Commonly Used CPT Codes for CT (Computed Tomography)

1 Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555 Procedure CPT Code Indications CT Abdomen Pelvis with and without IV Contrast 74178 IVP, Hematuria-Kidneys, Ureter, Bladder CT Abdomen Pelvis with IV Contrast 74177 Emergent Appendicitis CT Abdomen Pelvis without IV Contrast 74176 KUB Renal Colic - Kidney Stones, Ureters, Bladder CT Abdomen with and without IV Contrast 74170 Pancreas, Liver, Adrenal CT Angiogram Abdomen Pelvis with and or without IV Contrast 74174 CT Angiography - Aorta, Bifurcation, Mesenteric, Internal/Ext Iliac Arteries, Aneurysm, Dissection CT Angiogram Abdomen with and or without IV Contrast 74175 CT Angiography- Visualization of Abdominal Aorta, Splenic, Celiac and Renal Arteries CT Angiogram Abdominal Aorta and Iliofemoral Runoff with and or without IV Contrast 75635 CT Angiography.

2 Visualization Abdominal , Pelvic and Bilateral Lower Extremity Arteries CT Angiogram Chest Abdomen Pelvis with and without IV Contrast 71275 72174 Combined CT Angiogram Chest/Abdomen/Pelvis CT Angiogram Chest with and without IV Contrast 71275 CT Chest Angiography- Visualization Chest Great Vessels, Pulmonary Arteries, Thoracic Aorta. Pulmonary Embolism, Aneurysm, Dissection, Widen Mediastinum Commonly Used CPT Codes for CT (Computed Tomography) Harrison Imaging Centers Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555 Procedure CPT Code Indications CT Cervical Spine with IV Contrast 72126 Abscess , Infection, Discitis CT Cervical Spine without IV Contrast 72125 Trauma, Fracture, Neck Pain, Degenerative Disc Disease , HNP CT Chest High Resolution 71250 Follow up on Pulmonary Nodule CT Chest with IV Contrast 71260 Most common, Lung, Chest Mass, Nodule, Tumor, Pneumonia, Abscess, abnormal Chest X-ray, SOB, Chest Pain CT Chest without IV Contrast 71250 Follow up on Pulmonary Nodule CT Enterography Abdomen and Pelvis with IV Contrast 74177 Bowel Disease, Crohn s Disease CT Head with IV Contrast 70460 Tumor or Mass, Metastatic Disease, Abscess, Infection, Follow-up CT Head without IV Contrast 70450 Most common, Acute Headaches , Trauma Bony Abnormality, Fracture, Dizziness, CVA, TIA, Dementia, Altered Mental Status (AMS)

3 CT Heart Calcium Score without IV Contrast 75571 Calcium Score Quantification CT Landmark Sinus without IV Contrast 70486 Pre-Surgical Scan- Sinus Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555 Procedure Name CPT Code Indications CT Lower Extremity with IV Contrast 73701 Soft Tissue, Mass, Tumor, Cellulites, Abscess. Infection, Osteomyelitis. Limit scan area to area of interest *Not CT Angiogram CT Lower Extremity without IV Contrast 73700 Trauma, Fracture, Bone Detail, Erosion, Post Op Fracture Status, Non-Union Limit scan area to area of interest CT Lumbar Spine with IV Contrast 72132 After myelogram, Abscess, Infection, Discitis CT Lumbar Spine without IV Contrast 72131 Trauma, Fracture, Low Back Pain, Degenerative Disc Disease , HNP CT Maxillofacial without IV Contrast 70486 Trauma, Fracture CT Pelvis with IV Contrast 72193 Evaluate organs of the Pelvis- Bladder, Ovaries, Uterus, Prostate.

4 LLQ or RLQ Pain, Mass, Pelvic Tumor, Inguinal Hernia, Abscess *Not usually ordered without CT Abdomen. CT Pelvis without IV Contrast 72192 Evaluate Bony structures of the Pelvis-Trauma, Fracture, Lesions CT Soft Tissue Neck with IV Contrast 70491 Soft Tissue Structures, Thyroid, Lymph Nodes, Larynx, Salivary Glands- Tumor or Mass, Difficulty Swallowing, Enlarged Lymph Nodes, Lymphoma, Abscess Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555 Epic Procedure Name CPT Code Indications CT Thoracic Spine with IV Contrast 72129 After myelogram, Abscess, Infection, Discitis CT Thoracic Spine without IV Contrast 72128 Trauma, Fracture, Mid Back Pain, Degenerative Disc Disease , HNP CT Upper Extremity with IV Contrast 73201 Soft Tissue, Mass, Tumor, Cellulites, Abscess, Infection, Osteomyelitis. Limit scan area to area of interest only *Not CT Angiogram CT Upper Extremity without IV Contrast 73200 Trauma, Fracture, Bone Detail, Erosion.

5 Post Op Fracture status, Non-Union Limit scan area to area of interest only Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria . ACR Appropriateness Criteria are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes. Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo.

6 (360) 479-6555 Procedure CPT Code Indications MRI Abdomen with and without IV Contrast 74183 Liver, Spleen, Kidneys, Adrenal glands, Pancreas, Tumor, Mass, Cysts MRI Abdomen without IV Contrast 74181 Evaluate Gallbladder, Common Bile Duct, Pancreatic Duct, Stones MRI Angiogram Abdomen with and without IV Contrast 74185 MR Angiogram-Abdominal Aorta to include bifurcation-Renal, Celiac, Super/Inferior Mesenteric Arteries MRI Angiogram Chest with and without IV Contrast 71555 MR Angiogram- Great Vessels MRI Angiogram Head with and without IV Contrast 70546 MR Angiogram- Brain, Aneurysm, Stroke MRI Angiogram Neck with and without IV Contrast 70549 MR Angiogram -Carotid, Subclavian and Vertebral Arteries-Include Aortic Arch to Circle of Willis MRI Ankle with and without IV Contrast 73723 Inflammation, Infection, Osteomyelitis, Tumor, Mass MRI Ankle without IV Contrast 73721 Most Common. Ligament/Tendon Tears, Avascular Necrosis, Trauma, FX MRI Brachial Plexus 71552 Chest Mass, Tumor MRI Brain with and without IV Contrast 70553 MS, Cancer History, IAC MRI Brain without IV Contrast 70551 Routine, Headache MRI Breast with and without IV Contrast 77059 New Cancer Diagnosis, History Commonly Used CPT Codes for MRI Harrison Imaging Centers Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo.

7 (360) 479-6555 Procedure CPT Code Indications MRI Cervical Spine with and without IV Contrast 72156 MS, Cancer History, Cord lesion, Discitis MRI Cervical Spine without IV Contrast 72141 Most Common - Neck Pain, Suspected HNP, Trauma MRI Elbow with and without IV Contrast 73223 Inflammation, Infection, Osteomyelitis, Tumor, Mass MRI Elbow with IV Contrast 73222 Arthrogram Tear, Ligament Injury, Surgery MRI Elbow without IV Contrast 73221 Most Common - Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis MRI Foot with and without IV Contrast 73720 Inflammation, Infection, Osteomyelitis, Tumor, Mass MRI Foot without IV Contrast 73718 Most Common - Ligament or tendon Tear, Trauma, FX MRI Hip with and without IV Contrast 73723 Inflammation, Infection, Osteomyelitis, Tumor, Mass MRI Hip with IV Contrast 73722 Arthrogram Tear, Ligament Injury, Surgery MRI Knee with and without IV Contrast 73723 Inflammation, Infection, Osteomyelitis, Tumor, Mass MRI Knee with IV Contrast 73722 Arthrogram Tear, Ligament Injury, Surgery MRI Knee without IV Contrast 73721 Most Common - Ligament/Tendon Tears, Meniscal Tears, Avascular Necrosis, Trauma, FX Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo.

8 (360) 479-6555 Procedure CPT Code Indications MRI Lumbar Spine with and without IV Contrast 72158 MS, Cancer History, Cord Lesion, Discitis, Tumor, Post-operative MRI Lumbar Spine without IV Contrast 72148 Most Common - Back Pain, Suspected HNP, Trauma MRI MRCP without IV Contrast 74181 Evaluate Gallbladder, Common Bile duct, Pancreatic Duct, Stones MRI Orbit Face and or Neck with and without IV Contrast 70543 Inflammation, Infection, Osteomyelitis, Tumor, Mass MRI Orbit Face and or Neck without IV Contrast 70540 Larynx, Lymph Nodes MRI Pelvis with and without IV Contrast 72197 Inflammation, Infection, Osteomyelitis, Pelvic organs- Uterus, Bladder, Prostate, Ovaries MRI Pelvis without IV Contrast 72195 Bony Pelvis, Uterus, Defecogram MRI Prostate with and without IV Contrast 72197 Prostate Specific Protocol *Schedule at Bremerton Prostate Coil only MRI Shoulder with and without IV Contrast 73223 Inflammation, Infection, Osteomyelitis, Tumor, Mass MRI Shoulder with IV Contrast 73222 Arthrogram Tear, Ligament Injury, Surgery MRI Shoulder without IV Contrast 73221 Most Common - Rotator cuff Tear, Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis MRI Temporomandibular Joints 70336 TMJ, Dental Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo.

9 (360) 479-6555 Procedure CPT Code Indications MRI Thoracic Spine with and without IV Contrast 72157 MS, Cancer History, Spinal Surgery History, Discitis MRI Thoracic Spine without IV Contrast 72146 Most Common - Mid Back Pain, Suspected HNP, Trauma MRI Wrist with and without IV Contrast 73223 Inflammation, Infection, Osteomyelitis, tumor, Mass MRI Wrist with IV Contrast 73222 Arthrogram Tear, Ligament Injury, Surgery MRI Wrist without IV Contrast 73221 Most Common - Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria . ACR Appropriateness Criteria are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology.

10 For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes. Commonly Used CPT Codes for MRI Harrison Imaging Centers Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555 Procedure CPT Code Indications US Abdomen Complete 76700 Abdominal Pain, Nausea and/or Vomiting, Abnormal Liver Function Test US Abdomen Limited 76705 Specific Organ or Region - Hernia, Pyloric Stenosis, Appendix, RUQ, Abdominal Wall Evaluation , Gallstones, Hepatitis US Abdominal Aorta Limited 76775 Diagnostic Aorta Evaluation US Breast Biopsy Initial Lesion 19083 Mass, Lesion US Breast Complete 76641 Screening - Complete Breast and Axilla US Breast Limited 76642 Diagnostic - Specific Targeted Area US Chest 76604 Pleural Effusion, Mass US Extremity Non Vascular Limited 76882 Joint Pain, Tendon/Ligament Pain, Fluid Collection, Mass US Fetal Biophysical Profile without Non Stress Testing 76819 Biophysical Profile Only.