RADIOLOGY ASSOCIATES IMAGING S READY REFERENCE GUIDE www.radiologyassociatesimaging.com www.facebook.com/radiologyassociatesimagingcenters www.twitter.com/radassociates
CPT Codes CT SCAN Abdomen w/o contrast 74150 Abdomen w/ contrast 74160 Abdomen w & w/o contrast 74170 Abdomen & Pelvis w/o contrast 74176 Abdomen & Pelvis w/ contrast 74177 Abdomen & Pelvis w/ & w/o contrast 74178 Brain w/o contrast 70450 Brain w/ contrast 70460 Brain w/ & w/o contrast 70470 Chest w/o contrast 71250 Chest w/ contrast 71260 Chest w/ & w/o contrast 71270 Cervical spine w/o contrast 72125 Cervical spine w/ contrast 72126 Cervical spine w/ & w/o contrast 72127 CTA Abdomen & Pelvis 74174 CTA Abdominal Aorta 74175 CTA Aorta w/runoff 75635 CTA Carotid Arteries/Neck 70498 CTA Coronary Angiogram 75574 CTA Chest 71275 CTA Head/Brain 70496 CTA Lower Extremity 73706 CTA Pelvis Only 72191 CTA Upper Extremity 73206 Lower Extremity w/o contrast 73700 Lower Extremity w/ contrast 73701 Lower Extremity w/o & w/ contrast 73702 Lumbar Spine w/o contrast 72131 Lumbar Spine w/ contrast 72132 Lumbar Spine w/o & w/ contrast 72133 Neck, Soft Tissue w/o contrast 70490 Neck, Soft Tissue w/ contrast 70491 Neck, Soft Tissue w/o & w/ contrast 70492 Orbit, Sella, IACS w/o contrast 70480 CT SCAN (cont.) Orbit, Sella, IACS w/ contrast 70481 Orbit, Sella, IACS w/o & w/ contrast 70482 Pelvis w/o contrast 72192 Pelvis w/ contrast 72193 Pelvis w/ & w/o contrast 72194 Face/Sinus w/o contrast 70486 Face/Sinus w/ contrast 70487 Face/Sinus w/ & w/o contrast 70488 Thoracic Spine w/o contrast 72128 Thoracic Spine w/ contrast 72129 Thoracic Spine w/ & w/o contrast 72130 Upper Extremity w/o contrast 73200 Upper Extremity w/ contrast 73201 Upper Extremity w/o & w/ contrast 73202 PET (TCI & TLI Only) PET Brain Complete 78608 PET/CT Head/Neck Complete 78815 PET/CT Tumor Complete 78816 PET/CT Melanoma Complete 78816 NUCLEAR MEDICINE (Deltona Exempt) Bone Scan Limited 78300 Bone Scan Whole Body 78306 Cardiac/MUGA 78472 Cardiac/Thallium 78452 Gastric Emptying Study 78264 HIDA Scan 78227 Renal Scan/Flow & Function 78708 Thyroid Uptake & Scan 78014
CPT Codes MRI (Deltona Exempt) Abdomen w/ & w/o contrast 74183 Brain w/o contrast 70551 Brain w/ contrast 70552 Brain w/ & w/o contrast 70553 Breast Bilateral 77059 Breast Unilateral 77058 Cardiac w/ contrast 75553 Cardiac MRI/Limited Study 75555 Cervical Spine w/o contrast 72141 Cervical Spine w/ contrast 72142 Cervical Spine w/ & w/o contrast 72156 Chest (clavicle) w/o contrast 71550 Chest (clavicle) w/ contrast 71551 Chest (clavicle) w/o & w/ contrast 71552 Lower Extremity Joint w/o contrast 73721 Lower Extremity Joint w/contrast 73722 Lower Extremity Joint w/ & w/o contrast 73723 Lower Extremity Non-Joint w/o contrast 73718 Lower Extremity Non-Joint w/contrast 73719 Lower Extremity Non-Joint w/ & w/o 73720 contrast Lumbar Spine w/o contrast 72148 Lumbar Spine w/contrast 72149 Lumbar Spine w/ & w/o contrast 72158 MRA Abdomen 74185 MRA Aorta w/runoff 73725 MRA Carotids w/o contrast 70547 MRA Carotids w/ contrast 70548 MRA Carotids w/ & w/o contrast 70549 MRA Chest 71555 MRA External Carotid Unilateral 75660 MRA Head/Neck 70541 MRA Head (COW) 70544 MRA Pelvis 72198 MRA Spinal Canal 72159 MRI (CONT.) (Deltona Exempt) MRA Upper Extremity 73225 MRCP 74181 Myocardium 75552 Orbit, Face & Neck w/o contrast 70540 Orbit, Face & Neck w/ contrast 70542 Orbit, Face & Neck w/o & w/ contrast 70543 Pelvis w/o contrast 72195 Pelvis w/ contrast 72196 Pelvis w/ & w/o contrast 72197 Thoracic Spine w/o contrast 72146 Thoracic Spine w/contrast 72147 Thoracic Spine w/ & w/o contrast 72157 Upper Extremity Joint w/o contrast 73221 Upper Extremity Joint w/ contrast 73222 Upper Extremity Joint w/ & w/o contrast 73223 Upper Extremity Non-Joint w/o contrast 73218 Upper Extremity Non-Joint w/ contrast 73219 Upper Extremity Non-Joint w/ & w/o contrast MAMMOGRAPHY Screening Mammogram Diagnostic Mammogram Bilateral **Should be ordered with Breast US** Diagnostic Mammogram Unilateral **Should be ordered with Breast US** 3D Mammography (SAI, TCI, TLI & POI) Digital Breast Tomosynthesis, Unilateral Digital Breast Tomosynthesis, Bilateral Screening Digital Breast Tomosynthesis, Bilateral 73220 G0202 G0204 G0206 77061 77062 77063
CPT Codes X-RAY Cervical Spine Complete 72050 Cervical Spine Limited (AP/LAT) 72040 Thoracic Spine Complete 72072 Thoracic Spine Limited (AP/LAT) 72070 Lumbar Spine Complete 72110 Lumbar Spine Limited (AP/LAT) 72100 Sacrum 72220 Sacrum & Coccyx 72220 Chest 2 View (AP/LAT) 71020 **Please specify left or right. ** Shoulder Complete 73030 Shoulder Limited (AP/LAT) 73020 Elbow Complete 73080 Elbow Limited (AP/LAT) 73070 Forearm 73090 Wrist Complete 73110 Wrist Limited (AP/LAT) 73100 Hand Complete 73130 Hand Limited (AP/LAT) 73120 Finger 73140 **Please specify which finger** Hip 73502 Hip w/ AP Pelvis Bilateral 73521 Pelvis (AP ONLY) 72170 Pelvis Complete (AP/LAT) 72190 Femur 73552 Knee Complete 73564 Knee Limited 73565 Tibia & Fibula (AP/LAT) 73590 Ankle Complete 73610 Ankle Limited (AP/LAT) 73600 Foot Complete 73630 Foot Limited (AP/LAT) 73620 Toe 73660 **Please specify which toe** ULTRASOUND Abdomen Complete 76700 Abdomen Limited 76705 Aorta 76770 Breast Bilateral/Unilateral 76645 Carotid Doppler 93880 **NOT screening used as GRAFT surveillance** Echocardiogram 93306 MSK-Extremity, Nonvascular limited 76881 MSK-Extremity, Nonvascular complete 76882 Pelvis Complete 76856 Renal Arteries 93975 Retroperitoneal (Kidney) 76770 Scrotum 76870 Segmental Pressures (Deltona Exempt) 93923 Soft Tissue Neck 76536 Transvaginal 76830 Thyroid 76536 Venous Doppler Unilateral 93971 Venous Doppler Bilateral 93970 BONE DENSITY (DEXA) Bone Densitometry (DEXA) 77080 WHEN ORDERING BILATERAL STUDIES, THE CPT MUST BE FOR A QUANTITY OF TWO.
Scan Table Weight Limit (in lbs) TABLE LIMITS TLI POI PCI SAI TCI DELTONA FL 300 300 350 400 BD 350 350 350 350 350 350 XRAY 450 450 300 350 450 450 CT 500 400 / 500 400 500 430 400 NM 400(forte) 500 (skylight) 500 400 PET 430 430 3T 550 550 550 550 1.5T 350 350 US #1 500 350 300 300 500 350 US # 2-3 300 350 STEREO 300 300 US ECHO 400 350 300 300 N/A N/A
Accepted Insurance Absolute Solutions ADIN Healthcare Aetna AvMed Health Plans Blue Cross Blue Shield Care IQ Cigna Coast 2 Coast Diagnostics CoreChoice Coventry Cypress Care Diagnostics Plus Evolutions Healthcare Florida Health Care Plans (Deltona exempt) Florida True Health Freedom Health GENEX Services GHI (Emblem Health) Health Advantage Network HealthEase Humana Humana Veterans Integrated Health Plan MD Medicare Choice MedFocus Medicaid Medical Partners of America Medicare MedOptions MedWest Molina Healthcare Mountain Benefits MultiPlan NextImage Medical New Jersey Carpenters Fund NIA NovaNet One Call Care Diagnostics Optimum Healthcare PDM Professional Diagnostic Management Preferred Care Partners (Deltona exempt) Prime Health Services Primecare Spreemo Streamline Imaging TechHealth Three Rivers Provider Network Total Network Resources Tricare UnitedHealthcare University of Florida Ped-I-Care US Imaging Network VA Volusia Health Network WellCare
Test Preparations THE PATIENT MAY STILL TAKE PRESCRIBED MEDICINES WITH A SMALL AMOUNT OF WATER. MRCP DO NOT EAT or DRINK four (4) hours before exam. MRI Remove all jewelry and eye make-up. Wear comfortable clothes without metal closures. CT ABDOMEN/PELVIS DO NOT EAT or DRINK four (4) hours before exam. May drink water up to appointment time. CT COLONOGRAPHY Please call for special instructions on how to prepare for this test. MAMMOGRAPHY Do not use powders, deodorant/antiperspirant or perfume on the day of your test. These products contain substances that show up on X-ray film and can cause an unsatisfactory exam. Previous mammograms performed outside our centers must be obtained for comparison prior to appointment. NUCLEAR MEDICINE STUDIES (HIDA) Hepatobiliary Scan or Gastric Emptying Study: DO NOT EAT or DRINK six (6) hours before exam. Bone Scan: NO PREP 2 part study (1) receive an injection, (2) return to center 2 to 4 hours later for remainder of exam. Thyroid Uptake Scan, Cardiac Study: Please call for instructions on how to prepare for this test. I-123 MIBG Scan: Your Doctor will prescribe a medication regiment for 1 week prior to the exam. Please consult your physician for more details. FDG/PET Tumor Localization: DO NOT EAT or DRINK anything except water and medication for six (6) hours before exam. ABSOLUTELY NO SUGAR OR ARTIFICIAL SWEETENER for 24 HRS. DIABETIC PATIENTS PLEASE CALL FOR ADDITIONAL MEDICATION AND DIETARY INSTRUCTIONS. ULTRASOUND STUDIES Abdomen, Gallbladder: DO NOT EAT or DRINK anything six (6) hours before exam. CHILDREN Four (4) hours fasting PELVIC Ultrasound: EMPTY your bladder two (2) hours before your exam time. One (1) hour prior to your exam time, drink at least 32 ounces of fluid before arriving for this exam. Bladder must be FULL for this exam. Do NOT urinate until after your exam. No fasting is necessary. FLUOROSCOPY/ABDOMEN STUDIES Upper GI, UGI & Small Bowel, Small Bowel Only: DO NOT EAT or DRINK after midnight of the night before your exam. Small Bowel will take up to four (4) hours to complete. Barium Enema, IVP: Begin clear liquid diet at 12:00 Noon the day before your exam and drink one bottle of Magnesium Citrate. At 6:00 p.m. that same day, drink another bottle of Magnesium Citrate and take 2 Dulcolax tablets. At 10:00 p.m. the evening before your test, take 2 more Dulcolax tablets. Try to drink one eight ounce glass of water each hour from noon to bedtime. These items can be purchased over the counter at any pharmacy. SPECIAL PROCEDURES Please call for instructions on how to prepare for special procedures.
Locations St. Augustine Imaging Palm Coast Imaging Town Center Imaging 190 Southpark Blvd., Suite 101 3 Pine Cone Drive Suite 101 21 Hospital Drive, Suite 130 St. Augustine, FL 32086 Palm Coast, FL 32137 Palm Coast, FL 32164 T: 904-827-9191 T: 386-446-5200 T: 386-446-5200 F: 904-827-9171 F: 386-446-1866 F: 386-446-1866 Twin Lakes Imaging Port Orange Imaging Radiology Associates 1890 LPGA Blvd., Suite 110 1195 Dunlawton Avenue Imaging Deltona Daytona Beach, FL 32117 Port Orange, FL 32127 2090 Saxon Blvd., Suite A T: 386-274-5454 T: 386-322-1616 Deltona, FL 32725 F: 386-274-5440 F: 386-322-5330 T: 386-259-5959 F: 386-259-5999 Radiology Associates Imaging offers the use of web-based applications for ordering studies and viewing images. It is our goal to always enhance the workflow of referring physicians and their staff to minimize or eliminate wait time on a phone and maximize image quality of the final product. Both programs are easily installed by your RAI Marketing Representative. Please contact your representative to schedule an installation and training session. A board certified radiologist is always available to ensure the highest quality of care for your patients. Like us on www.facebook.com/radiologyassociatesimagingcenters Follow us on Twitter @radassociates www.radiologyassociatesimaging.com