ABDOMEN 1 VIEW 74000 ABDOMEN ACUTE COMP INCL CXR1 74022 ABDOMEN AP & OBL & CONED VIEWS 74010 ABDOMEN COMP INCL DECUB/ERECT 74020 ABSCESS FISTULA OR SINUS TRACT 76080 AC JOINTS BILAT W OR WO WEIGHT 73050 ANKLE 1 VIEW LEFT 73600 ANKLE 1 VIEW RIGHT 73600 ANKLE 2 VIEWS LEFT 73600 ANKLE 2 VIEWS RIGHT 73600 ANKLE ARTHROGRAM INJ PROC 27648 ANKLE ARTHROGRAM S&I LEFT 73615 ANKLE ARTHROGRAM S&I RIGHT 73615 ANKLE COMP MIN 3 VIEWS LEFT 73610 ANKLE COMP MIN 3 VIEWS RIGHT 73610 ARTHRITIS/JOINT SURVEY JUVEN 77077 BARIUM ENEMA COLON 74270 BARIUM ENEMA W/AIR CONTRAST 74280 BONE AGE HEMISKELETON 77072 BONE AGE STUDIES 77072 BONE LENGTH SCANOGRAM 77073 BONE SURVEY COMPLETE 77075 BONE SURVEY INFANT UP TO 2 YRS 77076 BONE SURVEY LIMITED 77074 CALCANEUS MIN 2 VIEWS LEFT 73650 CALCANEUS MIN 2 VIEWS RIGHT 73650 C-ARM FLUOROSCOPY 76000 CHEST 1 VIEW 71010 CHEST 2 VIEWS 71020 CHEST COMPLETE MIN 4 VIEWS 71030 CHEST SPECIAL VIEWS OBL DECUB 71035 CHEST WITH APICAL LORDOTIC 71021 CHEST WITH FLUORO 71023 CHEST WITH OBLIQUES 71022 CHEST/ABD COMBINED NEONATE 71010 CHOC EMP/SINGLE VIEW CHEST 71010 CHOLANG EXIST TUBE INJ PROC 47505 CHOLANGIOGRAM EXIST T-TUBE S&I 74305 CHOLANGIOGRAM OPER AD SET S&I 74301 CHOLANGIOGRAM OPERATIVE S&I 74300 CHOLECYSTOGRAM ORAL CONTRAST 74290 CLAVICLE COMPLETE LT 73000 CLAVICLE COMPLETE RT 73000 COLONIC TRANSIT TIME 74000 CYSTO W INSERT URETERAL STENT 52332 CYSTO W/INSERT URETERAL STENT 75984 CYSTO W/REMOVAL/MANIP/CALCULUS 74485 CYSTO/VOIDING URETHRO INJ PROC 51600 CYSTOGRAM MIN 3 VIEWS S&I 74430 DEFECOGRAPHY 74270
ELBOW 1 VIEW LEFT 73070 ELBOW 1 VIEW RIGHT 73070 ELBOW 2 VIEWS LEFT 73070 ELBOW 2 VIEWS RIGHT 73070 ELBOW ARTHROGRAM INJ PROC 24220 ELBOW ARTHROGRAM S&I LEFT 73085 ELBOW ARTHROGRAM S&I RIGHT 73085 ELBOW COMPLETE MIN 3 VIEWS LT 73080 ELBOW COMPLETE MIN 3 VIEWS RT 73080 ENTIRE LOWER EXTREMITY LT 77074 ENTIRE LOWER EXTREMITY RT 77074 ENTIRE UPPER EXTREMITY LT 77074 ENTIRE UPPER EXTREMITY RT 77074 ESOPH PHARYNX/CERVICAL 74210 ESOPHAGRAM 74220 EYE FOR FOREIGN BODY 70030 FACIAL BONES COMP MIN 3 VWS 70150 FACIAL BONES LESS THAN 3 VWS 70140 FEMUR 1 VIEW LEFT 73550 FEMUR 1 VIEW RIGHT 73550 FEMUR 2 VIEWS LEFT 73550 FEMUR 2 VIEWS RIGHT 73550 FINGER MIN 2 VIEWS INDEX LEFT 73140 FINGER MIN 2 VIEWS INDEX RIGHT 73140 FINGER MIN 2 VIEWS LETTLE LEFT 73140 FINGER MIN 2 VIEWS LITTLE RIGH 73140 FINGER MIN 2 VIEWS MIDDLE LEFT 73140 FINGER MIN 2 VIEWS MIDDLE RIGH 73140 FINGER MIN 2 VIEWS RING LEFT 73140 FINGER MIN 2 VIEWS RING RIGHT 73140 FINGER MIN 2 VIEWS THUMB LEFT 73140 FINGER MIN 2 VIEWS THUMB RIGHT 73140 FISTULA SINUS TRACT INJECTION 20501 FLUORO FOR LITHO LEFT 76000 76000 FLUORO FOR LITHO RIGHT 76000 76000 FLUORO GUID LOC NDL OR CATH 77003 FLUORO GUID NDL PLACE BXASINJL 77002 FLUORO GUIDLOC SPINAL INJ PROC 77003 FLUORO MORE THAN 1HR NON RAD P 76001 FLUORO SEPARATE PROC UP TO 1HR 76000 FLUOROSCOPY FOR PAIN MGMT 76000 FOOT 1 VIEW LEFT 73620 FOOT 1 VIEW RIGHT 73620 FOOT 2 VIEWS LEFT 73620 FOOT 2 VIEWS RIGHT 73620 FOOT COMPLETE MIN 3 VIEWS LEFT 73630 FOOT COMPLETE MIN 3 VIEWS RIGH 73630 FOREARM 1 VIEW LEFT 73090 FOREARM 1 VIEW RIGHT 73090 FOREARM 2 VIEWS LEFT 73090
FOREARM 2 VIEWS RIGHT 73090 HAND 1 VIEW LEFT 73120 HAND 1 VIEW RIGHT 73120 HAND 2 VIEWS LEFT 73120 HAND 2 VIEWS RIGHT 73120 HAND COMP MIN 3 VIEWS LEFT 73130 HAND COMP MIN 3 VIEWS RIGHT 73130 HIP ARTHRO INJ PROC W/ ANESTH 27095 HIP ARTHRO INJ PROC W/O ANESTH 27093 HIP ARTHROGRAM S&I LEFT 73525 HIP ARTHROGRAM S&I RIGHT 73525 HIP IN SURGERY LEFT 73530 HIP IN SURGERY RIGHT 73530 HIP UNILAT 1 VIEW LEFT 73500 HIP UNILAT 1 VIEW RIGHT 73500 HIP UNILAT 2 VIEWS LEFT 73510 HIP UNILAT 2 VIEWS RIGHT 73510 HIPS BILAT INCL AP PELVIS 73520 HUMERUS 1 VIEW LEFT 73060 HUMERUS 1 VIEW RIGHT 73060 HUMERUS MIN 2 VIEWS LEFT 73060 HUMERUS MIN 2 VIEWS RIGHT 73060 HYSTEROSALPINGOGRAM CATH INTRO 58340 HYSTEROSALPINGOGRAM S&I 74740 ILEAL CONDUIT/LOOPOGRAM INJ PR 50690 INJ W/FLUORO, EVAL CV DEVICE 36598 INSERT INDWELLING CATHETER 51701 INSERT OF INDWELLING CATHETER 51702 INTERNAL AUDITORY MEATI COMP 70134 INTRAVENOUS PYELOGRAM 74400 JOINT/BURSA INJECT OR ASPIRATI 20610 KNEE 1 OR 2 VIEWS LEFT 73560 KNEE 1 OR 2 VIEWS RIGHT 73560 KNEE 3 VIEWS LEFT 73562 KNEE 3 VIEWS RIGHT 73562 KNEE ARTHROGRAM INJ PROC 27370 KNEE ARTHROGRAM S&I LEFT 73580 KNEE ARTHROGRAM S&I RIGHT 73580 KNEE COMP 4 OR MORE VIEWS LEFT 73564 KNEE COMP 4 OR MORE VIEWS RIGH 73564 LOWER EXT INFANT MIN 2 VWS LT 73592 LOWER EXT INFANT MIN 2 VWS RT 73592 MANDIBLE COMPLETE MIN 4 VIEWS 70110 MANDIBLE LESS THAN 4 VIEWS 70100 MANUAL STRESS FOR JOINT BY PHY 77071 MASTOIDS COMPLETE MIN 3 VIEWS 70130 MASTOIDS LESS THAN 3 VIEWS 70120 NASAL BONES COMP MIN 3 VWS 70160 NECK SOFT TISSUE 70360 NOSE TO RECTUM FOR F/B CHILD 76010
OCG ADDL/RPT/MULTIDAY EXAM 74291 OPTIC FORAMINA 70190 ORBITS COMPLETE MIN 4 VIEWS 70200 PEL & HIPS INFANT/CHILD MIN 2V 73540 PELVIS 1 OR 2 VIEWS 72170 PELVIS COMPLETE MIN 3 VIEWS 72190 RETROGRADE UROGRAPHY 74420 REVIEW OF OUTSIDE RAD EXAM 76140 RIB BILAT MIN 4 VIEWS W/PA CXR 71111 RIBS BILAT 3 VIEWS 71110 RIBS UNILAT 2 VIEWS LT 71100 RIBS UNILAT 2 VIEWS RT 71100 RIBS UNILAT MIN 3 VWS PACXR RT 71101 RIBS UNILAT PACXR MIN 3 VWS LT 71101 SACROILIAC JOINTS MIN 3 VIEWS 72202 SACRUM AND COCCYX MIN 2 VIEWS 72220 SALIVARY GLAND FOR CALCULUS LT 70380 SALIVARY GLAND FOR CALCULUS RT 70380 SC JOINT OR JOINTS MIN 3 VIEWS 71130 SCAPULA COMPLETE LEFT 73010 SCAPULA COMPLETE RIGHT 73010 SCOLIOSIS SUPINE AND ERECT 72090 SELLA TURCICA 70240 SHOULDER 1 VIEW LEFT 73020 SHOULDER 1 VIEW RIGHT 73020 SHOULDER ARTHROGRAM INJ PROC 23350 SHOULDER ARTHROGRAM S&I LEFT 73040 SHOULDER ARTHROGRAM S&I RIGHT 73040 SHOULDER COMP MIN 2 VIEWS LEFT 73030 SHOULDER COMP MIN 2 VIEWS RT 73030 SHUNTOGRAM S&I 75809 SIALOGRAM S&I LT 70390 SIALOGRAM S&I RT 70390 SIALOGRAPHY INJ PROC 42550 SINUSES PARANASAL COMP MIN 3VW 70220 SINUSES PARANASAL LESS THAN 3V 70210 SJH SINGLE VIEW CHEST 71010 SKULL COMPLETE MIN 4 VIEWS 70260 SKULL LESS THAN 4 VIEWS 70250 SMALL BOWEL SERIES 74250 SPINE CERVICAL 1 VIEW 72020 SPINE CERVICAL 2 OR 3 VIEWS 72040 SPINE CERVICAL MIN 4 VIEWS 72050 SPINE CERVICAL W/FLEX OR EXT 72052 SPINE ENTIRE SURVEY 72010 SPINE LUMBAR 1 VIEW 72020 SPINE LUMBAR 2 OR 3 VIEWS 72100 SPINE LUMBAR BEND ONLY 4 VIEWS 72120 SPINE LUMBAR COMP INCL BENDING 72114 SPINE LUMBAR MIN 4 VIEWS 72110
SPINE THORACIC 1 VIEW 72020 SPINE THORACIC 2 VIEWS 72070 SPINE THORACIC 3 VIEWS 72072 SPINE THORACOLUMBAR 2 VIEWS 72080 SPINE TL STANDING (SCOLIOSIS) 72069 STERNUM MIN 2 VIEWS 71120 SURGICAL SPECIMEN 76098 TIBIA AND FIBULA 1 VIEW LEFT 73590 TIBIA AND FIBULA 1 VIEW RIGHT 73590 TIBIA AND FIBULA 2 VIEWS LEFT 73590 TIBIA AND FIBULA 2 VIEWS RIGHT 73590 TMJ OPEN AND CLOSED BILAT 70330 TMJ OPEN AND CLOSED UNILAT LT 70328 TMJ OPEN AND CLOSED UNILAT RT 70328 TOE 1ST LEFT 73660 TOE 1ST RIGHT 73660 TOE 2ND LEFT 73660 TOE 2ND RIGHT 73660 TOE 3RD LEFT 73660 TOE 3RD RIGHT 73660 TOE 4TH LEFT 73660 TOE 4TH RIGHT 73660 TOE 5TH LEFT 73660 TOE 5TH RIGHT 73660 TOMOGRAPHY SINGLE PLANE 76100 TUBE/CATH CHANGE PERC W/CON S& 75984 UGI & SB W/AIR CONTRAST 74249 UGI AIR/HD, W/KUB 74247 UGI AIR/HD, W/O KUB 74246 UGI AND SMALL BOWEL 74245 UGI SERIES WITH KUB 74241 UGI SERIES WITHOUT KUB 74240 UNLISTED RADIOLOGY PROCEDURE 76499 UPPER EXTREM INFANT 2 VIEWS LT 73092 UPPER EXTREM INFANT 2 VIEWS RT 73092 URETHROCYSTOGRAM RETRO INJ PRO 51610 URETHROCYSTOGRAM S&I 74450 UROGRAPHY ANTEGRADE NEPH/LOOP 74425 UROGRAPHY IV W OR WO KUB TOMO 74400 UROGRAPHY W/NEPHROTOMOGRAPHY 74415 VENOGRAM BILAT S&I 75822 VENOGRAM UNILAT LEFT S&I 75820 VENOGRAM UNILAT RIGHT S&I 75820 VENOGRAPHY EXTREMITY INJ PROC 36005 VOIDING CYSTOURETHROGRAM S&I 74455 WRIST 1 VIEW LEFT 73100 WRIST 1 VIEW RIGHT 73100 WRIST 2 VIEWS LEFT 73100 WRIST 2 VIEWS RIGHT 73100 WRIST ARTHROGRAM INJ PROC 25246
WRIST ARTHROGRAM S&I LEFT 73115 WRIST ARTHROGRAM S&I RIGHT 73115 WRIST COMP MIN 3 VIEWS LEFT 73110 WRIST COMP MIN 3 VIEWS RIGHT 73110 WRITTEN CONSULTATION-COMPLEX 76140