 72292 CT guidance percutaneous vertebroplasty 72131 CT lumbar spine WO contrast 76380 CT limited or localized follow-up study 72132 CT lumbar spine; W contrast 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views CPT Definition 72132 CT lumbar spine; W contrast 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views CPT Definition 72132 CT lumbar spine; W contrast 72114 Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views CPT Definition 72132 CT lumbar spine; W contrast 72120 X-ray of the lumbar spine bending views only minimum of 4 views CPT Definition 72132 CT lumbar spine; W contrast 72131 CT lumbar spine, WO contrast 72132 CT lumbar spine; W contrast 72265 Myelography, lumbosacral, radiological supervision and CPT Definition 72132 CT lumbar spine; W contrast 72292 CT guidance percutaneous vertebroplasty CPT Definition 72132 CT lumbar spine; W contrast 76000 Fluoroscopy, up to one hour physician time CPT Definition 72132 CT lumbar spine; W contrast 76001 Fluoroscopy, more than one hour physician time CPT Definition 72132 CT lumbar spine; W contrast 76380 CT limited or localized follow-up study 72132 CT lumbar spine; W contrast 76942 40

72132 CT lumbar spine; W contrast 76998 US guidance intra-operative 72132 CT lumbar spine; W contrast 77001 72132 CT lumbar spine; W contrast 77002 Fluoroscopic guidance for needle placement 72133 CT lumbar spine WO & W contrast 72131 CT lumbar spine, WO contrast 72133 CT lumbar spine WO & W contrast 72132 CT lumbar spine, W contrast 72133 CT lumbar spine WO & W contrast 72292 CT guidance percutaneous vertebroplasty 72133 CT lumbar spine WO & W contrast 76000 Fluoroscopy, up to one hour physician time 72133 CT lumbar spine WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72133 CT lumbar spine WO & W contrast 76380 CT limited or localized follow-up study 72133 CT lumbar spine WO & W contrast 76942 72133 CT lumbar spine WO & W contrast 76998 US guidance intra-operative 72133 CT lumbar spine WO & W contrast 77001 72133 CT lumbar spine WO & W contrast 77002 Fluoroscopic guidance for needle placement 72142 MRI spinal canal, cervical W contrast 72141 MRI spinal canal, cervical WO contrast 41

72142 MRI spinal canal, cervical W contrast 76000 Fluoroscopy, up to one hour physician time 72142 MRI spinal canal, cervical W contrast 76001 Fluoroscopy, more than one hour physician time 72142 MRI spinal canal, cervical W contrast 76942 72142 MRI spinal canal, cervical W contrast 76998 US guidance intra-operative 72142 MRI spinal canal, cervical W contrast 77001 72142 MRI spinal canal, cervical W contrast 77002 Fluoroscopic guidance for needle placement 72147 MRI spinal canal, thoracic W contrast 72146 MRI spinal canal, thoracic WO contrast 72147 MRI spinal canal, thoracic W contrast 76000 Fluoroscopy, up to one hour physician time 72147 MRI spinal canal, thoracic W contrast 76001 Fluoroscopy, more than one hour physician time 72147 MRI spinal canal, thoracic W contrast 76942 72147 MRI spinal canal, thoracic W contrast 76998 US guidance intra-operative 72147 MRI spinal canal, thoracic W contrast 77001 72147 MRI spinal canal, thoracic W contrast 77002 Fluoroscopic guidance for needle placement 72149 MRI spinal canal, lumbar W contrast 72148 MRI spinal canal, lumbar WO contrast 42

72149 MRI spinal canal, lumbar W contrast 76000 Fluoroscopy, up to one hour physician time 72149 MRI spinal canal, lumbar W contrast 76001 Fluoroscopy, more than one hour physician time 72149 MRI spinal canal, lumbar W contrast 76942 72149 MRI spinal canal, lumbar W contrast 76998 US guidance intra-operative 72149 MRI spinal canal, lumbar W contrast 77001 72149 MRI spinal canal, lumbar W contrast 77002 Fluoroscopic guidance for needle placement 72156 MRI spinal canal, cervical WO & W contrast 72141 MRI spinal canal, cervical WO contrast 72156 MRI spinal canal, cervical WO & W contrast 72142 MRI spinal canal, cervical W contrast 72156 MRI spinal canal, cervical WO & W contrast 76000 Fluoroscopy, up to one hour physician time 72156 MRI spinal canal, cervical WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72156 MRI spinal canal, cervical WO & W contrast 76942 72156 MRI spinal canal, cervical WO & W contrast 76998 US guidance intra-operative 72156 MRI spinal canal, cervical WO & W contrast 77001 72156 MRI spinal canal, cervical WO & W contrast 77002 Fluoroscopic guidance for needle placement 43

72157 MRI T spine W & W/O contrast 72146 MRI spinal canal, thoracic WO contrast 72157 MRI T spine W & W/O contrast 72147 MRI spinal canal, thoracic W contrast 72157 MRI T spine W & W/O contrast 76000 Fluoroscopy, up to one hour physician time 72157 MRI T spine W & W/O contrast 76001 Fluoroscopy, more than one hour physician time 72157 MRI T spine W & W/O contrast 76942 72157 MRI T spine W & W/O contrast 76998 US guidance intra-operative 72157 MRI T spine W & W/O contrast 77001 72157 MRI T spine W & W/O contrast 77002 Fluoroscopic guidance for needle placement 72158 MRI spinal canal, lumbar WO & W contrast 72148 MRI spinal canal, lumbar WO contrast 72158 MRI spinal canal, lumbar WO & W contrast 72149 MRI spinal canal, lumbar W contrast 72158 MRI spinal canal, lumbar WO & W contrast 76000 Fluoroscopy, up to one hour physician time 72158 MRI spinal canal, lumbar WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72158 MRI spinal canal, lumbar WO & W contrast 76942 72158 MRI spinal canal, lumbar WO & W contrast 76998 US guidance intra-operative 44

72158 MRI spinal canal, lumbar WO & W contrast 77001 72158 MRI spinal canal, lumbar WO & W contrast 77002 Fluoroscopic guidance for needle placement 72159 MRA spinal canal and contents, WO or W contrast 72141 MRI Cervical Spine W/O Contrast 72159 MRA spinal canal and contents, W or Wout contrast 72142 MRI Cervical Spine W/ Contrast 72159 MRA spinal canal and contents, W or Wout contrast 72146 MRI Thoracic Spine W/O Contrast 72159 MRA spinal canal and contents, W or Wout contrast 72147 MRI Thoracic Spine W/ Contrast 72159 MRA spinal canal and contents, W or Wout contrast 72148 MRI spinal canal, lumbar WO contrast 72159 MRA spinal canal and contents, W or Wout contrast 72149 MRI Lumbar Spine W/ Contrast 72159 MRA spinal canal and contents, W or Wout contrast 72156 MRI C Spine W/ & W/O Contrast 72159 MRA spinal canal and contents, W or Wout contrast 72157 MRI T Spine W/ & W/O Contrast 72159 MRA spinal canal and contents, W or Wout contrast 72158 MRI L Spine W/ & W/O Contrast 72159 MRA spinal canal and contents, W or Wout contrast 76000 Fluoroscopy, up to one hour physician time 72159 MRA spinal canal and contents, W or Wout contrast 76001 Fluoroscopy, more than one hour physician time 72159 MRA spinal canal and contents, W or Wout contrast 76376 3D Rendering WO Postprocessing 45

72159 MRA spinal canal and contents, W or Wout contrast 76377 3D Rendering W Postprocessing 72159 MRA spinal canal and contents, W or Wout contrast 76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and 72159 MRA spinal canal and contents, W or Wout contrast 76998 Ultrasonic guidance, intraoperative 72159 MRA spinal canal and contents, W or Wout contrast 77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) 72190 X-ray pelvis, complete, min 3 views 72170 X-ray, pelvis, 1 or 2 views 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 72192 CT pelvis WO contrast 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 72193 CT pelvis W contrast 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 72194 CT pelvis WO & W contrast 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 74176 CT abdomen and pelvis; WO contrast material 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 74177 CT abdomen and pelvis; W contrast material(s) 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 74178 CT abdomen and pelvis; WO & W contrast 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 76000 Fluoroscopy, up to one hour physician time 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 76001 Fluoroscopy, more than one hour physician time 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 76376 3D Rendering WO Postprocessing 46

72191 CTA pelvis WO & W contrast and further sections including image postprocessing 76377 3D Rendering W Postprocessing 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 76380 CT limited or localized follow-up study 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 76942 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 76998 US guidance intra-operative 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 77001 72191 CTA pelvis WO & W contrast and further sections including image postprocessing 77002 Fluoroscopic guidance for needle placement 72192 CT pelvis WO contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 72192 CT pelvis WO contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 72192 CT pelvis WO contrast 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 72192 CT pelvis WO contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 72192 CT pelvis WO contrast 76380 CT limited or localized follow-up study 72193 CT pelvis W contrast 72192 CT pelvis WO contrast 72193 CT pelvis W contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 72193 CT pelvis W contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 47

72193 CT pelvis W contrast 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 72193 CT pelvis W contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 72193 CT pelvis W contrast 76000 Fluoroscopy, up to one hour physician time 72193 CT pelvis W contrast 76001 Fluoroscopy, more than one hour physician time 72193 CT pelvis W contrast 76380 CT limited or localized follow-up study 72193 CT pelvis W contrast 76942 72193 CT pelvis W contrast 76998 US guidance intra-operative 72193 CT pelvis W contrast 77001 72193 CT pelvis W contrast 77002 Fluoroscopic guidance for needle placement 72194 CT pelvis WO & W contrast 72192 CT pelvis WO contrast 72194 CT pelvis WO & W contrast 72193 CT pelvis W contrast 72194 CT pelvis WO & W contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 72194 CT pelvis WO & W contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 72194 CT pelvis WO & W contrast 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 48

72194 CT pelvis WO & W contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 72194 CT pelvis WO & W contrast 76000 Fluoroscopy, up to one hour physician time 72194 CT pelvis WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72194 CT pelvis WO & W contrast 76380 CT limited or localized follow-up study 72194 CT pelvis WO & W contrast 76942 72194 CT pelvis WO & W contrast 76998 US guidance intra-operative 72194 CT pelvis WO & W contrast 77001 72194 CT pelvis WO & W contrast 77002 Fluoroscopic guidance for needle placement 72195 MRI pelvis, WO contrast 72192 CT pelvis WO contrast CPT Definition 72195 MRI pelvis, WO contrast 72193 CT pelvis W contrast CPT Definition 72195 MRI pelvis, WO contrast 72194 CT pelvis WO & W contrast CPT Definition 72196 MRI pelvis, W contrast 72192 CT pelvis WO contrast CPT Definition 72196 MRI pelvis, W contrast 72193 CT pelvis W contrast CPT Definition 72196 MRI pelvis, W contrast 72194 CT pelvis WO & W contrast CPT Definition 49

72196 MRI pelvis, W contrast 72195 MRI pelvis WO contrast 72196 MRI pelvis, W contrast 76000 Fluoroscopy, up to one hour physician time 72196 MRI pelvis, W contrast 76001 Fluoroscopy, more than one hour physician time 72196 MRI pelvis, W contrast 76942 72196 MRI pelvis, W contrast 76998 US guidance intra-operative 72196 MRI pelvis, W contrast 77001 72196 MRI pelvis, W contrast 77002 Fluoroscopic guidance for needle placement 72197 MRI pelvis, WO & W contrast 72192 CT pelvis WO contrast CPT Definition 72197 MRI pelvis, WO & W contrast 72193 CT pelvis W contrast CPT Definition 72197 MRI pelvis, WO & W contrast 72194 CT pelvis WO & W contrast CPT Definition 72197 MRI pelvis, WO & W contrast 72195 MRI pelvis WO contrast 72197 MRI pelvis, WO & W contrast 72196 MRI pelvis W contrast 72197 MRI pelvis, WO & W contrast 72198 MRA pelvis WO & W contrast 72197 MRI pelvis, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 50

72197 MRI pelvis, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72197 MRI pelvis, WO & W contrast 76942 72197 MRI pelvis, WO & W contrast 76998 US guidance intra-operative 72197 MRI pelvis, WO & W contrast 77001 72197 MRI pelvis, WO & W contrast 77002 Fluoroscopic guidance for needle placement 72198 MRA pelvis WO & W contrast 72191 CTA pelvis, W contrast, including noncontrast images CPT Definition 72198 MRA pelvis WO & W contrast 72195 MRI pelvis WO contrast 72198 MRA pelvis WO & W contrast 72196 MRI pelvis W contrast 72198 MRA pelvis WO & W contrast 76000 Fluoroscopy, up to one hour physician time 72198 MRA pelvis WO & W contrast 76001 Fluoroscopy, more than one hour physician time 72198 MRA pelvis WO & W contrast 76376 3D Rendering WO Postprocessing 72198 MRA pelvis WO & W contrast 76377 3D Rendering W Postprocessing 72198 MRA pelvis WO & W contrast 76942 72198 MRA pelvis WO & W contrast 76998 US guidance intra-operative 51

72198 MRA pelvis WO & W contrast 77001 72198 MRA pelvis WO & W contrast 77002 Fluoroscopic guidance for needle placement 72202 X-ray sacroiliac joints; three or more views 72200 X-ray, sacroiliac joints; less than three views 72240 Myelography, cervical, radiological supervision and 72255 Myelography, thoracic, radiological supervision and 72240 Myelography, cervical, radiological supervision and 72265 Myelography, lumbosacral, radiological supervision and 72240 Myelography, cervical, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 72240 Myelography, cervical, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 72240 Myelography, cervical, radiological supervision and 77001 72240 Myelography, cervical, radiological supervision and 77002 Fluoroscopic guidance for needle placement 72240 Myelography, cervical, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 72255 Myelography, thoracic, radiological supervision and 72265 Myelography, lumbosacral, radiological supervision and 72255 Myelography, thoracic, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 72255 Myelography, thoracic, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 72255 Myelography, thoracic, radiological supervision and 77001 52

72255 Myelography, thoracic, radiological supervision and 77002 Fluoroscopic guidance for needle placement 72255 Myelography, thoracic, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 72265 Myelography, lumbosacral, radiological supervision and 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views CPT Definition 72265 Myelography, lumbosacral, radiological supervision and 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views CPT Definition 72265 Myelography, lumbosacral, radiological supervision and 72114 Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views CPT Definition 72265 Myelography, lumbosacral, radiological supervision and 72120 Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views CPT Definition 72265 Myelography, lumbosacral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 72265 Myelography, lumbosacral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 72265 Myelography, lumbosacral, radiological supervision and 77001 72265 Myelography, lumbosacral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 72265 Myelography, lumbosacral, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 72270 Myelography, two or more regions, radiological supervision and 72240 Myelography, cervical, radiological supervision and 72270 Myelography, two or more regions, radiological supervision and 72255 Myelography, thoracic, radiological supervision and 72270 Myelography, two or more regions, radiological supervision and 72265 Myelography, lumbosacral, radiological supervision and 53

72270 Myelography, two or more regions, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 72270 Myelography, two or more regions, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 72270 Myelography, two or more regions, radiological supervision and 77001 72270 Myelography, two or more regions, radiological supervision and 77002 Fluoroscopic guidance for needle placement 72270 Myelography, two or more regions, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 72275 Epidurography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 72275 Epidurography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 72275 Epidurography, radiological supervision and 77001 72275 Epidurography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 72275 Epidurography, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 72285 Discography, cervical or thoracic, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 72285 Discography, cervical or thoracic, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 72285 Discography, cervical or thoracic, radiological supervision and 77001 72285 Discography, cervical or thoracic, radiological supervision and 77002 Fluoroscopic guidance for needle placement 54

72285 Discography, cervical or thoracic, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 72291 Fluoroscopic guidance percutaneous vertebroplasty 75872 Venography, epidural, radiological supervision and 72291 Fluoroscopic guidance percutaneous vertebroplasty 76000 Fluoroscopy, up to one hour physician time 72291 Fluoroscopic guidance percutaneous vertebroplasty 76001 Fluoroscopy, more than one hour physician time 72291 Fluoroscopic guidance percutaneous vertebroplasty 77001 72291 Fluoroscopic guidance percutaneous vertebroplasty 77002 Fluoroscopic guidance for needle placement 72291 Fluoroscopic guidance percutaneous vertebroplasty 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 72292 CT guidance percutaneous vertebroplasty 72291 Fluoroscopic guidance percutaneous vertebroplasty 72292 CT guidance percutaneous vertebroplasty 75872 Venography, epidural, radiological supervision and 72292 CT guidance percutaneous vertebroplasty 76380 CT limited or localized follow-up study 72292 CT guidance percutaneous vertebroplasty 77011 CT guidance stereotactic localization 72295 Discography, lumbar, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 72295 Discography, lumbar, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 72295 Discography, lumbar, radiological supervision and 77001 55

72295 Discography, lumbar, radiological supervision and 77002 Fluoroscopic guidance for needle placement 72295 Discography, lumbar, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 73030 X-ray, shoulder, Complete min 2 views 73020 X-ray, shoulder, 1 view 73040 X-ray, shoulder, arthrography, radiological supervision and 73020 X-ray, shoulder, 1 view 73040 X-ray, shoulder, arthrography, radiological supervision and 73030 X-ray, shoulder, Complete min 2 views 73040 X-ray, shoulder, arthrography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 73040 X-ray, shoulder, arthrography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 73040 X-ray, shoulder, arthrography, radiological supervision and 77001 73040 X-ray, shoulder, arthrography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 73040 X-ray, shoulder, arthrography, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 73080 X-ray, elbow, complete, minimum 3 views 73070 X-ray, elbow; 2 views 73085 X-ray, elbow, arthrography, radiological supervision and 73070 X-ray, elbow; 2 views 73085 X-ray, elbow, arthrography, radiological supervision and 73080 X-ray, elbow, complete, minimum 3 views 73085 X-ray, elbow, arthrography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 56

73085 X-ray, elbow, arthrography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 73085 X-ray, elbow, arthrography, radiological supervision and 77001 73085 X-ray, elbow, arthrography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 73085 X-ray, elbow, arthrography, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 73092 X-ray, upper extremity, infant, min 2 views 73090 X-ray, forearm, 2 views 73110 X-ray wrist, complete, min 3 views 73100 X-ray, wrist, 2 views 73115 X-ray, wrist, arthrography, radiological supervision and 73100 X-ray, wrist, 2 views 73115 X-ray, wrist, arthrography, radiological supervision and 73110 X-ray, wrist, complete, min 3 views 73115 X-ray, wrist, arthrography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 73115 X-ray, wrist, arthrography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 73115 X-ray, wrist, arthrography, radiological supervision and 77001 73115 X-ray, wrist, arthrography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 73115 X-ray, wrist, arthrography, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 73120 X-ray, hand, 2 views 73140 X-ray, finger(s), min 2 views 57

73130 X-ray, hand, min. 3 views 73120 X-ray, hand, 2 views 73130 X-ray, hand, min. 3 views 73140 X-ray, finger(s), min 2 views 73200 CT upper extremity, WO contrast 73218 MRI upper extremity, other than joint, WO contrast CPT Definition 73200 CT upper extremity, WO contrast 73220 MRI upper extremity, other than joint, W contrast CPT Definition 73200 CT upper extremity, WO contrast 73221 MRI upper extremity joint, WO contrast CPT Definition 73200 CT upper extremity, WO contrast 73222 MRI upper extremity joint, W contrast CPT Definition 73200 CT upper extremity, WO contrast 73223 MRI, any joint of upper extremity, W or WO contrast CPT Definition 73200 CT upper extremity, WO contrast 76380 CT limited or localized follow-up study 73201 CT upper extremity, W contrast 73200 CT upper extremity, WO contrast 73201 CT upper extremity, W contrast 73218 MRI upper extremity, other than joint, WO contrast CPT Definition 73201 CT upper extremity, W contrast 73219 MRI upper extremity, other than joint, W contrast CPT Definition 73201 CT upper extremity, W contrast 73220 MRI upper extremity, other than joint, W contrast CPT Definition 73201 CT upper extremity, W contrast 73221 MRI upper extremity joint, WO contrast CPT Definition 73201 CT upper extremity, W contrast 73222 MRI upper extremity joint, W contrast CPT Definition 58

73201 CT upper extremity, W contrast 73223 MRI, any joint of upper extremity, W or WO contrast CPT Definition 73201 CT upper extremity, W contrast 76000 Fluoroscopy, up to one hour physician time 73201 CT upper extremity, W contrast 76001 Fluoroscopy, more than one hour physician time 73201 CT upper extremity, W contrast 76380 CT limited or localized follow-up study 73201 CT upper extremity, W contrast 76942 73201 CT upper extremity, W contrast 76998 US guidance intra-operative 73201 CT upper extremity, W contrast 77001 73201 CT upper extremity, W contrast 77002 Fluoroscopic guidance for needle placement 73202 CT upper extremity, WO & W and further sections 73200 CT upper extremity, WO contrast 73202 CT upper extremity, WO & W and further sections 73201 CT upper extremity, W contrast 73202 CT upper extremity, WO & W and further sections 73218 MRI upper extremity, other than joint, WO contrast CPT Definition 73202 CT upper extremity, WO & W and further sections 73219 MRI upper extremity, other than joint, W contrast CPT Definition 73202 CT upper extremity, WO & W and further sections 73220 MRI upper extremity, other than joint, WO & W contrast CPT Definition 73202 CT upper extremity, WO & W and further sections 73221 MRI upper extremity joint, WO contrast CPT Definition 59

73202 CT upper extremity, WO & W and further sections 73222 MRI upper extremity joint, W contrast CPT Definition 73202 CT upper extremity, WO & W and further sections 73223 MRI, any joint of upper extremity, W or WO contrast CPT Definition 73202 CT upper extremity, WO & W and further sections 76000 Fluoroscopy, up to one hour physician time 73202 CT upper extremity, WO & W and further sections 76001 Fluoroscopy, more than one hour physician time 73202 CT upper extremity, WO & W and further sections 76380 CT limited or localized follow-up study 73202 CT upper extremity, WO & W and further sections 76942 73202 CT upper extremity, WO & W and further sections 76998 US guidance intra-operative 73202 CT upper extremity, WO & W and further sections 77001 73202 CT upper extremity, WO & W and further sections 77002 Fluoroscopic guidance for needle placement 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 73200 CT upper extremity, WO contrast 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 73201 CT upper extremity, W contrast 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 73202 CT upper extremity, WO & W and further sections 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 76000 Fluoroscopy, up to one hour physician time 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 76001 Fluoroscopy, more than one hour physician time 60

73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 76376 3D Rendering WO Postprocessing 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 76377 3D Rendering W Postprocessing 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 76380 CT limited or localized follow-up study 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 76942 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 76998 US guidance intra-operative 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 77001 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing 77002 Fluoroscopic guidance for needle placement 73219 MRI upper extremity, other than joint, W contrast 73200 CT upper extremity, WO contrast CPT Definition 73219 MRI upper extremity, other than joint, W contrast 73218 MRI upper extremity, other than joint, WO contrast 73219 MRI upper extremity, other than joint, W contrast 76000 Fluoroscopy, up to one hour physician time 73219 MRI upper extremity, other than joint, W contrast 76001 Fluoroscopy, more than one hour physician time 73219 MRI upper extremity, other than joint, W contrast 76942 73219 MRI upper extremity, other than joint, W contrast 76998 US guidance intra-operative 73219 MRI upper extremity, other than joint, W contrast 77001 61

73219 MRI upper extremity, other than joint, W contrast 77002 Fluoroscopic guidance for needle placement 73220 MRI upper extremity, other than joint, WO & W contrast 73218 MRI upper extremity, other than joint, WO contrast 73220 MRI upper extremity, other than joint, WO & W contrast 73219 MRI upper extremity, other than joint, W contrast 73220 MRI upper extremity, other than joint, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 73220 MRI upper extremity, other than joint, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 73220 MRI upper extremity, other than joint, WO & W contrast 76942 73220 MRI upper extremity, other than joint, WO & W contrast 76998 US guidance intra-operative 73220 MRI upper extremity, other than joint, WO & W contrast 77001 73220 MRI upper extremity, other than joint, WO & W contrast 77002 Fluoroscopic guidance for needle placement 73222 MRI any joint of upper extremity, W contrast 73221 MRI upper extremity joint, WO contrast 73223 MRI any joint of upper extremity, WO & W contrast 73221 MRI upper extremity joint, WO contrast 73223 MRI any joint of upper extremity, WO & W contrast 73222 MRI upper extremity joint, W contrast 73225 MRA upper extremity, WO & W contrast 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing CPT Definition 73225 MRA upper extremity, WO & W contrast 73218 MRI, upper extremity, other than joint; without contrast material(s) 62

73225 MRA upper extremity, WO & W contrast 73219 Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) 73225 MRA upper extremity, WO & W contrast 73220 MRI, upper extremity, other than joint; WO & W contrast and further sequences 73225 MRA upper extremity, WO & W contrast 73221 MRI upper extremity joint, WO contrast 73225 MRA upper extremity, WO & W contrast 73222 MRI upper extremity joint, W contrast 73225 MRA upper extremity, WO & W contrast 73223 MRI any joint of upper extremity, WO & W contrast 73225 MRA upper extremity, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 73225 MRA upper extremity, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 73225 MRA upper extremity, WO & W contrast 76376 3D Rendering WO Postprocessing 73225 MRA upper extremity, WO & W contrast 76377 3D Rendering W Postprocessing 73225 MRA upper extremity, WO & W contrast 76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and 73225 MRA upper extremity, WO & W contrast 76998 Ultrasonic guidance, intraoperative 73225 MRA upper extremity, WO & W contrast 77002 Fluoroscopic guidance for needle placement 73510 X-ray, hip, unilateral complete min 2 views 73500 X-ray, hip, unilateral, 1 view 73520 X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis 72170 X-ray, pelvis, 1 or 2 views 63

73520 X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis 72190 X-ray pelvis, complete, min 3 views CPT Definition 73520 X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis 73500 X-ray, hip, unilateral, 1 view 73520 X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis 73510 X-ray hip unilateral complete min 2 views 73525 X-ray, hip, arthrography, radiological supervision and 73500 X-ray, hip, unilateral, 1 view 73525 X-ray, hip, arthrography, radiological supervision and 73510 X-ray hip unilateral complete min 2 views 73525 X-ray, hip, arthrography, radiological supervision and 73520 X-ray, hips, bilateral, min 2 views each hip, including anteroposterior of pelvis 73525 X-ray, hip, arthrography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 73525 X-ray, hip, arthrography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 73525 X-ray, hip, arthrography, radiological supervision and 77001 73525 X-ray, hip, arthrography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 73525 X-ray, hip, arthrography, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures CPT Definition 73540 X-ray, pelvis and hips, infant or child, min. 2 views 72170 X-ray, pelvis, 1 or 2 views 73562 X-ray, knee, 3 views 73560 X-ray, knee 1 or 2 views 73564 X-ray, knee, complete 4 or more views 73560 X-ray, knee 1 or 2 views 64

73564 X-ray, knee, complete 4 or more views 73562 X-ray, knee, 3 views 73564 X-ray, knee, complete 4 or more views 73565 X-ray both knees, standing, anteroposterior 73565 X-ray both knees, standing, anteroposterior 73562 X-ray, knee, 3 views 73580 X-ray knee, arthrography, radiological supervision and 73560 X-ray, knee 1 or 2 views 73580 X-ray knee, arthrography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 73580 X-ray knee, arthrography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 73580 X-ray, knee, arthrography, radiological supervision and 77001 73580 X-ray knee, arthrography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 73580 X-ray knee, arthrography, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 73590 X-ray, tibia and fibula, 2 views 73592 X-ray, lower extremity, infant, min 2 views 73592 X-ray, lower extremity, infant, min 2 views 73610 X-ray, ankle, complete min 3 views 73600 X-ray, ankle, 2 views 73592 X-ray lower extremity, infant, min 2 views 73610 X-ray, ankle, complete, min 3 views 73600 X-ray, ankle, 2 views 73615 X-ray, ankle, arthrography, radiological supervision and 73600 X-ray, ankle, 2 views 65

73615 X-ray, ankle, arthrography, radiological supervision and 73610 X-ray, ankle, complete min 3 views 73615 X-ray, ankle, arthrography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 73615 X-ray, ankle, arthrography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 73615 X-ray, ankle, arthrography, radiological supervision and 77001 73615 X-ray, ankle, arthrography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 73615 X-ray, ankle, arthrography, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 73620 X-ray, foot 2 views 73660 X-ray, toes, 2 views 73630 X-ray, Foot complete min 3 views 73620 X-ray, foot, 2 views 73630 X-ray, Foot complete min 3 views 73660 X-ray toes, 2 views CPT Definition 73700 CT lower extremity, WO contrast 73718 MRI lower extremity (other then joint), WO contrast CPT Definition 73700 CT lower extremity, WO contrast 73719 MRI lower extremity, W contrast CPT Definition 73700 CT lower extremity, WO contrast 73720 MRI lower extremity, WO & W contrast CPT Definition 73700 CT lower extremity, WO contrast 73721 MRI lower extremity joint, WO contrast CPT Definition 73700 CT lower extremity, WO contrast 73723 MRI lower ext joint, WO & W contrast CPT Definition 66

73700 CT lower extremity, WO contrast 76380 CT limited or localized follow-up study 73701 CT lower extremity, W contrast 73700 CT lower extremity, WO contrast 73701 CT lower extremity, W contrast 73718 MRI lower extremity (other then joint), WO contrast CPT Definition 73701 CT lower extremity, W contrast 73719 MRI lower extremity, W contrast CPT Definition 73701 CT lower extremity, W contrast 73720 MRI lower extremity, WO & W contrast CPT Definition 73701 CT lower extremity, W contrast 73721 MRI lower extremity joint, WO contrast CPT Definition 73701 CT lower extremity, W contrast 73722 MRI lower ext joint, W contrast CPT Definition 73701 CT lower extremity, W contrast 73723 MRI lower ext joint, WO & W contrast CPT Definition 73701 CT lower extremity, W contrast 76000 Fluoroscopy, up to one hour physician time 73701 CT lower extremity, W contrast 76001 Fluoroscopy, more than one hour physician time 73701 CT lower extremity, W contrast 76380 CT limited or localized follow-up study 73701 CT lower extremity, W contrast 76942 73701 CT lower extremity, W contrast 76998 US guidance intra-operative 73701 CT lower extremity, W contrast 77001 67

73701 CT lower extremity, W contrast 77002 Fluoroscopic guidance for needle placement 73702 CT lower extremity WO & W contrast 73700 CT lower extremity, WO contrast 73702 CT lower extremity WO & W contrast 73701 CT lower extremity, W contrast 73702 CT lower extremity WO & W contrast 73718 MRI lower extremity (other then joint), WO contrast CPT Definition 73702 CT lower extremity WO & W contrast 73719 MRI lower extremity, W contrast CPT Definition 73702 CT lower extremity WO & W contrast 73720 MRI lower extremity, WO & W contrast CPT Definition 73702 CT lower extremity WO & W contrast 73721 MRI lower extremity joint, WO contrast CPT Definition 73702 CT lower extremity WO & W contrast 73722 MRI lower ext joint, W contrast CPT Definition 73702 CT lower extremity WO & W contrast 73723 MRI lower ext joint, WO & W contrast CPT Definition 73702 CT lower extremity WO & W contrast 76000 Fluoroscopy, up to one hour physician time 73702 CT lower extremity WO & W contrast 76001 Fluoroscopy, more than one hour physician time 73702 CT lower extremity WO & W contrast 76380 CT limited or localized follow-up study 73702 CT lower extremity WO & W contrast 76942 73702 CT lower extremity WO & W contrast 76998 US guidance intra-operative 68

73702 CT lower extremity WO & W contrast 77001 73702 CT lower extremity WO & W contrast 77002 Fluoroscopic guidance for needle placement 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 72191 CTA pelvis, W contrast, including noncontrast images 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 73700 CT lower extremity, WO contrast 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 73701 CT lower extremity, W contrast 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 73702 CT lower extremity WO & W contrast 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 76000 Fluoroscopy, up to one hour physician time 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 76001 Fluoroscopy, more than one hour physician time 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 76376 3D Rendering WO Postprocessing 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 76377 3D Rendering W Postprocessing 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 76380 CT limited or localized follow-up study 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 76942 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 76998 US guidance intra-operative 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 77001 69

73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 77002 Fluoroscopic guidance for needle placement 73719 MRI lower extremity, W contrast 73718 MRI lower extremity (other then joint), WO contrast 73719 MRI lower extremity, W contrast 76000 Fluoroscopy, up to one hour physician time 73719 MRI lower extremity, W contrast 76001 Fluoroscopy, more than one hour physician time 73719 MRI lower extremity, W contrast 76942 73719 MRI lower extremity, W contrast 76998 US guidance intra-operative 73719 MRI lower extremity, W contrast 77001 73719 MRI lower extremity, W contrast 77002 Fluoroscopic guidance for needle placement 73720 MRI lower extremity, WO & W contrast 73718 MRI lower extremity (other then joint), WO contrast 73720 MRI lower extremity, WO & W contrast 73719 MRI lower extremity, W contrast 73720 MRI lower extremity, WO & W contrast 73725 MRA, lower extremity, W or WO contrast 73720 MRI lower extremity, WO & W contrast 76000 Fluoroscopy, up to one hour physician time 73720 MRI lower extremity, WO & W contrast 76001 Fluoroscopy, more than one hour physician time 73720 MRI lower extremity, WO & W contrast 76942 70

73720 MRI lower extremity, WO & W contrast 76998 US guidance intra-operative 73720 MRI lower extremity, WO & W contrast 77001 73720 MRI lower extremity, WO & W contrast 77002 Fluoroscopic guidance for needle placement 73722 MRI lower ext joint, W contrast 73721 MRI lower extremity joint, WO contrast 73723 MRI lower ext joint, WO & W contrast 73700 CT lower extremity, WO contrast CPT Definition 73723 MRI lower ext joint, WO & W contrast 73721 MRI lower extremity joint, WO contrast 73723 MRI lower ext joint, WO & W contrast 73722 MRI lower ext joint, W contrast 73723 MRI lower ext joint, WO & W contrast 73725 MRA, lower extremity, W or WO contrast 73725 MRA lower extremity WO & W contrast 73706 CTA W contrast material, including noncontrast images, if performed, and image postprocessing CPT Definition 73725 MRA lower extremity WO & W contrast 73718 MRI lower extremity (other then joint), WO contrast 73725 MRA lower extremity WO & W contrast 73719 MRI lower extremity, W contrast 73725 MRA lower extremity WO & W contrast 73721 MRI lower extremity joint, WO contrast 73725 MRA lower extremity WO & W contrast 73722 MRI lower ext joint, W contrast 73725 MRA lower extremity WO & W contrast 76000 Fluoroscopy, up to one hour physician time 71

73725 MRA lower extremity WO & W contrast 76001 Fluoroscopy, more than one hour physician time 73725 MRA lower extremity WO & W contrast 76376 3D Rendering WO Postprocessing 73725 MRA lower extremity WO & W contrast 76377 3D Rendering W Postprocessing 73725 MRA lower extremity WO & W contrast 76942 73725 MRA lower extremity WO & W contrast 76998 US guidance intra-operative 73725 MRA lower extremity WO & W contrast 77001 73725 MRA lower extremity WO & W contrast 77002 Fluoroscopic guidance for needle placement 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74000 X-ray, abdomen, single anteroposterior view 74020 X-ray, abdomen, complete, including decubitus and/or erect 71010 X-ray, chest; single view, frontal CPT Definition 74020 X-ray, abdomen, complete, including decubitus and/or erect 74000 X-ray, abdomen, single anteroposterior view 74020 X-ray, abdomen, complete, including decubitus and/or erect 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest 71010 X-ray, chest; single view, frontal 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest 74000 X-ray, abdomen, single anteroposterior view 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 72

74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest 74020 X-ray, abdomen, complete, including decubitus and/or erect 74150 CT abdomen, WO contrast 72192 CT pelvis WO contrast 74150 CT abdomen, WO contrast 72193 CT pelvis W contrast 74150 CT abdomen, WO contrast 72194 CT pelvis WO & W contrast 74150 CT abdomen, WO contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 74150 CT abdomen, WO contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74150 CT abdomen, WO contrast 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74150 CT abdomen, WO contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74150 CT abdomen, WO contrast 74181 MRI abdomen, WO contrast CPT Definition 74150 CT abdomen, WO contrast 74182 MRI abdomen W contrast CPT Definition 74150 CT abdomen, WO contrast 74183 MRI abdomen WO & W contrast CPT Definition 74150 CT abdomen, WO contrast 76380 CT limited or localized follow-up study 74160 CT abdomen, W contrast 72192 CT pelvis WO contrast 74160 CT abdomen, W contrast 72193 CT pelvis W contrast 73

74160 CT abdomen, W contrast 72194 CT pelvis WO & W contrast 74160 CT abdomen, W contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 74160 CT abdomen, W contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74160 CT abdomen, W contrast 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74160 CT abdomen, W contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74160 CT abdomen, W contrast 74150 CT abdomen, WO contrast 74160 CT abdomen, W contrast 74181 MRI abdomen, WO contrast CPT Definition 74160 CT abdomen, W contrast 74182 MRI abdomen W contrast CPT Definition 74160 CT abdomen, W contrast 74183 MRI abdomen WO & W contrast CPT Definition 74160 CT abdomen, W contrast 76000 Fluoroscopy, up to one hour physician time 74160 CT abdomen, W contrast 76001 Fluoroscopy, more than one hour physician time 74160 CT abdomen, W contrast 76380 CT limited or localized follow-up study 74160 CT abdomen, W contrast 76942 74160 CT abdomen, W contrast 76998 US guidance intra-operative 74

74160 CT abdomen, W contrast 77001 74160 CT abdomen, W contrast 77002 Fluoroscopic guidance for needle placement 74170 CT abdomen WO & W contrast 72192 CT pelvis WO contrast 74170 CT abdomen WO & W contrast 72193 CT pelvis W contrast 74170 CT abdomen WO & W contrast 72194 CT pelvis WO & W contrast 74170 CT abdomen WO & W contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 74170 CT abdomen WO & W contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74170 CT abdomen WO & W contrast 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74170 CT abdomen WO & W contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74170 CT abdomen WO & W contrast 74150 CT abdomen, WO contrast 74170 CT abdomen WO & W contrast 74160 CT abdomen W contrast 74170 CT abdomen WO & W contrast 74181 MRI abdomen, WO contrast CPT Definition 74170 CT abdomen WO & W contrast 74182 MRI abdomen W contrast CPT Definition 74170 CT abdomen WO & W contrast 74183 MRI abdomen WO & W contrast CPT Definition 75

74170 CT abdomen WO & W contrast 76000 Fluoroscopy, up to one hour physician time 74170 CT abdomen WO & W contrast 76001 Fluoroscopy, more than one hour physician time 74170 CT abdomen WO & W contrast 76380 CT limited or localized follow-up study 74170 CT abdomen WO & W contrast 76942 74170 CT abdomen WO & W contrast 76998 US guidance intra-operative 74170 CT abdomen WO & W contrast 77001 74170 CT abdomen WO & W contrast 77002 Fluoroscopic guidance for needle placement 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 72191 CTA pelvis, W contrast, including noncontrast images 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 72192 CT pelvis WO contrast 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 72193 CT pelvis W contrast 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 72194 CT pelvis WO & W contrast 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 73706 CTA lower extremity, W contrast including noncontrast images, if performed, and image postprocessing 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 74150 CT abdomen, WO contrast 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 74160 CT abdomen W contrast 76

74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 74170 CT abdomen WO & W contrast 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 74175 CTA abdomen, W contrast material, including noncontrast images, if performed, and image postprocessing 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 74176 CT abdomen and pelvis; WO contrast material 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 74177 CT abdomen and pelvis; W contrast material(s) 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 74178 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 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 76000 Fluoroscopy, up to one hour physician time 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 76001 Fluoroscopy, more than one hour physician time 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 76376 3D Rendering WO Postprocessing 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 76377 3D Rendering W Postprocessing 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 76380 CT limited or localized follow-up study 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 76942 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 76998 US guidance intra-operative 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 77001 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 77002 Fluoroscopic guidance for needle placement 77

74175 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, W contrast, including noncontrast images, if performed, and image postprocessing 72191 CTA pelvis, W contrast, including noncontrast images 74175 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, W contrast, including noncontrast images, if performed, and image postprocessing 73706 CTA W contrast material, including noncontrast images, if performed, and image postprocessing 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 74150 CT abdomen, WO contrast 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 74160 CT abdomen W contrast 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 74170 CT abdomen WO & W contrast 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 74176 CT abdomen and pelvis; WO contrast material 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 74177 CT abdomen and pelvis; W contrast material(s) 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 74178 CT abdomen and pelvis; WO & W contrast 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 76000 Fluoroscopy, up to one hour physician time 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 76001 Fluoroscopy, more than one hour physician time 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 76376 3D Rendering WO Postprocessing 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 76377 3D Rendering W Postprocessing 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 76380 CT limited or localized follow-up study 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 76942 78

74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 76998 US guidance intra-operative 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 77001 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 77002 Fluoroscopic guidance for needle placement 74176 CT abdomen and pelvis; WO contrast 72192 CT pelvis WO contrast 74176 CT abdomen and pelvis; WO contrast 72193 CT pelvis W contrast 74176 CT abdomen and pelvis; WO contrast 72194 CT pelvis WO & W contrast 74176 CT abdomen and pelvis; WO contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 74176 CT abdomen and pelvis; WO contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74176 CT abdomen and pelvis; WO contrast 74020 X-ray, abdomen, complete, including decubitus and/or erect CPT Definition 74176 CT abdomen and pelvis; WO contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74176 CT abdomen and pelvis; WO contrast 74150 CT abdomen, WO contrast 74176 CT abdomen and pelvis; WO contrast 74160 CT abdomen W contrast 74176 CT abdomen and pelvis; WO contrast 74170 CT abdomen WO & W contrast 74176 CT abdomen and pelvis; WO contrast 74263 CT colonography, screening, including image postprocessing CPT Definition 79

74176 CT abdomen and pelvis; WO contrast 76380 CT limited or localized follow-up study 74177 CT abdomen and pelvis; W contrast 72192 CT pelvis WO contrast 74177 CT abdomen and pelvis; W contrast 72193 CT pelvis W contrast 74177 CT abdomen and pelvis; W contrast 72194 CT pelvis WO & W contrast 74177 CT abdomen and pelvis; W contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 74177 CT abdomen and pelvis; W contrast 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74177 CT abdomen and pelvis; W contrast 74020 X-ray, abdomen, complete, including decubitus and/or erect CPT Definition 74177 CT abdomen and pelvis; W contrast 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74177 CT abdomen and pelvis; W contrast 74150 CT abdomen, WO contrast 74177 CT abdomen and pelvis; W contrast 74160 CT abdomen W contrast 74177 CT abdomen and pelvis; W contrast 74170 CT abdomen WO & W contrast 74177 CT abdomen and pelvis; W contrast 74176 CT abdomen and pelvis; WO contrast material 74177 CT abdomen and pelvis; W contrast 74263 CT colonography, screening, including image postprocessing CPT Definition 74177 CT abdomen and pelvis; W contrast 76380 CT limited or localized follow-up study 80

74178 CT abdomen and pelvis; WO & W contrast 72192 CT pelvis WO contrast 74178 CT abdomen and pelvis; WO & W contrast 72193 CT pelvis W contrast 74178 CT abdomen and pelvis; WO & W contrast 72194 CT pelvis WO & W contrast 74178 CT abdomen and pelvis; WO & W contrast 74000 X-ray, abdomen, single anteroposterior view CPT Definition 74178 CT abdomen and pelvis; WO & W contrast 74150 CT abdomen, WO contrast 74178 CT abdomen and pelvis; WO & W contrast 74160 CT abdomen W contrast 74178 CT abdomen and pelvis; WO & W contrast 74170 CT abdomen WO & W contrast 74178 CT abdomen and pelvis; WO & W contrast 74176 CT abdomen and pelvis; WO contrast 74178 CT abdomen and pelvis; WO & W contrast 74177 CT abdomen and pelvis; W contrast 74178 CT abdomen and pelvis; WO & W contrast 74263 CT colonography, screening, including image postprocessing CPT Definition 74178 CT abdomen and pelvis; WO & W contrast 76380 CT limited or localized follow-up study 74182 MRI abdomen W contrast 74181 MRI abdomen, WO contrast 74182 MRI abdomen W contrast 76000 Fluoroscopy, up to one hour physician time 74182 MRI abdomen W contrast 76001 Fluoroscopy, more than one hour physician time 81

74182 MRI abdomen W contrast 76942 74182 MRI abdomen W contrast 76998 US guidance intra-operative 74182 MRI abdomen W contrast 77001 74182 MRI abdomen W contrast 77002 Fluoroscopic guidance for needle placement 74183 MRI abdomen WO & W contrast 74181 MRI abdomen, WO contrast 74183 MRI abdomen WO & W contrast 74182 MRI abdomen W contrast 74183 MRI abdomen WO & W contrast 74185 MRA, abdomen, WO or W contrast 74183 MRI abdomen WO & W contrast 76000 Fluoroscopy, up to one hour physician time 74183 MRI abdomen WO & W contrast 76001 Fluoroscopy, more than one hour physician time 74183 MRI abdomen WO & W contrast 76942 74183 MRI abdomen WO & W contrast 76998 US guidance intra-operative 74183 MRI abdomen WO & W contrast 77001 74183 MRI abdomen WO & W contrast 77002 Fluoroscopic guidance for needle placement 74185 MRA abdomen WO or W contrast 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing CPT Definition 82

74185 MRA abdomen WO or W contrast 74181 MRI abdomen, WO contrast 74185 MRA abdomen WO or W contrast 74182 MRI abdomen W contrast 74185 MRA abdomen WO or W contrast 75635 CT angiography, abdominal aorta & bilateral iliofemoral lower extremity runoff, w/contrast material including noncontrast images, if performed, and image postprocessing CPT Definition 74185 MRA abdomen WO or W contrast 76000 Fluoroscopy, up to one hour physician time 74185 MRA abdomen WO or W contrast 76001 Fluoroscopy, more than one hour physician time 74185 MRA abdomen WO or W contrast 76376 3D Rendering WO Postprocessing 74185 MRA abdomen WO or W contrast 76377 3D Rendering W Postprocessing 74185 MRA abdomen WO or W contrast 76942 74185 MRA abdomen WO or W contrast 76998 US guidance intra-operative 74185 MRA abdomen WO or W contrast 77001 74185 MRA abdomen WO or W contrast 77002 Fluoroscopic guidance for needle placement 74190 X-ray Peritoneogram radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74190 X-ray Peritoneogram radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74190 X-ray Peritoneogram radiological supervision and 77001 83

74190 X-ray Peritoneogram radiological supervision and 77002 Fluoroscopic guidance for needle placement 74210 X-ray pharynx and/or cervical esophagus 76000 Fluoroscopy, up to one hour physician time 74210 X-ray pharynx and/or cervical esophagus 76001 Fluoroscopy, more than one hour physician time 74210 X-ray pharynx and/or cervical esophagus 77001 74220 X-ray esophagus 74210 X-ray, pharynx and/or cervical esophagus 74220 X-ray esophagus 76000 Fluoroscopy, up to one hour physician time 74220 X-ray esophagus 76001 Fluoroscopy, more than one hour physician time 74220 X-ray esophagus 77001 74230 Swallowing function W cineradiography /videoradiography 74210 X-ray, pharynx and/or cervical esophagus 74230 Swallowing function W cineradiography /videoradiography 74220 X-ray, esophagus 74230 Swallowing function W cineradiography /videoradiography 76000 Fluoroscopy, up to one hour physician time 74230 Swallowing function W cineradiography /videoradiography 76001 Fluoroscopy, more than one hour physician time 74230 Swallowing function W cineradiography /videoradiography 77001 74235 Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 84

74235 Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74235 Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and 77001 74235 Removal of foreign body(s), esophageal, W use of balloon catheter, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74000 X-ray, abdomen, single anteroposterior view 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74210 X-ray, pharynx and/or cervical esophagus 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74220 X-ray, esophagus 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74245 X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 76000 Fluoroscopy, up to one hour physician time 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 76001 Fluoroscopy, more than one hour physician time 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 77001 85

74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74000 X-ray, abdomen, single anteroposterior view 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74210 X-ray, pharynx and/or cervical esophagus 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74220 X-ray, esophagus 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74245 X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 76000 Fluoroscopy, up to one hour physician time 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 76001 Fluoroscopy, more than one hour physician time 74241 X-ray GI tract, upper, W or WO delayed films, W KUB 77001 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 74000 X-ray, abdomen, single anteroposterior view 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 86

74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 74020 X-ray abdomen, complete, including decubitus and/or erect 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 74210 X-ray, pharynx and/or cervical esophagus 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 74220 X-ray, esophagus 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 74250 X-ray, small intestine, multi serial films 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 76000 Fluoroscopy, up to one hour physician time 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 76001 Fluoroscopy, more than one hour physician time 74245 X-ray GI tract, upper, W or WO delayed films, W small intestine, includes multiple series films 77001 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74000 X-ray, abdomen, single anteroposterior view 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74210 X-ray, pharynx and/or cervical esophagus 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74220 X-ray, esophagus 87

74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74241 X-ray GI tract, upper, W or WO delayed films, WO KUB 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74245 X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 76000 Fluoroscopy, up to one hour physician time 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 76001 Fluoroscopy, more than one hour physician time 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films 77001 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74000 X-ray, abdomen, single anteroposterior view 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74210 X-ray, pharynx and/or cervical esophagus 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74220 X-ray, esophagus 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74240 X-ray GI tract, upper, W or WO delayed films, WO KUB 88

74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74241 X-ray GI tract, upper, W or WO delayed films, WO KUB 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74245 X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films WO KUB 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 76000 Fluoroscopy, up to one hour physician time 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 76001 Fluoroscopy, more than one hour physician time 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 77001 74249 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74000 X-ray, abdomen, single anteroposterior view 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74210 X-ray, pharynx and/or cervical esophagus 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74220 X-ray, esophagus 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74245 X-ray GI tract, upper, W or WO delayed films, WO KUB, W small intestines, multi serial films 89

74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74250 X-ray, small intestine, multi serial films 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 76000 Fluoroscopy, up to one hour physician time 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 76001 Fluoroscopy, more than one hour physician time 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 77001 74250 X-ray, small intestine, multi serial films 74000 X-ray, abdomen, single anteroposterior view 74250 X-ray, small intestine, multi serial films 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74250 X-ray, small intestine, multi serial films 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74250 X-ray, small intestine, multi serial films 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74250 X-ray, small intestine, multi serial films 76000 Fluoroscopy, up to one hour physician time 74250 X-ray, small intestine, multi serial films 76001 Fluoroscopy, more than one hour physician time 74250 X-ray, small intestine, multi serial films 77001 74251 X-ray, small intestine, multi serial films, via enteroclysis tube 74000 X-ray, abdomen, single anteroposterior view 74251 X-ray, small intestine, multi serial films, via enteroclysis tube 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views CPT Definition 74251 X-ray, small intestine, multi serial films, via enteroclysis tube 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 90

74251 X-ray, small intestine, multi serial films, via enteroclysis tube 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74251 X-ray, small intestine, multi serial films, via enteroclysis tube 74250 X-ray, small intestine, multi serial films 74251 X-ray, small intestine, multi serial films, via enteroclysis tube 76000 Fluoroscopy, up to one hour physician time 74251 X-ray, small intestine, multi serial films, via enteroclysis tube 76001 Fluoroscopy, more than one hour physician time 74251 X-ray, small intestine, multi serial films, via enteroclysis tube 77001 74260 Duodenography, hypotonic 74246 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films WO KUB 74260 Duodenography, hypotonic 74247 X-ray upper GI tract, air contrast, high density barium, effervescent agent, W or WO glucagon, W or WO delayed films, W KUB 74260 Duodenography, hypotonic 74249 X-ray upper GI tract, upper, air contrast, high density barium, effervescent agent, W/WO glucagon; W small intestine followthrough 74260 Duodenography, hypotonic 76000 Fluoroscopy, up to one hour physician time 74260 Duodenography, hypotonic 76001 Fluoroscopy, more than one hour physician time 74260 Duodenography, hypotonic 77001 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 72192 CT pelvis WO contrast 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 72193 CT pelvis W contrast 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 72194 CT pelvis WO & W contrast 91

74261 CT colonography, diagnostic, including image postprocessing; WO contrast 74150 CT abdomen, WO contrast 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 74160 CT abdomen W contrast 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 74170 CT abdomen WO & W contrast 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 74176 CTA abdomen and pelvis; WO contrast material 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 74177 CTA abdomen and pelvis; W contrast material(s) 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 74178 CT abdomen and pelvis; WO & W contrast 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 74263 CT colonography, screening, including image postprocessing 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 76000 Fluoroscopy, up to one hour physician time 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 76001 Fluoroscopy, more than one hour physician time 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 76376 3D Rendering WO Postprocessing 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 76377 3D Rendering W Postprocessing 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 77001 74261 CT colonography, diagnostic, including image postprocessing; WO contrast 77002 Fluoroscopic guidance for needle placement 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 72192 CT pelvis WO contrast 92

74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 72193 CT pelvis W contrast 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 72194 CT pelvis WO & W contrast 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74150 CT abdomen, WO contrast 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74160 CT abdomen W contrast 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74170 CT abdomen WO & W contrast 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74176 CTA abdomen and pelvis; WO contrast material 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74177 CTA abdomen and pelvis; W contrast material(s) 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74178 CT abdomen and pelvis; WO & W contrast 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74261 CT colonography, diagnostic, including image postprocessing; WO contrast material 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 74263 CT colonography, screening, including image postprocessing 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 76000 Fluoroscopy, up to one hour physician time 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 76001 Fluoroscopy, more than one hour physician time 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 76376 3D Rendering WO Postprocessing 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 76377 3D Rendering W Postprocessing 93

74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 76942 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 76998 US guidance intra-operative 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 77001 74262 CT colonography, diagnostic, including image postprocessing; WO & W contrast 77002 Fluoroscopic guidance for needle placement 74263 CT colonography, screening, including image postprocessing 72192 CT Pelvis W/O Contrast 74263 CT colonography, screening, including image postprocessing 72193 CT Pelvis W/ Contrast 74263 CT colonography, screening, including image postprocessing 72194 CT Pelvis W/O & W/ Contrast 74263 CT colonography, screening, including image postprocessing 74150 Computed tomography, abdomen; without contrast material 74263 CT colonography, screening, including image postprocessing 74160 Computed tomography, abdomen; with contrast material(s) 74263 CT colonography, screening, including image postprocessing 74170 Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections 74263 CT colonography, screening, including image postprocessing 76000 Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (eg, cardiac fluoroscopy) 74263 CT colonography, screening, including image postprocessing 76376 3D Rendering WO Postprocessing 74263 CT colonography, screening, including image postprocessing 76377 3D Rendering W Postprocessing 74270 X-ray, colon, barium enema, W or WO KUB 74000 X-ray, abdomen, single anteroposterior view 94

74270 X-ray, colon, barium enema, W or WO KUB 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74270 X-ray, colon, barium enema, W or WO KUB 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74270 X-ray, colon, barium enema, W or WO KUB 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74270 X-ray, colon, barium enema, W or WO KUB 74280 X-ray Barium Enema air contrast W high density barium, W or WO glucagon 74270 X-ray, colon, barium enema, W or WO KUB 74283 Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction 74270 X-ray, colon, barium enema, W or WO KUB 76000 Fluoroscopy, up to one hour physician time 74270 X-ray, colon, barium enema, W or WO KUB 76001 Fluoroscopy, more than one hour physician time 74270 X-ray, colon, barium enema, W or WO KUB 76942 74270 X-ray, colon, barium enema, W or WO KUB 76998 US guidance intra-operative 74270 X-ray, colon, barium enema, W or WO KUB 77001 74270 X-ray, colon, barium enema, W or WO KUB 77002 Fluoroscopic guidance for needle placement 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 74000 X-ray, abdomen, single anteroposterior view 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 95

74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest CPT Definition 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 74283 Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 76000 Fluoroscopy, up to one hour physician time 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 76001 Fluoroscopy, more than one hour physician time 74280 X-ray, Barium Enema air contrast W high density barium, W or WO glucagon 77001 74283 Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction 76000 Fluoroscopy, up to one hour physician time 74283 Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction 76001 Fluoroscopy, more than one hour physician time 74283 Therapy enema, contrast/air, reduce intussusceptions & other intraluminal obstruction 77001 74290 Cholecystography, oral contrast; 76000 Fluoroscopy, up to one hour physician time 74290 Cholecystography, oral contrast; 76001 Fluoroscopy, more than one hour physician time 74290 Cholecystography, oral contrast; 77001 74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination 76000 Fluoroscopy, up to one hour physician time 74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination 76001 Fluoroscopy, more than one hour physician time 74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination 77001 96

74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 74290 Cholecystography, oral contrast; 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 77001 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74301 Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and 74290 Cholecystography, oral contrast; 74301 Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and 74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination 74301 Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 74290 Cholecystography, oral contrast; 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 97

74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 77001 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 74290 Cholecystography, oral contrast; 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 74301 Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 77001 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74327 Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74327 Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74327 Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and 77001 98

74327 Postoperative biliary duct calculus removal, percutaneous via T- tube tract, basket, or snare (eg, Burhenne technique), radiological supervision and 77002 Fluoroscopic guidance for needle placement 74328 Endoscopic catheterization of the biliary ductal system, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74328 Endoscopic catheterization of the biliary ductal system, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74328 Endoscopic catheterization of the biliary ductal system, radiological supervision and 77001 74328 Endoscopic catheterization of the biliary ductal system, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74329 Endoscopic catheterization of the pancreatic ductal system, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74329 Endoscopic catheterization of the pancreatic ductal system, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74329 Endoscopic catheterization of the pancreatic ductal system, radiological supervision and 77001 74329 Endoscopic catheterization of the pancreatic ductal system, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74330 Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and 74328 Endoscopic catheterization of the biliary ductal system, radiological supervision and 74330 Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and 74329 Endoscopic catheterization of the pancreatic ductal system, radiological supervision and 74330 Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74330 Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74330 Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and 77001 99

74330 Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74340 Introduction of long gastrointestinal tube, including multiple fluoroscopies and films, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74340 Introduction of long gastrointestinal tube, including multiple fluoroscopies and films, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74340 Introduction of long gastrointestinal tube, including multiple fluoroscopies and films, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74340 Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and films, radiological supervision and 77001 74340 Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and films, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74355 Percutaneous placement of enteroclysis tube, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74355 Percutaneous placement of enteroclysis tube, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74355 Percutaneous placement of enteroclysis tube, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74355 Percutaneous placement of enteroclysis tube, radiological supervision and 77001 74355 Percutaneous placement of enteroclysis tube, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74360 Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74360 Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74360 Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and 76001 Fluoroscopy, more than one hour physician time 100

74360 Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and 77001 74360 Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and 77002 Fluoroscopic guidance for needle placement 74363 Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74363 Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74363 Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74363 Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and 77001 74363 Percutaneous transhepatic dilation of biliary duct stricture W or WO placement of stent, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74400 Urography intravenous, W or WO KUB, W or WO tomography 74000 X-ray, abdomen, single anteroposterior view 74400 Urography intravenous, W or WO KUB, W or WO tomography 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74400 Urography intravenous, W or WO KUB, W or WO tomography 74020 X-ray abdomen, complete, including decubitus and/or erect CPT Definition 74400 Urography intravenous, W or WO KUB, W or WO tomography 74022 X-ray, abdomen, complete acute abdomen series, supine, erect, and/or decubitus, single chest 74400 Urography intravenous, W or WO KUB, W or WO tomography 74410 Urography, infusion, drip and/or bolus technique 74400 Urography intravenous, W or WO KUB, W or WO tomography 74420 Urography, retrograde, W or WO KUB 74400 Urography intravenous, W or WO KUB, W or WO tomography 76000 Fluoroscopy, up to one hour physician time 101

74400 Urography intravenous, W or WO KUB, W or WO tomography 76001 Fluoroscopy, more than one hour physician time 74400 Urography intravenous, W or WO KUB, W or WO tomography 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral 74400 Urography intravenous, W or WO KUB, W or WO tomography 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral 74400 Urography intravenous, W or WO KUB, W or WO tomography 76942 74400 Urography intravenous, W or WO KUB, W or WO tomography 76998 US guidance intra-operative 74400 Urography intravenous, W or WO KUB, W or WO tomography 77001 74400 Urography intravenous, W or WO KUB, W or WO tomography 77002 Fluoroscopic guidance for needle placement 74410 Urography, infusion, drip and/or bolus technique 74000 X-ray, abdomen, single anteroposterior view 74410 Urography, infusion, drip and/or bolus technique 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74410 Urography, infusion, drip and/or bolus technique 74020 X-ray abdomen, complete, including decubitus and/or erect 74410 Urography, infusion, drip and/or bolus technique 74420 Urography, retrograde, W or WO KUB 74410 Urography, infusion, drip and/or bolus technique 74425 Urography infusion drip and/or Bolus; W nephrotomography 74410 Urography, infusion, drip and/or bolus technique 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral 74410 Urography, infusion, drip and/or bolus technique 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral 102

74415 Urography infusion drip and/or Bolus; W nephrotomography 74000 X-ray, abdomen, single anteroposterior view 74415 Urography infusion drip and/or Bolus; W nephrotomography 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74415 Urography infusion drip and/or Bolus; W nephrotomography 74020 X-ray abdomen, complete, including decubitus and/or erect 74415 Urography infusion drip and/or Bolus; W nephrotomography 74400 Urography intravenous, W or WO KUB, W or WO tomography 74415 Urography infusion drip and/or Bolus; W nephrotomography 74410 Urography, infusion, drip and/or bolus technique 74415 Urography infusion drip and/or Bolus; W nephrotomography 74420 Urography, retrograde, W or WO KUB 74415 Urography infusion drip and/or Bolus; W nephrotomography 74425 Urography infusion drip and/or Bolus; W nephrotomography 74415 Urography infusion drip and/or Bolus; W nephrotomography 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral CPT Definition 74415 Urography infusion drip and/or Bolus; W nephrotomography 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral 74420 Urography, retrograde, W or WO KUB 74000 X-ray, abdomen, single anteroposterior view 74420 Urography, retrograde, W or WO KUB 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74420 Urography, retrograde, W or WO KUB 74020 X-ray abdomen, complete, including decubitus and/or erect 74420 Urography, retrograde, W or WO KUB 74425 Urography infusion drip and/or Bolus; W nephrotomography 74420 Urography, retrograde, W or WO KUB 74430 Cystography, min 3 views, radiological supervision and 103

74420 Urography, retrograde, W or WO KUB 74450 Urethrocystography, retrograde, radiological supervision and 74420 Urography, retrograde, W or WO KUB 74455 Urethrocystography, voiding, radiological supervision and 74420 Urography, retrograde, W or WO KUB 76000 Fluoroscopy, up to one hour physician time 74420 Urography, retrograde, W or WO KUB 76001 Fluoroscopy, more than one hour physician time 74420 Urography, retrograde, W or WO KUB 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral CPT Definition 74420 Urography, retrograde, W or WO KUB 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral 74420 Urography, retrograde, W or WO KUB 76942 74420 Urography, retrograde, W or WO KUB 76998 US guidance intra-operative 74420 Urography, retrograde, W or WO KUB 77001 74420 Urography, retrograde, W or WO KUB 77002 Fluoroscopic guidance for needle placement 74425 Urography antegrade-radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74425 Urography antegrade-radiological supervision and 74010 X-ray, abdomen, anteroposterior and additional oblique and cone views 74425 Urography antegrade-radiological supervision and 74020 X-ray abdomen, complete, including decubitus and/or erect 74425 Urography antegrade-radiological supervision and 74400 Urography intravenous, W or WO KUB, W or WO tomography 104

74425 Urography antegrade-radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74425 Urography antegrade-radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74425 Urography antegrade-radiological supervision and 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral CPT Definition 74425 Urography antegrade-radiological supervision and 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; bilateral 74425 Urography antegrade-radiological supervision and 77001 74425 Urography antegrade-radiological supervision and 77002 Fluoroscopic guidance for needle placement 74430 Cystography, min 3 views, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74430 Cystography, min 3 views, radiological supervision and 74455 Urethrocystography, voiding, radiological supervision and 74430 Cystography, min 3 views, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74430 Cystography, min 3 views, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74430 Cystography, minimum of three views, radiological supervision and 77001 74440 Vasography, vesiculography, or epididymography, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74440 Vasography, vesiculography, or epididymography, radiological supervision and 74450 Urethrocystography, retrograde, radiological supervision and 74440 Vasography, vesiculography, or epididymography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 105

74440 Vasography, vesiculography, or epididymography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74440 Vasography, vesiculography, or epididymography, radiological supervision and 76942 74440 Vasography, vesiculography, or epididymography, radiological supervision and 76998 US guidance intra-operative 74440 Vasography, vesiculography, or epididymography, radiological supervision and 77001 74440 Vasography, vesiculography, or epididymography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74445 Corpora cavernosography, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74445 Corpora cavernosography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74445 Corpora cavernosography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74445 Corpora cavernosography, radiological supervision and 76942 74445 Corpora cavernosography, radiological supervision and 76998 US guidance intra-operative 74445 Corpora cavernosography, radiological supervision and 77001 74445 Corpora cavernosography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74450 Urethrocystography, retrograde, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74450 Urethrocystography, retrograde, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 106

74450 Urethrocystography, retrograde, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74450 Urethrocystography, retrograde, radiological supervision and 77001 74450 Urethrocystography, retrograde, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74455 Urethrocystography, voiding, radiological supervision and 74000 X-ray, abdomen, single anteroposterior view 74455 Urethrocystography, voiding, radiological supervision and 74450 Urethrocystography, retrograde, radiological supervision and 74455 Urethrocystography, voiding, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74455 Urethrocystography, voiding, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74455 Urethrocystography, voiding, radiological supervision and 77001 74470 X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74470 X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74470 X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and 77001 74470 X-ray, renal cyst study, translumbar, contrast visualization, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 107

74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 76942 74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 77001 74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74480 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 74480 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74480 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74480 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 76942 74480 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 77001 74480 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74485 Dilation of nephrostomy, ureters, or urethra, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74485 Dilation of nephrostomy, ureters, or urethra, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74485 Dilation of nephrostomy, ureters, or urethra, radiological supervision and 76942 74485 Dilation of nephrostomy, ureters, or urethra, radiological supervision and 77001 74485 Dilation of nephrostomy, ureters, or urethra, radiological supervision and 77002 Fluoroscopic guidance for needle placement 108

74740 Hysterosalpingography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74740 Hysterosalpingography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74740 Hysterosalpingography, radiological supervision and 77001 74742 Transcervical catheterization of fallopian tube, radiological supervision and 74740 Hysterosalpingography, radiological supervision and 74742 Transcervical catheterization of fallopian tube, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 74742 Transcervical catheterization of fallopian tube, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 74742 Transcervical catheterization of fallopian tube, radiological supervision and 77001 74742 Transcervical catheterization of fallopian tube, radiological supervision and 77002 Fluoroscopic guidance for needle placement 74775 Perineogram 76000 Fluoroscopy, up to one hour physician time 74775 Perineogram 76001 Fluoroscopy, more than one hour physician time 74775 Perineogram 77001 74775 Perineogram 77002 Fluoroscopic guidance for needle placement 75557 Cardiac MRI for Morphology and Function WO Contrast 76376 3D Rendering WO Postprocessing 75557 Cardiac MRI for Morphology and Function WO Contrast 76377 3D Rendering W Postprocessing 109

75559 Cardiac MRI of the Heart Morphology and Function W stress imaging, WO contrast 75557 Cardiac MRI for morphology and Function WO contrast 75559 Cardiac MRI of the Heart Morphology and Function W stress imaging, WO contrast 76376 3D Rendering WO Postprocessing 75559 Cardiac MRI of the Heart Morphology and Function W stress imaging, WO contrast 76377 3D Rendering W Postprocessing 75561 Cardiac MRI for morphology and function WO & W contrast 75557 Cardiac MRI for morphology and Function WO contrast 75561 Cardiac MRI for morphology and function WO & W contrast 75559 MRI of the Heart Morphology and Function W stress WO contrast 75561 Cardiac MRI for morphology and function WO & W contrast 76000 Fluoroscopy, up to one hour physician time 75561 Cardiac MRI for morphology and function WO & W contrast 76001 Fluoroscopy, more than one hour physician time 75561 Cardiac MRI for morphology and function WO & W contrast 76376 3D Rendering WO Postprocessing 75561 Cardiac MRI for morphology and function WO & W contrast 76377 3D Rendering W Postprocessing 75561 Cardiac MRI for morphology and function WO & W contrast 76942 75561 Cardiac MRI for morphology and function WO & W contrast 76998 US guidance intra-operative 75561 Cardiac MRI for morphology and function WO & W contrast 77001 75561 Cardiac MRI for morphology and function WO & W contrast 77002 Fluoroscopic guidance for needle placement 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 75557 Cardiac MRI for morphology and Function WO contrast 110

75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 75559 MRI of the Heart Morphology and Function W stress WO contrast 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 75561 Cardiac MRI for morphology and function WO & W contrast 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 76000 Fluoroscopy, up to one hour physician time 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 76001 Fluoroscopy, more than one hour physician time 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 76376 3D Rendering WO Postprocessing 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 76377 3D Rendering W Postprocessing 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 76942 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 76998 US guidance intra-operative 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 77001 75563 Cardiac MRI for morphology and function WO & W contrast, W stress imaging 77002 Fluoroscopic guidance for needle placement 75565 Cardiac MRI for velocity flow mapping 76376 3D Rendering WO Postprocessing 75565 Cardiac MRI for velocity flow mapping 76377 3D Rendering W Postprocessing 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 76000 Fluoroscopy, up to one hour physician time 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 76001 Fluoroscopy, more than one hour physician time 111

75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 76120 Cineradiography/videoradiography, except where specifically included 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 76125 Cineradiography/videoradiography to complement routine examination 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 76376 3D Rendering WO Postprocessing 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 76377 3D Rendering W Postprocessing 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 77001 75571 CT heart, WO contrast, W quantitative evaluation of coronary calcium 77002 Fluoroscopic guidance for needle placement 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 71250 CT thorax, WO contrast 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 71260 CT thorax, W contrast 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 71270 CT thorax, WO & W contrast 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 75571 CT heart, WO contrast material, W quantitative evaluation of coronary calcium 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76000 Fluoroscopy, up to one hour physician time 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76001 Fluoroscopy, more than one hour physician time 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76120 Cineradiography/videoradiography, except where specifically included 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76125 Cineradiography/videoradiography to complement routine examination 112

75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76376 3D Rendering WO Postprocessing 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76377 3D Rendering W Postprocessing 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76942 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 76998 US guidance intra-operative 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 77001 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 77002 Fluoroscopic guidance for needle placement 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 71250 CT thorax, WO contrast 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 71260 CT thorax, W contrast 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 71270 CT thorax, WO & W contrast 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 75571 CT heart, WO contrast material, W quantitative evaluation of coronary calcium 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76000 Fluoroscopy, up to one hour physician time 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76001 Fluoroscopy, more than one hour physician time 113

75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76120 Cineradiography/videoradiography, except where specifically included 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76125 Cineradiography/videoradiography to complement routine examination 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76376 3D Rendering WO Postprocessing 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76377 3D Rendering W Postprocessing 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76942 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 76998 US guidance intra-operative 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 77001 75573 CT heart, W contrast material, for evaluation of cardiac structure and morphology 77002 Fluoroscopic guidance for needle placement 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 71250 CT thorax, WO contrast 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 71260 CT thorax, W contrast 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 71270 CT thorax, WO & W contrast 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 71275 CTA chest (noncoronary) CPT Definition 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 75571 CT heart, WO contrast material, W quantitative evaluation of coronary calcium 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 75572 CT heart, W contrast, for evaluation of cardiac structure and morphology 114

75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 76000 Fluoroscopy, up to one hour physician time 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 76120 Cineradiography/videoradiography, except where specifically included 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 76125 Cineradiography/videoradiography to complement routine examination 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 76376 3D Rendering WO Postprocessing 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 76377 3D Rendering W Postprocessing 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 76942 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 76998 US guidance intra-operative 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 77001 75574 CTA heart, coronary arteries and bypass grafts (when present), W contrast material, including 3D image postprocessing 77002 Fluoroscopic guidance for needle placement 75600 Aortography, thoracic, WO serialography, radiological supervision and 75827 Venography, caval, superior, W serialography, radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75600 Aortography, thoracic, WO serialography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 115

75600 Aortography, thoracic, WO serialography, radiological supervision and 76942 75600 Aortography, thoracic, WO serialography, radiological supervision and 76998 US guidance intra-operative 75600 Aortography, thoracic, WO serialography, radiological supervision and 77001 75600 Aortography, thoracic, WO serialography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75605 Aortography, thoracic, by serialography, radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75827 Venography, caval, superior, W serialography, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75605 Aortography, thoracic, by serialography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75605 Aortography, thoracic, by serialography, radiological supervision and 76942 75605 Aortography, thoracic, by serialography, radiological supervision and 76998 US guidance intra-operative 75605 Aortography, thoracic, by serialography, radiological supervision and 77001 75605 Aortography, thoracic, by serialography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 116

75625 Aortography, abdominal, by serialography, radiological supervision and 75825 Venography, caval, inferior, W serialography, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75625 Aortography, abdominal, by serialography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75625 Aortography, abdominal, by serialography, radiological supervision and 76942 75625 Aortography, abdominal, by serialography, radiological supervision and 76998 US guidance intra-operative 75625 Aortography, abdominal, by serialography, radiological supervision and 77001 75625 Aortography, abdominal, by serialography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75825 Venography, caval, inferior, W serialography, radiological supervision and 117

75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 76942 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 76998 US guidance intra-operative 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 77001 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 72191 CTA pelvis, W contrast, including noncontrast images 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 73700 CT lower extremity, WO contrast 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 73701 CT lower extremity, W contrast 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 73702 CT lower extremity WO & W contrast 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 73706 CTA W contrast material, including noncontrast images, if performed, and image postprocessing 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 74150 CT abdomen, WO contrast 118

75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 74160 CT abdomen W contrast 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 74170 CT abdomen WO & W contrast 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, W contrast, including noncontrast images, if performed, and image postprocessing 74174 CTA, abdomen and pelvis, W contrast, including noncontrast images, if performed, and image postprocessing 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 76000 Fluoroscopy, up to one hour physician time 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 76001 Fluoroscopy, more than one hour physician time 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 76376 3D Rendering WO Postprocessing 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 76377 3D Rendering W Postprocessing 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 76942 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 76998 US guidance intra-operative 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 77001 75635 CTA, abdominal aorta & bilateral iliofemoral lower extremity runoff, WO & W contrast and image postprocessing 77002 Fluoroscopic guidance for needle placement 119

75658 Angiography, brachial, retrograde, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75658 Angiography, brachial, retrograde, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75658 Angiography, brachial, retrograde, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75658 Angiography, brachial, retrograde, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75658 Angiography, brachial, retrograde, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75658 Angiography, brachial, retrograde, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75658 Angiography, brachial, retrograde, radiological supervision and 76942 75658 Angiography, brachial, retrograde, radiological supervision and 76998 US guidance intra-operative 75658 Angiography, brachial, retrograde, radiological supervision and 77001 75658 Angiography, brachial, retrograde, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75705 Angiography, spinal, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75705 Angiography, spinal, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75705 Angiography, spinal, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75705 Angiography, spinal, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 120

75705 Angiography, spinal, selective, radiological supervision and 76942 75705 Angiography, spinal, selective, radiological supervision and 76998 US guidance intra-operative 75705 Angiography, spinal, selective, radiological supervision and 77001 75705 Angiography, spinal, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75710 Angiography, extremity, unilateral, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75710 Angiography, extremity, unilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75710 Angiography, extremity, unilateral, radiological supervision and 76942 75710 Angiography, extremity, unilateral, radiological supervision and 76998 US guidance intra-operative 75710 Angiography, extremity, unilateral, radiological supervision and 77001 121

75710 Angiography, extremity, unilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75716 Angiography, extremity, bilateral, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75716 Angiography, extremity, bilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75716 Angiography, extremity, bilateral, radiological supervision and 76942 75716 Angiography, extremity, bilateral, radiological supervision and 76998 US guidance intra-operative 75716 Angiography, extremity, bilateral, radiological supervision and 77001 75716 Angiography, extremity, bilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75810 Splenoportography, radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75889 Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and 122

75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 76942 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 76998 US guidance intra-operative 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 77001 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 77002 Fluoroscopic guidance for needle placement 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 123

75731 Angiography, adrenal, unilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 76942 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 76998 US guidance intra-operative 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 77001 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 76942 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 76998 US guidance intra-operative 124

75733 Angiography, adrenal, bilateral, selective, radiological supervision and 77001 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75825 Venography, caval, inferior, W serialography, radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 76942 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 76998 US guidance intra-operative 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 77001 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75746 Angiography, internal mammary, radiological supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 125

75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 76942 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 76998 US guidance intra-operative 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 77001 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75746 Angiography, internal mammary, radiological supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 76942 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 76998 US guidance intra-operative 126

75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 77001 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 76942 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 76998 US guidance intra-operative 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 77001 75746 Angiography, pulmonary, by nonselective catheter or IV injection, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75756 Angiography, internal mammary, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75756 Angiography, internal mammary, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75756 Angiography, internal mammary, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75756 Angiography, internal mammary, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 127

75756 Angiography, internal mammary, radiological supervision and 76942 75756 Angiography, internal mammary, radiological supervision and 76998 US guidance intra-operative 75756 Angiography, internal mammary, radiological supervision and 77001 75756 Angiography, internal mammary, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 76942 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 76998 US guidance intra-operative 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 77001 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75791 Angiography, arteriovenous shunt, complete eveluation of dialysis access, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75791 Angiography, arteriovenous shunt, complete eveluation of dialysis access, radiological supervision and 77001 75801 Lymphangiography, extremity only, unilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 128

75801 Lymphangiography, extremity only, unilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75801 Lymphangiography, extremity only, unilateral, radiological supervision and 76942 75801 Lymphangiography, extremity only, unilateral, radiological supervision and 76998 US guidance intra-operative 75801 Lymphangiography, extremity only, unilateral, radiological supervision and 77001 75801 Lymphangiography, extremity only, unilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75803 Lymphangiography, extremity only, bilateral, radiological supervision and 75801 Lymphangiography, extremity only, unilateral, radiological supervision and 75803 Lymphangiography, extremity only, bilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75803 Lymphangiography, extremity only, bilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75803 Lymphangiography, extremity only, bilateral, radiological supervision and 76942 75803 Lymphangiography, extremity only, bilateral, radiological supervision and 76998 US guidance intra-operative 75803 Lymphangiography, extremity only, bilateral, radiological supervision and 77001 75803 Lymphangiography, extremity only, bilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75805 Lymphangiography, extremity only, unilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75805 Lymphangiography, extremity only, unilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 129

75805 Lymphangiography, extremity only, unilateral, radiological supervision and 76810 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation 75805 Lymphangiography, extremity only, unilateral, radiological supervision and 76942 75805 Lymphangiography, extremity only, unilateral, radiological supervision and 76998 US guidance intra-operative 75805 Lymphangiography, extremity only, unilateral, radiological supervision and 77001 75805 Lymphangiography, extremity only, unilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75807 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and 75805 Lymphangiography, extremity only, unilateral, radiological supervision and 75807 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75807 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75807 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and 76942 75807 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and 76998 US guidance intra-operative 75807 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and 77001 75807 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75809 Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75809 Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 130

75809 Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and 76942 75809 Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and 76998 US guidance intra-operative 75809 Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and 77001 75809 Shuntogram for investigation of previously placed indwelling nonvascular shunt, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75810 Splenoportography, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75810 Splenoportography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75810 Splenoportography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75810 Splenoportography, radiological supervision and 76942 75810 Splenoportography, radiological supervision and 76998 US guidance intra-operative 75810 Splenoportography, radiological supervision and 77001 75810 Splenoportography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75820 Venography, extremity, unilateral, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75820 Venography, extremity, unilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 131

75820 Venography, extremity, unilateral, radiological supervision and 76942 75820 Venography, extremity, unilateral, radiological supervision and 76998 US guidance intra-operative 75820 Venography, extremity, unilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75820 Venography, extremity, unilateral, radiological supervision and 78456 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) 75820 Venography, extremity, unilateral, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75820 Venography, extremity, unilateral, radiological supervision and 78458 Venous thrombosis imaging, venogram; bilateral 75822 Venography, extremity, bilateral, radiological supervision and 75820 Venography, extremity, unilateral 75822 Venography, extremity, bilateral, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75822 Venography, extremity, bilateral, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75822 Venography, extremity, bilateral, radiological supervision and 76942 75822 Venography, extremity, bilateral, radiological supervision and 76998 US guidance intra-operative 75822 Venography, extremity, bilateral, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75825 Venography, caval, inferior, W serialography, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 132

75825 Venography, caval, inferior, W serialography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75825 Venography, caval, inferior, W serialography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75825 Venography, caval, inferior, W serialography, radiological supervision and 76942 75825 Venography, caval, inferior, W serialography, radiological supervision and 76998 US guidance intra-operative 75825 Venography, caval, inferior, W serialography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75827 Venography, caval, superior, W serialography, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75827 Venography, caval, superior, W serialography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75827 Venography, caval, superior, W serialography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75827 Venography, caval, superior, W serialography, radiological supervision and 76942 75827 Venography, caval, superior, W serialography, radiological supervision and 76998 US guidance intra-operative 75827 Venography, caval, superior, W serialography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75831 Venography, renal, unilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75831 Venography, renal, unilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75831 Venography, renal, unilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 133

75831 Venography, renal, unilateral, selective, radiological supervision and 76942 75831 Venography, renal, unilateral, selective, radiological supervision and 76998 US guidance intra-operative 75831 Venography, renal, unilateral, selective, radiological supervision and 77001 75831 Venography, renal, unilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75833 Venography, renal, bilateral, selective, radiological supervision and 75831 Venography, renal, unilateral, selective, radiological supervision and 75833 Venography, renal, bilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75833 Venography, renal, bilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75833 Venography, renal, bilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75833 Venography, renal, bilateral, selective, radiological supervision and 76942 75833 Venography, renal, bilateral, selective, radiological supervision and 76998 US guidance intra-operative 75833 Venography, renal, bilateral, selective, radiological supervision and 77001 75833 Venography, renal, bilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 134

75840 Venography, adrenal, unilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75840 Venography, adrenal, unilateral, selective, radiological supervision and 76942 75840 Venography, adrenal, unilateral, selective, radiological supervision and 76998 US guidance intra-operative 75840 Venography, adrenal, unilateral, selective, radiological supervision and 77001 75840 Venography, adrenal, unilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75842 Venography, adrenal, bilateral, selective, radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75842 Venography, adrenal, bilateral, selective, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75842 Venography, adrenal, bilateral, selective, radiological supervision and 76942 75842 Venography, adrenal, bilateral, selective, radiological supervision and 76998 US guidance intra-operative 75842 Venography, adrenal, bilateral, selective, radiological supervision and 77001 75842 Venography, adrenal, bilateral, selective, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 135

75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 76942 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 76998 US guidance intra-operative 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 77001 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75870 Venography, superior sagittal sinus, radiological supervision and 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 75870 Venography, superior sagittal sinus, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75870 Venography, superior sagittal sinus, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75870 Venography, superior sagittal sinus, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75870 Venography, superior sagittal sinus, radiological supervision and 76942 75870 Venography, superior sagittal sinus, radiological supervision and 76998 US guidance intra-operative 75870 Venography, superior sagittal sinus, radiological supervision and 77001 75870 Venography, superior sagittal sinus, radiological supervision and 77002 Fluoroscopic guidance for needle placement 136

75872 Venography, epidural, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75872 Venography, epidural, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75872 Venography, epidural, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75872 Venography, epidural, radiological supervision and 76942 75872 Venography, epidural, radiological supervision and 76998 US guidance intra-operative 75872 Venography, epidural, radiological supervision and 77001 75872 Venography, epidural, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75880 Venography, orbital, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75880 Venography, orbital, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75880 Venography, orbital, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75880 Venography, orbital, radiological supervision and 76942 75880 Venography, orbital, radiological supervision and 76998 US guidance intra-operative 75880 Venography, orbital, radiological supervision and 77001 75880 Venography, orbital, radiological supervision and 77002 Fluoroscopic guidance for needle placement 137

75880 Venography, orbital, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75880 Venography, orbital, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75880 Venography, orbital, radiological supervision and 78458 Venous thrombosis imaging, venogram; bilateral 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 76942 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 76998 US guidance intra-operative 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 77001 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 138

75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 76942 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 76998 US guidance intra-operative 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 77001 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 76942 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 76998 US guidance intra-operative 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 77001 75889 Hepatic venography, wedged or free, W hemodynamic evaluation, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 139

75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 76942 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 76998 US guidance intra-operative 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 77001 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75810 Splenoportography, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75825 Venography, caval, inferior, W serialography, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75827 Venography, caval, superior, W serialography, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75831 Venography, renal, unilateral, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75833 Venography, renal, bilateral, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 140

75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75870 Venography, superior sagittal sinus, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75872 Venography, epidural, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75880 Venography, orbital, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75889 Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 76942 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 76998 US guidance intra-operative 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 77001 75893 Venous sampling through catheter, W or WO angiography, radiological supervision and 77002 Fluoroscopic guidance for needle placement 141

75894 Transcatheter therapy, embolization, any method, radiological supervision and 74425 Urography infusion drip and/or Bolus; W nephrotomography CPT Definition 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75600 Aortography, thoracic, without serialography, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75635 Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75658 Angiography, brachial, retrograde, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75705 Angiography, spinal, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75726 Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 142

75894 Transcatheter therapy, embolization, any method, radiological supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75756 Angiography, internal mammary, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75810 Splenoportography, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75825 Venography, caval, inferior, with serialography, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75827 Venography, caval, superior, with serialography, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75831 Venography, renal, unilateral, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75833 Venography, renal, bilateral, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 143

75894 Transcatheter therapy, embolization, any method, radiological supervision and 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75870 Venography, superior sagittal sinus, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75872 Venography, epidural, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75880 Venography, orbital, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75885 Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75887 Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75889 Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75891 Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75894 Transcatheter therapy, embolization, any method, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75894 Transcatheter therapy, embolization, any method, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75894 Transcatheter therapy, embolization, any method, radiological supervision and 76942 75894 Transcatheter therapy, embolization, any method, radiological supervision and 76998 US guidance intra-operative 144

75894 Transcatheter therapy, embolization, any method, radiological supervision and 77001 75894 Transcatheter therapy, embolization, any method, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75896 Transcatheter therapy, infusion, any method, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75896 Transcatheter therapy, infusion, any method, radiological supervision and 75894 Transcatheter therapy, embolization, any method, radiological supervision and 75896 Transcatheter therapy, infusion, any method, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75896 Transcatheter therapy, infusion, any method, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75896 Transcatheter therapy, infusion, any method, radiological supervision and 76942 75896 Transcatheter therapy, infusion, any method, radiological supervision and 76998 US guidance intra-operative 75896 Transcatheter therapy, infusion, any method, radiological supervision and 77001 75896 Transcatheter therapy, infusion, any method, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75600 Aortography, thoracic, without serialography, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75605 Aortography, thoracic, by serialography, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75625 Aortography, abdominal, by serialography, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 145

75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75635 CTA abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75658 Angiography, brachial, retrograde, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75705 Angiography, spinal, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75710 Angiography, extremity, unilateral, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75716 Angiography, extremity, bilateral, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75726 Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75756 Angiography, internal mammary, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) 146

75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75791 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 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75810 Splenoportography, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75820 Venography, extremity, unilateral, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75822 Venography, extremity, bilateral, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75825 Venography, caval, inferior, with serialography, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75827 Venography, caval, superior, with serialography, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75831 Venography, renal, unilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75833 Venography, renal, bilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75842 Venography, adrenal, bilateral, selective, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75870 Venography, superior sagittal sinus, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75872 Venography, epidural, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75880 Venography, orbital, radiological supervision and 147

75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75885 Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75887 Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75889 Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75891 Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 76000 Fluoroscopy, up to one hour physician time 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 76001 Fluoroscopy, more than one hour physician time 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 76942 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 76998 US guidance intra-operative 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 77001 75898 Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion 77002 Fluoroscopic guidance for needle placement 75901 Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75901 Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75901 Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 148

75901 Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and 75791 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 75901 Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and 75825 Venography, caval, inferior, with serialography, radiological supervision and 75901 Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and 75827 Venography, caval, superior, with serialography, radiological supervision and 75901 Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75901 Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and 76000 Fluoroscopy, up to one hour physician time 75901 Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and 76001 Fluoroscopy, more than one hour physician time 75901 Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and 76942 75901 Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and 76998 US guidance intra-operative 75901 Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and 77001 75901 Mechanical removal of pericatheter obstructive material from central venous device via separate venous access, radiologic supervision and 77002 Fluoroscopic guidance for needle placement 75902 Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75902 Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75902 Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 75902 Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and 75827 Venography, caval, superior, with serialography, radiological supervision and 149

75902 Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and 75891 Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and 75902 Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75902 Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and 76000 Fluoroscopy, up to one hour physician time 75902 Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and 76001 Fluoroscopy, more than one hour physician time 75902 Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and 76942 75902 Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and 76998 US guidance intra-operative 75902 Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and 77001 75902 Mechanical removal of intraluminal obstructive material from central venous device through device lumen, radiologic supervision and 77002 Fluoroscopic guidance for needle placement 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 76000 Fluoroscopy, up to one hour physician time 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 76001 Fluoroscopy, more than one hour physician time 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 76376 3D Rendering WO Postprocessing 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 76377 3D Rendering W Postprocessing 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 76942 150

75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 76998 US guidance intra-operative 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 77001 75945 Intravascular US (non-coronary vessel), radiological supervision and ; initial vessel 77002 Fluoroscopic guidance for needle placement 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 76000 Fluoroscopy, up to one hour physician time 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 76001 Fluoroscopy, more than one hour physician time 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 76376 3D Rendering WO Postprocessing 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 76377 3D Rendering W Postprocessing 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 76942 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 76998 US guidance intra-operative 75946 Intravascular US (non-coronary vessel), radiological supervision and ; each additional non-coronary vessel 77001 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 151

75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75635 Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 76120 Cineradiography/videoradiography, except where specifically included 152

75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 76125 Cineradiography/videoradiography to complement routine examination 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 76942 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 76998 US guidance intra-operative 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 77001 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75952 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75635 Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 153

75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 76120 Cineradiography/videoradiography, except where specifically included 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 76125 Cineradiography/videoradiography to complement routine examination 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 76942 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 76998 US guidance intra-operative 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 77001 75953 Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and 77002 Fluoroscopic guidance for needle placement 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 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, using ilio-iliac tube endoprosthesis, radiological supervision and 75635 Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 155

75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 76120 Cineradiography/videoradiography, except where specifically included 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 76125 Cineradiography/videoradiography to complement routine examination 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 76942 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 76998 US guidance intra-operative 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 77001 75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 75600 Aortography, thoracic, WO serialography, radiological supervision and 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 75605 Aortography, thoracic, by serialography, radiological supervision and 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 75957 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). 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 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 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 76000 Fluoroscopy, up to one hour physician time 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 76001 Fluoroscopy, more than one hour physician time 156

75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 76120 Cineradiography/videoradiography, except where specifically included 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 76125 Cineradiography/videoradiography to complement routine examination 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 76942 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 76998 US guidance intra-operative 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 77001 75956 Endovascular repair of descending thoracic aorta involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s) 77002 Fluoroscopic guidance for needle placement 75957 75957 75957 75957 75957 75957 75957 75957 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) 75600 75605 75893 75959 75960 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 76000 Fluoroscopy, up to one hour physician time 76001 Fluoroscopy, more than one hour physician time 76120 Cineradiography/videoradiography, except where specifically included 157

75957 75957 75957 75957 75957 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) 76125 76942 Cineradiography/videoradiography to complement routine examination 76998 US guidance intra-operative 77001 77002 Fluoroscopic guidance for needle placement 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 75600 Aortography, thoracic, WO serialography, radiological supervision and 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 76120 Cineradiography/videoradiography, except where specifically included 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 76125 Cineradiography/videoradiography to complement routine examination 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 76942 158

75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 76998 US guidance intra-operative 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 77001 75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta radiological supervision and 77002 Fluoroscopic guidance for needle placement 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 75600 Aortography, thoracic, WO serialography, radiological supervision and 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 75605 Aortography, thoracic, by serialography, radiological supervision and 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 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 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 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 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 76000 Fluoroscopy, up to one hour physician time 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 76001 Fluoroscopy, more than one hour physician time 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 76120 Cineradiography/videoradiography, except where specifically included 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 76125 Cineradiography/videoradiography to complement routine examination 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 76942 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 76998 US guidance intra-operative 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 77001 159

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 77002 Fluoroscopic guidance for needle placement 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 75600 Aortography, thoracic, without serialography, radiological supervision and 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 75605 Aortography, thoracic, by serialography, radiological supervision and 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 75625 Aortography, abdominal, by serialography, radiological supervision and 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 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 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 75635 Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75658 Angiography, brachial, retrograde, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75705 Angiography, spinal, selective, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75710 Angiography, extremity, unilateral, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75716 Angiography, extremity, bilateral, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 160

75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75746 Angiography, internal mammary, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75756 Angiography, internal mammary, radiological supervision and 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 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) 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 75791 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 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 75810 Splenoportography, radiological supervision and 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 75820 Venography, extremity, unilateral, radiological supervision and 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 75822 Venography, extremity, bilateral, radiological supervision and 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 75825 Venography, caval, inferior, with serialography, radiological supervision and 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 75827 Venography, caval, superior, with serialography, radiological supervision and 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 75831 Venography, renal, unilateral, selective, radiological supervision and 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 75833 Venography, renal, bilateral, selective, radiological supervision and 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 75840 Venography, adrenal, unilateral, selective, radiological supervision and 161

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 75842 Venography, adrenal, bilateral, selective, radiological supervision and 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 75860 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and 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 75870 Venography, superior sagittal sinus, radiological supervision and 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 75872 Venography, epidural, radiological supervision and 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 75880 Venography, orbital, radiological supervision and 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 75885 Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and 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 75887 Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and 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 75889 Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and 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 75891 Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 76000 Fluoroscopy, up to one hour physician time 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 76001 Fluoroscopy, more than one hour physician time 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 76942 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 76998 US guidance intra-operative 162

75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 77001 75960 Transcatheter introduction of intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous and/or open, radiological supervision and, each vessel 77002 Fluoroscopic guidance for needle placement 75962 Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and 75600 Aortography, thoracic, without serialography, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and 75635 Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 75658 Angiography, brachial, retrograde, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 75705 Angiography, spinal, selective, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 75756 Angiography, internal mammary, radiological supervision and 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 75791 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 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 163

75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 76942 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 76998 US guidance intra-operative 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 77001 75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75964 Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75964 Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75964 Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75964 Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and 76942 75964 Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and 76998 US guidance intra-operative 75964 Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and 77001 75964 Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 164

75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 76942 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 76998 US guidance intra-operative 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 77001 75966 Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 165

75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and 76942 75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and 76998 US guidance intra-operative 75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and (List separately in addition to code for primary procedure) 77001 75968 Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and (List separately in addition to code for primary procedure) 77002 Fluoroscopic guidance for needle placement 75970 Transcatheter biopsy, radiological supervision and 75600 Aortography, thoracic, without serialography, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75605 Aortography, thoracic, by serialography, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75625 Aortography, abdominal, by serialography, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75635 Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing 75970 Transcatheter biopsy, radiological supervision and 75658 Angiography, brachial, retrograde, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75705 Angiography, spinal, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75710 Angiography, extremity, unilateral, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75716 Angiography, extremity, bilateral, radiological supervision and 166

75970 Transcatheter biopsy, radiological supervision and 75726 Angiography, visceral, selective or supraselective, (W or WO flush aortogram), radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75731 Angiography, adrenal, unilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75733 Angiography, adrenal, bilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75736 Angiography, pelvic, selective or supraselective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75746 Angiography, internal mammary, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75756 Angiography, internal mammary, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and (list separately in addition to code for primary procedure) 75970 Transcatheter biopsy, radiological supervision and 75791 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 75970 Transcatheter biopsy, radiological supervision and 75810 Splenoportography, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75825 Venography, caval, inferior, W serialography, radiological supervision and 167

75970 Transcatheter biopsy, radiological supervision and 75827 Venography, caval, superior, W serialography, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75831 Venography, renal, unilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75833 Venography, renal, bilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75870 Venography, superior sagittal sinus, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75872 Venography, epidural, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75880 Venography, orbital, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75889 Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 75970 Transcatheter biopsy, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 168

75970 Transcatheter biopsy, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75970 Transcatheter biopsy, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75970 Transcatheter biopsy, radiological supervision and 76942 75970 Transcatheter biopsy, radiological supervision and 76998 US guidance intra-operative 75970 Transcatheter biopsy, radiological supervision and 77001 75970 Transcatheter biopsy, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75810 Splenoportography, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75820 Venography, extremity, unilateral, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75822 Venography, extremity, bilateral, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75825 Venography, caval, inferior, W serialography, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75827 Venography, caval, superior, W serialography, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75831 Venography, renal, unilateral, selective, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75833 Venography, renal, bilateral, selective, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75840 Venography, adrenal, unilateral, selective, radiological supervision and 169

75978 Transluminal balloon angioplasty, venous, radiological supervision and 75842 Venography, adrenal, bilateral, selective, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75870 Venography, superior sagittal sinus, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75872 Venography, epidural, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75880 Venography, orbital, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75978 Transluminal balloon angioplasty, venous, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75978 Transluminal balloon angioplasty, venous, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75978 Transluminal balloon angioplasty, venous, radiological supervision and 76942 75978 Transluminal balloon angioplasty, venous, radiological supervision and 76998 US guidance intra-operative 75978 Transluminal balloon angioplasty, venous, radiological supervision and 77001 170

75978 Transluminal balloon angioplasty, venous, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 75982 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 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 75989 Radiological guidance for percutaneous drainage Wplacement of catheter, radiological supervision and 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 76942 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 77001 75980 Percutaneous transhepatic biliary drainage W contrast monitoring, radiological supervision and 77002 Fluoroscopic guidance for needle placement 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 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and 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 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 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 75989 Radiological guidance for percutaneous drainage Wplacement of catheter, radiological supervision and 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 76000 Fluoroscopy, up to one hour physician time 171

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 76001 Fluoroscopy, more than one hour physician time 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 76942 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 77001 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 77002 Fluoroscopic guidance for needle placement 75984 Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 75984 Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and 75982 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 75984 Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75984 Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75984 Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and 77001 75984 Change of percutaneous tube or drainage catheter W contrast monitoring, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 76376 3D Rendering WO Postprocessing 172

75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 76377 3D Rendering W Postprocessing 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 76942 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 76998 US guidance intra-operative 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 77001 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 77002 Fluoroscopic guidance for needle placement 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 77012 CT guidance for needle placement, supervision and 75989 Radiological guidance for percutaneous drainage W placement of catheter, radiological supervision and 77021 MR guidance for needle placement radiological supervision and 76000 Fluoroscopy, up to one hour physician time 76125 Cineradiography/videoradiography to complement routine examination 76000 Fluoroscopy, up to one hour physician time 76942 76001 Fluoroscopy, more than one hour physician time 76000 Fluoroscopy, up to one hour physician time 76010 X-ray from nose to rectum for foreign body, single view, child 71010 X-ray, chest; single view, frontal 76010 X-ray from nose to rectum for foreign body, single view, child 71015 X-ray, chest; single view, stereo, frontal 76010 X-ray from nose to rectum for foreign body, single view, child 71020 Chest X-ray, 2 views, front and lateral 173

76010 X-ray from nose to rectum for foreign body, single view, child 71021 X-ray, chest, 2 views, front and lateral; W apical lordotic procedure 76010 X-ray from nose to rectum for foreign body, single view, child 71022 X-ray, chest Chest X-ray, 2 views, front and lateral; W oblique projections 76010 X-ray from nose to rectum for foreign body, single view, child 71023 X-ray, chest, 2 views, front and lateral; fluoroscopy 76010 X-ray from nose to rectum for foreign body, single view, child 71030 X-ray, chest, complete min 4 views 76010 X-ray from nose to rectum for foreign body, single view, child 71034 X-ray, chest, complete min 4 views, Fluoroscopy 76010 X-ray from nose to rectum for foreign body, single view, child 71035 X-ray, chest, special views 76010 X-ray from nose to rectum for foreign body, single view, child 74000 X-ray, abdomen, single anteroposterior view 76080 X-ray, abscess, fistula or sinus tract study, radiological supervision and 76000 Fluoroscopy, up to one hour physician time 76080 X-ray, abscess, fistula or sinus tract study, radiological supervision and 76001 Fluoroscopy, more than one hour physician time 76080 X-ray, abscess, fistula or sinus tract study, radiological supervision and 77001 76080 X-ray, abscess, fistula or sinus tract study, radiological supervision and 77002 Fluoroscopic guidance for needle placement 76100 X-ray single plane body section other than W urography 74400 Urography intravenous, W or WO KUB, W or WO tomography 76100 X-ray single plane body section other than W urography 74410 Urography, infusion, drip and/or bolus technique 76100 X-ray single plane body section other than W urography 74415 Urography infusion drip &/OR Bolus; W nephrotomography 174

76100 X-ray single plane body section other than W urography 74420 Urography, retrograde, W or WO KUB 76100 X-ray single plane body section other than W urography 74425 Urography infusion drip and/or Bolus; W nephrotomography 76100 X-ray single plane body section other than W urography 76000 Fluoroscopy, up to one hour physician time 76100 X-ray single plane body section other than W urography 76001 Fluoroscopy, more than one hour physician time 76100 X-ray single plane body section other than W urography 77001 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral 76000 Fluoroscopy, up to one hour physician time 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral 76001 Fluoroscopy, more than one hour physician time 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral 77001 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral 76000 Fluoroscopy, up to one hour physician time 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral 76001 Fluoroscopy, more than one hour physician time 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; unilateral 76101 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than Wurography; unilateral 76102 X-ray, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than W urography; bilateral 77001 76120 Cineradiography/videoradiography, except where specifically included 76000 Fluoroscopy, up to one hour physician time 76120 Cineradiography/videoradiography, except where specifically included 76001 Fluoroscopy, more than one hour physician time 175

76120 Cineradiography/videoradiography, except where specifically included 77001 76120 Cineradiography/videoradiography, except where specifically included 77002 Fluoroscopic guidance for needle placement 76120 Cineradiography/videoradiography, except where specifically included 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 76125 Cineradiography/videoradiography to complement routine examination 76001 Fluoroscopy, more than one hour physician time 76125 Cineradiography/videoradiography to complement routine examination 76120 Cineradiography/videoradiography, except where specifically included 76376 3D 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 76377 3D Rendering W Postprocessing 76376 3D Rendering WO Postprocessing 76377 3D 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 76506 Echoencephalography, real time W/image documentation, including A-mode encephalography as secondary 76998 US guidance intra-operative 76536 US soft tissues of head and neck 76998 US guidance intra-operative 76604 US chest, real time W image documentation 76998 US guidance intra-operative 76645 US breast(s) W image documentation 76998 US guidance intra-operative 76700 US, abdomen, real time W image documentation, complete 76705 US, abdomen, real time W documentation, limited 76700 US, abdomen, real time W image documentation, complete 76770 US, retroperitoneal, real time W documentation, complete CPT Definition 176

76700 US, abdomen, real time W image documentation, complete 76998 US guidance intra-operative 76705 US, abdomen, real time W documentation, limited 76998 US guidance intra-operative 76770 US, retroperitoneal, real time W documentation, complete 76775 US, retroperitoneal, real time W documentation, limited 76770 US, retroperitoneal, real time W documentation, complete 76998 US guidance intra-operative 76775 US, retroperitoneal, real time W documentation, limited 76857 US, pelvic; limited or follow-up 76775 US, retroperitoneal, real time W documentation, limited 76998 US guidance intra-operative 76776 US transplanted kidney, real time and duplex Doppler W/image documentation 76775 US, retroperitoneal, real time W documentation, limited 76776 US transplanted kidney, real time and duplex Doppler W/image documentation 76998 US guidance intra-operative 76800 US spinal canal and contents 76998 US guidance intra-operative 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76810 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76812 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 177

76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76818 Fetal biophysical profile W non-stress testing CPT Definition 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76819 Fetal biophysical profile WO non-stress testing CPT Definition 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76830 US transvaginal 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76998 US guidance intra-operative 76802 US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses CPT Definition 76802 US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus CPT Definition 76802 US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation 76818 Fetal biophysical profile W non-stress testing CPT Definition 76802 US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation 76819 Fetal biophysical profile WO non-stress testing CPT Definition 76802 US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation 76998 US guidance intra-operative 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76802 US OB pelvis, pregnant uterus, first trimester, <14 weeks each additional gestation 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76812 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76830 US transvaginal 178

76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76856 US, pelvic, (non-ob) real time W documentation, complete 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76857 US, pelvic; limited or follow-up 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76998 US guidance intra-operative 76810 Each additional gestation 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76810 Each additional gestation 76998 US guidance intra-operative 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76801 US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76810 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation CPT Definition 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76830 US transvaginal 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76856 US, pelvic, (non-ob) real time W documentation, complete 179

76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76857 US, pelvic; limited or follow-up 76811 US, pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first 76941 US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76812 US, pregnant uterus, real time and documentation, fetal & maternal W detailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76810 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation CPT Definition 76812 US, pregnant uterus, real time and documentation, fetal & maternal W detailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses CPT Definition 76812 US, pregnant uterus, real time and documentation, fetal & maternal W detailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus CPT Definition 76813 US pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76801 US pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation CPT Definition 76813 US pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76830 US transvaginal 76813 US pregnant uterus, real time and documentation, fetal & maternal Wdetailed fetal anatomic exam, trans abdomen approach, single or first, each additional gestation 76857 US, pelvic; limited or follow-up 76815 US pregnant uterus, real time W image documentation, limited, one or more fetuses 76857 US, pelvic; limited or follow-up 76815 US pregnant uterus, real time W image documentation, limited, one or more fetuses 76998 US guidance intra-operative 76816 US pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76810 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation 76816 US pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76816 US pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76857 US, pelvic; limited or follow-up 76817 US pregnant uterus, real time image documentation 76830 US transvaginal 180

76817 US pregnant uterus, real time image documentation 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76817 US pregnant uterus, real time image documentation 76856 US, pelvic, (non-ob) real time W documentation, complete 76817 US pregnant uterus, real time image documentation 76857 US, pelvic; limited or follow-up 76817 US pregnant uterus, real time image documentation 76941 US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76817 US pregnant uterus, real time image documentation 76998 US guidance intra-operative 76818 Fetal biophysical profile W non-stress testing 76376 3D Rendering WO Postprocessing 76818 Fetal biophysical profile W non-stress testing 76377 3D Rendering W Postprocessing 76818 Fetal biophysical profile W non-stress testing 76819 Fetal biophysical profile WO non-stress testing 76819 Fetal biophysical profile WO non-stress testing 76376 3D Rendering WO Postprocessing 76819 Fetal biophysical profile WO non-stress testing 76377 3D Rendering W Postprocessing 76820 Doppler velocimetry, fetal; umbilical artery 76827 Doppler echocardiography fetal, cardio-vascular P and/or C wave complete CPT Definition 76820 Doppler velocimetry, fetal; umbilical artery 76828 Doppler echocardiography fetal, cardio-vascular P and/or C wave follow-up or repeat study 76821 Doppler velocimetry, fetal; middle cerebral artery 76376 3D Rendering WO Postprocessing 76821 Doppler velocimetry, fetal; middle cerebral artery 76377 3D Rendering W Postprocessing 181

76821 Doppler velocimetry, fetal; middle cerebral artery 76828 Doppler echocardiography fetal, cardio-vascular P and/or C wave follow-up or repeat study 76825 Echocardiogram, fetal cardiovascular system 93325 Doppler echocardiography, color flow velocity mapping CPT Definition 76826 Echocardiogram fetal, follow-up or repeat study 76825 Echocardiography, fetal, W or WO M-mode recording 76826 Echocardiogram fetal, follow-up or repeat study 93325 Doppler echocardiography, color flow velocity mapping CPT Definition 76827 Doppler echocardiography, fetal, complete 76376 3D Rendering WO Postprocessing 76827 Doppler echocardiography, fetal, complete 76377 3D Rendering W Postprocessing 76828 Doppler echocardiography, fetal, complete, follow-up or repeat study 76376 3D Rendering WO Postprocessing 76828 Doppler echocardiography, fetal, complete, follow-up or repeat study 76377 3D Rendering W Postprocessing 76828 Doppler echocardiography, fetal, complete, follow-up or repeat study 76827 Doppler echocardiography fetal, cardio-vascular P and/or C wave complete 76830 US transvaginal 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76830 US transvaginal 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76801 US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76813 US, pregnant uterus, real time W/image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 182

76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76830 US transvaginal 76831 Saline infusion sonohysterography (SIS), including color flow doppler, when performed 76856 US, pelvic, (non-ob) real time W documentation, complete CPT Definition 76856 US, pelvic, (non-ob) real time W/documentation, complete 76801 US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76856 US, pelvic, (non-ob) real time W/documentation, complete 76813 US, pregnant uterus, real time W/image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation 76856 US, pelvic, (non-ob) real time W/documentation, complete 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76856 US, pelvic, (non-ob) real time W/documentation, complete 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76856 US, pelvic, (non-ob) real time W/documentation, complete 76857 US, pelvic; limited or follow-up 76856 US, pelvic, (non-ob) real time W/documentation, complete 76941 US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76856 US, pelvic, (non-ob) real time W/documentation, complete 76998 US guidance intra-operative 76857 US, pelvic; limited or follow-up 76801 US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76857 US, pelvic; limited or follow-up 76810 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation 76857 US, pelvic; limited or follow-up 76941 US guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76857 US, pelvic; limited or follow-up 76998 US guidance intra-operative 183

76872 US, transrectal 76873 US, transrectal; prostate volume study for brachytherapy treatment planning 76873 US, transrectal; prostate volume study for brachytherapy treatment planning 76942 76881 US, extremity, nonvascular, real-time W/image documentation; complete 76882 US, extremity, nonvascular, real-time W/image documentation; limited, anatomic Specific 76881 US, extremity, nonvascular, real-time W/image documentation; complete 76998 US guidance intra-operative 76882 US, extremity, nonvascular, real-time W/image documentation; limited, anatomic specific 76998 US guidance intra-operative 76885 US, infant hips, real time Wdocument, dynamic (requiring physician manipulation) 76886 US infant hips, limited, static 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 76000 Fluoroscopy, up to one hour physician time 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 76001 Fluoroscopy, more than one hour physician time 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 76376 3D Rendering WO Postprocessing 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 76377 3D Rendering W Postprocessing 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 76942 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 76998 US guidance intra-operative 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 77001 76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 77002 Fluoroscopic guidance for needle placement 184

76930 Ultrasonic guidance for pericardiocentesis, imaging supervision and 77021 MR guidance for needle placement radiological supervision and 76932 Ultrasonic guidance for endomyocardial biopsy, imaging supervision and 77001 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 76000 Fluoroscopy, up to one hour physician time 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 76001 Fluoroscopy, more than one hour physician time 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 76376 3D Rendering WO Postprocessing 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 76377 3D Rendering W Postprocessing 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 76942 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 76998 US guidance intra-operative 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 77001 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 77002 Fluoroscopic guidance for needle placement 76936 US guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae 77021 MR guidance for needle placement radiological supervision and 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 76000 Fluoroscopy, up to one hour physician time 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 76001 Fluoroscopy, more than one hour physician time 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 76942 185

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 76998 US guidance intra-operative 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 77002 Fluoroscopic guidance for needle placement 76940 US Guidance for, and monitoring of, parenchymal tissue ablation 76998 US guidance intra-operative 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76000 Fluoroscopy, up to one hour physician time 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76001 Fluoroscopy, more than one hour physician time 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76801 US, pregnant uterus, real time and documentation, fetal & maternal, first trimester, single or first gestation 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76805 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76810 US, pregnant uterus, real time and documentation, fetal & maternal, after first trimester, single or first gestation, each additional gestation 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76815 US, pregnant uterus, real time W/image documentation, limited, one or more fetuses 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76816 US, pregnant uterus, real time and documentation, follow-up, trans abdomen approach, per fetus 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76825 Echocardiography, fetal, W or WO M-mode recording 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76826 Echocardiogram fetal, follow-up or repeat study 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76827 Doppler echocardiography fetal, cardio-vascular P and/or C wave complete 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76828 Doppler echocardiography fetal, cardio-vascular P and/or C wave follow-up or repeat study 186

76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76830 US transvaginal 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76942 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 76998 US guidance intra-operative 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 77001 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 77002 Fluoroscopic guidance for needle placement 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and 77021 MR guidance for needle placement radiological supervision and 76942 Ultrasonic guidance for needle placement, imaging supervision and 76001 Fluoroscopy, more than one hour physician time 76942 Ultrasonic guidance for needle placement, imaging supervision and 76645 US breast(s) W image documentation CPT Definition 76942 Ultrasonic guidance for needle placement, imaging supervision and 76998 US guidance intra-operative 76942 Ultrasonic guidance for needle placement, imaging supervision and 77002 Fluoroscopic guidance for needle placement 76942 Ultrasonic guidance for needle placement, imaging supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 76942 Ultrasonic guidance for needle placement, imaging supervision and 77012 CT guidance for needle placement, supervision and 76942 Ultrasonic guidance for needle placement, imaging supervision and 77021 MR guidance for needle placement radiological supervision and 76942 Ultrasonic guidance for needle placement, imaging supervision and 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 187

76942 Ultrasonic guidance for needle placement, imaging supervision and 77032 Mammographic guidance for needle placement, breast, each lesion, radiological supervision and 76942 Ultrasonic guidance for needle placement, imaging supervision and 77051 Computer-aided detection diagnostic mammography CPT Definition 76942 77052 Computer-aided detection screening mammography CPT Definition 76942 77055 Mammography; unilateral CMS Policy 76942 77056 Mammography; bilateral CMS Policy 76942 77057 Screening mammography, bilateral (2-view film study of each breast) CMS Policy 76942 Ultrasonic guidance for needle placement, imaging supervision and G0202 Screening mammography, producing direct digital image, bilateral, all views CMS Policy 76942 Ultrasonic guidance for needle placement, imaging supervision and G0204 Diagnostic mammography, producing direct digital image, bilateral, all views CMS Policy 76942 Ultrasonic guidance for needle placement, imaging supervision and G0206 Diagnostic mammography, producing direct digital image, unilateral, all views CMS Policy 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 76000 Fluoroscopy, up to one hour physician time 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 76001 Fluoroscopy, more than one hour physician time 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 76942 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 76946 US guidance for amniocentesis, imaging supervision and 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 76998 US guidance intra-operative 188

76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 77001 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 77002 Fluoroscopic guidance for needle placement 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and 77021 MR guidance for needle placement radiological supervision and 76946 Ultrasonic guidance for amniocentesis, imaging supervision and 76000 Fluoroscopy, up to one hour physician time 76946 Ultrasonic guidance for amniocentesis, imaging supervision and 76001 Fluoroscopy, more than one hour physician time 76946 Ultrasonic guidance for amniocentesis, imaging supervision and 76942 76946 Ultrasonic guidance for amniocentesis, imaging supervision and 76998 US guidance intra-operative 76946 Ultrasonic guidance for amniocentesis, imaging supervision and 77001 76946 Ultrasonic guidance for amniocentesis, imaging supervision and 77002 Fluoroscopic guidance for needle placement 76946 Ultrasonic guidance for amniocentesis, imaging supervision and 77021 MR guidance for needle placement radiological supervision and 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and 76000 Fluoroscopy, up to one hour physician time 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and 76001 Fluoroscopy, more than one hour physician time 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and 76942 76948 US guidance for aspiration of ova, imaging supervision and 76945 US guidance for chorionic villus sampling, imaging supervision and 189

76948 Ultrasonic guidance for aspiration of ova, imaging supervision and 76998 US guidance intra-operative 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and 77001 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and 77002 Fluoroscopic guidance for needle placement 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and 77021 MR guidance for needle placement radiological supervision and 76950 Ultrasonic guidance for placement of radiation therapy fields 76942 76965 Ultrasonic guidance for interstitial radioelement application 76000 Fluoroscopy, up to one hour physician time 76965 Ultrasonic guidance for interstitial radioelement application 76872 US, transrectal 76965 Ultrasonic guidance for interstitial radioelement application 76873 US, transrectal; prostate volume study for brachytherapy treatment planning 76965 Ultrasonic guidance for interstitial radioelement application 77002 Fluoroscopic guidance for needle placement 76970 US study follow up (specify) 76965 Ultrasonic guidance for interstitial radioelement application 76970 US study follow up (specify) 76998 US guidance intra-operative 76975 Gastrointestinal endoscopic US, supervision and 76376 3D Rendering WO Postprocessing 76975 Gastrointestinal endoscopic US, supervision and 76377 3D Rendering W Postprocessing 76975 Gastrointestinal endoscopic US, supervision and 76942 190

76975 Gastrointestinal endoscopic US, supervision and 76998 US guidance intra-operative 77001 71010 X-ray, chest; single view, frontal 77001 71020 X-ray, chest ; 2 views, front and lateral * 77001 75820 Venography, extremity, unilateral, radiological supervision and 77001 75822 Venography, extremity, bilateral, radiological supervision and 77001 75825 Venography, caval, inferior, W serialography, radiological supervision and 77001 75827 Venography, caval, superior, W serialography, radiological supervision and 77001 76000 Fluoroscopy, up to one hour physician time 77001 76001 Fluoroscopy, more than one hour physician time 77001 76942 77001 76998 US guidance intra-operative 77001 77002 Fluoroscopic guidance for needle placement 77002 Fluoroscopic guidance for needle placement 76000 Fluoroscopy, up to one hour physician time 77002 Fluoroscopic guidance for needle placement 76001 Fluoroscopy, more than one hour physician time 191

77002 Fluoroscopic guidance for needle placement 76125 Cineradiography/videoradiography to complement routine examination 77002 Fluoroscopic guidance for needle placement 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 77002 Fluoroscopic guidance for needle placement 77032 Mammographic guidance for needle placement, breast, each lesion, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 76000 Fluoroscopy, up to one hour physician time 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 76001 Fluoroscopy, more than one hour physician time 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 76125 Cineradiography/videoradiography to complement routine examination 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 77032 Mammographic guidance for needle placement, breast, each lesion, radiological supervision and 77011 CT guidance for stereotactic localization 70450 CT head WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 70460 CT head W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70470 CT head WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70480 CT orbit WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 70481 CT orbit W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70482 CT orbit WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70486 CT maxillofacial area, WO contrast Standard of Practice 192

77011 CT guidance for stereotactic localization 70487 CT maxillofacial area, W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70488 CT maxillofacial area, WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70490 CT soft tissue neck WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 70491 CT soft tissue, neck W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70492 CT soft tissue neck WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 70496 CTA head Standard of Practice 77011 CT guidance for stereotactic localization 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice 77011 CT guidance for stereotactic localization 71250 CT thorax W/O contrast Standard of Practice 77011 CT guidance for stereotactic localization 71260 CT thorax, W contrast Standard of Practice 77011 CT guidance for stereotactic localization 71270 CT thorax, WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 71275 CTA chest (noncoronary) Standard of Practice 77011 CT guidance for stereotactic localization 72125 CT cervical spine WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 72126 CT cervical spine W contrast Standard of Practice 77011 CT guidance for stereotactic localization 72127 CT cervical spine WO & W contrast Standard of Practice 193

77011 CT guidance for stereotactic localization 72128 CT thoracic spine WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 72129 CT thoracic spine W contrast Standard of Practice 77011 CT guidance for stereotactic localization 72130 CT thoracic spine W/O & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 72131 CT lumbar spine, WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 72132 CT lumbar spine, W contrast Standard of Practice 77011 CT guidance for stereotactic localization 72133 CT lumbar spine WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 72191 CTA pelvis, W contrast, including noncontrast images Standard of Practice 77011 CT guidance for stereotactic localization 72192 CT pelvis WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 72193 CT pelvis W contrast Standard of Practice 77011 CT guidance for stereotactic localization 72194 CT pelvis WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 73200 CT upper extremity, WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 73201 CT upper extremity, W contrast Standard of Practice 77011 CT guidance for stereotactic localization 73202 CT upper extremity, WO & W and further sections Standard of Practice 77011 CT guidance for stereotactic localization 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing Standard of Practice 194

77011 CT guidance for stereotactic localization 73700 CT lower extremity, WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 73701 CT lower extremity, W contrast Standard of Practice 77011 CT guidance for stereotactic localization 73702 CT lower extremity WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 73706 CTA W contrast material, including noncontrast images, if performed, and image postprocessing Standard of Practice 77011 CT guidance for stereotactic localization 74150 CT abdomen, WO contrast Standard of Practice 77011 CT guidance for stereotactic localization 74160 CT abdomen W contrast Standard of Practice 77011 CT guidance for stereotactic localization 74170 CT abdomen WO & W contrast Standard of Practice 77011 CT guidance for stereotactic localization 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice 77011 CT guidance for stereotactic localization 75635 CT angiography, abdominal aorta & bilateral iliofemoral lower extremity runoff, w/contrast material including noncontrast images, if performed, and image postprocessing Standard of Practice 77011 CT guidance for stereotactic localization 76380 CT limited or localized follow-up study Standard of Practice 77011 CT guidance for stereotactic localization 77012 CT guidance for needle placement, supervision and 77011 CT guidance for stereotactic localization 77013 CT guidance for and monitoring of tissue ablation Standard of Practice 77011 CT guidance for stereotactic localization 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77011 CT guidance for stereotactic localization 77292 CT guidance percutaneous vertebroplasty Standard of Practice 195

77012 CT guidance for needle placement, supervision and 70450 CT head WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70460 CT head W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70470 CT head WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70480 CT orbit WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70481 CT orbit W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70482 CT orbit WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70486 CT maxillofacial area, WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70487 CT maxillofacial area, W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70488 CT maxillofacial area, WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70490 CT soft tissue neck WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70491 CT soft tissue, neck W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70492 CT soft tissue neck WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 70496 CTA head Standard of Practice 77012 CT guidance for needle placement, supervision and 70498 CTA neck W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice 196

77012 CT guidance for needle placement, supervision and 71250 CT thorax W/O contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 71260 CT thorax, W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 71270 CT thorax, WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 71275 CTA chest (noncoronary) Standard of Practice 77012 CT guidance for needle placement, supervision and 72125 CT cervical spine WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72126 CT cervical spine W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72127 CT cervical spine WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72128 CT thoracic spine WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72129 CT thoracic spine W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72130 CT thoracic spine W/O & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72131 CT lumbar spine, WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72132 CT lumbar spine, W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72133 CT lumbar spine WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72191 CTA pelvis, W contrast, including noncontrast images Standard of Practice 197

77012 CT guidance for needle placement, supervision and 72192 CT pelvis WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72193 CT pelvis W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72194 CT pelvis WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 72292 CT guidance percutaneous vertebroplasty CPT Definition 77012 CT guidance for needle placement, supervision and 73200 CT upper extremity, WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 73201 CT upper extremity, W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 73202 CT upper extremity, WO & W and further sections Standard of Practice 77012 CT guidance for needle placement, supervision and 73206 CTA upper extremity WO & W contrast and further sections including image postprocessing Standard of Practice 77012 CT guidance for needle placement, supervision and 73700 CT lower extremity, WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 73701 CT lower extremity, W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 73702 CT lower extremity WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 73706 CTA W contrast material, including noncontrast images, if performed, and image postprocessing Standard of Practice 77012 CT guidance for needle placement, supervision and 74150 CT abdomen, WO contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 74160 CT abdomen W contrast Standard of Practice 198

77012 CT guidance for needle placement, supervision and 74170 CT abdomen WO & W contrast Standard of Practice 77012 CT guidance for needle placement, supervision and 74175 CTA abdomen W contrast, including noncontrast images, if performed, and image postprocessing Standard of Practice 77012 CT guidance for needle placement, supervision and 75635 CT angiography, abdominal aorta & bilateral iliofemoral lower extremity runoff, w/contrast material including noncontrast images, if performed, and image postprocessing Standard of Practice 77012 CT guidance for needle placement, supervision and 76000 Fluoroscopy, up to one hour physician time 77012 CT guidance for needle placement, supervision and 76001 Fluoroscopy, more than one hour physician time 77012 CT guidance for needle placement, supervision and 76380 CT limited or localized follow-up study 77012 CT guidance for needle placement, supervision and 77001 77012 CT guidance for needle placement, supervision and 77002 Fluoroscopic guidance for needle placement 77012 CT guidance for needle placement, supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 77012 CT guidance for needle placement, supervision and 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77012 CT guidance for needle placement, supervision and 77032 Mammographic guidance for needle placement, breast, each lesion, radiological supervision and 77012 CT guidance for needle placement, supervision and 77055 Mammography, unilateral CMS Policy* 77012 CT guidance for needle placement, supervision and 77056 Mammography; bilateral CMS Policy* 77012 CT guidance for needle placement, supervision and 77057 Screening mammography, bilateral CMS Policy* 199

77012 CT guidance for needle placement, supervision and G0202 Screening mammography producing direct digital image, bilateral CMS Policy* 77012 CT guidance for needle placement, supervision and G0204 Mammography, producing direct digital image, bilateral, all views CMS Policy* 77012 CT guidance for needle placement, supervision and G0206 Mammography, producing direct digital image, unilateral, all views CMS Policy* 77013 CT guidance for and monitoring of tissue ablation 76380 CT limited or localized follow-up study 77013 CT guidance for and monitoring of tissue ablation 76940 US Guidance for, and monitoring of, parenchymal tissue ablation 77013 CT guidance for and monitoring of tissue ablation 77012 CT guidance for needle placement, supervision and 77014 CT guidance for placement of radiation therapy fields 76380 CT limited or localized follow-up study 77021 MR guidance for needle placement radiological supervision and 76376 3D Rendering WO Postprocessing CPT Definition 77021 MR guidance for needle placement radiological supervision and 76377 3D Rendering W Postprocessing CPT Definition 77021 MR guidance for needle placement radiological supervision and 77001 77021 MR guidance for needle placement radiological supervision and 77002 Fluoroscopic guidance for needle placement 77021 MR guidance for needle placement radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 77021 MR guidance for needle placement radiological supervision and 77012 CT guidance for needle placement, supervision and 77021 MR guidance for needle placement radiological supervision and 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 200

77021 MR guidance for needle placement radiological supervision and 77032 Mammographic guidance for needle placement, breast, each lesion, radiological supervision and 77021 MR guidance for needle placement radiological supervision and 77051 Computer-aided detection diagnostic mammography CPT Definition 77021 MR guidance for needle placement radiological supervision and 77052 Computer-aided detection screening mammography CPT Definition 77021 MR guidance for needle placement radiological supervision and 77055 Mammography, unilateral CMS Policy* 77021 MR guidance for needle placement radiological supervision and 77056 Mammography; bilateral CMS Policy* 77021 MR guidance for needle placement radiological supervision and 77057 Screening mammography, bilateral CMS Policy* 77021 MR guidance for needle placement radiological supervision and G0202 Screening mammography producing direct digital image, bilateral CMS Policy* 77021 MR guidance for needle placement radiological supervision and G0204 Mammography, producing direct digital image, bilateral, all views CMS Policy* 77021 MR guidance for needle placement radiological supervision and G0206 Mammography, producing direct digital image, unilateral, all views CMS Policy* 77021 MR guidance for needle placement radiological supervision and 77058 MRI breast unilateral W and/or WO contrast CPT Definition 77021 MR guidance for needle placement radiological supervision and 77059 MRI breast W and/or WO contrast; bilateral CPT Definition 77022 MRI guidance for, and monitoring of, parenchymal tissue ablation 76940 US Guidance for, and monitoring of, parenchymal tissue ablation 77022 MRI guidance for, and monitoring of, parenchymal tissue ablation 77013 CT guidance for and monitoring of tissue ablation 77022 MRI guidance for, and monitoring of, parenchymal tissue ablation 77021 MR guidance for needle placement radiological supervision and 201

77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 76645 US breast(s) W image documentation CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77001 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77002 Fluoroscopic guidance for needle placement 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77032 Mammographic guidance for needle placement, breast, each lesion, radiological supervision and 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77051 Computer-aided detection diagnostic mammography CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77052 Computer-aided detection screening mammography CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77055 Mammography, unilateral CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77056 Mammography; bilateral CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77057 Screening mammography, bilateral CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77058 MRI breast Unilateral W and/or WO contrast CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and 77059 MRI breast W and/or WO contrast; bilateral CPT Definition 77031 Stereotactic localization guidance for breast biopsy or needle placement, each lesion, radiological supervision and G0202 Screening mammography producing direct digital image, bilateral CPT Definition 77031 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

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 77032 Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and 77001 77032 Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and 77055 Mammography, unilateral CMS Policy* 77032 Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and 77056 Mammography; bilateral CMS Policy* 77032 Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and 77057 Screening mammography, bilateral CMS Policy* 77032 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* 77032 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* 77032 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* 77055 Mammography; unilateral 77052 Computer-aided detection screening mammography CPT Definition 77056 Mammography, bilateral 77052 Computer-aided detection screening mammography CPT Definition 77056 Mammography, bilateral 77055 Mammography, unilateral 77056 Mammography, bilateral G0206 Mammography, producing direct digital image, unilateral, all views 77057 Screening mammography, bilateral 77051 Computer-aided detection diagnostic mammography CPT Definition 77058 MRI breast Unilateral WO & or W contrast, unilateral 76376 3D Rendering WO Postprocessing CPT Definition 203

77058 MRI breast Unilateral WO & or W contrast, unilateral 76377 3D Rendering W Postprocessing CPT Definition 77058 MRI breast Unilateral WO & or W contrast, unilateral 76942 77058 MRI breast Unilateral WO & or W contrast, unilateral 77001 77059 MRI breast WO & or W contrast; bilateral 76376 3D Rendering WO Postprocessing CPT Definition 77059 MRI breast WO & or W contrast; bilateral 76377 3D Rendering W Postprocessing CPT Definition 77059 MRI breast WO & or W contrast; bilateral 76942 77059 MRI breast WO & or W contrast; bilateral 77001 77059 MRI breast WO & or W contrast; bilateral 77058 MRI breast Unilateral W and/or WO contrast 77075 X-ray, osseous survey; complete 77074 X-rays, osseous survey, limited 77075 X-ray, osseous survey; complete 77076 X-ray, osseous survey, infant 77076 X-ray, osseous survey, infant 77074 X-rays, osseous survey, limited 77077 Joint survey, single view, 2 or more joints 76000 Fluoroscopy, up to one hour physician time 77077 Joint survey, single view, 2 or more joints 77001 77077 Joint survey, single view, 2 or more joints 77002 Fluoroscopic guidance for needle placement 204

77078 CT bone density study 76380 CT limited or localized follow-up study 77078 CT bone density study 76977 US bone density measure 77078 CT bone density study 77080 DEXA one or more sites, axial 77078 CT bone density study 77081 DEXA one or more sites, appendicular skeleton 77078 CT bone density study 77082 DEXA one or more sites, vertebral fracture assessment 77078 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) 77080 DEXA one or more sites, axial 72010 X-ray, spine, entire, survey study, anteroposterior and lateral CPT Definition 77080 DEXA one or more sites, axial 72020 X-ray, spine, single view, specify level CPT Definition 77080 DEXA one or more sites, axial 72070 X-ray thoracic spine, 2 views CPT Definition 77080 DEXA one or more sites, axial 72072 X-ray, thoracic spine, 3 views CPT Definition 77080 DEXA one or more sites, axial 72074 X-ray, thoracic spine, min 4 views CPT Definition 77080 DEXA one or more sites, axial 72080 Thoracolumbar 2 views CPT Definition 77080 DEXA one or more sites, axial 72100 X-ray, lumbosacral spine, 2 or 3 views CPT Definition 77080 DEXA one or more sites, axial 72110 X-ray, lumbosacral spine, min 4 views CPT Definition 205

77080 DEXA one or more sites, axial 72114 X-ray, lumbosacral spine, complete, including bending views CPT Definition 77080 DEXA one or more sites, axial 72120 X-ray of the lumbar spine bending views only minimum of 4 views CPT Definition 77080 DEXA one or more sites, axial 76977 US bone density measure CPT Definition 77080 DEXA one or more sites, axial 77082 DEXA one or more sites, vertebral fracture assessment CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72010 X-ray, spine, entire, survey study, anteroposterior and lateral CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72020 X-ray, spine, single view, specify level CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72070 X-ray thoracic spine, 2 views CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72072 X-ray, thoracic spine, 3 views CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72074 X-ray, thoracic spine, min 4 views CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72080 Thoracolumbar 2 views CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72100 X-ray, lumbosacral spine, 2 or 3 views CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72110 X-ray, lumbosacral spine, min 4 views CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72114 X-ray, lumbosacral spine, complete, including bending views CPT Definition 77081 DEXA one or more sites, appendicular skeleton 72120 X-ray of the lumbar spine bending views only minimum of 4 views CPT Definition 206

77081 DEXA one or more sites, appendicular skeleton 76977 US bone density measure 77081 DEXA one or more sites, appendicular skeleton 77080 DEXA one or more sites, axial * 77081 DEXA one or more sites, appendicular skeleton 77082 DEXA one or more sites, vertebral fracture assessment CPT Definition 77081 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) 77084 MRI bone marrow blood supply 77001 77301 Intensity modulated radiation therapy plan 70480 CT orbit WO contrast 77301 Intensity modulated radiation therapy plan 70481 CT orbit W contrast 77301 Intensity modulated radiation therapy plan 70482 CT orbit WO & W contrast 78012 Thyroid uptake, single or multiple quantitative measurement(s) 76000 Fluoroscopy, up to one hour physician time * 78012 Thyroid uptake, single or multiple quantitative measurement(s) 76001 Fluoroscopy, more than one hour physician time * 78012 Thyroid uptake, single or multiple quantitative measurement(s) 76376 3D Rendering WO Postprocessing * 78012 Thyroid uptake, single or multiple quantitative measurement(s) 76377 3D Rendering W Postprocessing * 78012 Thyroid uptake, single or multiple quantitative measurement(s) 76942 * 78012 Thyroid uptake, single or multiple quantitative measurement(s) 77001 * 207

78012 Thyroid uptake, single or multiple quantitative measurement(s) 77002 Fluoroscopic guidance for needle placement * 78012 Thyroid uptake, single or multiple quantitative measurement(s) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) * 78013 Thyroid imaging (including vascular flow, when performed); 76000 Fluoroscopy, up to one hour physician time * 78013 Thyroid imaging (including vascular flow, when performed); 76001 Fluoroscopy, more than one hour physician time * 78013 Thyroid imaging (including vascular flow, when performed); 76376 3D Rendering WO Postprocessing * 78013 Thyroid imaging (including vascular flow, when performed); 76377 3D Rendering W Postprocessing * 78013 Thyroid imaging (including vascular flow, when performed); 76942 * 78013 Thyroid imaging (including vascular flow, when performed); 77001 * 78013 Thyroid imaging (including vascular flow, when performed); 77002 Fluoroscopic guidance for needle placement * 78013 Thyroid imaging (including vascular flow, when performed); 78012 Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) * 78013 Thyroid imaging (including vascular flow, when performed); 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 76001 Fluoroscopy, more than one hour physician time * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 76376 3D Rendering WO Postprocessing * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 76377 3D Rendering W Postprocessing * 208

78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 76942 * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 77001 * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 77002 Fluoroscopic guidance for needle placement * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 76000 Fluoroscopy, up to one hour physician time * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 76001 Fluoroscopy, more than one hour physician time * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 78012 Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 78013 Thyroid imaging (including vascular flow, when performed); * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 78015 Thyroid carcinoma metastases imaging, limited area * 78014 Thyroid imaging; with single or multiple uptake(s) quantitative measurement(s) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) * 78015 Thyroid carcinoma metastases imaging, limited area 76000 Fluoroscopy, up to one hour physician time 78015 Thyroid carcinoma metastases imaging, limited area 76001 Fluoroscopy, more than one hour physician time 78015 Thyroid carcinoma metastases imaging, limited area 76376 3D Rendering WO Postprocessing 78015 Thyroid carcinoma metastases imaging, limited area 76377 3D Rendering W Postprocessing 78015 Thyroid carcinoma metastases imaging, limited area 76942 209

78015 Thyroid carcinoma metastases imaging, limited area 76998 US guidance intra-operative 78015 Thyroid carcinoma metastases imaging, limited area 77001 78015 Thyroid carcinoma metastases imaging, limited area 77002 Fluoroscopic guidance for needle placement 78015 Thyroid carcinoma metastases imaging, limited area 78012 Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) * 78015 Thyroid carcinoma metastases imaging, limited area 78013 Thyroid imaging (including vascular flow, when performed); * 78015 Thyroid carcinoma metastases imaging, limited area 78020 Thyroid carcinoma metastases uptake CPT Definition 78016 Thyroid carcinoma metastases imaging; W additional studies 76000 Fluoroscopy, up to one hour physician time 78016 Thyroid carcinoma metastases imaging; W additional studies 76001 Fluoroscopy, more than one hour physician time 78016 Thyroid carcinoma metastases imaging; W additional studies 76376 3D Rendering WO Postprocessing 78016 Thyroid carcinoma metastases imaging; W additional studies 76377 3D Rendering W Postprocessing 78016 Thyroid carcinoma metastases imaging; W additional studies 76942 78016 Thyroid carcinoma metastases imaging; W additional studies 76998 US guidance intra-operative 78016 Thyroid carcinoma metastases imaging; W additional studies 77001 78016 Thyroid carcinoma metastases imaging; W additional studies 77002 Fluoroscopic guidance for needle placement 210

78016 Thyroid carcinoma metastases imaging; W additional studies 78015 Thyroid carcinoma metastases imaging, limited area 78018 Thyroid carcinoma metastases imaging; whole body 76000 Fluoroscopy, up to one hour physician time 78018 Thyroid carcinoma metastases imaging; whole body 76001 Fluoroscopy, more than one hour physician time 78018 Thyroid carcinoma metastases imaging; whole body 76376 3D Rendering WO Postprocessing 78018 Thyroid carcinoma metastases imaging; whole body 76377 3D Rendering W Postprocessing 78018 Thyroid carcinoma metastases imaging; whole body 76942 78018 Thyroid carcinoma metastases imaging; whole body 76998 US guidance intra-operative 78018 Thyroid carcinoma metastases imaging; whole body 77001 78018 Thyroid carcinoma metastases imaging; whole body 77002 Fluoroscopic guidance for needle placement 78018 Thyroid carcinoma metastases imaging; whole body 77750 Infusion or instillation of radioelement solution 78018 Thyroid carcinoma metastases imaging; whole body 77790 Supervision, handling, loading or radiation source 78018 Thyroid carcinoma metastases imaging; whole body 78015 Thyroid carcinoma metastases imaging, limited area 78070 Parathyroid imaging 76000 Fluoroscopy, up to one hour physician time 78070 Parathyroid imaging 76001 Fluoroscopy, more than one hour physician time 211

78070 Parathyroid imaging 76376 3D Rendering WO Postprocessing 78070 Parathyroid imaging 76377 3D Rendering W Postprocessing 78070 Parathyroid imaging 76942 78070 Parathyroid imaging 76998 US guidance intra-operative 78070 Parathyroid imaging 77001 78070 Parathyroid imaging 77002 Fluoroscopic guidance for needle placement 78071 Parathyroid planar imaging; with tomographic (SPECT) 76000 Fluoroscopy, up to one hour physician time * 78071 Parathyroid planar imaging; with tomographic (SPECT) 76001 Fluoroscopy, more than one hour physician time * 78071 Parathyroid planar imaging; with tomographic (SPECT) 76376 3D Rendering WO Postprocessing * 78071 Parathyroid planar imaging; with tomographic (SPECT) 76377 3D Rendering W Postprocessing * 78071 Parathyroid planar imaging; with tomographic (SPECT) 76942 * 78071 Parathyroid planar imaging; with tomographic (SPECT) 77001 * 78071 Parathyroid planar imaging; with tomographic (SPECT) 77002 Fluoroscopic guidance for needle placement * 78071 Parathyroid planar imaging; with tomographic (SPECT) 78070 Parathyroid imaging * 212

78071 Parathyroid planar imaging; with tomographic (SPECT) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 76000 Fluoroscopy, up to one hour physician time * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 76001 Fluoroscopy, more than one hour physician time * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 76376 3D Rendering WO Postprocessing * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 76377 3D Rendering W Postprocessing * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 76942 * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 77001 * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 77002 Fluoroscopic guidance for needle placement * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 78070 Parathyroid imaging * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 78071 Parathyroid planar imaging; with tomographic (SPECT) * 78072 Parathyroid planar imaging; with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) * 78075 Adrenal imaging, cortex and/or medulla 76000 Fluoroscopy, up to one hour physician time 78075 Adrenal imaging, cortex and/or medulla 76001 Fluoroscopy, more than one hour physician time 78075 Adrenal imaging, cortex and/or medulla 76376 3D Rendering WO Postprocessing 213

78075 Adrenal imaging, cortex and/or medulla 76377 3D Rendering W Postprocessing 78075 Adrenal imaging, cortex and/or medulla 76942 78075 Adrenal imaging, cortex and/or medulla 76998 US guidance intra-operative 78075 Adrenal imaging, cortex and/or medulla 77001 78075 Adrenal imaging, cortex and/or medulla 77002 Fluoroscopic guidance for needle placement 78102 Bone marrow imaging; limited area 76000 Fluoroscopy, up to one hour physician time 78102 Bone marrow imaging; limited area 76001 Fluoroscopy, more than one hour physician time 78102 Bone marrow imaging; limited area 76376 3D Rendering WO Postprocessing 78102 Bone marrow imaging; limited area 76377 3D Rendering W Postprocessing 78102 Bone marrow imaging; limited area 76942 78102 Bone marrow imaging; limited area 76998 US guidance intra-operative 78102 Bone marrow imaging; limited area 77001 78102 Bone marrow imaging; limited area 77002 Fluoroscopic guidance for needle placement 78103 Bone marrow imaging; multiple areas 76000 Fluoroscopy, up to one hour physician time 214

78103 Bone marrow imaging; multiple areas 76001 Fluoroscopy, more than one hour physician time 78103 Bone marrow imaging; multiple areas 76376 3D Rendering WO Postprocessing 78103 Bone marrow imaging; multiple areas 76377 3D Rendering W Postprocessing 78103 Bone marrow imaging; multiple areas 76942 78103 Bone marrow imaging; multiple areas 76998 US guidance intra-operative 78103 Bone marrow imaging; multiple areas 77001 78103 Bone marrow imaging; multiple areas 77002 Fluoroscopic guidance for needle placement 78103 Bone marrow imaging; multiple areas 78102 Bone marrow imaging; limited area 78104 Bone marrow imaging; whole body 76000 Fluoroscopy, up to one hour physician time 78104 Bone marrow imaging; whole body 76001 Fluoroscopy, more than one hour physician time 78104 Bone marrow imaging; whole body 76376 3D Rendering WO Postprocessing 78104 Bone marrow imaging; whole body 76377 3D Rendering W Postprocessing 78104 Bone marrow imaging; whole body 76942 78104 Bone marrow imaging; whole body 76998 US guidance intra-operative 215

78104 Bone marrow imaging; whole body 77001 78104 Bone marrow imaging; whole body 77002 Fluoroscopic guidance for needle placement 78104 Bone marrow imaging; whole body 78102 Bone marrow imaging; limited area 78104 Bone marrow imaging; whole body 78103 Bone marrow imaging; multiple areas 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 76000 Fluoroscopy, up to one hour physician time 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 76001 Fluoroscopy, more than one hour physician time 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 76376 3D Rendering WO Postprocessing 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 76377 3D Rendering W Postprocessing 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 76942 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 76998 US guidance intra-operative 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 77001 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 77002 Fluoroscopic guidance for needle placement 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 76000 Fluoroscopy, up to one hour physician time 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 76001 Fluoroscopy, more than one hour physician time 216

78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 76376 3D Rendering WO Postprocessing 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 76377 3D Rendering W Postprocessing 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 76942 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 76998 US guidance intra-operative 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 77001 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 77002 Fluoroscopic guidance for needle placement 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 78120 Red cell volume determination, single sampling 76000 Fluoroscopy, up to one hour physician time 78120 Red cell volume determination, single sampling 76001 Fluoroscopy, more than one hour physician time 78120 Red cell volume determination, single sampling 76376 3D Rendering WO Postprocessing 78120 Red cell volume determination, single sampling 76377 3D Rendering W Postprocessing 78120 Red cell volume determination, single sampling 76942 78120 Red cell volume determination, single sampling 76998 US guidance intra-operative 78120 Red cell volume determination, single sampling 77001 217

78120 Red cell volume determination, single sampling 77002 Fluoroscopic guidance for needle placement 78121 Red cell volume determination, multiple samplings 76000 Fluoroscopy, up to one hour physician time 78121 Red cell volume determination, multiple samplings 76001 Fluoroscopy, more than one hour physician time 78121 Red cell volume determination, multiple samplings 76376 3D Rendering WO Postprocessing 78121 Red cell volume determination, multiple samplings 76377 3D Rendering W Postprocessing 78121 Red cell volume determination, multiple samplings 76942 78121 Red cell volume determination, multiple samplings 76998 US guidance intra-operative 78121 Red cell volume determination, multiple samplings 77001 78121 Red cell volume determination, multiple samplings 77002 Fluoroscopic guidance for needle placement 78121 Red cell volume determination, multiple samplings 78120 Red cell volume determination, single sampling 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 76000 Fluoroscopy, up to one hour physician time 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 76001 Fluoroscopy, more than one hour physician time 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 76376 3D Rendering WO Postprocessing 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 76377 3D Rendering W Postprocessing 218

78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 76942 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 76998 US guidance intra-operative 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 77001 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 77002 Fluoroscopic guidance for needle placement 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 78120 Red cell volume determination, single sampling 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 78121 Red cell volume determination, multiple samplings 78130 Red cell survival study; 76000 Fluoroscopy, up to one hour physician time 78130 Red cell survival study; 76001 Fluoroscopy, more than one hour physician time 78130 Red cell survival study; 76376 3D Rendering WO Postprocessing 78130 Red cell survival study; 76377 3D Rendering W Postprocessing 78130 Red cell survival study; 76942 78130 Red cell survival study; 76998 US guidance intra-operative 219

78130 Red cell survival study; 77001 78130 Red cell survival study; 77002 Fluoroscopic guidance for needle placement 78135 Differential organ/tissues kinetic 76000 Fluoroscopy, up to one hour physician time 78135 Differential organ/tissues kinetic 76001 Fluoroscopy, more than one hour physician time 78135 Differential organ/tissues kinetic 76376 3D Rendering WO Postprocessing 78135 Differential organ/tissues kinetic 76377 3D Rendering W Postprocessing 78135 Differential organ/tissues kinetic 76942 78135 Differential organ/tissues kinetic 76998 US guidance intra-operative 78135 Differential organ/tissues kinetic 77001 78135 Differential organ/tissues kinetic 77002 Fluoroscopic guidance for needle placement 78135 Differential organ/tissues kinetic 78130 Red cell survival study 78135 Differential organ/tissues kinetic 78140 Labeled red cell sequestration, differential organ/tissue 78140 Labeled red cell sequestration, differential organ/tissue 76000 Fluoroscopy, up to one hour physician time 78140 Labeled red cell sequestration, differential organ/tissue 76001 Fluoroscopy, more than one hour physician time 220

78140 Labeled red cell sequestration, differential organ/tissue 76376 3D Rendering WO Postprocessing 78140 Labeled red cell sequestration, differential organ/tissue 76377 3D Rendering W Postprocessing 78140 Labeled red cell sequestration, differential organ/tissue 76942 78140 Labeled red cell sequestration, differential organ/tissue 76998 US guidance intra-operative 78140 Labeled red cell sequestration, differential organ/tissue 77001 78140 Labeled red cell sequestration, differential organ/tissue 77002 Fluoroscopic guidance for needle placement 78185 Spleen imaging only W or WO vascular flow 76000 Fluoroscopy, up to one hour physician time 78185 Spleen imaging only W or WO vascular flow 76001 Fluoroscopy, more than one hour physician time 78185 Spleen imaging only W or WO vascular flow 76376 3D Rendering WO Postprocessing 78185 Spleen imaging only W or WO vascular flow 76377 3D Rendering W Postprocessing 78185 Spleen imaging only W or WO vascular flow 76942 78185 Spleen imaging only W or WO vascular flow 76998 US guidance intra-operative 78185 Spleen imaging only W or WO vascular flow 77001 78185 Spleen imaging only W or WO vascular flow 77002 Fluoroscopic guidance for needle placement 221

78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 76000 Fluoroscopy, up to one hour physician time 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 76001 Fluoroscopy, more than one hour physician time 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 76376 3D Rendering WO Postprocessing 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 76377 3D Rendering W Postprocessing 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 76942 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 76998 US guidance intra-operative 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 77001 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 77002 Fluoroscopic guidance for needle placement 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 78191 Platelet Survival 78191 Platelet survival study 76000 Fluoroscopy, up to one hour physician time 78191 Platelet survival study 76001 Fluoroscopy, more than one hour physician time 78191 Platelet survival study 76376 3D Rendering WO Postprocessing 78191 Platelet survival study 76377 3D Rendering W Postprocessing 78191 Platelet survival study 76942 222

78191 Platelet survival study 76998 US guidance intra-operative 78191 Platelet survival study 77001 78191 Platelet survival study 77002 Fluoroscopic guidance for needle placement 78195 Lymphatics and lymph nodes imaging 76000 Fluoroscopy, up to one hour physician time 78195 Lymphatics and lymph nodes imaging 76001 Fluoroscopy, more than one hour physician time 78195 Lymphatics and lymph nodes imaging 76376 3D Rendering WO Postprocessing 78195 Lymphatics and lymph nodes imaging 76377 3D Rendering W Postprocessing 78195 Lymphatics and lymph nodes imaging 76942 78195 Lymphatics and lymph nodes imaging 76998 US guidance intra-operative 78195 Lymphatics and lymph nodes imaging 77001 78195 Lymphatics and lymph nodes imaging 77002 Fluoroscopic guidance for needle placement 78201 Liver imaging, static only 76000 Fluoroscopy, up to one hour physician time 78201 Liver imaging, static only 76001 Fluoroscopy, more than one hour physician time 78201 Liver imaging, static only 76376 3D Rendering WO Postprocessing 223

78201 Liver imaging, static only 76377 3D Rendering W Postprocessing 78201 Liver imaging, static only 76942 78201 Liver imaging, static only 76998 US guidance intra-operative 78201 Liver imaging; static only 77001 78201 Liver imaging, static only 77002 Fluoroscopic guidance for needle placement 78205 Liver imaging, SPECT 78201 Liver imaging, static only 78206 Liver imaging, SPECT W vascular flow 78201 Liver imaging, static only 78202 Liver imaging, W vascular flow 76000 Fluoroscopy, up to one hour physician time 78202 Liver imaging, W vascular flow 76001 Fluoroscopy, more than one hour physician time 78202 Liver imaging, W vascular flow 76376 3D Rendering WO Postprocessing 78202 Liver imaging, W vascular flow 76377 3D Rendering W Postprocessing 78202 Liver imaging, W vascular flow 76942 78202 Liver imaging, W vascular flow 76998 US guidance intra-operative 78202 Liver imaging, W vascular flow 77001 224

78202 Liver imaging, W vascular flow 77002 Fluoroscopic guidance for needle placement 78202 Liver imaging, W vascular flow 78201 Liver imaging, static only 78205 Liver imaging, SPECT 78202 Liver imaging, W vascular flow 78206 Liver imaging, SPECT W vascular flow 78202 Liver imaging, W vascular flow 78205 Liver imaging, SPECT 76000 Fluoroscopy, up to one hour physician time 78205 Liver imaging, SPECT 76001 Fluoroscopy, more than one hour physician time 78205 Liver imaging, SPECT 76376 3D Rendering WO Postprocessing 78205 Liver imaging, SPECT 76377 3D Rendering W Postprocessing 78205 Liver imaging, SPECT 76942 78205 Liver imaging, SPECT 76998 US guidance intra-operative 78205 Liver imaging, SPECT 77001 78205 Liver imaging, SPECT 77002 Fluoroscopic guidance for needle placement 78206 Liver imaging, SPECT W vascular flow 76000 Fluoroscopy, up to one hour physician time 78206 Liver imaging, SPECT W vascular flow 76001 Fluoroscopy, more than one hour physician time 225

78206 Liver imaging, SPECT W vascular flow 76376 3D Rendering WO Postprocessing 78206 Liver imaging, SPECT W vascular flow 76377 3D Rendering W Postprocessing 78206 Liver imaging, SPECT W vascular flow 76942 78206 Liver imaging, SPECT W vascular flow 76998 US guidance intra-operative 78206 Liver imaging, SPECT W vascular flow 77001 78206 Liver imaging, SPECT W vascular flow 77002 Fluoroscopic guidance for needle placement 78206 Liver imaging, SPECT W vascular flow 78205 Liver imaging, SPECT 78215 Liver & spleen imaging, static only 76000 Fluoroscopy, up to one hour physician time 78215 Liver & spleen imaging, static only 76001 Fluoroscopy, more than one hour physician time 78215 Liver & spleen imaging, static only 76376 3D Rendering WO Postprocessing 78215 Liver & spleen imaging, static only 76377 3D Rendering W Postprocessing 78215 Liver & spleen imaging, static only 76942 78215 Liver & spleen imaging, static only 76998 US guidance intra-operative 78215 Liver & spleen imaging, static only 77001 226

78215 Liver & spleen imaging, static only 77002 Fluoroscopic guidance for needle placement 78215 Liver & spleen imaging, static only 78185 Spleen imaging only W or WO vascular flow 78215 Liver & spleen imaging, static only 78201 Liver imaging, static only 78202 Liver imaging, W vascular flow 78215 Liver & spleen imaging, static only 78205 Liver imaging, SPECT 78215 Liver & spleen imaging, static only 78206 Liver imaging, SPECT W vascular flow 78215 Liver & spleen imaging, static only 78216 Liver & spleen imaging, W vascular flow 76000 Fluoroscopy, up to one hour physician time 78216 Liver & spleen imaging, W vascular flow 76001 Fluoroscopy, more than one hour physician time 78216 Liver & spleen imaging, W vascular flow 76376 3D Rendering WO Postprocessing 78216 Liver & spleen imaging, W vascular flow 76377 3D Rendering W Postprocessing 78216 Liver & spleen imaging, W vascular flow 76942 78216 Liver & spleen imaging, W vascular flow 76998 US guidance intra-operative 78216 Liver & spleen imaging, W vascular flow 77001 78216 Liver & spleen imaging, W vascular flow 77002 Fluoroscopic guidance for needle placement 227

78216 Liver & spleen imaging, W vascular flow 78185 Spleen imaging only W or WO vascular flow 78201 Liver imaging, static only 78216 Non-cardiac vascular flow imaging (ie, angiography, venography) 78202 Liver imaging, W vascular flow 78216 Liver & spleen imaging, W vascular flow 78205 Liver imaging, SPECT 78216 Liver & spleen imaging, W vascular flow 78206 Liver imaging, SPECT W vascular flow 78216 Liver & spleen imaging, W vascular flow 78215 Liver & spleen imaging, static only 78216 Liver & spleen imaging, W vascular flow 78226 Hepatobiliary system imaging, including gallbladder when present; 76000 Fluoroscopy, up to one hour physician time 78226 Hepatobiliary system imaging, including gallbladder when present; 76001 Fluoroscopy, more than one hour physician time 78226 Hepatobiliary system imaging, including gallbladder when present; 76376 3D Rendering WO Postprocessing 78226 Hepatobiliary system imaging, including gallbladder when present; 76377 3D Rendering W Postprocessing 78226 Hepatobiliary system imaging, including gallbladder when present; 76942 78226 Hepatobiliary system imaging, including gallbladder when present; 76998 US guidance intra-operative 78226 Hepatobiliary system imaging, including gallbladder when present; 77001 78226 Hepatobiliary system imaging, including gallbladder when present; 77002 Fluoroscopic guidance for needle placement 228

78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 76000 Fluoroscopy, up to one hour physician time 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 76001 Fluoroscopy, more than one hour physician time 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 76376 3D Rendering WO Postprocessing 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 76377 3D Rendering W Postprocessing 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 76942 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 76998 US guidance intra-operative 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 77001 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 77002 Fluoroscopic guidance for needle placement 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 78226 Hepatobiliary system imaging, including gallbladder when present; 78230 Salivary gland imaging 76000 Fluoroscopy, up to one hour physician time 78230 Salivary gland imaging 76001 Fluoroscopy, more than one hour physician time 78230 Salivary gland imaging 76376 3D Rendering WO Postprocessing 78230 Salivary gland imaging 76377 3D Rendering W Postprocessing 78230 Salivary gland imaging 76942 229

78230 Salivary gland imaging 76998 US guidance intra-operative 78230 Salivary gland imaging; 77001 78230 Salivary gland imaging 77002 Fluoroscopic guidance for needle placement 78231 Salivary gland imaging; W serial images 76000 Fluoroscopy, up to one hour physician time 78231 Salivary gland imaging; W serial images 76001 Fluoroscopy, more than one hour physician time 78231 Salivary gland imaging; W serial images 76376 3D Rendering WO Postprocessing 78231 Salivary gland imaging; W serial images 76377 3D Rendering W Postprocessing 78231 Salivary gland imaging; W serial images 76942 78231 Salivary gland imaging; W serial images 76998 US guidance intra-operative 78231 Salivary gland imaging; W serial images 77001 78231 Salivary gland imaging; W serial images 77002 Fluoroscopic guidance for needle placement 78231 Salivary gland imaging; W serial images 78230 Salivary gland imaging, 78232 Salivary gland function study 76000 Fluoroscopy, up to one hour physician time 78232 Salivary gland function study 76001 Fluoroscopy, more than one hour physician time 230

78232 Salivary gland function study 76376 3D Rendering WO Postprocessing 78232 Salivary gland function study 76377 3D Rendering W Postprocessing 78232 Salivary gland function study 76942 78232 Salivary gland function study 76998 US guidance intra-operative 78232 Salivary gland function study 77001 78232 Salivary gland function study 77002 Fluoroscopic guidance for needle placement 78258 Esophageal motility 76000 Fluoroscopy, up to one hour physician time 78258 Esophageal motility 76001 Fluoroscopy, more than one hour physician time 78258 Esophageal motility 76376 3D Rendering WO Postprocessing 78258 Esophageal motility 76377 3D Rendering W Postprocessing 78258 Esophageal motility 76942 78258 Esophageal motility 76998 US guidance intra-operative 78258 Esophageal motility 77001 78258 Esophageal motility 77002 Fluoroscopic guidance for needle placement 231

78261 Gastric mucosa imaging 76000 Fluoroscopy, up to one hour physician time 78261 Gastric mucosa imaging 76001 Fluoroscopy, more than one hour physician time 78261 Gastric mucosa imaging 76376 3D Rendering WO Postprocessing 78261 Gastric mucosa imaging 76377 3D Rendering W Postprocessing 78261 Gastric mucosa imaging 76942 78261 Gastric mucosa imaging 76998 US guidance intra-operative 78261 Gastric mucosa imaging 77001 78261 Gastric mucosa imaging 77002 Fluoroscopic guidance for needle placement 78262 Gastroesophageal reflux study 76000 Fluoroscopy, up to one hour physician time 78262 Gastroesophageal reflux study 76001 Fluoroscopy, more than one hour physician time 78262 Gastroesophageal reflux study 76376 3D Rendering WO Postprocessing 78262 Gastroesophageal reflux study 76377 3D Rendering W Postprocessing 78262 Gastroesophageal reflux study 76942 78262 Gastroesophageal reflux study 76998 US guidance intra-operative 232

78262 Gastroesophageal reflux study 77001 78262 Gastroesophageal reflux study 77002 Fluoroscopic guidance for needle placement 78264 Gastric emptying study 76000 Fluoroscopy, up to one hour physician time 78264 Gastric emptying study 76001 Fluoroscopy, more than one hour physician time 78264 Gastric emptying study 76376 3D Rendering WO Postprocessing 78264 Gastric emptying study 76377 3D Rendering W Postprocessing 78264 Gastric emptying study 76942 78264 Gastric emptying study 76998 US guidance intra-operative 78264 Gastric emptying study 77001 78264 Gastric emptying study 77002 Fluoroscopic guidance for needle placement 78267 Urea breath test, C-14 (isotopic); acquisition for analysis 76376 3D Rendering WO Postprocessing 78267 Urea breath test, C-14 (isotopic); acquisition for analysis 76377 3D Rendering W Postprocessing 78268 Urea breath test, C-14 (isotopic); analysis 76376 3D Rendering WO Postprocessing 78268 Urea breath test, C-14 (isotopic); analysis 76377 3D Rendering W Postprocessing 233

78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 76000 Fluoroscopy, up to one hour physician time 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 76001 Fluoroscopy, more than one hour physician time 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 76376 3D Rendering WO Postprocessing 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 76377 3D Rendering W Postprocessing 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 76942 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 76998 US guidance intra-operative 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 77001 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 77002 Fluoroscopic guidance for needle placement 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 76000 Fluoroscopy, up to one hour physician time 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 76001 Fluoroscopy, more than one hour physician time 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 76376 3D Rendering WO Postprocessing 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 76377 3D Rendering W Postprocessing 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 76942 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 76998 US guidance intra-operative 234

78271 Vitamin B-12 absorption study (eg, Schilling test); Wintrinsic factor 77001 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 77002 Fluoroscopic guidance for needle placement 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 78270 Vitamin B-12 absorption study, WO intrinsic factor (Schilling test) 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 76000 Fluoroscopy, up to one hour physician time 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 76001 Fluoroscopy, more than one hour physician time 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 76376 3D Rendering WO Postprocessing 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 76377 3D Rendering W Postprocessing 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 76942 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 76998 US guidance intra-operative 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 77001 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 77002 Fluoroscopic guidance for needle placement 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 78270 Vitamin B-12 absorption study, WO intrinsic factor (Schilling test) 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 78278 Acute gastrointestinal blood loss imaging 76000 Fluoroscopy, up to one hour physician time 235

78278 Acute gastrointestinal blood loss imaging 76001 Fluoroscopy, more than one hour physician time 78278 Acute gastrointestinal blood loss imaging 76376 3D Rendering WO Postprocessing 78278 Acute gastrointestinal blood loss imaging 76377 3D Rendering W Postprocessing 78278 Acute gastrointestinal blood loss imaging 76942 78278 Acute gastrointestinal blood loss imaging 76998 US guidance intra-operative 78278 Acute gastrointestinal blood loss imaging 77001 78278 Acute gastrointestinal blood loss imaging 77002 Fluoroscopic guidance for needle placement 78282 Gastrointestinal protein loss 76000 Fluoroscopy, up to one hour physician time 78282 Gastrointestinal protein loss 76001 Fluoroscopy, more than one hour physician time 78282 Gastrointestinal protein loss 76376 3D Rendering WO Postprocessing 78282 Gastrointestinal protein loss 76377 3D Rendering W Postprocessing 78282 Gastrointestinal protein loss 76942 78282 Gastrointestinal protein loss 76998 US guidance intra-operative 78282 Gastrointestinal protein loss 77001 236

78282 Gastrointestinal protein loss 77002 Fluoroscopic guidance for needle placement 78290 Intestine imaging 76000 Fluoroscopy, up to one hour physician time 78290 Intestine imaging 76001 Fluoroscopy, more than one hour physician time 78290 Intestine imaging 76376 3D Rendering WO Postprocessing 78290 Intestine imaging 76377 3D Rendering W Postprocessing 78290 Intestine imaging 76942 78290 Intestine imaging 76998 US guidance intra-operative 78290 Intestine imaging 77001 78290 Intestine imaging 77002 Fluoroscopic guidance for needle placement 78291 Peritoneal-venous shunt patency test 76000 Fluoroscopy, up to one hour physician time 78291 Peritoneal-venous shunt patency test 76001 Fluoroscopy, more than one hour physician time 78291 Peritoneal-venous shunt patency test 76376 3D Rendering WO Postprocessing 78291 Peritoneal-venous shunt patency test 76377 3D Rendering W Postprocessing 78291 Peritoneal-venous shunt patency test 76942 237

78291 Peritoneal-venous shunt patency test 76998 US guidance intra-operative 78291 Peritoneal-venous shunt patency test 77001 78291 Peritoneal-venous shunt patency test 77002 Fluoroscopic guidance for needle placement 78300 Bone and/or joint imaging; limited area 76000 Fluoroscopy, up to one hour physician time 78300 Bone and/or joint imaging; limited area 76001 Fluoroscopy, more than one hour physician time 78300 Bone and/or joint imaging; limited area 76376 3D Rendering WO Postprocessing 78300 Bone and/or joint imaging; limited area 76377 3D Rendering W Postprocessing 78300 Bone and/or joint imaging; limited area 76942 78300 Bone and/or joint imaging; limited area 76998 US guidance intra-operative 78300 Bone and/or joint imaging; limited area 77001 78300 Bone and/or joint imaging; limited area 77002 Fluoroscopic guidance for needle placement 78305 Bone and/or joint imaging; multiple areas 76000 Fluoroscopy, up to one hour physician time 78305 Bone and/or joint imaging; multiple areas 76001 Fluoroscopy, more than one hour physician time 78305 Bone and/or joint imaging; multiple areas 76376 3D Rendering WO Postprocessing 238

78305 Bone and/or joint imaging; multiple areas 76377 3D Rendering W Postprocessing 78305 Bone and/or joint imaging; multiple areas 76942 78305 Bone and/or joint imaging; multiple areas 76998 US guidance intra-operative 78305 Bone and/or joint imaging; multiple areas 77001 78305 Bone and/or joint imaging; multiple areas 77002 Fluoroscopic guidance for needle placement 78305 Bone and/or joint imaging; multiple areas 78300 Bone and/or joint imaging; limited area 78306 Bone and/or joint imaging; whole body 76000 Fluoroscopy, up to one hour physician time 78306 Bone and/or joint imaging; whole body 76001 Fluoroscopy, more than one hour physician time 78306 Bone and/or joint imaging; whole body 76376 3D Rendering WO Postprocessing 78306 Bone and/or joint imaging; whole body 76377 3D Rendering W Postprocessing 78306 Bone and/or joint imaging; whole body 76942 78306 Bone and/or joint imaging; whole body 76998 US guidance intra-operative 78306 Bone and/or joint imaging; whole body 77001 78306 Bone and/or joint imaging; whole body 77002 Fluoroscopic guidance for needle placement 239

78306 Bone and/or joint imaging; whole body 78300 Bone and/or joint imaging, limited area 78306 Bone and/or joint imaging; whole body 78305 Bone and/or joint imaging; multiple areas 78315 Bone and/or joint imaging; three phase study 76000 Fluoroscopy, up to one hour physician time 78315 Bone and/or joint imaging; three phase study 76001 Fluoroscopy, more than one hour physician time 78315 Bone and/or joint imaging; three phase study 76376 3D Rendering WO Postprocessing 78315 Bone and/or joint imaging; three phase study 76377 3D Rendering W Postprocessing 78315 Bone and/or joint imaging; three phase study 76942 78315 Bone and/or joint imaging; three phase study 76998 US guidance intra-operative 78315 Bone and/or joint imaging; three phase study 77001 78315 Bone and/or joint imaging; three phase study 77002 Fluoroscopic guidance for needle placement 78315 Bone and/or joint imaging; three phase study 78300 Bone and/or joint imaging; limited area 78315 Bone and/or joint imaging; three phase study 78305 Bone and/or joint imaging; multiple areas 78315 Bone and/or joint imaging; 3 phase study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78320 Bone and/or joint imaging; tomographic (SPECT) 76000 Fluoroscopy, up to one hour physician time 240

78320 Bone and/or joint imaging; tomographic (SPECT) 76001 Fluoroscopy, more than one hour physician time 78320 Bone and/or joint imaging; tomographic (SPECT) 76376 3D Rendering WO Postprocessing 78320 Bone and/or joint imaging; tomographic (SPECT) 76377 3D Rendering W Postprocessing 78320 Bone and/or joint imaging; tomographic (SPECT) 76942 78320 Bone and/or joint imaging; tomographic (SPECT) 76998 US guidance intra-operative 78320 Bone and/or joint imaging; tomographic (SPECT) 77001 78320 Bone and/or joint imaging; tomographic (SPECT) 77002 Fluoroscopic guidance for needle placement 78320 Bone and/or joint imaging; tomographic (SPECT) 78300 Bone and/or joint imaging, limited area 78320 Bone and/or joint imaging; tomographic (SPECT) 78305 Bone and/or joint imaging; multiple areas 78350 Bone density study, one or more sites; single photon absorptiometry 76376 3D Rendering WO Postprocessing CPT Definition 78350 Bone density study, one or more sites; single photon absorptiometry 76377 3D Rendering W Postprocessing CPT Definition 78351 Bone density study, one or more sites; dual photon absorptiometry, one or more sites 76376 3D Rendering WO Postprocessing 78351 Bone density study, one or more sites; dual photon absorptiometry, one or more sites 76377 3D Rendering W Postprocessing 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 76000 Fluoroscopy, up to one hour physician time 241

78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 76001 Fluoroscopy, more than one hour physician time 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 76376 3D Rendering WO Postprocessing 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 76377 3D Rendering W Postprocessing 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 76942 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 76998 US guidance intra-operative 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 77001 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 77002 Fluoroscopic guidance for needle placement 78428 Cardiac shunt detection 76000 Fluoroscopy, up to one hour physician time 78428 Cardiac shunt detection 76001 Fluoroscopy, more than one hour physician time 78428 Cardiac shunt detection 76376 3D Rendering WO Postprocessing 78428 Cardiac shunt detection 76377 3D Rendering W Postprocessing 78428 Cardiac shunt detection 76942 78428 Cardiac shunt detection 76998 US guidance intra-operative 78428 Cardiac Shunt imaging 77001 242

78428 Cardiac shunt detection 77002 Fluoroscopic guidance for needle placement 78445 Non-cardiac vascular flow imaging 75820 Venography, extremity, unilateral, radiological supervision and 78445 Non-cardiac vascular flow imaging 75822 Venography, extremity, bilateral, radiological supervision and 78445 Non-cardiac vascular flow imaging 75825 Venography, caval, inferior, W serialography, radiological supervision and 78445 Non-cardiac vascular flow imaging 75827 Venography, caval, superior, W serialography, radiological supervision and 78445 Non-cardiac vascular flow imaging 75831 Venography, renal, unilateral, selective, radiological supervision and 78445 Non-cardiac vascular flow imaging 75833 Venography, renal, bilateral, selective, radiological supervision and 78445 Non-cardiac vascular flow imaging 75840 Venography, adrenal, unilateral, selective, radiological supervision and 78445 Non-cardiac vascular flow imaging 75842 Venography, adrenal, bilateral, selective, radiological supervision and 78445 Non-cardiac vascular flow imaging 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 78445 Non-cardiac vascular flow imaging 75870 Venography, superior sagittal sinus, radiological supervision and 78445 Non-cardiac vascular flow imaging 75872 Venography, epidural, radiological supervision and 78445 Non-cardiac vascular flow imaging 75880 Venography, orbital, radiological supervision and 78445 Non-cardiac vascular flow imaging 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 243

78445 Non-cardiac vascular flow imaging 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 78445 Non-cardiac vascular flow imaging 75889 Hepatic venography, wedged or free, W/hemodynamic evaluation, radiological supervision and 78445 Non-cardiac vascular flow imaging 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 78445 Non-cardiac vascular flow imaging 76000 Fluoroscopy, up to one hour physician time 78445 Non-cardiac vascular flow imaging 76001 Fluoroscopy, more than one hour physician time 78445 Non-cardiac vascular flow imaging 76376 3D Rendering WO Postprocessing 78445 Non-cardiac vascular flow imaging 76377 3D Rendering W Postprocessing 78445 Non-cardiac vascular flow imaging 76942 78445 Non-cardiac vascular flow imaging 76998 US guidance intra-operative 78445 Radionuclide Venogram Non-Cardiac 77001 78445 Non-cardiac vascular flow imaging 77002 Fluoroscopic guidance for needle placement 78456 Acute venous thrombosis imaging, peptide 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78451 Myocardial perfusion imaging, tomographic (SPECT) 76000 Fluoroscopy, up to one hour physician time 78451 Myocardial perfusion imaging, tomographic (SPECT) 76001 Fluoroscopy, more than one hour physician time 244

78451 Myocardial perfusion imaging, tomographic (SPECT) 76376 3D Rendering WO Postprocessing 78451 Myocardial perfusion imaging, tomographic (SPECT) 76377 3D Rendering W Postprocessing 78451 Myocardial perfusion imaging, tomographic (SPECT) 76942 78451 Myocardial perfusion imaging, tomographic (SPECT) 76998 US guidance intra-operative 78451 Myocardial perfusion imaging, tomographic (SPECT) 77001 78451 Myocardial perfusion imaging, tomographic (SPECT) 77002 Fluoroscopic guidance for needle placement 78451 Myocardial perfusion imaging, tomographic (SPECT) 78453 MPI,planar,single study, at rest or stress 78451 Myocardial perfusion imaging, tomographic (SPECT) 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78451 Myocardial perfusion imaging, tomographic (SPECT) 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition 78451 Myocardial perfusion imaging, tomographic (SPECT) 78468 Myocardial imaging, infarction avid, W ejection fraction, CPT Definition 78451 Myocardial perfusion imaging, tomographic (SPECT) 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition 78451 Myocardial perfusion imaging, tomographic (SPECT) 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78451 Myocardial perfusion imaging, tomographic (SPECT) 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction 78451 Myocardial perfusion imaging, tomographic (SPECT) 78481 Cardiac blood pool imaging, first pass, single study 245

78451 Myocardial perfusion imaging, tomographic (SPECT) 78483 Cardiac blood pool imaging, first pass, multiple studies 78451 Myocardial perfusion imaging, tomographic (SPECT) 78494 Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, W or WO quantitative processing 78451 Myocardial perfusion imaging, tomographic (SPECT) 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78451 Myocardial perfusion imaging, tomographic (SPECT) 78580 Pulmonary perfusion imaging, particulate 78451 Myocardial perfusion imaging, tomographic (SPECT) 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78451 Myocardial perfusion imaging, tomographic (SPECT) 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78451 Myocardial perfusion imaging, tomographic (SPECT) 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78451 Myocardial perfusion imaging, tomographic (SPECT) 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 76000 Fluoroscopy, up to one hour physician time 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 76001 Fluoroscopy, more than one hour physician time 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 76376 3D Rendering WO Postprocessing 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 76377 3D Rendering W Postprocessing 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 76942 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 76998 US guidance intra-operative 246

78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 77001 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 77002 Fluoroscopic guidance for needle placement 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78451 Myocardial perfusion imaging, tomographic (SPECT) 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78453 MPI,planar,single study, at rest or stress 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78468 Myocardial imaging, infarction avid, W ejection fraction, CPT Definition 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78481 Cardiac blood pool imaging, first pass, single study 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78483 Cardiac blood pool imaging, first pass, multiple studies 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78494 Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, Wor WOquantitative processing 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 247

78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78580 Pulmonary perfusion imaging, particulate 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78453 MPI,planar,single study, at rest or stress 76000 Fluoroscopy, up to one hour physician time 78453 MPI,planar,single study, at rest or stress 76001 Fluoroscopy, more than one hour physician time 78453 MPI,planar,single study, at rest or stress 76376 3D Rendering WO Postprocessing 78453 MPI,planar,single study, at rest or stress 76377 3D Rendering W Postprocessing 78453 MPI,planar,single study, at rest or stress 76942 78453 MPI,planar,single study, at rest or stress 76998 US guidance intra-operative 78453 MPI,planar,single study, at rest or stress 77001 78453 MPI,planar,single study, at rest or stress 77002 Fluoroscopic guidance for needle placement 78453 MPI,planar,single study, at rest or stress 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition 248

78453 MPI,planar,single study, at rest or stress 78468 Myocardial imaging, infarction avid, W ejection fraction, CPT Definition 78453 MPI,planar,single study, at rest or stress 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition 78453 MPI,planar,single study, at rest or stress 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78453 MPI,planar,single study, at rest or stress 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction 78453 MPI,planar,single study, at rest or stress 78481 Cardiac blood pool imaging, first pass, single study 78453 MPI,planar,single study, at rest or stress 78483 Cardiac blood pool imaging, first pass, multiple studies 78453 MPI,planar,single study, at rest or stress 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78453 MPI,planar,single study, at rest or stress 78580 Pulmonary perfusion imaging, particulate 78453 MPI,planar,single study, at rest or stress 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78453 MPI,planar,single study, at rest or stress 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78453 MPI,planar,single study, at rest or stress 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78453 MPI,planar,single study, at rest or stress 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 76000 Fluoroscopy, up to one hour physician time 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 76001 Fluoroscopy, more than one hour physician time 249

78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 76376 3D Rendering WO Postprocessing 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 76377 3D Rendering W Postprocessing 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 76942 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 76998 US guidance intra-operative 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 77001 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 77002 Fluoroscopic guidance for needle placement 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78453 MPI,planar,single study, at rest or stress 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative CPT Definition 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78468 Myocardial imaging, infarction avid, W ejection fraction, CPT Definition 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification CPT Definition 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78481 Cardiac blood pool imaging, first pass, single study 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78483 Cardiac blood pool imaging, first pass, multiple studies 250

78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78580 Pulmonary perfusion imaging, particulate 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78456 Acute venous thrombosis imaging, peptide 75822 Venography, extremity, bilateral, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75825 Venography, caval, inferior, W serialography, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75827 Venography, caval, superior, W serialography, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75831 Venography, renal, unilateral, selective, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75833 Venography, renal, bilateral, selective, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75840 Venography, adrenal, unilateral, selective, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75842 Venography, adrenal, bilateral, selective, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 251

78456 Acute venous thrombosis imaging, peptide 75870 Venography, superior sagittal sinus, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75872 Venography, epidural, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75889 Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 78456 Acute venous thrombosis imaging, peptide 76000 Fluoroscopy, up to one hour physician time 78456 Acute venous thrombosis imaging, peptide 76001 Fluoroscopy, more than one hour physician time 78456 Acute venous thrombosis imaging, peptide 76376 3D Rendering WO Postprocessing 78456 Acute venous thrombosis imaging, peptide 76377 3D Rendering W Postprocessing 78456 Acute venous thrombosis imaging, peptide 76942 78456 Acute venous thrombosis imaging, peptide 76998 US guidance intra-operative 78456 Acute venous thrombosis imaging, peptide 77001 78456 Acute venous thrombosis imaging, peptide 77002 Fluoroscopic guidance for needle placement 252

78457 Venous thrombosis imaging, venogram; unilateral 75822 Venography, extremity, bilateral, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75825 Venography, caval, inferior, W serialography, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75827 Venography, caval, superior, W serialography, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75831 Venography, renal, unilateral, selective, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75833 Venography, renal, bilateral, selective, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75840 Venography, adrenal, unilateral, selective, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75842 Venography, adrenal, bilateral, selective, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75870 Venography, superior sagittal sinus, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75872 Venography, epidural, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75889 Hepatic venography, wedged or free, W/hemodynamic evaluation, radiological supervision and 78457 Venous thrombosis imaging, venogram; unilateral 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 253

78457 Venous thrombosis imaging, venogram; unilateral 76000 Fluoroscopy, up to one hour physician time 78457 Venous thrombosis imaging, venogram; unilateral 76001 Fluoroscopy, more than one hour physician time 78457 Venous thrombosis imaging, venogram; unilateral 76376 3D Rendering WO Postprocessing 78457 Venous thrombosis imaging, venogram; unilateral 76377 3D Rendering W Postprocessing 78457 Venous thrombosis imaging, venogram; unilateral 76942 78457 Venous thrombosis imaging, venogram; unilateral 76998 US guidance intra-operative 78457 Venous thrombosis imaging, venogram; unilateral 77001 78457 Venous thrombosis imaging, venogram; unilateral 77002 Fluoroscopic guidance for needle placement 78457 Venous thrombosis imaging, venogram; unilateral 78445 Non-cardiac vascular flow imaging 78457 Venous thrombosis imaging, venogram; unilateral 78456 Acute venous thrombosis imaging, peptide 78458 Venous thrombosis imaging, bilateral 75822 Venography, extremity, bilateral, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75825 Venography, caval, inferior, W serialography, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75827 Venography, caval, superior, W serialography, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75831 Venography, renal, unilateral, selective, radiological supervision and 254

78458 Venous thrombosis imaging, bilateral 75833 Venography, renal, bilateral, selective, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75840 Venography, adrenal, unilateral, selective, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75842 Venography, adrenal, bilateral, selective, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75860 Angiography, carotid, cervical, bilateral, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75870 Venography, superior sagittal sinus, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75872 Venography, epidural, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75885 Percutaneous transhepatic portography W hemodynamic evaluation, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75887 Percutaneous transhepatic portography WO hemodynamic evaluation, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75889 Hepatic venography, wedged or free, Whemodynamic evaluation, radiological supervision and 78458 Venous thrombosis imaging, bilateral 75891 Hepatic venography, wedged or free, WO hemodynamic evaluation, radiological supervision and 78458 Venous thrombosis imaging, bilateral 76000 Fluoroscopy, up to one hour physician time 78458 Venous thrombosis imaging, bilateral 76001 Fluoroscopy, more than one hour physician time 78458 Venous thrombosis imaging, bilateral 76376 3D Rendering WO Postprocessing 78458 Venous thrombosis imaging, bilateral 76377 3D Rendering W Postprocessing 255

78458 Venous thrombosis imaging, bilateral 76942 78458 Venous thrombosis imaging, bilateral 76998 US guidance intra-operative 78458 Venous thrombosis imaging, bilateral 77001 78458 Venous thrombosis imaging, bilateral 77002 Fluoroscopic guidance for needle placement 78458 Venous thrombosis imaging, bilateral 78445 Non-cardiac vascular flow imaging 78458 Venous thrombosis imaging, bilateral 78456 Acute venous thrombosis imaging, peptide 78458 Venous thrombosis imaging, bilateral 78457 Venous thrombosis imaging, venogram; unilateral 78459 Myocardial imaging, positron emission tomography (PET), metabolic evaluation 76376 3D Rendering WO Postprocessing 78459 Myocardial imaging, positron emission tomography (PET), metabolic evaluation 76377 3D Rendering W Postprocessing 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 76000 Fluoroscopy, up to one hour physician time 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 76001 Fluoroscopy, more than one hour physician time 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 76376 3D Rendering WO Postprocessing 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 76377 3D Rendering W Postprocessing 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 76942 256

78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 76998 US guidance intra-operative 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 77001 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 77002 Fluoroscopic guidance for needle placement 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 78468 Myocardial imaging, infarction avid, W ejection fraction, 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 76000 Fluoroscopy, up to one hour physician time 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 76001 Fluoroscopy, more than one hour physician time 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 76376 3D Rendering WO Postprocessing 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 76377 3D Rendering W Postprocessing 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 76942 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 76998 US guidance intra-operative 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 77001 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 77002 Fluoroscopic guidance for needle placement 257

78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 76000 Fluoroscopy, up to one hour physician time 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 76001 Fluoroscopy, more than one hour physician time 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 76376 3D Rendering WO Postprocessing 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 76377 3D Rendering W Postprocessing 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 76942 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 76998 US guidance intra-operative 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 77001 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 77002 Fluoroscopic guidance for needle placement 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 78468 Myocardial imaging, infarction avid, W ejection fraction, 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion CPT Definition 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 76000 Fluoroscopy, up to one hour physician time 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 76001 Fluoroscopy, more than one hour physician time 258

78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 76376 3D Rendering WO Postprocessing 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 76377 3D Rendering W Postprocessing 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 76942 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 76998 US guidance intra-operative 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 77001 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 77002 Fluoroscopic guidance for needle placement 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78481 Cardiac blood pool imaging, first pass, single study 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 76000 Fluoroscopy, up to one hour physician time 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 76001 Fluoroscopy, more than one hour physician time 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 76376 3D Rendering WO Postprocessing 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 76377 3D Rendering W Postprocessing 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 76942 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 76998 US guidance intra-operative 259

78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 77001 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 77002 Fluoroscopic guidance for needle placement 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 78481 Cardiac blood pool imaging, first pass, single study CPT definition 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 78483 Cardiac blood pool imaging, first pass, multiple studies 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 78494 Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, Wor WOquantitative processing 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78481 Cardiac blood pool imaging, first pass, single study 76000 Fluoroscopy, up to one hour physician time 78481 Cardiac blood pool imaging, first pass, single study 76001 Fluoroscopy, more than one hour physician time 78481 Cardiac blood pool imaging, first pass, single study 76376 3D Rendering WO Postprocessing 78481 Cardiac blood pool imaging, first pass, single study 76377 3D Rendering W Postprocessing 78481 Cardiac blood pool imaging, first pass, single study 76942 78481 Cardiac blood pool imaging, first pass, single study 76998 US guidance intra-operative 260

78481 Cardiac blood pool imaging, first pass, single study 77001 78481 Cardiac blood pool imaging, first pass, single study 77002 Fluoroscopic guidance for needle placement 78481 Cardiac blood pool imaging, first pass, single study 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78481 Cardiac blood pool imaging, first pass, single study 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78483 Cardiac blood pool imaging, first pass, multiple studies 76000 Fluoroscopy, up to one hour physician time 78483 Cardiac blood pool imaging, first pass, multiple studies 76001 Fluoroscopy, more than one hour physician time 78483 Cardiac blood pool imaging, first pass, multiple studies 76376 3D Rendering WO Postprocessing 78483 Cardiac blood pool imaging, first pass, multiple studies 76377 3D Rendering W Postprocessing 78483 Cardiac blood pool imaging, first pass, multiple studies 76942 78483 Cardiac blood pool imaging, first pass, multiple studies 76998 US guidance intra-operative 78483 Cardiac blood pool imaging, first pass, multiple studies 77001 78483 Cardiac blood pool imaging, first pass, multiple studies 77002 Fluoroscopic guidance for needle placement 78483 Cardiac blood pool imaging, first pass, multiple studies 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78483 Cardiac blood pool imaging, first pass, multiple studies 78481 Cardiac blood pool imaging, first pass, single study 261

78483 Cardiac blood pool imaging, first pass, multiple studies 78494 Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, Wor WOquantitative processing 78483 Cardiac blood pool imaging, first pass, multiple studies 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78483 Cardiac blood pool imaging, first pass, multiple studies 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78491 Myocardial imaging, PET, perfusion; single study at rest or stress 76376 3D Rendering WO Postprocessing 78491 Myocardial imaging, PET, perfusion; single study at rest or stress 76377 3D Rendering W Postprocessing 78492 Myocardial imaging, PET, perfusion; multiple studies at rest or stress 76376 3D Rendering WO Postprocessing 78492 Myocardial imaging, PET, perfusion; multiple studies at rest or stress 76377 3D Rendering W Postprocessing 78492 Myocardial imaging, PET, perfusion; multiple studies at rest or stress 78491 Myocardial imaging, PET, perfusion; single study at rest or stress 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 76000 Fluoroscopy, up to one hour physician time 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 76001 Fluoroscopy, more than one hour physician time 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 76376 3D Rendering WO Postprocessing 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 76377 3D Rendering W Postprocessing 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 76942 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 76998 US guidance intra-operative 262

78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 77001 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 77002 Fluoroscopic guidance for needle placement 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 78481 Cardiac blood pool imaging, first pass, single study 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 76000 Fluoroscopy, up to one hour physician time 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 76001 Fluoroscopy, more than one hour physician time 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 76376 3D Rendering WO Postprocessing 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 76377 3D Rendering W Postprocessing 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 76942 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 76998 US guidance intra-operative 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 77001 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 77002 Fluoroscopic guidance for needle placement 263

78580 Pulmonary perfusion imaging, particulate 76000 Fluoroscopy, up to one hour physician time 78580 Pulmonary perfusion imaging, particulate 76001 Fluoroscopy, more than one hour physician time 78580 Pulmonary perfusion imaging, particulate 76376 3D Rendering WO Postprocessing 78580 Pulmonary perfusion imaging, particulate 76377 3D Rendering W Postprocessing 78580 Pulmonary perfusion imaging, particulate 76942 78580 Pulmonary perfusion imaging, particulate 76998 US guidance intra-operative 78580 Pulmonary perfusion imaging, particulate 77001 78580 Pulmonary perfusion imaging, particulate 77002 Fluoroscopic guidance for needle placement 78580 Pulmonary perfusion imaging, particulate 78599 Respiratory nuclear exam CPT Definition 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 76000 Fluoroscopy, up to one hour physician time 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 76001 Fluoroscopy, more than one hour physician time 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 76376 3D Rendering WO Postprocessing 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 76377 3D Rendering W Postprocessing 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 76942 264

78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 76998 US guidance intra-operative 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 77001 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 77002 Fluoroscopic guidance for needle placement 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78580 Pulmonary perfusion imaging (eg, particulate) 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78597 Quantitative differential pulmonary perfusion, including imaging when performed 76000 Fluoroscopy, up to one hour physician time 78597 Quantitative differential pulmonary perfusion, including imaging when performed 76001 Fluoroscopy, more than one hour physician time 78597 Quantitative differential pulmonary perfusion, including imaging when performed 76376 3D Rendering WO Postprocessing 78597 Quantitative differential pulmonary perfusion, including imaging when performed 76377 3D Rendering W Postprocessing 78597 Quantitative differential pulmonary perfusion, including imaging when performed 76942 78597 Quantitative differential pulmonary perfusion, including imaging when performed 76998 US guidance intra-operative 78597 Quantitative differential pulmonary perfusion, including imaging when performed 77001 78597 Quantitative differential pulmonary perfusion, including imaging when performed 77002 Fluoroscopic guidance for needle placement 265

78597 Quantitative differential pulmonary perfusion, including imaging when performed 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78580 Pulmonary perfusion imaging (eg, particulate) 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 76000 Fluoroscopy, up to one hour physician time 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 76001 Fluoroscopy, more than one hour physician time 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 76376 3D Rendering WO Postprocessing 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 76377 3D Rendering W Postprocessing 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 76942 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 76998 US guidance intra-operative 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 77001 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 77002 Fluoroscopic guidance for needle placement 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78580 Pulmonary perfusion imaging (eg, particulate) 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78597 Quantitative differential pulmonary perfusion, including imaging when performed 266

78600 Brain imaging, less than 4 static views 76000 Fluoroscopy, up to one hour physician time 78600 Brain imaging, less than 4 static views 76001 Fluoroscopy, more than one hour physician time 78600 Brain imaging, less than 4 static views 76376 3D Rendering WO Postprocessing 78600 Brain imaging, less than 4 static views 76377 3D Rendering W Postprocessing 78600 Brain imaging, less than 4 static views 76942 78600 Brain imaging, less than 4 static views 76998 US guidance intra-operative 78600 Brain imaging, less than 4 static views 77001 78600 Brain imaging, less than 4 static views 77002 Fluoroscopic guidance for needle placement 78600 Brain imaging, less than 4 static views 78610 Brain imaging, vascular flow only 78601 Brain imaging W vascular flow 76000 Fluoroscopy, up to one hour physician time 78601 Brain imaging W vascular flow 76001 Fluoroscopy, more than one hour physician time 78601 Brain imaging W vascular flow 76376 3D Rendering WO Postprocessing 78601 Brain imaging W vascular flow 76377 3D Rendering W Postprocessing 78601 Brain imaging W vascular flow 76942 267

78601 Brain imaging W vascular flow 76998 US guidance intra-operative 78601 Brain imaging W vascular flow 77001 78601 Brain imaging W vascular flow 77002 Fluoroscopic guidance for needle placement 78601 Brain imaging W vascular flow 78600 Brain imaging, less than 4 static views 78601 Brain imaging W vascular flow 78610 Brain imaging, vascular flow only CPT Definition 78605 Brain imaging minimum 4 static views 76000 Fluoroscopy, up to one hour physician time 78605 Brain imaging minimum 4 static views 76001 Fluoroscopy, more than one hour physician time 78605 Brain imaging minimum 4 static views 76376 3D Rendering WO Postprocessing 78605 Brain imaging minimum 4 static views 76377 3D Rendering W Postprocessing 78605 Brain imaging minimum 4 static views 76942 78605 Brain imaging minimum 4 static views 76998 US guidance intra-operative 78605 Brain imaging minimum 4 static views 77001 78605 Brain imaging minimum 4 static views 77002 Fluoroscopic guidance for needle placement 78605 Brain imaging minimum 4 static views 78600 Brain imaging, less than 4 static views 268

78605 Brain imaging minimum 4 static views 78601 Brain imaging W vascular flow CPT Definition 78605 Brain imaging minimum 4 static views 78610 Brain imaging, vascular flow only CPT Definition 78606 Brain imaging minimum 4 static views; W vascular flow 76000 Fluoroscopy, up to one hour physician time 78606 Brain imaging minimum 4 static views; W vascular flow 76001 Fluoroscopy, more than one hour physician time 78606 Brain imaging minimum 4 static views; W vascular flow 76376 3D Rendering WO Postprocessing 78606 Brain imaging minimum 4 static views; W vascular flow 76377 3D Rendering W Postprocessing 78606 Brain imaging minimum 4 static views; W vascular flow 76942 78606 Brain imaging minimum 4 static views; W vascular flow 76998 US guidance intra-operative 78606 Brain imaging minimum 4 static views; W vascular flow 77001 78606 Brain imaging minimum 4 static views; W vascular flow 77002 Fluoroscopic guidance for needle placement 78606 Brain imaging minimum 4 static views; W vascular flow 78600 Brain imaging, less than 4 static views 78606 Brain imaging minimum 4 static views; W vascular flow 78601 Brain imaging W vascular flow 78606 Brain imaging minimum 4 static views; W vascular flow 78605 Brain imaging minimum 4 static views 78606 Brain imaging minimum 4 static views; W vascular flow 78610 Brain imaging, vascular flow only 269

78607 Brain imaging minimum 4 static views; W vascular flow 78611 Brain imaging, vascular flow only 78607 Brain imaging tomographic SPECT 76001 Fluoroscopy, more than one hour physician time 78607 Brain imaging tomographic SPECT 76376 3D Rendering WO Postprocessing 78607 Brain imaging tomographic SPECT 76377 3D Rendering W Postprocessing 78607 Brain imaging tomographic SPECT 76942 78607 Brain imaging tomographic SPECT 76998 US guidance intra-operative 78607 Brain imaging tomographic SPECT 77001 78607 Brain imaging tomographic SPECT 77002 Fluoroscopic guidance for needle placement 78607 Brain imaging tomographic SPECT 78600 Brain imaging, less than 4 static views 78607 Brain imaging tomographic SPECT 78601 Brain imaging W vascular flow 78607 Brain imaging tomographic SPECT 78605 Brain imaging minimum 4 static views 78607 Brain imaging tomographic SPECT 78606 Brain imaging minimum 4 static views; Wvascular flow 78608 Brain imaging, PET; metabolic evaluation 76376 3D Rendering WO Postprocessing 78608 Brain imaging, PET; metabolic evaluation 76377 3D Rendering W Postprocessing 270

78608 Brain imaging, PET; metabolic evaluation A9526 Nitrogen N-13 ammonia 78608 Brain imaging, PET; metabolic evaluation A9555 Rb82 rubidium 78609 Brain imaging, PET; perfusion evaluation 76376 3D Rendering WO Postprocessing 78609 Brain imaging, PET; perfusion evaluation 76377 3D Rendering W Postprocessing 78610 Brain imaging, vascular flow only 76000 Fluoroscopy, up to one hour physician time 78610 Brain imaging, vascular flow only 76001 Fluoroscopy, more than one hour physician time 78610 Brain imaging, vascular flow only 76376 3D Rendering WO Postprocessing 78610 Brain imaging, vascular flow only 76377 3D Rendering W Postprocessing 78610 Brain imaging, vascular flow only 76942 78610 Brain imaging, vascular flow only 76998 US guidance intra-operative 78610 Brain imaging, vascular flow only 77001 78610 Brain imaging, vascular flow only 77002 Fluoroscopic guidance for needle placement 78630 Cerebrospinal fluid flow, imaging; cisternography 76000 Fluoroscopy, up to one hour physician time 78630 Cerebrospinal fluid flow, imaging; cisternography 76001 Fluoroscopy, more than one hour physician time 271

78630 Cerebrospinal fluid flow, imaging; cisternography 76376 3D Rendering WO Postprocessing 78630 Cerebrospinal fluid flow, imaging; cisternography 76377 3D Rendering W Postprocessing 78630 Cerebrospinal fluid flow, imaging; cisternography 76800 Ultrasound, spinal canal and contents 78630 Cerebrospinal fluid flow, imaging; cisternography 76942 78630 Cerebrospinal fluid flow, imaging; cisternography 76998 US guidance intra-operative 78630 Cerebrospinal fluid flow, imaging; cisternography 77001 78630 Cerebrospinal fluid flow, imaging; cisternography 77002 Fluoroscopic guidance for needle placement 78630 Cerebrospinal fluid flow, imaging; cisternography 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 78635 Cerebrospinal fluid flow, imaging; ventriculography 76000 Fluoroscopy, up to one hour physician time 78635 Cerebrospinal fluid flow, imaging; ventriculography 76001 Fluoroscopy, more than one hour physician time 78635 Cerebrospinal fluid flow, imaging; ventriculography 76376 3D Rendering WO Postprocessing 78635 Cerebrospinal fluid flow, imaging; ventriculography 76377 3D Rendering W Postprocessing 78635 Cerebrospinal fluid flow, imaging; ventriculography 76800 Ultrasound, spinal canal and contents 78635 Cerebrospinal fluid flow, imaging; ventriculography 76942 272

78635 Cerebrospinal fluid flow, imaging; ventriculography 76998 US guidance intra-operative 78635 Cerebrospinal fluid flow, imaging; ventriculography 77001 78635 Cerebrospinal fluid flow, imaging; ventriculography 77002 Fluoroscopic guidance for needle placement 78635 Cerebrospinal fluid flow, imaging; ventriculography 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 78635 Cerebrospinal fluid flow, imaging; ventriculography 78630 Cerebrospinal fluid flow, imaging; cisternography 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 76000 Fluoroscopy, up to one hour physician time 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 76001 Fluoroscopy, more than one hour physician time 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 76376 3D Rendering WO Postprocessing 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 76377 3D Rendering W Postprocessing 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 76800 Ultrasound, spinal canal and contents 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 76942 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 76998 US guidance intra-operative 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 77001 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 77002 Fluoroscopic guidance for needle placement 273

78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 76000 Fluoroscopy, up to one hour physician time 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 76001 Fluoroscopy, more than one hour physician time 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 76376 3D Rendering WO Postprocessing 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 76377 3D Rendering W Postprocessing 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 76800 Ultrasound, spinal canal and contents 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 76942 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 76998 US guidance intra-operative 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 77001 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 77002 Fluoroscopic guidance for needle placement 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 78650 Cerebrospinal fluid leakage detection and localization 76000 Fluoroscopy, up to one hour physician time 78650 Cerebrospinal fluid leakage detection and localization 76001 Fluoroscopy, more than one hour physician time 78650 Cerebrospinal fluid leakage detection and localization 76376 3D Rendering WO Postprocessing 78650 Cerebrospinal fluid leakage detection and localization 76377 3D Rendering W Postprocessing 274

78650 Cerebrospinal fluid leakage detection and localization 76800 Ultrasound, spinal canal and contents 78650 Cerebrospinal fluid leakage detection and localization 76942 78650 Cerebrospinal fluid leakage detection and localization 76998 US guidance intra-operative 78650 Cerebrospinal fluid leakage detection and localization 77001 78650 Cerebrospinal fluid leakage detection and localization 77002 Fluoroscopic guidance for needle placement 78650 Cerebrospinal fluid leakage detection and localization 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures 78650 Cerebrospinal fluid leakage detection and localization 78630 Cerebrospinal fluid flow, imaging; cisternography 78650 Cerebrospinal fluid leakage detection and localization 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 78660 Radiopharmaceutical dacryocystography 76000 Fluoroscopy, up to one hour physician time 78660 Radiopharmaceutical dacryocystography 76001 Fluoroscopy, more than one hour physician time 78660 Radiopharmaceutical dacryocystography 76376 3D Rendering WO Postprocessing 78660 Radiopharmaceutical dacryocystography 76377 3D Rendering W Postprocessing 78660 Radiopharmaceutical dacryocystography 76942 78660 Radiopharmaceutical dacryocystography 76998 US guidance intra-operative 275

78660 Radiopharmaceutical Dacryocystorgraphy 77001 78660 Radiopharmaceutical dacryocystography 77002 Fluoroscopic guidance for needle placement 78700 Kidney imaging; morphology 76000 Fluoroscopy, up to one hour physician time 78700 Kidney imaging; morphology 76001 Fluoroscopy, more than one hour physician time 78700 Kidney imaging, morphology 76376 3D Rendering WO Postprocessing 78700 Kidney imaging, morphology 76377 3D Rendering W Postprocessing 78700 Kidney imaging; morphology 76942 78700 Kidney imaging; morphology 76998 US guidance intra-operative 78700 Kidney imaging Morphology 77001 78700 Kidney imaging; morphology 77002 Fluoroscopic guidance for needle placement 78701 Kidney imaging; morphology W vascular flow 76000 Fluoroscopy, up to one hour physician time 78701 Kidney imaging; morphology W vascular flow 76001 Fluoroscopy, more than one hour physician time 78701 Kidney imaging; morphology W vascular flow 76376 3D Rendering WO Postprocessing 78701 Kidney imaging; morphology W vascular flow 76377 3D Rendering W Postprocessing 276

78701 Kidney imaging; morphology W vascular flow 76942 78701 Kidney imaging; morphology W vascular flow 76998 US guidance intra-operative 78701 Kidney imaging; morphology W vascular flow 77001 78701 Kidney imaging; morphology W vascular flow 77002 Fluoroscopic guidance for needle placement 78701 Kidney imaging; morphology W vascular flow 78700 Kidney imaging, morphology 78701 Kidney imaging; morphology W vascular flow 78710 Kidney imaging, morphology, tomographic, SPECT 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 76000 Fluoroscopy, up to one hour physician time 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 76001 Fluoroscopy, more than one hour physician time 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 76376 3D Rendering WO Postprocessing 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 76377 3D Rendering W Postprocessing 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 76942 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 76998 US guidance intra-operative 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 77001 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 77002 Fluoroscopic guidance for needle placement 277

78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 78700 Kidney imaging, morphology 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 78701 Kidney imaging; morphology W vascular flow 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 78725 Kidney function study - non-imaging radioisotopic 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 76000 Fluoroscopy, up to one hour physician time 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 76001 Fluoroscopy, more than one hour physician time 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 76376 3D Rendering WO Postprocessing 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 76377 3D Rendering W Postprocessing 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 76942 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 76998 US guidance intra-operative 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 77001 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 77002 Fluoroscopic guidance for needle placement 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 78700 Kidney imaging; morphology 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 78701 Kidney imaging; morphology W vascular flow 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 278

78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 78725 Kidney function study - non-imaging radioisotopic 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 76000 Fluoroscopy, up to one hour physician time 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 76001 Fluoroscopy, more than one hour physician time 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 76376 3D Rendering WO Postprocessing 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 76377 3D Rendering W Postprocessing 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 76942 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 76998 US guidance intra-operative 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 77001 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 77002 Fluoroscopic guidance for needle placement 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78700 Kidney imaging; morphology 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78701 Kidney imaging; morphology W vascular flow 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78725 Kidney function study - non-imaging radioisotopic 279

78710 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 76000 Fluoroscopy, up to one hour physician time 78710 Kidney imaging, morphology, tomographic, SPECT 76001 Fluoroscopy, more than one hour physician time 78710 Kidney imaging, morphology, tomographic, SPECT 76376 3D Rendering WO Postprocessing 78710 Kidney imaging, morphology, tomographic, SPECT 76377 3D Rendering W Postprocessing 78710 Kidney imaging, morphology, tomographic, SPECT 76942 78710 Kidney imaging, morphology, tomographic, SPECT 76998 US guidance intra-operative 78710 Kidney imaging, morphology, tomographic, SPECT 77001 78710 Kidney imaging, morphology, tomographic, SPECT 77002 Fluoroscopic guidance for needle placement 78710 Kidney imaging, morphology, tomographic, SPECT 78700 Kidney imaging; morphology 78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 78710 Kidney imaging, morphology, tomographic, SPECT 78710 Kidney imaging, morphology, tomographic, SPECT 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78710 Kidney imaging, morphology, tomographic, SPECT 78725 Kidney function study, non-imaging radioisotopic 76000 Fluoroscopy, up to one hour physician time 78725 Kidney function study, non-imaging radioisotopic 76001 Fluoroscopy, more than one hour physician time 280

78725 Kidney function study, non-imaging radioisotopic 76376 3D Rendering WO Postprocessing 78725 Kidney function study, non-imaging radioisotopic 76377 3D Rendering W Postprocessing 78725 Kidney function study, non-imaging radioisotopic 76942 78725 Kidney function study, non-imaging radioisotopic 76998 US guidance intra-operative 78725 Kidney function study, non-imaging radioisotopic 77001 78725 Kidney function study, non-imaging radioisotopic 77002 Fluoroscopic guidance for needle placement 78725 Kidney function study, non-imaging radioisotopic 78701 Kidney imaging; morphology W vascular flow 78701 Kidney imaging; morphology W vascular flow 78725 Kidney function study - non-imaging radioisotopic 78740 Ureteral reflux study 76000 Fluoroscopy, up to one hour physician time 78740 Ureteral reflux study 76001 Fluoroscopy, more than one hour physician time 78740 Ureteral reflux study 76376 3D Rendering WO Postprocessing 78740 Ureteral reflux study 76377 3D Rendering W Postprocessing 78740 Ureteral reflux study 76942 78740 Ureteral reflux study 76998 US guidance intra-operative 281

78740 Ureteral reflux study 77001 78740 Ureteral reflux study 77002 Fluoroscopic guidance for needle placement 78761 Testicular imaging W vascular flow 76000 Fluoroscopy, up to one hour physician time 78761 Testicular imaging W vascular flow 76001 Fluoroscopy, more than one hour physician time 78761 Testicular imaging W vascular flow 76376 3D Rendering WO Postprocessing 78761 Testicular imaging W vascular flow 76377 3D Rendering W Postprocessing 78761 Testicular imaging W vascular flow 76942 78761 Testicular imaging W vascular flow 76998 US guidance intra-operative 78761 Testicular imaging W vascular flow 77001 78761 Testicular imaging W vascular flow 77002 Fluoroscopic guidance for needle placement 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 76000 Fluoroscopy, up to one hour physician time 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 76001 Fluoroscopy, more than one hour physician time 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 76376 3D Rendering WO Postprocessing 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 76377 3D Rendering W Postprocessing 282

78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 76942 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 76998 US guidance intra-operative 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 77001 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 77002 Fluoroscopic guidance for needle placement 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 78806 Radiopharmaceutical localization of inflammatory process, whole body CPT Definition 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 78807 Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 78808 Injection procedure for radiopharmaceutical localization 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 76000 Fluoroscopy, up to one hour physician time 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 76001 Fluoroscopy, more than one hour physician time 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 76376 3D Rendering WO Postprocessing 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 76377 3D Rendering W Postprocessing 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 76942 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 76998 US guidance intra-operative 78801 Radiopharm Localization Of Tumor, Multi Areas 77001 283

78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 77002 Fluoroscopic guidance for needle placement 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78806 Radiopharmaceutical localization of inflammatory process, whole body CPT Definition 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78807 Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78808 Injection procedure for radiopharmaceutical localization 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 76000 Fluoroscopy, up to one hour physician time 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 76001 Fluoroscopy, more than one hour physician time 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 76376 3D Rendering WO Postprocessing 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 76377 3D Rendering W Postprocessing 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 76942 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 76998 US guidance intra-operative 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 77001 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 77002 Fluoroscopic guidance for needle placement 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 284

78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 78806 Radiopharmaceutical localization of inflammatory process, whole body CPT Definition 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 78807 Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 78808 Injection procedure for radiopharmaceutical localization 78803 Radiopharmaceutical localization of tumor, SPECT 76000 Fluoroscopy, up to one hour physician time 78803 Radiopharmaceutical localization of tumor, SPECT 76001 Fluoroscopy, more than one hour physician time 78803 Radiopharm localization of tumor, SPECT 76376 3D Rendering WO Postprocessing 78803 Radiopharm localization of tumor, SPECT 76377 3D Rendering W Postprocessing 78803 Radiopharmaceutical localization of tumor, SPECT 76942 78803 Radiopharmaceutical localization of tumor, SPECT 76998 US guidance intra-operative 78803 Radiopharm Localization Of Tumor, SPECT 77001 78803 Radiopharmaceutical localization of tumor, SPECT 77002 Fluoroscopic guidance for needle placement 78803 Tumor Imaging SPECT 78070 Parathyroid Imaging CPT Definition 78803 Radiopharm localization of tumor, SPECT 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 285

78803 Radiopharm localization of tumor, SPECT 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78803 Radiopharmaceutical localization of tumor, SPECT 78806 Radiopharmaceutical localization of inflammatory process, whole body CPT Definition 78803 Radiopharmaceutical localization of tumor, SPECT 78807 Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition 78803 Radiopharmaceutical localization of tumor, SPECT 78808 Injection procedure for radiopharmaceutical localization 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 76000 Fluoroscopy, up to one hour physician time 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 76001 Fluoroscopy, more than one hour physician time 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 76376 3D Rendering WO Postprocessing 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 76377 3D Rendering W Postprocessing 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 76942 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 76998 US guidance intra-operative 78804 Radiopharmaceutical Localization Of Tumor Or Distribution Of Radiopharmaceutical Agent(S); Whole Body, Requiring 2 Or More Days imaging 77001 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 77002 Fluoroscopic guidance for needle placement 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78185 Spleen imaging only W or WO vascular flow 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78195 Lymph system imaging 286

78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78201 Liver imaging, static only 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78215 Liver & spleen imaging, static only 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78803 Radiopharm localization of tumor, SPECT 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78806 Radiopharmaceutical localization of inflammatory process, whole body CPT Definition 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78807 Radiopharmaceutical localization of inflammatory process; tomographic (SPECT) CPT Definition 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78808 Injection procedure for radiopharmaceutical localization 78805 Radiopharm localization of inflammatory process, limited area 76000 Fluoroscopy, up to one hour physician time 78805 Radiopharm localization of inflammatory process, limited area 76001 Fluoroscopy, more than one hour physician time 78805 Radiopharm localization of inflammatory process, limited area 76376 3D Rendering WO Postprocessing 78805 Radiopharm localization of inflammatory process, limited area 76377 3D Rendering W Postprocessing 78805 Radiopharm localization of inflammatory process, limited area 76942 287

78805 Radiopharm localization of inflammatory process, limited area 76998 US guidance intra-operative 78805 Radiopharm Localization Of Abscess, Limited Area 77001 78805 Radiopharm localization of inflammatory process, limited area 77002 Fluoroscopic guidance for needle placement 78805 Radiopharm localization of inflammatory process, limited area 78808 Injection procedure for radiopharmaceutical localization 78806 Radiopharm localization of inflammatory process, limited area 76000 Fluoroscopy, up to one hour physician time 78806 Radiopharm localization of inflammatory process, limited area 76001 Fluoroscopy, more than one hour physician time 78806 Radiopharm localization of inflammatory process, whole body 76376 3D Rendering WO Postprocessing 78806 Radiopharm localization of inflammatory process, whole body 76377 3D Rendering W Postprocessing CPT Definition 78806 Radiopharm localization of inflammatory process, whole body 76942 78806 Radiopharm localization of inflammatory process, whole body 76998 US guidance intra-operative 78806 Radiopharm localization of inflammatory process, whole body 77001 78806 Radiopharm localization of inflammatory process, whole body 77002 Fluoroscopic guidance for needle placement 78806 Radiopharm localization of inflammatory process, whole body 78070 Parathyroid imaging CPT Definition 78806 Radiopharm localization of inflammatory process, whole body 78075 Adrenal imaging CPT Definition 288

78806 Radiopharm localization of inflammatory process, whole body 78805 Radiopharm localization of inflammatory process, limited area 78806 Radiopharm localization of inflammatory process, whole body 78808 Injection procedure for radiopharmaceutical localization 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 76000 Fluoroscopy, up to one hour physician time 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 76001 Fluoroscopy, more than one hour physician time 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 76376 3D Rendering WO Postprocessing 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 76377 3D Rendering W Postprocessing 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 76942 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 76998 US guidance intra-operative 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 77001 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 77002 Fluoroscopic guidance for needle placement 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 78805 Radiopharm localization of inflammatory process, limited area 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 78808 Injection procedure for radiopharmaceutical localization 78808 Injection procedure for radiopharmaceutical localization 76000 Fluoroscopy, up to one hour physician time 78808 Injection procedure for radiopharmaceutical localization 76001 Fluoroscopy, more than one hour physician time 289

78808 Injection procedure for radiopharmaceutical localization 76942 78808 Injection procedure for radiopharmaceutical localization 76998 US guidance intra-operative 78808 Injection procedure for radiopharmaceutical localization 77001 78808 Injection procedure for radiopharmaceutical localization 77002 Fluoroscopic guidance for needle placement 78811 PET imaging; limited area (e.g., chest, head/neck) 70450 CT head WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 70480 CT orbit WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 70486 CT maxillofacial area, WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 70490 CT soft tissue neck WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 70491 CT soft tissue, neck W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 70492 CT soft tissue neck WO & W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 71250 CT thorax, WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 71260 CT thorax, W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 71270 CT thorax, WO & W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 72125 CT cervical spine WO contrast 290

78811 PET imaging; limited area (e.g., chest, head/neck) 72128 CT thoracic spine WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 72131 CT lumbar spine, WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 72192 CT pelvis WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 72193 CT pelvis W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 72194 CT pelvis WO & W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 73200 CT upper extremity, WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 73700 CT lower extremity, WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 74150 CT abdomen, WO contrast 78811 PET imaging; limited area (e.g., chest, head/neck) 74160 CT abdomen W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 74170 CT abdomen WO & W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 74176 CTA abdomen and pelvis; WO contrast material 78811 PET imaging; limited area (e.g., chest, head/neck) 74177 CTA abdomen and pelvis; W contrast material(s) Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 74178 CT abdomen and pelvis; WO & W contrast Standard of Practice 78811 PET imaging; limited area (e.g., chest, head/neck) 76376 3D Rendering WO Postprocessing 291

78811 PET imaging; limited area (e.g., chest, head/neck) 76377 3D Rendering W Postprocessing 78811 PET imaging; limited area (e.g., chest, head/neck) A9526 Nitrogen N-13 ammonia 78811 PET imaging; limited area (e.g., chest, head/neck) A9555 Rb82 rubidium 78812 PET imaging; skull base to mid-thigh 70450 CT head WO contrast 78812 PET imaging; skull base to mid-thigh 70480 CT orbit WO contrast 78812 PET imaging; skull base to mid-thigh 70486 CT maxillofacial area, WO contrast 78812 PET imaging; skull base to mid-thigh 70490 CT soft tissue neck WO contrast 78812 PET imaging; skull base to mid-thigh 70491 CT soft tissue, neck W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 70492 CT soft tissue neck WO & W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 71250 CT thorax, WO contrast 78812 PET imaging; skull base to mid-thigh 71260 CT thorax, W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 71270 CT thorax, WO & W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 72125 CT cervical spine WO contrast 78812 PET imaging; skull base to mid-thigh 72128 CT thoracic spine WO contrast 292

78812 PET imaging; skull base to mid-thigh 72131 CT lumbar spine, WO contrast 78812 PET imaging; skull base to mid-thigh 72192 CT pelvis WO contrast 78812 PET imaging; skull base to mid-thigh 72193 CT pelvis W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 72194 CT pelvis WO & W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 73200 CT upper extremity, WO contrast 78812 PET imaging; skull base to mid-thigh 73700 CT lower extremity, WO contrast 78812 PET imaging; skull base to mid-thigh 74150 CT abdomen, WO contrast 78812 PET imaging; skull base to mid-thigh 74160 CT abdomen W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 74170 CT abdomen WO & W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 74176 CTA abdomen and pelvis; WO contrast material 78812 PET imaging; skull base to mid-thigh 74177 CTA abdomen and pelvis; W contrast material(s) Standard of Practice 78812 PET imaging; skull base to mid-thigh 74178 CT abdomen and pelvis; WO & W contrast Standard of Practice 78812 PET imaging; skull base to mid-thigh 76376 3D Rendering WO Postprocessing 78812 PET imaging; skull base to mid-thigh 76377 3D Rendering W Postprocessing 293

78812 PET imaging; skull base to mid-thigh 78811 PET imaging; limited area (e.g., chest, head/neck) 78812 PET imaging; skull base to mid-thigh A9526 Nitrogen N-13 ammonia 78812 PET imaging; skull base to mid-thigh A9555 Rb82 rubidium 78813 PET imaging; skull base to mid-thigh 70450 CT head WO contrast 78813 PET imaging; skull base to mid-thigh 70480 CT orbit WO contrast 78813 PET imaging; skull base to mid-thigh 70486 CT maxillofacial area, WO contrast 78813 PET imaging; skull base to mid-thigh 70490 CT soft tissue neck WO contrast 78813 PET imaging; skull base to mid-thigh 70491 CT soft tissue, neck W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 70492 CT soft tissue neck WO & W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 71250 CT thorax, WO contrast 78813 PET imaging; skull base to mid-thigh 71260 CT thorax, W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 71270 CT thorax, WO & W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 72125 CT cervical spine WO contrast 78813 PET imaging; skull base to mid-thigh 72128 CT thoracic spine WO contrast 294

78813 PET imaging; skull base to mid-thigh 72131 CT lumbar spine, WO contrast 78813 PET imaging; skull base to mid-thigh 72192 CT pelvis WO contrast 78813 PET imaging; skull base to mid-thigh 72193 CT pelvis W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 72194 CT pelvis WO & W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 73200 CT upper extremity, WO contrast 78813 PET imaging; skull base to mid-thigh 73700 CT lower extremity, WO contrast 78813 PET imaging; skull base to mid-thigh 74150 CT abdomen, WO contrast 78813 PET imaging; skull base to mid-thigh 74160 CT abdomen W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 74170 CT abdomen WO & W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 74176 CTA abdomen and pelvis; WO contrast material 78813 PET imaging; skull base to mid-thigh 74177 CTA abdomen and pelvis; W contrast material(s) Standard of Practice 78813 PET imaging; skull base to mid-thigh 74178 CT abdomen and pelvis; WO & W contrast Standard of Practice 78813 PET imaging; skull base to mid-thigh 76376 3D Rendering WO Postprocessing 78813 PET imaging; skull base to mid-thigh 76377 3D Rendering W Postprocessing 295

78813 PET imaging; skull base to mid-thigh 78811 PET imaging; limited area (e.g., chest, head/neck) 78813 PET imaging; skull base to mid-thigh 78812 PET imaging; skull base to mid-thigh 78813 PET imaging; skull base to mid-thigh A9526 Nitrogen N-13 ammonia 78813 PET imaging; skull base to mid-thigh A9555 Rb82 rubidium 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 70450 CT head WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 70480 CT orbit WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 70486 CT maxillofacial area, WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 70490 CT soft tissue neck WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 70491 CT soft tissue, neck W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 70492 CT soft tissue neck WO & W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 71250 CT thorax, WO contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 71260 CT thorax, W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 71270 CT thorax, WO & W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 72125 CT cervical spine WO contrast 296

78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 72128 CT thoracic spine WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 72131 CT lumbar spine, WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 72192 CT pelvis WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 72193 CT pelvis W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 72194 CT pelvis WO & W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 73200 CT upper extremity, WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 73700 CT lower extremity, WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 74150 CT abdomen, WO contrast 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 74160 CT abdomen W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 74170 CT abdomen WO & W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 74176 CT abdomen and pelvis; WO contrast material 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 74177 CT abdomen and pelvis; W contrast material(s) Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 74178 CT abdomen and pelvis; WO & W contrast Standard of Practice 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 76376 3D Rendering WO Postprocessing 297

78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 76377 3D Rendering W Postprocessing 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 78811 PET imaging; limited area (e.g., chest, head/neck) 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 78812 PET imaging; skull base to mid-thigh 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 78813 PET imaging; whole body 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) A9526 Nitrogen N-13 ammonia 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) A9555 Rb82 rubidium 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 70450 CT head WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 70460 CT head W contrast CPT Definition 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 70480 CT orbit WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 70486 CT maxillofacial area, WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 70490 CT soft tissue neck WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 70491 CT soft tissue, neck W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 70492 CT soft tissue neck WO & W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 71250 CT thorax, WO contrast 298

78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 71260 CT thorax, W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 71270 CT thorax, WO & W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 72125 CT cervical spine WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 72128 CT thoracic spine WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 72131 CT lumbar spine, WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 72192 CT pelvis WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 72193 CT pelvis W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 72194 CT pelvis WO & W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 73200 CT upper extremity, WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 73700 CT lower extremity, WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 74150 CT abdomen, WO contrast 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 74160 CT abdomen W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 74170 CT abdomen WO & W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 74176 CTA abdomen and pelvis; WO contrast material 299

78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 74177 CTA abdomen and pelvis; W contrast material(s) Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 74178 CT abdomen and pelvis; WO & W contrast Standard of Practice 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 76376 3D Rendering WO Postprocessing 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 76377 3D Rendering W Postprocessing 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 78811 PET imaging; limited area (e.g., chest, head/neck) 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 78812 PET imaging; skull base to mid-thigh 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 78813 PET imaging; whole body 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh A9526 Nitrogen N-13 ammonia 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh A9555 Rb82 rubidium 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 70450 CT head WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 70480 CT orbit WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 70486 CT maxillofacial area, WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 70490 CT soft tissue neck WO contrast 300

78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 70491 CT soft tissue, neck W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 70492 CT soft tissue neck WO & W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 71250 CT thorax, WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 71260 CT thorax, W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 71270 CT thorax, WO & W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 72125 CT cervical spine WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 72128 CT thoracic spine WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 72131 CT lumbar spine, WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 72192 CT pelvis WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 72193 CT pelvis W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 72194 CT pelvis WO & W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 73200 CT upper extremity, WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 73700 CT lower extremity, WO contrast 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 74150 CT abdomen, WO contrast 301

78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 74160 CT abdomen W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 74170 CT abdomen WO & W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 74176 CT abdomen and pelvis; WO contrast material 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 74177 CT abdomen and pelvis; W contrast material(s) Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 74178 CT abdomen and pelvis; WO & W contrast Standard of Practice 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 76376 3D Rendering WO Postprocessing 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 76377 3D Rendering W Postprocessing 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 78811 PET imaging; limited area (e.g., chest, head/neck) 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 78812 PET imaging; skull base to mid-thigh 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 78813 PET imaging; whole body 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body A9526 Nitrogen N-13 ammonia 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body A9555 Rb82 rubidium 302

93303 Transthoracic echocardiography for congenital cardiac anomalies; complete 93304 Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study 93303 Transthoracic echocardiography for congenital cardiac anomalies; complete 93307 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 93303 Transthoracic echocardiography for congenital cardiac anomalies; complete 93308 Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study 93303 Transthoracic echocardiography for congenital cardiac anomalies; complete C8922 Transthoracic echocardiography w/contrast for congential cardiac anomalies; f/u or limited study (crosswalked to 93304) 93304 Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study 93308 Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93303 Transthoracic echocardiography for congenital cardiac anomalies; complete 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93304 Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93308 Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93320 Doppler echocardiography, pulsed wave and/or continuous wave Wspectral display; complete 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93321 Doppler echocardiography, follow-up or limited study CPT Definition 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93325 Doppler echocardiography, color flow velocity mapping CPT Definition 93306 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) 93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography 93304 Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study 303

93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography 93308 Echocardiography, transthoracic, real-time W/image documentation (2D) Wor WOM-mode recording; follow-up or limited study 93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography 93320 Doppler echocardiography, pulsed wave and/or continuous wave Wspectral display; complete CPT Definition 93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography 93321 Doppler echocardiography, follow-up or limited study 93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WOspectral and color flow doppler echocardiography 93325 Doppler echocardiography, color flow velocity mapping 93307 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) 93350 Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report 93015 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ECG monitoring, and/or pharmacological stress; W physician supervision, W and report 93350 Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report 93303 Transthoracic echocardiography for congenital cardiac anomalies; complete 93350 Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report 93304 Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study CPT Definition 93350 Echocardiography, transthoracic, real-time W/image documentation (2D), W or WOM-mode recording, during rest and cardiovascular stress test, W and report 93306 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, w/spectral doppler echocardiography, and w/color flow doppler echocardiography 93350 Echocardiography, transthoracic, real-time W/image documentation (2D), W or WO M-mode recording, during rest and cardiovascular stress test, W/ and report 93307 Echocardiography, transthoracic real-time w/image documentation, includes M-mode recording, when performed, complete, WO spectral and color flow doppler echocardiography CPT Definition 93350 Echocardiography, transthoracic, real-time W/image documentation (2D), Wor WOM-mode recording, during rest and cardiovascular stress test, W and report 93308 Echocardiography, transthoracic, real-time W/image documentation (2D) W or WO M-mode recording; follow-up or limited study 93351 93351 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; 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/ 93015 93016 93017 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

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; 93018 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 93351 cardiovascular stress test using treadmill, bicycle exercise and/or Transthoracic echocardiography for congenital cardiac anomalies; 93303 pharmacologically induced stress, w/ and report; complete including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified 93351 93351 93351 93351 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; 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 93304 93306 93307 93308 93350 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 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 75600 Aortography, thoracic, WO serialography, radiological supervision and 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 75605 Aortography, thoracic, by serialography, radiological supervision and 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 75756 Angiography, internal mammary, radiological supervision and 305

93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 76000 Fluoroscopy, up to one hour physician time 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 76001 Fluoroscopy, more than one hour physician time 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75600 Aortography, thoracic, WO serialography, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75605 Aortography, thoracic, by serialography, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75625 Aortography, abdominal, by serialography, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75710 Angiography, extremity, unilateral, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75716 Angiography, extremity, bilateral, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 306

93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75756 Angiography, internal mammary, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75893 Venous sampling through catheter, W or WO angiography (eg, for parathyroid hormone, renin), radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 76000 Fluoroscopy, up to one hour physician time 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 76001 Fluoroscopy, more than one hour physician time 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75600 Aortography, thoracic, WO serialography, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75605 Aortography, thoracic, by serialography, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75625 Aortography, abdominal, by serialography, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75710 Angiography, extremity, unilateral, radiological supervision and 307

93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75716 Angiography, extremity, bilateral, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75756 Angiography, internal mammary, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 76000 Fluoroscopy, up to one hour physician time 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 76001 Fluoroscopy, more than one hour physician time 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93456 imaging supervision and ; W right heart catheterization 308

93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93454 imaging supervision and ; 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93454 imaging supervision and ; 75600 Aortography, thoracic, WO serialography, radiological supervision and 93454 imaging supervision and ; 75605 Aortography, thoracic, by serialography, radiological supervision and 93454 imaging supervision and ; 75625 Aortography, abdominal, by serialography, radiological supervision and 93454 imaging supervision and ; 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93454 imaging supervision and ; 75710 Angiography, extremity, unilateral, radiological supervision and 93454 imaging supervision and ; 75716 Angiography, extremity, bilateral, radiological supervision and 93454 imaging supervision and ; 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93454 imaging supervision and ; 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93454 imaging supervision and ; 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 93454 imaging supervision and ; 75756 Angiography, internal mammary, radiological supervision and 93454 imaging supervision and ; 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93454 imaging supervision and ; 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 309

93454 imaging supervision and ; 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93454 imaging supervision and ; 76000 Fluoroscopy, up to one hour physician time 93454 imaging supervision and ; 76001 Fluoroscopy, more than one hour physician time 93454 imaging supervision and ; 93462 Left heart catheterization by transseptal puncture through intact septum or by transapical puncture 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75600 Aortography, thoracic, WO serialography, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75605 Aortography, thoracic, by serialography, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75625 Aortography, abdominal, by serialography, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75710 Angiography, extremity, unilateral, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75716 Angiography, extremity, bilateral, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 310

93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75756 Angiography, internal mammary, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 76000 Fluoroscopy, up to one hour physician time 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 76001 Fluoroscopy, more than one hour physician time 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 93454 imaging supervision and ; 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 93462 Left heart catheterization by transseptal puncture through intact septum or by transapical puncture 93456 imaging supervision and ; Wright heart catheterization 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93456 imaging supervision and ; W right heart catheterization 75600 Aortography, thoracic, WO serialography, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75605 Aortography, thoracic, by serialography, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75625 Aortography, abdominal, by serialography, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75710 Angiography, extremity, unilateral, radiological supervision and 311

93456 imaging supervision and ; W right heart catheterization 75716 Angiography, extremity, bilateral, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75756 Angiography, internal mammary, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 93456 imaging supervision and ; W right heart catheterization 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93456 imaging supervision and ; W right heart catheterization 76000 Fluoroscopy, up to one hour physician time 93456 imaging supervision and ; W right heart catheterization 76001 Fluoroscopy, more than one hour physician time 93456 imaging supervision and ; W right heart catheterization 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 93456 imaging supervision and ; W right heart catheterization 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 93456 imaging supervision and ; W right heart catheterization 93454 imaging supervision and ; 93456 imaging supervision and ; W right heart catheterization 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 312

93456 imaging supervision and ; W right heart catheterization 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93457 imaging supervision and ; W catheter placement(s) in bypass graft 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75600 Aortography, thoracic, WO serialography, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75605 Aortography, thoracic, by serialography, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75625 Aortography, abdominal, by serialography, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75710 Angiography, extremity, unilateral, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75716 Angiography, extremity, bilateral, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75756 Angiography, internal mammary, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 313

93457 imaging supervision and ; W catheter placement(s) in bypass graft 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93457 imaging supervision and ; W catheter placement(s) in bypass graft 76000 Fluoroscopy, up to one hour physician time 93457 imaging supervision and ; W catheter placement(s) in bypass graft 76001 Fluoroscopy, more than one hour physician time 93457 imaging supervision and ; W catheter placement(s) in bypass graft 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93454 imaging supervision and ; 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93456 imaging supervision and ; W right heart catheterization 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93462 Left heart catheterization by transseptal puncture through intact septum or by transapical puncture 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75600 Aortography, thoracic, WO serialography, radiological supervision and 314

93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75605 Aortography, thoracic, by serialography, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75625 Aortography, abdominal, by serialography, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75710 Angiography, extremity, unilateral, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75716 Angiography, extremity, bilateral, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75756 Angiography, internal mammary, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 76000 Fluoroscopy, up to one hour physician time 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 76001 Fluoroscopy, more than one hour physician time 315

93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93454 imaging supervision and ; 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75600 Aortography, thoracic, WO serialography, radiological supervision and 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75605 Aortography, thoracic, by serialography, radiological supervision and 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75625 Aortography, abdominal, by serialography, radiological supervision and 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75710 Angiography, extremity, unilateral, radiological supervision and 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75716 Angiography, extremity, bilateral, radiological supervision and 93459 imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93459 imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93459 imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 316

93459 imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography 75756 Angiography, internal mammary, radiological supervision and 93459 imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93459 imaging supervision and ; W left heart catheterization including intraprocedural injection(s) for left ventriculography 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 76000 Fluoroscopy, up to one hour physician time 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 76001 Fluoroscopy, more than one hour physician time 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93454 imaging supervision and ; 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93456 imaging supervision and ; W right heart catheterization 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93460 imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography 71034 X-ray, chest, complete min 4 views, Fluoroscopy 317

93460 93460 93460 93460 93460 93460 93460 93460 93460 93460 93460 93460 93460 93460 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 75600 75605 75625 75630 75710 75716 75741 75743 75746 75756 75774 75893 75896 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 76000 Fluoroscopy, up to one hour physician time 318

93460 93460 93460 93460 93460 93460 93460 93460 93460 93460 93460 93461 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 76001 Fluoroscopy, more than one hour physician time 78635 93451 93452 93453 93454 93455 93456 93457 93458 93459 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 71034 X-ray, chest, complete min 4 views, Fluoroscopy 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75600 Aortography, thoracic, WO serialography, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75605 Aortography, thoracic, by serialography, radiological supervision and 319

93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75625 Aortography, abdominal, by serialography, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75630 Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75710 Angiography, extremity, unilateral, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75716 Angiography, extremity, bilateral, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75741 Angiography, pulmonary, unilateral, selective, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75743 Angiography, pulmonary, bilateral, selective, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75746 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75756 Angiography, internal mammary, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75893 Venous sampling through catheter, Wor WOangiography (eg, for parathyroid hormone, renin), radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 75896 Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary), radiological supervision and 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 76000 Fluoroscopy, up to one hour physician time 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 76001 Fluoroscopy, more than one hour physician time 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 78635 Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography 320

93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93452 Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and, when performed 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93454 imaging supervision and ; 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93455 imaging supervision and ; W catheter placement(s) in bypass graft(s) 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93456 imaging supervision and ; W right heart catheterization 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93457 imaging supervision and ; W catheter placement(s) in bypass graft 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93458 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93459 imaging supervision and ; Wleft heart catheterization including intraprocedural injection(s) for left ventriculography 93461 imaging supervision and ; W right and left heart catheterization for left ventriculography 93460 imaging supervision and ; W right and left heart catheterization including intraprocedural injection(s) for left ventriculography 93880 Duplex scan of extracranial arteries complete bilateral 76536 US soft tissues of head and neck CPT Definition 93882 Duplex scan of extracranial arteries unilateral or limited 76536 US soft tissues of head and neck CPT Definition 93965 Noninvasive physiologic studies of extremity veins, complete bilateral study 76881 US, extremity, nonvascular, real-time W/image documentation; complete 93965 Noninvasive physiologic studies of extremity veins, complete bilateral study 76882 US, extremity, nonvascular, real-time W/image documentation; complete 321

93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study 76881 US, extremity, nonvascular, real-time W/image documentation; limited, anatomic Specific 93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study 76882 US, extremity, nonvascular, real-time W/image documentation; limited, anatomic Specific 0042T CT perfusion brain 70460 CT head W contrast 0042T CT perfusion brain 70470 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

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

C8900 MRA W contrast, abdomen (crosswalked to 74185) 76000 Fluoroscopy, up to one hour physician time C8900 MRA W contrast, abdomen (crosswalked to 74185) 76001 Fluoroscopy, more than one hour physician time C8900 MRA W contrast, abdomen (crosswalked to 74185) 76376 3D Rendering WO Postprocessing C8900 MRA W contrast, abdomen (crosswalked to 74185) 76377 3D Rendering W Postprocessing C8900 MRA W contrast, abdomen (crosswalked to 74185) 76942 C8900 MRA W contrast, abdomen (crosswalked to 74185) 76998 US guidance intra-operative C8900 MRA W contrast, abdomen (crosswalked to 74185) 77002 Fluoroscopic guidance for needle placement C8901 MRA WO contrast, abdomen(crosswalked to 74185) 76000 Fluoroscopy, more than one hour physician time C8901 MRA WO contrast, abdomen(crosswalked to 74185) 76001 Fluoroscopy, more than one hour physician time C8901 MRA WO contrast, abdomen(crosswalked to 74185) 76376 3D Rendering WO Postprocessing C8901 MRA WO contrast, abdomen(crosswalked to 74185) 76377 3D Rendering W Postprocessing C8901 MRA WO contrast, abdomen(crosswalked to 74185) 76942 C8901 MRA WO contrast, abdomen(crosswalked to 74185) 76998 US guidance intra-operative C8901 MRA WO contrast, abdomen(crosswalked to 74185) 77002 Fluoroscopic guidance for needle placement 324

C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) 76000 Fluoroscopy, up to one hour physician time C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) 76001 Fluoroscopy, more than one hour physician time C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) 76376 3D Rendering WO Postprocessing C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) 76377 3D Rendering W Postprocessing C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) 76942 C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) 76998 US guidance intra-operative C8902 MRA WO & W contrast, abdomen (crosswalked to 74185) 77002 Fluoroscopic guidance for needle placement C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) 76000 Fluoroscopy, up to one hour physician time C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) 76001 Fluoroscopy, more than one hour physician time C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) 76942 C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) 76998 US guidance intra-operative C8903 MRI W contrast, breast; unilateral (crosswalked to 77058) 77002 Fluoroscopic guidance for needle placement C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) 76000 Fluoroscopy, up to one hour physician time C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) 76001 Fluoroscopy, more than one hour physician time 325

C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) 76942 C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) 76998 US guidance intra-operative C8904 MRI WO contrast, breast; unilateral (crosswalked to 77058) 77002 Fluoroscopic guidance for needle placement C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) 76000 Fluoroscopy, up to one hour physician time C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) 76001 Fluoroscopy, more than one hour physician time C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) 76942 C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) 76998 US guidance intra-operative C8905 MRI WO & W contrast, breast; unilateral (crosswalked to 77058) 77002 Fluoroscopic guidance for needle placement C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) 76000 Fluoroscopy, up to one hour physician time C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) 76001 Fluoroscopy, more than one hour physician time C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) 76998 US guidance intra-operative C8906 MRI W contrast, breast; bilateral (crosswalked to 77059) 77002 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

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) 76000 Fluoroscopy, up to one hour physician time C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) 76001 Fluoroscopy, more than one hour physician time C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) 76942 C8907 MRI WO contrast, breast; bilateral (crosswalked to 77059) 77002 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) 76000 Fluoroscopy, more than one hour physician time C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) 76001 Fluoroscopy, more than one hour physician time C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) 76942 C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) 76998 US guidance intra-operative C8908 MRI Wand WO contrast, breast; bilateral (crosswalked to 77059) 77002 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

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) 76000 Fluoroscopy, more than one hour physician time C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) 76001 Fluoroscopy, more than one hour physician time C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) 76376 3D Rendering WO Postprocessing C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) 76377 3D Rendering W Postprocessing C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) 76942 C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) 76998 US guidance intra-operative C8909 MRI WO & W contrast, breast; bilateral (crosswalked to 77059) 77002 Fluoroscopic guidance for needle placement C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) 76000 Fluoroscopy, more than one hour physician time C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) 76001 Fluoroscopy, more than one hour physician time C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) 76376 3D Rendering WO Postprocessing C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) 76377 3D Rendering W Postprocessing C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) 76942 328

C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) 76998 US guidance intra-operative C8910 MRA WO contrast, chest (excluding myocardium) (crosswalked to 71555) 77002 Fluoroscopic guidance for needle placement C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) 76000 Fluoroscopy, more than one hour physician time C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) 76001 Fluoroscopy, more than one hour physician time C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) 76376 3D Rendering WO Postprocessing C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) 76377 3D Rendering W Postprocessing C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) 76942 C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) 76998 US guidance intra-operative C8911 MRA WO & W contrast, chest (excluding myocardium) (crosswalked to 71555) 77002 Fluoroscopic guidance for needle placement C8912 MRA W contrast, lower extremity (crosswalked to 73725) 76000 Fluoroscopy, more than one hour physician time C8912 MRA W contrast, lower extremity (crosswalked to 73725) 76001 Fluoroscopy, more than one hour physician time C8912 MRA W contrast, lower extremity (crosswalked to 73725) 76376 3D Rendering WO Postprocessing C8912 MRA W contrast, lower extremity (crosswalked to 73725) 76377 3D Rendering W Postprocessing C8912 MRA W contrast, lower extremity (crosswalked to 73725) 76942 329

C8912 MRA W contrast, lower extremity (crosswalked to 73725) 76998 US guidance intra-operative C8912 MRA W contrast, lower extremity (crosswalked to 73725) 77002 Fluoroscopic guidance for needle placement C8913 MRA WO contrast, lower extremity (crosswalked to 73725) 76000 Fluoroscopy, more than one hour physician time C8913 MRA WO contrast, lower extremity (crosswalked to 73725) 76001 Fluoroscopy, more than one hour physician time C8913 MRA WO contrast, lower extremity (crosswalked to 73725) 76376 3D Rendering WO Postprocessing C8913 MRA WO contrast, lower extremity (crosswalked to 73725) 76377 3D Rendering W Postprocessing C8913 MRA WO contrast, lower extremity (crosswalked to 73725) 76942 C8913 MRA WO contrast, lower extremity (crosswalked to 73725) 76998 US guidance intra-operative C8913 MRA WO contrast, lower extremity (crosswalked to 73725) 77002 Fluoroscopic guidance for needle placement C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) 76000 Fluoroscopy, more than one hour physician time C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) 76001 Fluoroscopy, more than one hour physician time C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) 76376 3D Rendering WO Postprocessing C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) 76377 3D Rendering W Postprocessing C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) 76942 330

C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) 76998 US guidance intra-operative C8914 MRA WO & W contrast, lower extremity (crosswalked to 73725) 77002 Fluoroscopic guidance for needle placement C8918 MRA W contrast, pelvis (crosswalked to 72198) 76000 Fluoroscopy, more than one hour physician time C8918 MRA W contrast, pelvis (crosswalked to 72198) 76001 Fluoroscopy, more than one hour physician time C8918 MRA W contrast, pelvis (crosswalked to 72198) 76376 3D Rendering WO Postprocessing C8918 MRA W contrast, pelvis (crosswalked to 72198) 76377 3D Rendering W Postprocessing C8918 MRA W contrast, pelvis (crosswalked to 72198) 76942 C8918 MRA W contrast, pelvis (crosswalked to 72198) 76998 US guidance intra-operative C8918 MRA W contrast, pelvis (crosswalked to 72198) 77002 Fluoroscopic guidance for needle placement C8919 MRA WO contrast, pelvis (crosswalked to 72198) 76000 Fluoroscopy, more than one hour physician time C8919 MRA WO contrast, pelvis (crosswalked to 72198) 76001 Fluoroscopy, more than one hour physician time C8919 MRA WO contrast, pelvis (crosswalked to 72198) 76376 3D Rendering WO Postprocessing C8919 MRA WO contrast, pelvis (crosswalked to 72198) 76377 3D Rendering W Postprocessing C8919 MRA WO contrast, pelvis (crosswalked to 72198) 76942 331

C8919 MRA WO contrast, pelvis (crosswalked to 72198) 76998 US guidance intra-operative C8919 MRA WO contrast, pelvis (crosswalked to 72198) 77002 Fluoroscopic guidance for needle placement C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) 76000 Fluoroscopy, more than one hour physician time C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) 76001 Fluoroscopy, more than one hour physician time C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) 76376 3D Rendering WO Postprocessing C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) 76377 3D Rendering W Postprocessing C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) 76942 C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) 76998 US guidance intra-operative C8920 MRA WO & W contrast, pelvis (crosswalked to 72198) 77002 Fluoroscopic guidance for needle placement C8921 Transthoracic echocardiography W contrast for congenital cardiac anomalies; complete (crosswalked to 93303) 93303 Transthoracic echocardiography for congenital cardiac anomalies; complete C8921 Transthoracic echocardiography W contrast for congenital cardiac anomalies; complete (crosswalked to 93303) 93304 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) 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) 93306 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

C8923 Transthoracic echocardiography W contrast, real-time W image documentation (2D), W or WO M-mode recording; complete (crosswalked to 93307) 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) 93308 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) 93320 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) 93321 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) 93325 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) 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 76998 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) 76998 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) 93015 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) 93016 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) 93017 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) 93018 Cardiovascular stress test tracing and report only CPT Definition 333

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) 93306 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) 93307 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) 93308 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) 93350 93351 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 76604 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 76998 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 93303 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 93304 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

G0202 Screen mammography digital, bilateral 77051 Computer-aided detection diagnostic mammography CPT Definition G0202 Screen mammography digital, bilateral 77057 Screening mammography, bilateral (2-view film study of each breast) G0204 Diagnostic mammography digital, bilateral 77052 Computer-aided detection screening mammography CPT Definition G0204 Diagnostic mammography digital, bilateral 77055 Mammography, unilateral G0204 Diagnostic mammography digital, bilateral 77056 Mammography; bilateral G0204 Diagnostic mammography digital, bilateral G0206 Mammography, producing direct digital image, unilateral, all views G0206 Diagnostic mammography digital, unilateral 77052 Computer-aided detection screening mammography CPT Definition G0206 Diagnostic mammography digital, unilateral 77055 Mammography, unilateral 78015 Thyroid carcinoma metastases imaging, limited area 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78016 Thyroid carcinoma metastases imaging; W additional studies 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78018 Thyroid carcinoma metastases imaging; whole body 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78020 Thyroid carcinoma metastases uptake 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78070 Parathyroid imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78075 Adrenal imaging, cortex and/or medulla 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 335

78102 Bone marrow imaging; limited area 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78103 Bone marrow imaging; multiple areas 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78104 Bone marrow imaging; whole body 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78110 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78111 Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78120 Red cell volume determination, single sampling 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78121 Red cell volume determination, multiple samplings 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78122 Whole blood volume determination, including separate measurement of plasma volume and red cell volume 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78130 Red cell survival study; 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78135 Differential organ/tissues kinetic 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78140 Labeled red cell sequestration, differential organ/tissue 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78185 Spleen imaging only W or WO vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78190 Kinetics, study of platelet survival, W or WO differential organ/tissue localization 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78191 Platelet survival study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 336

78195 Lymphatics and lymph nodes imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78201 Liver imaging, static only 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78202 Liver imaging, W vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78205 Liver imaging, SPECT 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78206 Liver imaging, SPECT W vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78215 Liver & spleen imaging, static only 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78216 Liver & spleen imaging, W vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78226 Hepatobiliary system imaging, including gallbladder when present; 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78230 Salivary gland imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78231 Salivary gland imaging; W serial images 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78232 Salivary gland function study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78258 Esophageal motility 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78261 Gastric mucosa imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 337

78262 Gastroesophageal reflux study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78264 Gastric emptying study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78267 Urea breath test, C-14 (isotopic); acquisition for analysis 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78268 Urea breath test, C-14 (isotopic); analysis 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78270 Vitamin B-12 absorption study (eg, Schilling test); WO intrinsic factor 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78271 Vitamin B-12 absorption study (eg Shilling test); W intrinsic factor 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78272 Vitamin B-12 absorption study combined W & WO intrinsic factor 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78278 Acute gastrointestinal blood loss imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78282 Gastrointestinal protein loss 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78290 Intestine imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78291 Peritoneal-venous shunt patency test 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78300 Bone and/or joint imaging; limited area 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78305 Bone and/or joint imaging; multiple areas 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78306 Bone and/or joint imaging; whole body 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 338

78320 Bone and/or joint imaging; tomographic (SPECT) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78414 Determination of central c-v hemodynamics W or WO pharmacologic intervention or exercise single or multiple determinations 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78428 Cardiac shunt detection 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78451 Myocardial perfusion imaging, tomographic (SPECT) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78452 Myocardial perfusion imaging, tomographic (SPECT) multiple studies, at rest and/or rest reinjection 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78453 MPI,planar,single study, at rest or stress 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78454 MPI, Planar, multiple studies, at rest and/or stress, and/or redistribution and/or rest reinjection 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78459 Myocardial imaging, positron emission tomography (PET), metabolic evaluation 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78466 Myocardial imaging, Infarction avid, planar, qualitative or quantitative 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78468 Myocardial imaging, infarct avid, planar; w ejection fraction by first pass technique 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT W or WO quantification 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78472 Cardiac blood pool imaging, gated, single study, resting or stress, wall motion 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, W or WO additional quantification 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78481 Cardiac blood pool imaging, first pass, single study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 339

78483 Cardiac blood pool imaging, first pass, multiple studies 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78491 Myocardial imaging, PET, perfusion; single study at rest or stress 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78492 Myocardial imaging, PET, perfusion; multiple studies at rest or stress 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78494 Cardiac blood pool imaging, gated equilibrium, SPECT at rest, wall motion study plus ejection fraction W or WO quantitative processing 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, W right ventricular ejection fraction by first pass technique 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78579 Pulmonary ventilation imaging (eg, aerosol or gas) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78580 Pulmonary perfusion imaging, particulate 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78582 Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78600 Brain imaging, less than 4 static views 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78601 Brain imaging W vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78605 Brain imaging minimum 4 static views 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78606 Brain imaging minimum 4 static views; W vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 340

78607 Brain imaging tomographic SPECT 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78610 Brain imaging, vascular flow only 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78630 Cerebrospinal fluid flow, imaging; cisternography 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78630 Cerebrospinal fluid flow, imaging; cisternography 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 78635 Cerebrospinal fluid flow, imaging; ventriculography 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78635 Cerebrospinal fluid flow, imaging; ventriculography 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78645 Cerebrospinal fluid flow, imaging; shunt evaluation 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78650 Cerebrospinal fluid leakage detection and localization 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78650 Cerebrospinal fluid leakage detection and localization 78647 Cerebrospinal fluid flow, imaging; tomographic (SPECT) 78660 Radiopharmaceutical Dacryocystorgraphy 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78700 Kidney imaging Morphology 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78701 Kidney imaging; morphology W vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 341

78707 Kidney imaging, morphology, single study W vascular flow and function, W pharmacological intervention 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78708 Kidney imaging, morphology, multiple studies, W vascular flow and function, W pharmacological intervention 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78709 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78710 Kidney imaging, morphology, multiple studies, W & WO vascular flow and function, W & WO pharmacological intervention 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78710 Kidney imaging, morphology, tomographic, SPECT 78725 Kidney function study, non-imaging radioisotopic 78725 Kidney function study, non-imaging radioisotopic 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78730 Urinary bladder residual study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78740 Ureteral reflux study 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78761 Testicular imaging W vascular flow 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78800 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); limited area 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78801 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); multiple areas 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78802 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, single day imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78803 Radiopharmaceutical localization of tumor, SPECT 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78804 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring 2 or more days imaging 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 342

78805 Radiopharm localization of inflammatory process, limited area 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78806 Radiopharm localization of inflammatory process, whole body 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78807 Radiopharmaceutical localizaation of inflammatory process; tomographic (SPECT) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78808 Injection procedure for radiopharmaceutical localization 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78811 PET imaging; limited area (e.g., chest, head/neck) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78812 PET imaging; skull base to mid-thigh 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78813 PET imaging; skull base to mid-thigh 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78814 PET W concurrently acquired CT for attenuation correction and anatomical localization imaging; limited area (e.g. chest, head/neck) 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78815 PET W concurrently acquired CT for attentuation correction and anatomical localization imaging; skull base to mid-thigh 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 78816 PET W acquired CT for attenuation correction and anatomical localization imaging; whole body 78445 Non-cardiac vascular flow imaging (ie, angiography, venography) 93970 Duplex scan of extremity veins; bilateral 76881 US, extremity, nonvascular, real-time W/image documentation; complete 93970 Duplex scan of extremity veins; bilateral 76882 US, extremity, nonvascular, real-time W/image documentation; complete 343

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