CPT CODES (w NM) 2018

1 78459 PET MYOCARDIAL VIABILITY78608 PET BRAIN (METABOLIC EVALUATION)78814 PET/CT TUMOR IMAGING, LTD. (eg. Chest, Head, Neck)78815 PET/CT TUMOR IMAGING, SKULL BASE TO MID THIGH78816 PET/CT TUMOR IMAGING, WHOLE BODY (MELANOMA)70540 MRI ORBIT, FACE, NECK, SELLA W/O CONTRAST78816 PET NaF BONE SCAN70543 MRI ORBIT, FACE, NECK, SELLA W/O & W/ CONTRAST70551 MRI BRAIN W/O CONTRAST70553 MRI BRAIN W/O & W/ CONTRAST76706 US ABDOMINAL AORTIC ANEURYSM (AAA) SCREENING72141 MRI CERVICAL SPINE W/O CONTRAST76506 US HEAD72146 MRI THORACIC SPINE W/O CONTRAST76536 US SOFT TISSUE HEAD/NECK/THYROID72148 MRI LUMBAR SPINE W/O CONTRAST76604 US CHEST72156 MRI CERVICAL SPINE W/O & W/ CONTRAST76641 US BREAST UNILATERAL COMPLETE72157 MRI THORACIC SPINE W/O & W/ CONTRAST76642 US BREAST UNILATERAL LIMITED72158 MRI LUMBAR SPINE W/O & W/ CONTRAST76700 US ABDOMEN COMPLETE72195 MRI PELVIS W/O CONTRAST76705 US ABDOMEN LIMITED - SINGLE ORGAN72197 MRI PELVIS W/O & W/ CONTRAST76770 US RENAL/AORTA (RETROPERITONEAL)

2 , COMPLETE73218 MRI UPPER EXTREMITY W/O CONTRAST NO JOINT76775US RENAL/AORTA, LIMITED73220 MRI UPPER EXTREMITY W/O & W/ CONTRAST NO JOINT76800 US SPINE & CONTENTS73221 MRI UPPER EXTREMITY JOINT W/O CONTRAST76801US OB 1st TRIMESTER W/ TRANSVAGINAL (& 76817)73223 MRI UPPER EXTREMITY JOINT W/O & W/ CONTRAST76805 US OB COMPLETE > 14 WEEKS73718 MRI LOWER EXTREMITY W/O CONTRAST NO JOINT76815US OB LIMITED73720 MRI LOWER EXTREMITY W/O & W/ CONTRAST NO JOINT76831 HYSTEROSONOGRAM73721 MRI LOWER EXTREMITY JOINT W/O CONTRAST76856 US PELVIC (NON-OB) COMPLETE73723 MRI LOWER EXTREMITY JOINT W/O & W/ CONTRAST76856 US PELVIC (NON-OB) W/ TRANSVAGINAL (& 76830)74181 MRI ABDOMEN W/O CONTRAST76857 US PELVIC (NON-OB) LIMITED74183 MRI ABDOMEN W/O & W/ CONTRAST76870 US TESTICULAR7705976881 US EXTREMITY COMPLETE0159T76882 US EXTREMITY LIMITED76885 US INFANT HIPS93880 US CAROTID DUPLEX70544 MRA HEAD W/O CONTRAST93922 VASCULAR DOPPLER LTS (ABI)

3 70546 MRA HEAD W/O & W/ CONTRAST93923 VASCULAR DOPPLER ARTERIAL LOWER EXTREMITY70547 MRA NECK W/O CONTRAST93970 US DOPPLER VENOUS LOWER EXTREMITY BILAT70549 MRA NECK W/O & W/ CONTRAST93971 US DOPPLER VENOUS LOWER EXTREMITY UNILAT71555 MRA CHEST W/O OR W/ CONTRAST93975 US DOPPLER ABOMEN OR RENAL ARTERIES COMP72198 MRA PELVIS W/O OR W/ CONTRAST93976 US DOPPLER ABDOMEN LIMITED73225 MRA UPPER EXTREMITY W/O OR W/ CONTRAST73725 MRA LOWER EXTREMITY W/O OR W/ CONTRAST74185 MRA ABDOMEN W/O OR W/ CONTRAST77067 SCREENING MAMMOGRAPHY DIGITAL, BILATERAL77065 DIAGNOSTIC MAMMOGRAPHY DIGITAL, UNILATERAL77066 DIAGNOSTIC MAMMOGRAPHY DIGITAL, BILATERAL7708077061 3D DIAGNOSTIC MAMMOGRAM DIGITAL, UNILATERAL77062 3D DIAGNOSTIC MAMMOGRAM DIGITAL, BILATERAL77063 3D SCREENING MAMMOGRAPHY DIGITAL, BILATERLMRI BREAST W/ CAD RECONSTRUCTIONCPT CODES 2018 MAMMOGRAPHYMRAMRIPET/CTBONE MINERAL DENSITY, AXIAL SKELETON (HIPS, PELVIS, SPINE)

4 DEXAULTRASOUNDR evised 01/201870450 CT HEAD W/O CONTRAST70496 CTA HEAD W/O & W/ CONTRAST70460 CT HEAD W/ CONTRAST70498 CTA NECK W/O & W/ CONTRAST70470 CT HEAD W/O & W/ CONTRAST71275 CTA CHEST W/O & W/ CONTRAST70480 CT ORBITS, MASTOIDS, TEMP BONES W/O CONTRAST71275 CTA CHEST (PULMONARY)70481 CT ORBITS, MASTOIDS, TEMP BONES W/ CONTRAST71275 CTA CHEST (THORACIC AORTA)70482 CT ORBITS, MASTOIDS, TEMP BONES W/O & W/ CNTRST73206 CTA UPPER EXTREMITY W/O & W/ CONTRAST70486 CT MAXILLOFACIAL W/O CONTRAST (SINUS)73706 CTA LOWER EXTREMITY W/O & W/ CONTRAST70487 CT MAXILLOFACIAL W/ CONTRAST74174 CTA ABDOMEN/PELVIS70488 CT MAXILLOFACIAL W/O & W/ CONTRAST74175 CTA ABDOMEN (only)

5 W/O & W/ CONTRAST70490 CT SOFT TISSUE NECK W/O CONTRAST75571 CTA CALCIUM SCORE ONLY70491 CT SOFT TISSUE NECK W/ CONTRAST75572 CTA CARDIAC70492 CT SOFT TISSUE NECK W/O & W/ CONTRAST75574 CTA CORONARY71250 CT CHEST W/O CONTRAST75635 CTA ABDOMINAL AORTA W-RUNOFF71260 CT CHEST W/ CONTRAST71270 CT CHEST W/O & W/ CONTRAST72125 CT CERVICAL SPINE W/O CONTRAST78315 BONE SCAN 3-PHASE72126 CT CERVICAL SPINE W/ CONTRAST78306 BONE SCAN WHOLE BODY72127 CT CERVICAL SPINE W/O & W/ CONTRAST78320 BONE SPECT72128 CT THORACIC SPINE W/O CONTRAST78306/20 BONE SCAN WHOLE BODY W/SPECT72129 CT THORACIC SPINE W/ CONTRAST78607 BRAIN (DaTscan)72130 CT THORACIC SPINE W/O & W/ CONTRAST78806/07 GALLIUM SCAN W/ SPECT - INFECTION72131 CT LUMBAR SPINE W/O CONTRAST78802/03 GALLIUM SCAN W/ SPECT - TUMOR72132 CT LUMBAR SPINE W/ CONTRAST78264 GASTRIC EMPTYING72133 CT LUMBAR SPINE W/O & W/ CONTRAST78205 HEMANGIOMA (LIVER SPECT)72192 CT PELVIS (only) W/O CONTRAST78226 HEPATOBILIARY (HIDA)72193 CT PELVIS (only) W/ CONTRAST78227 HEPATOBILIARY (HIDA) W/ CCK72194 CT PELVIS (only)

6 W/O & W/ CONTRAST79005 I-131 HYPERTHYROID TREATMENT73200 CT UPPER EXTREMITY W/O CONTRAST79005 I-131 THYROID ABLATION73201 CT UPPER EXTREMITY W/ CONTRAST78018 I-131 WHOLE BODY SCAN73202 CT UPPER EXTREMITY W/O & W/ CONTRAST78205 LIVER/SPLEEN W/ SPECT73700 CT LOWER EXTREMITY W/O CONTRAST78290 MECKEL'S DIVERTICULUM73701 CT LOWER EXTREMITY W/ CONTRAST7807573702 CT LOWER EXTREMITY W/O & W/ CONTRAST7880374150 CT ABDOMEN (only) W/O CONTRAST78802/03 MIBG SCAN TUMOR IMAGING W/SPECT (NEUROBLASTOMA)74160 CT ABDOMEN (only) W/ CONTRAST78472 MUGA74170 CT ABDOMEN (only) W/O & W/ CONTRAST78804/03 OCTREOSCAN W/SPECT74176 CT ABDOMEN & PELVIS W/O CONTRAST78072 PARATHYROID SCAN W/ SPECT/CT74177 CT ABDOMEN & PELVIS W/ CONTRAST78708 RENAL W/LASIX74178 CT ABDOMEN & PELVIS W/O & W/ CONTRAST78014 THYROID UPTAKE AND SCAN76376 CT/MRI CORONAL, SAG &/OR 3D RECONSTRUCTION78582 V/Q LUNG SCAN78805 WBC LIMITED (In111 or Tc99m)78102 BONE MARROW LIMITEDG0297 CT LUNG SCREENING Central Scheduling P: F: CORONAL, SAG &/OR 3D RECONSTRUCTION REQUIRING POSTPROCESSING ON INDEPENDENT WORKSTATION76377 CTANUC MEDCTMIBG SCAN ADRENAL IMAGING w/SPECT (PHEOCHROMOCYTOMA)Revised 01/ 2018