|
|
|
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 |
|
|
