|
|
|
Procedure |
|
CPT Code |
|
|
|
|
|
|
|
Radiology Dept. |
|
|
|
|
|
General Diagnostic |
|
Chest, Single Frontal |
|
71010 |
|
|
|
Chest, PA & LAT |
|
71020 |
|
|
|
Chest, PA & LAT & Apical Lordotic |
|
71021 |
|
|
|
Chest, PA & LAT, w/Obliques |
|
71022 |
|
|
|
Chest; 2 Views w/Fluoro |
|
71023 |
|
|
|
Chest, 4 Views |
|
71030 |
|
|
|
Chest, Min 4 Views w/ Fluoro |
|
71034 |
|
|
|
Chest, Special Views |
|
71035 |
|
|
|
CVL Subclavian w/Chest X-ray |
|
36556 |
|
|
|
Panoramic (X-Ray of Jaws) |
|
70355 |
|
|
|
Ribs, Bilat Min 4 Views W/PA |
|
71111 |
|
|
|
|
|
|
|
Skeletal Series |
|
Complete Bone Survey-Skeletal Series |
|
77075 |
|
|
|
|
|
|
|
|
|
Diag Mammo, Dir Digital, Unilateral |
|
77055 |
|
|
|
Diag Mammo, Dir Digital, Bilateral |
|
77056 |
|
|
|
Mammography Screen, Bilateral |
|
77057 |
|
|
|
Mammography Screen, CAD |
|
77052 |
|
|
|
|
|
|
|
Nuclear Medicine |
|
Card Blood Pool Imaging, Single (Gated)
MUGA |
|
78472 |
|
|
|
Gated, Heart Multiples (MUGA) |
|
78473 |
|
|
|
|
|
|
|
Bone Imaging |
|
Bone Imaging Whole Body |
|
78306 |
|
|
|
|
|
|
|
PET Scan |
|
PET Tumor Imaging, Limited |
|
78811 |
|
|
|
PET Tumor Imaging, Skull-Thigh |
|
78812 |
|
|
|
PET Whole Body, Melanoma |
|
78811 |
|
|
|
PET Whole Body, Pulmonary Nodule |
|
78810 |
|
|
|
PET, Brain Imaging |
|
78608 |
|
|
|
PET, Chest-Head/Neck |
|
78811 |
|
|
|
PET, Tumor Imaging Full Body |
|
78813 |
|
|
|
PET, Whole Body CT |
|
78816 |
|
|
|
PET, Whole Body, Dx Colorectal CA |
|
78813 |
|
|
|
PET, Whole Body, Dx Esophageal CA |
|
78813 |
|
|
|
PET, Whole Body, Dx Lymphoma |
|
78813 |
|
|
|
PET, Whole Body, Dx Melanoma |
|
78813 |
|
|
|
PET, Whole Body, Init Stage Colorectal |
|
78813 |
|
|
|
PET, Whole Body, Init Stg Esophageal CA |
|
78813 |
|
|
|
PET, Whole Body, Init Stg Lung CA |
|
78813 |
|
|
|
PET, Whole Body, Init Stg Lymphoma CA |
|
78813 |
|
|
|
PET, Whole Body, Init Stg Melanoma |
|
78813 |
|
|
|
PET, Whole Body, Melanoma Non-Covered |
|
78813 |
|
|
|
PET, Whole Body, Reg Dx Head/Neck CA |
|
78813 |
|
|
|
PET, Whole Body, Reg Init Stg Head/Neck
CA |
|
78813 |
|
|
|
PET, Whole Body, Restg Colorectal CA |
|
78813 |
|
|
|
PET, Whole Body, Restg Esophageal CA |
|
78813 |
|
|
|
PET, Whole Body, Restg Head/Neck CA |
|
78813 |
|
|
|
PET, Whole Body, Restg Lung CA |
|
78813 |
|
|
|
PET, Whole Body, Restg Lymphoma |
|
78813 |
|
|
|
PET, Whole Body, Restg Melanoma |
|
78813 |
|
Contrast Agent |
|
Included With Procedure |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
C.T. Scan |
|
CT-Abdomen w/Contrast |
|
74160 |
|
|
|
CT-Abdomen w/oContrast |
|
74150 |
|
|
|
CT-Abdomen wo & w Contrast |
|
74170 |
|
|
|
CT- Bone Density, Skeletal |
|
77078 |
|
|
|
CT- Bone Density, Peripheral |
|
77079 |
|
|
|
CT-Head/Brain w/o Infusion |
|
70450 |
|
|
|
CT-Head/Brain w/Infusion |
|
70460 |
|
|
|
CT-Head/Brain wo & w Infusion |
|
70470 |
|
|
|
CT-Cervical Spine w/o Contrast |
|
72125 |
|
|
|
CT-Cervical Spine w/ Contrast |
|
72126 |
|
|
|
CT-Cervical Spine wo & w Contrast |
|
72127 |
|
|
|
CT Guided Biopsy |
|
76360 |
|
|
|
CT-Lumbar Spine w/o Contrast |
|
72131 |
|
|
|
CT-Lumbar Spine w/Contrast |
|
72132 |
|
|
|
CT Lumbar Spine wo & w Contrast |
|
72133 |
|
|
|
CT- Maxillofacial Area w/o Contrast |
|
70486 |
|
|
|
CT- Maxillofacial Area w/Contrast |
|
70487 |
|
|
|
CT- Maxillofacial Area wo & w
Contrast (Sinuses) |
|
70488 |
|
|
|
CT-Needle Biopsy |
|
|
|
|
|
CT-Pelvis w/o Contrast |
|
72192 |
|
|
|
CT-Pelvis w/Contrast |
|
72193 |
|
|
|
CT-Pelvis wo & w Contrast |
|
72194 |
|
|
|
CT-Soft Tissue Neck, w/o Contrast |
|
70490 |
|
|
|
CT-Soft Tissue Neck, w/Contrast |
|
70491 |
|
|
|
CT-Soft Tissue Neck, wo & w Contrast |
|
70492 |
|
|
|
CT-Thorax w/o Infusion (Chest) |
|
71250 |
|
|
|
CT Thorax with Infusion (Chest) |
|
71260 |
|
|
|
CT- Thorax With w/o Infusion (Chest) |
|
71270 |
|
|
|
CT-Thoracic w/o Contrast |
|
72128 |
|
|
|
CT-Thoracic w/contrast |
|
72129 |
|
|
|
Thoracic Spine wo/w Contrast |
|
72130 |
|
Contrast Agent |
|
Included With Procedure |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MRI |
|
MRI, Abdomen w/o Contrast |
|
74181 |
|
|
|
MRI, Abdomen w/Contrast |
|
74182 |
|
|
|
MRI, Abdomen wo & w Contrast |
|
74183 |
|
|
|
MRI, Breast w/o Contrast, Unilateral
Aurora |
|
77058 |
|
|
|
MRI, Breast w/ Contrast, Unilateral
Aurora |
|
77058 |
|
|
|
MRI, Breast w/wo Contrast, Unilateral
Aurora |
|
77058 |
|
|
|
MRI, Breast w/Contrast, Bilateral Aurora |
|
77059 |
|
|
|
MRI, Breast w/wo Contrast, Bilateral
Aurora |
|
77059 |
|
|
|
MRI, Breast wo & w Contrast |
|
77059 |
|
|
|
MRI, Brain incl Brainstem w/o Contrast |
|
70551 |
|
|
|
MRI, Brain incl Brainstem w/Contrast |
|
70552 |
|
|
|
MRI, Brain wo & w Contrast |
|
70553 |
|
|
|
MRI, Cervical Spine w/o Contrast |
|
72141 |
|
|
|
MRI, Cervical Spine w/Contrast |
|
72142 |
|
|
|
MRI, Cervical Spine w & wo Contrast |
|
72156 |
|
|
|
MRI, Chest w/Sternum Detail |
|
71550 |
|
|
|
MRI, Chest w/Contrast |
|
71551 |
|
|
|
MRI, Chest wo & w Contrast |
|
71552 |
|
|
|
MRI, Femur |
|
74210 |
|
|
|
MRI, Guidance for Needle Placement |
|
77021 |
|
|
|
MRI, Joint Upper Extremity w/o Contrast |
|
73221 |
|
|
|
MRI, Joint Upper Extremity w/Contrast |
|
73222 |
|
|
|
MRI, Joint Upper Extremity wo & w
Contrast |
|
73223 |
|
|
|
MRI, Joint Lower Extremity w/o Contrast |
|
73721 |
|
|
|
MRI, Joint Lower Extremity w/Contrast |
|
73722 |
|
|
|
MRI, Joint Lower Extremity wo & w
Contrast |
|
73723 |
|
|
|
MRI, Limited Cervical Spine w/Contrast |
|
72141 |
|
|
|
MRI, Limited Cervical Spine wo & w
Contrast |
|
72142 |
|
|
|
MRI, Limited Lumbar Spine wo & w
Contrast |
|
72148 |
|
|
|
MRI, Limited Lumbar Spine w/Contrast |
|
72149 |
|
|
|
MRI, Limited Thoracic Spine w/oContrast |
|
72146 |
|
|
|
MRI, Limited Thoracic Spine w/Contrast |
|
72147 |
|
|
|
MRI, Lower Extremity w/Contrast |
|
73719 |
|
|
|
MRI, Lower Extremity wo Contrast |
|
73718 |
|
|
|
MRI, Lumbar Spine w/o Contrast |
|
72148 |
|
|
|
MRI, Lumbar Spine w/Contrast |
|
72149 |
|
|
|
MRI, Lumbar Spine wo & w Contrast |
|
72158 |
|
|
|
MRI, Orbit, Face & Neck w/o Contrast |
|
70540 |
|
|
|
MRI, Orbit, Face & Neck w/ Contrast |
|
70542 |
|
|
|
MRI, Orbit, Face & Neck wo & w Contrast |
|
70543 |
|
|
|
MRI, Thoracic Spine w/o Contrast |
|
72146 |
|
|
|
MRI, Thoracic Spine w/Contrast |
|
72147 |
|
|
|
MRI, Thoracic Spine wo & w Contrast |
|
72157 |
|
|
|
MRI, Pelvis w/o Contrast |
|
72195 |
|
|
|
MRI, Pelvis w/Contrast |
|
72196 |
|
|
|
MRI, Pelvis wo & w Contrast |
|
72197 |
|
|
|
MRI, Upper Extremity w/o Contrast |
|
73218 |
|
|
|
MRI, Upper Extremity w/Contrast |
|
73219 |
|
|
|
MRI, Upper Extremity wo & w Contrast |
|
73220 |
|
|
|
Sedation included with Procedure |
|
|
|
Contrast Agent |
|
Included With Procedure |
|
|
|
|
|
|
|
|
|
UltraSound |
|
Bone Density Measure |
|
76977 |
|
|
|
Abdomen |
|
76700 |
|
|
|
Breast |
|
76645 |
|
|
|
Chest |
|
76604 |
|
|
|
Kidney/Aorta |
|
76770 |
|
|
|
Neck/Thyroid |
|
76536 |
|
|
|
|
|
|
|
Cardiology |
|
|
|
|
|
Heart Station |
|
Electrocardiogram, Tracing* |
|
93005 |
|
|
|
Electrocardiogram, Complete* |
|
93000 |
|
|
|
Electrocardiogram, Report* |
|
93010 |
|
|
|
* All three CPT codes must be selected . |
|
|
|
|
|
|
|
|
|
Non-Invasive Lab. |
|
Cardiovascular Stress Test - Tech |
|
93017 |
|
|
|
CO2/O2 Analysis |
|
94681 |
|
|
|
Doppler Color Flow Velocity Map |
|
93325 |
|
|
|
Doppler, Follow-Up or Limited |
|
93321 |
|
|
|
Doppler, Pulse or Continuous |
|
93320 |
|
|
|
ECG Holter Monitoring |
|
93232 |
|
|
|
Echocardiography (RT, 2D, M-Mode)
Complete |
|
93307 |
|
|
|
Echocardiography Follow-up, Limited |
|
93308 |
|
|
|
Echocardiography, During Card. Stress
Test |
|
93350 |
|
|
|
Echocardiography, Transesophagel |
|
93312 |
|
|
|
Oxygen Saturation w/Exercise |
|
94761 |
|
|
|
|
|
|
|
Cardiac Cath. Lab |
|
Call 526-6806 |
|
|
|
|
|
|
|
|
|
Pulmonary |
|
Breathing Capacity (Spirometry) |
|
94010 |
|
|
|
Residual Lung Capacity (Lung Volumes) |
|
94240 |
|
|
|
Diffusion Capacity (DLCO) |
|
94720 |
|
|
|
Bronchospasm Eval. (Pre/Post
Brochodilator) |
|
94060 |
|
|
|
Maximum Exp Pressure (MIP/MEP) |
|
94799 |
|
|
|
Oximeter Minimal/Spot Check |
|
94760 |
|
|
|
MVV/MBC |
|
94200 |
|
|
|
Pulse Oximetry-Single |
|
94760 |
|
|
|
Pulse Oximetry-Multiple |
|
94761 |
|
|
|
Continuous Overnight Monitoring |
|
94762 |
|
|
|
|
|
|
|
Arterial Blood Gas (ABG) |
|
Blood Gas Only (Ph, CO2, O2) |
|
82803 |
|
|
|
Blood Gas w/Saturation * |
|
82805 |
|
|
|
Carboxyhemoglobin * |
|
82375 |
|
|
|
Methemoglobin * |
|
83050 |
|
|
|
*All three CPT codes must be selected. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bone Densitometry |
|
DXA Bone Density Study Appen/1 Site |
|
77081 |
|
|
|
DXA Bone Density Study Appen/2 Sites |
|
77081 |
|
|
|
DXA Bone Density Study Appen/3 Sites |
|
77081 |
|
|
|
DXA Bone Density Study Axial/2 Sites |
|
77080 |
|
|
|
DXA Bone Density Study Axial/3 Sites |
|
77080 |
|
|
|
DXA VFA Vertebral Fracture Analysis |
|
77082 |
|
|
|
|
|
|
|
Ophthalmology |
|
Eye Exam - New Patient |
|
92002 |
|
|
|
Fluorescein Angiograph |
|
92235 |
|
|
|
Fundus Photography |
|
92250 |
|
|
|
New Patient 46-Above Minutes |
|
99205 |
|
|
|
Ophthalmology Visit Fee |
|
99201 |
|
|
|
Optical Coherence Tomography |
|
92135 |
|
|
|
|
|
|
|
Vascular Lab |
|
Venous Exam Duplex- Bilateral |
|
93970 |
|
|
|
Venous Exam Duplex- Unilateral |
|
93971 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Clinicial Laboratory |
|
Venipuncture for Blood Specimen
Collection |
|
36415 |
| |
|
Absolute Neutrophil Count (ANC) w/diff |
|
85048 |
| |
|
Acetaminophen |
|
82003 |
| |
|
Acid Fast Bacillus (AFB) Smear |
|
87206 |
| |
|
Acid Phosphatase, Total |
|
84060 |
| |
|
ACTH |
|
82024 |
| |
|
Acute Hepatitis panel |
|
80074 |
| |
|
Adenovirus antibody |
|
86603 |
| |
|
Albumin (Serum) |
|
82040 |
| |
|
Albumin (Urine) |
|
82042 |
| |
|
Aldosterone |
|
82088 |
|
|
|
Alkaline Phosphatase (ALP) |
|
84075 |
|
|
|
Alpha-fetoprotein, Serum (AFP) |
|
82105 |
|
|
|
ALT (Alanine Amimo) |
|
84460 |
|
|
|
Amino Acids, Quan, 6 or more |
|
82139 |
|
|
|
Amitriptyline |
|
80152 |
|
|
|
Amphetamines |
|
82145 |
|
|
|
Amylase |
|
82150 |
|
|
|
Antibeta Glycoprotein IAB |
|
83520 |
|
|
|
Antihuman Globulin, Direct (Coombs) |
|
86880 |
|
|
|
Antihuman Globulin, Indirect (Coombs)
titer |
|
86886 |
|
|
|
Antinuclear Antibodies (ANA) |
|
86038 |
|
|
|
APTT |
|
85730 |
|
|
|
Aspergillus, Antibody |
|
86606 |
|
|
|
Aspergillus, Each |
|
87449 |
|
|
|
AST (Transferase) |
|
84450 |
|
|
|
B-12 |
|
82607 |
|
|
|
Barbiturates |
|
82205 |
|
|
|
Beta-2 Microglobulin (B2M) |
|
82232 |
|
|
|
Beta HCG (Quant) |
|
84702 |
|
|
|
Bilirubin Direct (BIL) |
|
82248 |
|
|
|
Bilirubin Total (BIL) |
|
82247 |
|
|
|
Biocarbonate (CO2) |
|
82374 |
|
|
|
Blood, Carbon Dioxide |
|
82374 |
|
|
|
Blood, Culture for Bacteria |
|
87040 |
|
|
|
Blood Count, Complete (CBC) auto |
|
85027 |
|
|
|
Blood Typing, ABO |
|
86900 |
|
|
|
Blood Typing, Rh (D) |
|
86901 |
|
|
|
Blood Typing, Antigen Screen |
|
86903 |
|
|
|
Blood Serology, (RPR) Qualitative |
|
86592 |
|
|
|
Blood Serology, (RPR) Quanititative |
|
86593 |
|
|
|
Blood Smear, Micro, W/Manual Diff |
|
85007 |
|
|
|
Blood Smear, Scan, W/O Manual Diff |
|
85008 |
|
|
|
Bone AP |
|
84080 |
|
|
|
Bone Marrow Aspiration |
|
38220 |
|
|
|
B-Type Natruiretic Peptide (BNP) |
|
83880 |
|
|
|
BUN |
|
84520 |
|
|
|
C Diff A & B EIA |
|
87324 |
|
|
|
C-Peptide |
|
84681 |
|
|
|
CA 125 |
|
86304 |
|
|
|
Calcium, Blood, Chemical |
|
82310 |
|
|
|
Calcium, Ionized |
|
82330 |
|
|
|
Calcium, Urine |
|
82340 |
|
|
|
CBC, Automated w/Auto WBC Diff |
|
85025 |
|
|
|
CEA (Carcinoembyonic Antigen) |
|
82378 |
|
|
|
CEA/CSF |
|
82378 |
|
|
|
Chemiluminescent |
|
82397 |
|
|
|
Chlamydia Culture |
|
87110 |
|
|
|
Chloride (CL) |
|
82435 |
|
|
|
Chloride (CL) (Urine) |
|
82436 |
|
|
|
Cholesterol (Total) |
|
82465 |
|
|
|
Cholinesterase |
|
82480 |
|
|
|
Chromosome Analysis, 15-20 |
|
88262 |
|
|
|
Chromosome Analysis, 20-25 |
|
88264 |
|
|
|
Clostridium ag, eia |
|
87324 |
|
|
|
Clotting, Factor VIII |
|
85240 |
|
|
|
CMV Antibody |
|
86644 |
|
|
|
CMV Antibody Titer |
|
86406 |
|
|
|
CMV IGM Antibody |
|
86645 |
|
|
|
CMV by PCR, Quantitative |
|
87496 |
|
|
|
CO2 |
|
82374 |
|
|
|
Cocaine |
|
82520 |
|
|
|
Collagen Crosslinks (N-Telepeptide) |
|
82523 |
|
|
|
Compatibility Test, Spin |
|
86920 |
|
|
|
Complement, Antigen (C3) (C4) |
|
86160 |
|
|
|
Concentration and Decontam-AFB |
|
87015 |
|
|
|
Cortisol, free (Serum/Urine) |
Ref Lab |
82530 |
|
|
|
Cortisol, total |
|
82533 |
|
|
|
Crossmatch Immediate Spin |
|
86920 |
|
|
|
Culture, Aerobic, Routine |
|
87070 |
|
|
|
Culture, Blood |
|
87040 |
|
|
|
Culture Fungi, Blood |
|
87103 |
|
|
|
Culture, Fungi, Other Source |
|
87102 |
|
|
|
Culture Urine, Quan |
|
87086 |
|
|
|
Antihuman Globulin, Direct (Coombs) |
|
86880 |
|
|
|
Antihuman Globulin, Indirect (Coombs)
titer |
|
86886 |
|
|
|
Cathecholamines (Urine) |
|
83382 |
|
|
|
CPK, Creatinine Kinase Total |
|
82550 |
|
|
|
C-Reactive Protein (CRP) |
|
86140 |
|
|
|
C-Reactive Protein (CRP), HS |
|
86141 |
|
|
|
Creatinine |
|
82565 |
|
|
|
Creatinine Clearance |
|
82575 |
|
|
|
Creatinine Kinase (CPK) |
|
82550 |
|
|
|
Creatinine, Urine |
