Diagnostic CPT Code Reference Guide CT Scans

1 70450-->Without IV Contrast70486-->Without IV Contrast70460-->With IV Contrast70487-->With IV Contrast70470-->With and Without IV Contrast70488-->With and Without IV Contrast76377-->3D Image Post Processing77011-->Instatrak Guidance Headset - include CPT 70486 70480-->Without IV Contrast70490-->Without IV Contrast70481-->With IV Contrast70491-->With IV Contrast70482-->With and Without IV Contrast70492-->With and Without IV Contrast76377-->3D Image Post Processing71250-->Without IV Contrast74176-->Without IV Contrast71260-->With IV Contrast74177-->With IV Contrast71270-->With and Without IV Contrast74178-->With and Without IV Contrast71275-->CT Pulmonary Vein74261--> Diagnostic Virtual ColonoscopyG0297-->(Medicare) CT Lung Cancer ScreeningS8032-->(Commercial) CT Lung Cancer Screening74150-->Without IV Contrast72192-->Without IV Contrast74160-->With IV Contrast72193-->With IV Contrast74170-->With and Without IV Contrast72194-->With and Without IV Contrast74261--> Diagnostic Virtual Colonoscopy74261--> Diagnostic Virtual Colonoscopy72125-->Without IV Contrast72128-->Without IV Contrast72126-->With IV Contrast72129-->With IV Contrast72127-->With and Without IV Contrast72130-->With and Without IV ContrastTHORACIC SPINESOFT TISSUE NECKORBIT/SELLA (Temporal Bones, Mastoids, IACs) Diagnostic CPT Code Reference GuideCT ScansHEADMAXILLOFACIAL (Facial Bones, Mandible, Sinus)CERVICAL SPINEPELVIS (Umbilical area & below including sacrum and coccyx)ABDOMEN (Umbilical Area and above)CHEST (Thorax, SC Joints, Clavicle / Sternum)

2 ABDOMEN / PELVISD iagnostic CPT Code Reference GuideCT Scans72131-->Without IV Contrast73700-->Without IV Contrast72132-->With IV Contrast73701-->With IV Contrast72133-->With and Without IV Contrast73702-->With and Without IV Contrast76377-->3D Image Postprocessing77073-->Scanogram (Leg Length)70496-->CTA Head73200-->Without IV Contrast70498-->CTA Neck73201-->With IV Contrast71275-->CTA Chest73202-->With and Without IV Contrast74175-->CTA Abdomen 76377-->3D Image Postprocessing75635-->CTA Abdominal Aorta w/ runoffs73706-->CTA Lower Extremity75574-->CTA Cardiac / Coronary75571-->CT Cardiac Calcium Score74174-->CTA Abdomen/Pelvis72191-->CTA Pelvis73206-->CTA Upper ExtremityCT ANGIOGRAMUPPER EXTREMITYLOWER EXTREMITYLUMBAR SPINE71020-->Chest (Pa/Lateral)72050-->Cervical Spine (4-5 views)71101-->Ribs (Unilateral) w/ PA Chest72052-->Cervical Spine W/ Flex/Ext (6+ views)74400-->Ribs (Unilateral) w/o PA Chest72040-->Cervical Spine Flex/Ext ONLY (2-3 views)71111-->Ribs (Bilateral) w/ PA Chest72072-->Thoracic spine (3 views)71110-->Ribs ( Bilateral) w/o PA Chest72070-->Thoracic Spine (2 views)74000-->Abdomen 1 view (KUB)72110-->Lumbar Spine (min 4 views)74022-->Obstruction Series72114-->Lumbar Spine w/ Flex/Ext (6+ views)72170-->Pelvis (1 or 2 views)72120-->Lumbar Spine Flex/Ext ONLY (2-3 views)73502-->Hip (Unilateral) w/ or w/o pelvis view (2-3 views)72080-->Thoracolumbar (min 2 views)73522-->Hip (Bilateral) w/o pelvis view (3-4 views)72202-->SI Joints (3+ views)73523-->Hip (Bilateral) w/ pelvis view (min 5 views)73564-->Knee (4+ views)

3 -unilateral or bilateral73050-->AC Joints Bilateral 73565-->Knee AP Standing (1 view)71130-->SC Joints73590-->Tibia (2 views) - unilateral or bilateral71120-->Sternum73610-->Ankle (3+ views) - unilateral or bilateral73010-->Scapula73630-->Foot (3+ views) - unilateral or bilateral73030-->Shoulder (2+ views) - unilateral or bilateral73650-->Heel (os calcis)(2+ views) - unilateral or bilateral73000-->Clavicle73660-->Toe(s) (min 2 views) - unilateral or bilateral73060-->Humerus (min 2 views) - unilateral or bilateral73080-->Elbow (3+ views) - unilateral or bilateral70260-->Skull (Complete-4 views)73090-->Forearm (2 views) - unilateral or bilateral70250-->Skull (1-3 Views)73110-->Wrist (3+ views) - unilateral or bilateral70220-->Sinuses (3+ views)73130-->Hand (3+ views) - unilateral or bilateral70030-->Foreign Body Eye (Pre-MRI)73140-->Finger(s) (2+ views) - unilateral or bilateral70200-->Orbits (min 4 views)77072-->Bone Age70160-->Nasal Bones (3+ views)70110-->Mandible (4+ views)77080-->Routine Dexa (Hip and Spine)70150-->Facial Bones (3+ views)77081-->1 Site (forearm, wrist or heel)

4 70360-->Neck Soft Tissues76977-->Pixi Heel ScanDiagnostic CPT Code ReferenceXRAY and DEXA76700-->74240-->Upper GI without KUB76705-->74246-->Upper GI with Air without KUB76770-->74245-->Upper GI with Small Bowel76775-->74249-->Upper GI with Air and Small Bowel76776-->74250-->Small Bowel76870-->74280-->Barium Enema with Air Contrast76856-->74270-->Barium Enema 76830-->76080-->Fistulogram / Sinogram 76857-->74220-->Esophagram76882-->76000- ->Fluoroscopy of Diaphragm76000-->Fluoroscopy of Feeding TubePET CT93880-->78815-->Skull Base to Mid Thigh93978-->Breast, Cervical, Colorectal, Esophageal, Head & Neck, 76705-->Single Pulmonary nodule, Lymphoma, Thyroid, Lung93975-->78816-->Melanoma (Whole Body)93971-->78608-->Alzheimers, Dementia, Refractory seizures after Cancer93970-->Pre MRI / CT Arthro77002-->CPT is NOT Body Part Specific--> Knee--> Ankle--> Hip--> Elbow--> Wrist--> ShoulderFluoro Guided Joint InjectionDiagnostic CPT Code Reference GuideFluoroscopyVenous Duplex Upper and Lower Extremity (Bilateral)Venous Duplex Upper and Lower Extremity (Unilateral)Abdominal Vascular (Portal / Hepatic)Abdominal Aorta ScreeningAbdominal AortaCarotidVascular ExamsUltrasoundAbdominal Complete23350 and 7304025246 and 7311524220 and 7308527093 and 7352527648 and 73615 Extremity Non-Vascular (Upper and Lower)Pelvis Limited (Bladder PVR)Transvaginal Pelvis, Uterus / Ovaries Complete (Transabdominal)Testicles (Scrotum)

5 Transplanted Kidney27370 and 73580(Make sure to include CPT Code for MRI / CT study in additon to below)Kidney (Renal)Retroperitoneal (Kidney, Ureter, Bladder)Abdominal Limit