Diagnostic CPT Code Reference Guide CT

[Pages:4]Diagnostic CPT Code Reference Guide CT

HEAD 70450 70460 70470 76377

--> Without IV Contrast --> With IV Contrast --> With and Without IV Contrast --> 3D Image Post Processing

MAXILLOFACIAL (Facial Bones, Mandible, Sinus) 70486 --> Without IV Contrast 70487 --> With IV Contrast 70488 --> With and Without IV Contrast 77011 --> Instatrak Guidance Headset - include CPT 70486

ORBIT/SELLA (Temporal Bones, Mastoids, IACs) 70480 --> Without IV Contrast 70481 --> With IV Contrast 70482 --> With and Without IV Contrast 76377 --> 3D Image Post Processing

SOFT TISSUE NECK 70490 --> Without IV Contrast 70491 --> With IV Contrast 70492 --> With and Without IV Contrast

CHEST (Thorax, SC Joints, Clavicle / Sternum) 71250 --> Without IV Contrast 71260 --> With IV Contrast 71270 --> With and Without IV Contrast 71275 --> CT Pulmonary Vein G0297 --> (Medicare) CT Lung Cancer Screening S8032 --> (Commercial) CT Lung Cancer Screening

ABDOMEN / PELVIS 74176 --> Without IV Contrast 74177 --> With IV Contrast 74178 --> With and Without IV Contrast 74261 --> Diagnostic Virtual Colonoscopy

ABDOMEN (Umbilical Area and above) 74150 --> Without IV Contrast 74160 --> With IV Contrast 74170 --> With and Without IV Contrast 74261 --> Diagnostic Virtual Colonoscopy

PELVIS (Umbilical area & below including sacrum and coccyx) 72192 --> Without IV Contrast 72193 --> With IV Contrast 72194 --> With and Without IV Contrast 74261 --> Diagnostic Virtual Colonoscopy

CERVICAL SPINE 72125 --> Without IV Contrast 72126 --> With IV Contrast 72127 --> With and Without IV Contrast

THORACIC SPINE 72128 --> Without IV Contrast 72129 --> With IV Contrast 72130 --> With and Without IV Contrast

LUMBAR SPINE 72131 --> Without IV Contrast 72132 --> With IV Contrast 72133 --> With and Without IV Contrast

CT ANGIOGRAM 70496 --> CTA Head 70498 --> CTA Neck 71275 --> CTA Chest 74175 --> CTA Abdomen 75635 --> CTA Abdominal Aorta w/ runoffs 73706 --> CTA Lower Extremity 75574 --> CTA Cardiac / Coronary 75571 --> CT Cardiac Calcium Score 74174 --> CTA Abdomen/Pelvis 72191 --> CTA Pelvis 73206 --> CTA Upper Extremity

Diagnostic CPT Code Reference Guide CT

LOWER EXTREMITY 73700 --> Without IV Contrast 73701 --> With IV Contrast 73702 --> With and Without IV Contrast 76377 --> 3D Image Postprocessing 77073 --> Scanogram (Leg Length)

UPPER EXTREMITY 73200 --> Without IV Contrast 73201 --> With IV Contrast 73202 --> With and Without IV Contrast 76377 --> 3D Image Postprocessing

Diagnostic CPT Code Reference Guide XRAY and DEXA

71020 71101 74400 71111 71110 74000 74022 72170 73502 73522 73523

--> Chest (Pa/Lateral) --> Ribs (Unilateral) w/ PA Chest --> Ribs (Unilateral) w/o PA Chest --> Ribs (Bilateral) w/ PA Chest --> Ribs ( Bilateral) w/o PA Chest --> Abdomen 1 view (KUB) --> Obstruction Series --> Pelvis (1 or 2 views) --> Hip (Unilateral) w/ or w/o pelvis view (2-3 views) --> Hip (Bilateral) w/o pelvis view (3-4 views) --> Hip (Bilateral) w/ pelvis view (min 5 views)

72050 72052 72040 72072 72070 72110 72114 72120 72080 72202

--> Cervical Spine (4-5 views) --> Cervical Spine W/ Flex/Ext (6+ views) --> Cervical Spine Flex/Ext ONLY (2-3 views) --> Thoracic spine (3 views) --> Thoracic Spine (2 views) --> Lumbar Spine (min 4 views) --> Lumbar Spine w/ Flex/Ext (6+ views) --> Lumbar Spine Flex/Ext ONLY (2-3 views) --> Thoracolumbar (min 2 views) --> SI Joints (3+ views)

73564 73565 73590 73610 73630 73650 73660

--> Knee (4+ views) -unilateral or bilateral --> Knee AP Standing (1 view) --> Tibia (2 views) - unilateral or bilateral --> Ankle (3+ views) - unilateral or bilateral --> Foot (3+ views) - unilateral or bilateral --> Heel (os calcis)(2+ views) - unilateral or bilateral --> Toe(s) (min 2 views) - unilateral or bilateral

73050 71130 71120 73010 73030 73000 73060

--> AC Joints Bilateral --> SC Joints --> Sternum --> Scapula --> Shoulder (2+ views) - unilateral or bilateral --> Clavicle --> Humerus (min 2 views) - unilateral or bilateral

73080 73090 73110 73130 73140 77072

--> Elbow (3+ views) - unilateral or bilateral --> Forearm (2 views) - unilateral or bilateral --> Wrist (3+ views) - unilateral or bilateral --> Hand (3+ views) - unilateral or bilateral --> Finger(s) (2+ views) - unilateral or bilateral --> Bone Age

77080 --> Routine Dexa (Hip and Spine) 77081 --> 1 Site (forearm, wrist or heel) 76977 --> Pixi Heel Scan

70260 70250 70220 70030 70200 70160 70110 70150 70360

--> Skull (Complete-4 views) --> Skull (1-3 Views) --> Sinuses (3+ views) --> Foreign Body Eye (Pre-MRI) --> Orbits (min 4 views) --> Nasal Bones (3+ views) --> Mandible (4+ views) --> Facial Bones (3+ views) --> Neck Soft Tissues

Diagnostic CPT Code Reference Guide

Ultrasound 76700 --> Abdominal Complete 76705 --> Abdominal Limited 76770 --> Retroperitoneal (Kidney, Ureter, Bladder) 76775 --> Kidney (Renal) 76776 --> Transplanted Kidney 76870 --> Testicles (Scrotum) 76856 --> Pelvis, Uterus / Ovaries Complete (Transabdominal) 76830 --> Transvaginal 76857 --> Pelvis Limited (Bladder PVR) 76882 --> Extremity Non-Vascular (Upper and Lower) 76536 --> Thyroid & Thyroid Mapping

Vascular Exams 93880 --> Carotid 93978 --> Abdominal Aorta 76705 --> Abdominal Aorta Screening 93975 --> Abdominal Vascular (Portal / Hepatic) 93971 --> Venous Duplex Upper and Lower Extremity (Unilateral) 93970 --> Venous Duplex Upper and Lower Extremity (Bilateral)

Pre MRI / CT Arthrogram

(Make sure to include CPT Code for MRI / CT study in additon to code below) 27370 and 73580 --> Knee 27648 and 73615 --> Ankle 27093 and 73525 --> Hip 24220 and 73085 --> Elbow 25246 and 73115 --> Wrist 23350 and 73040 --> Shoulder

Fluoroscopy 74240 --> Upper GI without KUB 74246 --> Upper GI with Air without KUB 74245 --> Upper GI with Small Bowel 74249 --> Upper GI with Air and Small Bowel 74250 --> Small Bowel 74280 --> Barium Enema with Air Contrast 74270 --> Barium Enema 76080 --> Fistulogram / Sinogram 74220 --> Esophagram 76000 --> Fluoroscopy of Diaphragm 76000 --> Fluoroscopy of Feeding Tube

PET CT 78815

78816 78608

--> Skull Base to Mid Thigh Breast, Cervical, Colorectal, Esophageal, Head & Neck, Single Pulmonary nodule, Lymphoma, Thyroid, Lung

--> Melanoma (Whole Body) --> Alzheimers, Dementia, Refractory seizures after Cancer

Fluoro Guided Joint Injection 77002 --> CPT is NOT Body Part Specific

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