CT EXAM CPT CODE REFERENCE - Wake Radiology

1 STUDYCPT DeSCriPTionCPT CoDeinDiCaTion for exam or STUDYConTraSTreqUireD?SPeCialTYCT HeaDCT Head or brain without contrast70450 TraumaHeadachesCVAS troke/BleedAlzheimer sMemory loss/ConfusionShunt checkHydrocephalusTIAC hange in mental statusDizziness/VertigoNoneuroCT Head or brain with and without contrastNote: MRI Brain with/without contrast is cancer HIVI ntracranial infectionNote: CT can be used if there are contraindications for sneuroCTa HeaD Circle of WillisCTA Head with and without contrastNote: MRA Brain without contrast is 3rd nerve palsyFamily history of aneurysm Vascular malformationNote.

2 CT can be used if there are contraindications for sneuroCT orbiTSCT Orbits/Sella/Posterior Fossa or ear without contrast70480 Trauma Foreign bodyFracture Bony abnormalitiesNoneuroCT Orbits/Sella/Posterior Fossa or ear with and without contrast70482 Infection PainAbscess/Cellulitis Mass/Tumor/CancerYe sneuroCT SinUSCT Maxillofacial without contrast70486 Sinusitis CongestionMass Nasal polypsPain Deviated septumForeign body Sinus headacheNoneuroCT faCe From orbits to mandibleCT Maxillofacial without contrast70486 Trauma FracturePain Bony abnormalityNoneuroCT Maxillofacial with contrast70487 Tumor InfectionSwelling/Mass in face AbscessYe sneuroCT TemPoral boneS/maSToiDSCT Orbits/Sella/Posterior Fossa or ear without contrast70480 Conductive hearing loss Drainage in earTinnitus (ringing in ears)

3 MassCholesteatoma FractureNoneuroCT Orbits/Sella/Posterior Fossa or ear with and without contrast Note: MRI Brain is usually neuroma/Sensorineural hearing lossNote: CT can be used if there are contraindications for MRI. As Determined by RadiologistneuroCT neCkCT Soft tissue neck with contrast70491 Focal mass DysphagiaSwollen lymph nodes GoiterLymphoma Esophageal cancerYe sneuroCT Soft tissue neck with and without contrast70492 Salivary gland stoneAs Determined by RadiologistneuroCTa neCk arTerieSCT Angiography neck with and without contrast 70498 Carotid stenosis BruitStroke/CVA/TIA Abnormal carotid sonogramYe sneuroCT SPineCT Cervical without contrastCT Thoracic without contrastCT Lumbar without

4 Contrast721257212872131 Pain FractureTrauma Post-op/FusionDegenerative disc diseaseNoneuroCT abDomen: GeneralCT Abdomen with contrast74160 Upper abdominal pain MassRUQ or LUQ pain Unexplained weight lossAbnormal abdominal US HerniaNeoplasm TraumaYe sbodyCT abDomen: liverCT Abdomen with and without contrastNote: MRI Abdomen may be preferred in some circumstances. Consult the LFTs HepatomaRUQ pain HemachromatosisAbnormal abdominal US HemangiomaJaundice HepatitisHistory of liver cancer Cirrhosis Liver transplantYe sbodyCT abDomen & PelviS.

5 GeneralFrom lung bases to pubisCT Abdomen with contrast74177 Generalized abdominal pain/Pelvic painMass Unexplained weight lossRLQ or LLQ pain TraumaAppendicitis Rectal bleedingLymphoma Constipation/ObstructionNausea/Vomiting/ Diarrhea Inflammatory bowel disease Ventral hernia METSB loody stool Diverticulitis Ovarian cancer staging Diverticulosis Neoplasm Peritoneal infection/AbscessProstate/Colon cancer stagingAbnormal lower abdomen/Pelvic US All cancer staging except melanoma or carcinoidYe sbodyCT Abdomen without contrast 1 or bothwith contrast 1 or both74178 Cancer staging for melanoma or carcinoidYe sbodyCT PelviS: Soft Tissue From iliac crest to pubisCT Pelvis with contrastNote: MRI Pelvis is generally preferred for gynecological indications.

6 Consult the or RLQ Pain Ovarian cancerPelvic pain Umbilical/Lower ventral herniaGroin pain TraumaAbnormal pelvic US Adnexal massPelvic mass Soft tissue massinfection CellulitisAbscess Tumor/MetsYe sbodyCT abDomen & PelviS: enTerograPHY CT Abdomen with contrast74177 Crohn s diseaseSuspected small bowel tumorsMesenteric/Intestinal bleedingSuspected GI bleedingEvaluation of bowel patencyYe sbodyCT CHeST: GeneralCT Chest with contrast71260 Abnormal CXR NeoplasmAdenopathy AbscessPneumonia Pulmonary noduleCough Enlarged aortic archHemoptysis Lung lesionSarcoidosis LymphadenopathyHilar abnormality Asbestos exposureHx Cancer/Tumor/Mets Shortness of breathChest pain Abdominal aortic aneurysmPulmonary embolism Thoracic aneurysmAortic dissection Chest wall

7 Pain/MassYe sbodyCT CHeST: HigH reSolUTion CT Chest without contrast, high resolution71250 Interstitial disease COPD/EmphysemaFibrosis Asbestos exposureBronchiectasis Lung noduleHypersensitivity lung diseaseAs Determined by RadiologistbodyCT abDomen & PelviS: renal ST one ProToColCT Abdomen & Pelvis without contrast74176 Hematuria StoneFlank plain ProstatitisLow back pain DysuriaUrinary frequency NobodyCT abDomen: Tri-PHaSe renalCT Abdomen with and without contrast74170 Hematuria Renal Failure/Mass/TransplantFlank Pain HypertensionHydronephrosis History of renal cancerLow back pain History of stonesAbnormal US Polycystic kidney diseaseYe sbodyCT abDomen & PelviS.

8 UrogramUrinary System, kidneys to bladderCT Abdomen without contrast 1 or bothwith contrast 1 or both74178 Abnormal cystogram History of renal cancerPainless hematuria Abnormal renal USBladder mass or tumor Suspected renal massYe sbodyCT abDomen: aDrenalCT Abdomen with and without contrast74170 Adrenal massYe sbodyCT angiograPHY abDomenCT Angiography Abdomen, with contrast including non-contrast images if performed and image post-processingNote: Some indications also require CTA Pelvis to fully evaluate artery stenosis TraumaMesenteric ischemiaYe sbodyCT angiograPHY abDomen & PelviSCT Angiography Abdomen and Pelvis, with contrast including non-contrast images if performed and image post-processing74174 Dissection Pre-stent graftingRetroperitoneal bleed Abnormal USAbdominal aortic aneurysm (AAA)Ye sbodyCT angiograPHY rUnoff.

9 AbDomen & bilaTeral loWer exTremiTieSCT Angiography Abdominal aorta and bilat-eral iliofemoral lower extremity runoff, with contrast including non-contrast images if performed and image post-processingNote: Some indications may be better visualized with MRI or Preop for aortoiliac occlusionPVD VasculitisPre/post ops for stent graftsVenous thrombosis (not clear on other imaging) Ye sbodyCT exTremiTiY:Upperhand, wrist, elbow, radius/ulna, humerus, shoulder, SC jointlowerfoot, ankle, knee, hip, tibia/fibula, femurCT Extremity with contrast:Upper Extremity with contrastLower Extremity with contrast7320173701 InfectionTumor/Mass/Cancer/MetsNote: MRI is more sensitiveYe sorthoCT Extremity without contrastUpper Extremity Lower Extremity7320073700 Pain FusionArthritis MalunionFractureNoorthoCT PelviS:bonY HiPSaCeTabUlUm CT Pelvis without contrastNote: MRI Pelvis may be preferred study in some circumstances.

10 Consult the ArthritisFracture Bone lesionsCancer/MetsNoorthoCT EXAM CPT CODE REFERENCEUse this REFERENCE to quickly determine the correct exam for your patients based on the indications described herein and the CPT for the include creatinine levels for patients over 60 years or with history of renal failure. If not available, Creatinine levels can be obtained prior tocontrasted studies, if needed, at all Wake Radiology locations. Call if you have any questions 919-232-4700.