DIAGNOSTIC IMAGING SERVICES CPT CODE …

1 DIAGNOSTIC IMAGING SERVICES CPT code LISTING - 2016. CPT code DESCRIPTION CPT code DESCRIPTION CPT code DESCRIPTION. 74177 CT, Abd /Pelvis c/Contrast 77063 Digital Screening Mammogram, Tomosynthesis, Bilateral 73219 MRI, Upper Ext. Non-Joint c/ Contrast 74178 CT, Abd /Pelvis c/s Contrast G0204 Digital DIAGNOSTIC Mammogram Bilateral 73220 MRI, Upper Ext. Non-Joint c/s Contrast 74176 CT, Abd/Pelvis s/Contrast G0206 Digital DIAGNOSTIC Mammogram Unilateral 73218 MRI, Upper Ext. Non-Joint s/ Contrast 74160 CT, Abdomen c/ Contrast G0202 Digital Screening Mammogram 62302 Myelography, via lumbar injection, Cervical 74170 CT, Abdomen c/s Contrast G0279 Digital Mammogram, Tomosynthesis, Unilateral or Bilateral 62303 Myelography, via lumbar injection, Thoracic 74150 CT, Abdomen s/ Contrast 70549 MRA, Angiography Carotid c/s Contrast 62304 Myelography, via lumbar injection, Lumbar 74174 CT, Angiography Abd/Pelvis c/s Contrast 70547 MRA, Angiography Carotid s/ Contrast 62305 Myelography, via lumbar injection, 2 or more regions 75635 CT, Angiography Aorta & Bilat Iliofemor run off c/s Contrast 71555 MRA, Angiography Chest c/ or s/ Contrast 78278 NM, Acute GI Blood Loss IMAGING -Hemangioma 71275 CT, Angiography Chest c/s Contrast 70545 MRA, Angiography Head c/ Contrast 78075 NM, Adrenal IMAGING .

2 Cortex and/or Medulla 70496 CT, Angiography Head c/s Contrast 70546 MRA, Angiography Head c/s Contrast 78300 NM, Bone, Joint IMAGING , Limited Area 73706 CT, Angiography Lower Ext. c/s Contrast 70544 MRA, Angiography Head s/ Contrast 78305 NM, Bone, Joint IMAGING , Multiple Areas 70498 CT, Angiography Neck c/s Contrast 70548 MRA, Angiography Neck c/ Contrast 78320 NM, Bone, Joint IMAGING , SPECT. 72191 CT, Angiography Pelvis c/s Contrast 72198 MRA, Angiography Pelvis c/ or s/ Contrast 78315 NM, Bone, Joint IMAGING , Three Phase 74175 CT, Angiography, Abdomen c/s Contrast 72159 MRA, Angiography Spinal Canal c/ or s/ Contrast 78306 NM, Bone, Joint IMAGING , Whole Body 73206 CT, Angiography, Upper Ext. c/s Contrast 73225 MRA, Angiography Upper Ext. c/ or s/ Contrast 78607 NM, Brain IMAGING , Tomographic (SPECT), DaTscan 75571 CT, Calcium Scoring 74185 MRA, Angiography, Abd/Renal c/ or s/ Contrast 78494 NM, Cardiac Blood Pool, SPECT, Wall & Eject 72126 CT, Cervical Spine c/ Contrast 73725 MRA, Angiography, Lower Ext.

3 C/ or s/ Contrast 78483 NM, Cardiac Blood Pool, Wall & Eject, Multiple 72127 CT, Cervical Spine c/s Contrast 74182 MRI, Abdomen c/ Contrast 78481 NM, Cardiac Blood Pool, Wall & Eject, Single 72125 CT, Cervical Spine s/ Contrast 74183 MRI, Abdomen c/s Contrast 78496 NM, Cardiac Blood Pool, Wall & RV Eject, Single 70460 CT, Head or Brain c/ Contrast 74181 MRI, Abdomen s/ Contrast 78473 NM, Cardiac Blood Pool, Wall Motion, MultipleSingle 70470 CT, Head or Brain c/s Contrast 70552 MRI, Brain c/ Contrast 78472 NM, Cardiac Blood Pool, Wall Motion, Single 70450 CT, Head or Brain s/ Contrast 70553 MRI, Brain c/s Contrast 78264 NM, Gastric Emptying Study 73701 CT, Lower Extremity c/ Contrast 70551 MRI, Brain s/ Contrast 78261 NM, Gastric Mucosa IMAGING 73702 CT, Lower Extremity c/s Contrast 77059 MRI, Breast Bilat c/and or s/Contrast 78262 NM, Gastroesophageal Reflux Study 73700 CT, Lower Extremity s/ Contrast 77058 MRI, Breast Unilateral c/and or s/Contrast 78227 NM, Hepatobiliary IMAGING , with Pharm iInter, icl Quant 72132 CT, Lumbar Spine c/ Contrast 72142 MRI, Cervical Spine c/ Contrast 78226 NM, Hepatolbiliary IMAGING 72133 CT, Lumbar Spine c/s Contrast 72156 MRI, Cervical Spine c/s Contrast 78290 NM, Intestine IMAGING (Meckels).

4 72131 CT, Lumbar Spine s/ Contrast 72141 MRI, Cervical Spine s/ Contrast 78708 NM, Kidney c/ Flow & Funct, c/ Phar MAG3 c LASIX,single 70487 CT, Maxillofacial Area c/ Contrast 71551 MRI, Chest c/ Contrast 78709 NM, Kidney c/ Flow & Funct, c/s Pharm, Mult (Captopril). 70488 CT, Maxillofacial Area c/s Contrast 71552 MRI, Chest c/s Contrast 78707 NM, Kidney c/ Flow & Funct, s/ Pharm ,Mag 3, Single 70486 CT, Maxillofacial Area s/ Contrast 71550 MRI, Chest s/ Contrast 78725 NM, Kidney Function, Non IMAGING 70481 CT, Orbit, Sella, Post Fossa or Ear c/ Contrast 73722 MRI, Lower Ext. Joint c/ Contrast 78399 NM, Unlisted 70482 CT, Orbit, Sella, Post Fossa or Ear c/s Contrast 73723 MRI, Lower Ext. Joint c/s Contrast 78701 NM, Kidney IMAGING , c/ Vascular Flow 70480 CT, Orbit, Sella, Post Fossa or Ear s/ Contrast 73721 MRI, Lower Ext. Joint s/ Contrast 78710 NM, Kidney IMAGING , SPECT.

5 72193 CT, Pelvis c/ Contrast 73719 MRI, Lower Ext. Non-Joint c/ Contrast 78700 NM, Kidney IMAGING , Static Only 72194 CT, Pelvis c/s Contrast 73720 MRI, Lower Ext. Non-Joint c/s Contrast 78715 NM, Kidney Vascular Flow Only 72192 CT, Pelvis s/ Contrast 73718 MRI, Lower Ext. Non-Joint s/ Contrast 78216 NM, Liver and Spleen, c/ Vascular Flow 70491 CT, Soft Tissue Neck c/ Contrast 72149 MRI, Lumbar Spine c/ Contrast 78215 NM, Liver and Spleen, Static Only 70492 CT, Soft Tissue Neck c/s Contrast 72158 MRI, Lumbar Spine c/s Contrast 78205 NM, Liver IMAGING SPECT. 70490 CT, Soft Tissue Neck s/ Contrast 72148 MRI, Lumbar Spine s/ Contrast 78206 NM, Liver IMAGING SPECT, c/ Vascular Flow 72129 CT, Thoracic Spine c/ Contrast 70542 MRI, Orbit, Face or Neck c/ Contrast 78202 NM, Liver IMAGING , c/ Vascular Flow 72130 CT, Thoracic Spine c/s Contrast 70543 MRI, Orbit, Face or Neck c/s Contrast 78201 NM, Liver IMAGING , Static Only 72128 CT, Thoracic Spine s/ Contrast 70540 MRI, Orbit, Face or Neck s/ Contrast 78070 NM, Parathyroid IMAGING 71260 CT, Thorax (Chest) c/ Contrast 72196 MRI, Pelvis c/ Contrast 78071 NM, Parathyroid Planar IMAGING , SPECT.

6 71270 CT, Thorax (Chest) c/s Contrast 72197 MRI, Pelvis c/s Contrast 78805 NM, Radiopharm Local, Inflammatory, Limited 71250 CT, Thorax (Chest) s/ Contrast 72195 MRI, Pelvis s/ Contrast 78807 NM, Radiopharm Local, Inflammatory, SPECT. 73201 CT, Upper Extremity c/ Contrast 72147 MRI, Thoracic Spine c/ Contrast 78806 NM, Radiopharm Local, Inflammatory, Whole Body 73202 CT, Upper Extremity c/s Contrast 72157 MRI, Thoracic Spine c/s Contrast 78804 NM, Radiopharm Local, Tumor, 2 or more days 73200 CT, Upper Extremity s/ Contrast 72146 MRI, Thoracic Spine s/ Contrast 78800 NM, Radiopharm Local, Tumor, Limited 77080 DEXA, Bone Density, 1 Sites, Axial Skeleton 70336 MRI, TMJ(s) 78801 NM, Radiopharm Local, Tumor 77081 DEXA, Appendicular 73221 MRI, Upper Ext, Joint s/ Contrast 78803 NM, Radiopharm Local, Tumor, SPECT. 77085 DEXA, Bone Density, Anxial Skeleton, include IVA 73222 MRI, Upper Ext.

7 Joint c/ Contrast 78802 NM, Radiopharm Local, Tumor, Whole Body 77086 DEXA, Bone Density, IVA 73223 MRI, Upper Ext. Joint c/s Contrast 79005 NM, Therapy by Oral Administration 77054 Mammogram, Ductogram or Galactogram, Multiple 74010 X-ray, Abdomen, AP & Oblique View 73592 X-ray, Lower Ext, Infant Under 1 year, Minimum 2 Views 77053 Mammogram, Ductogram or Galactogram, Single 74000 X-ray, Abdomen, AP View 72100 X-ray, Lumbosacral, 2 or 3 Views DIAGNOSTIC IMAGING SERVICES CPT code LISTING - 2016. CPT code DESCRIPTION CPT code DESCRIPTION CPT code DESCRIPTION. 78016 NM, Thyroid CA Mets IMAGING , c/ Addtnl Studies 74020 X-ray, Abdomen, Flat with Erect and/or Decub 72120 X-ray, Lumbosacral, Bend Only, 2 or 3 Views 78015 NM, Thyroid CA Mets IMAGING , Limited 76080 X-ray, Abscess, Fistula or Sinus Tract 72114 X-ray, Lumbosacral, Compl c/ Bend, Min 6V.

8 78018 NM, Thyroid CA Mets IMAGING , Whole Body 73050 X-ray, AC Joints, Bilateral c/ or s/ Weights 72110 X-ray, Lumbosacral, Minimum 4 Views 78811 PET, Limited Area (chest, head/neck) 73600 X-ray, Ankle, 2 Views 70110 X-ray, Mandible (Jaw), 4 or More Views 78814 PET/CT, Limited Area (chest, head/neck) 73610 X-ray, Ankle, Minimum 3 Views 70100 X-ray, Mandible (Jaw), Less than 4 Views 78815 PET/CT, Skull Base to Mid Thigh 77072 X-ray, Bone Age Study 70130 X-ray, Mastoids, 3 or More Views per Side 78816 PET/CT, Whole Body 77073 X-ray, Bone Length Study 70120 X-ray, Mastoids, Less than 3 Views per Side G0389 US, Abd Aortic Aneurysm 73650 X-ray, Calcaneus (Heel), Minimum 2 Views 70160 X-ray, Nasal Bones, Minimum 3 Views 76700 US, Abdominal Complete, B-Scan and/or Real Time 72040 X-ray, Cervical Spine, 2 or 3 Views 70360 X-ray, Neck, Soft Tissue 76705 US, Abdominal Limited, Single Organ 72050 X-ray, Cervical Spine, Minimum 4 Views 70190 X-ray, Optic Foramina, Bilateral 76641 US, Breast, Unilateral, Complete 71010 X-ray, Chest, 1 View - Frontal 70200 X-ray, Orbits Bilateral, Minimum 4 Views 76642 US, Breast, Unilteral, Limited 71021 X-ray, Chest, 2 Views plus Apical Lordotic 77075 X-Ray, Osseous Survey, Complete 76645 US, Breast(s)

9 , B-Scan and/or Real Time 71023 X-ray, Chest, 2 Views plus Fluoroscopy 77076 X-ray, Osseous Survey, Infant 76604 US, Chest, B-Scan and/or Real Time 71022 X-ray, Chest, 2 Views plus Oblique 77074 X-ray, Osseous Survey, Limited 93886 US, Doppler, Transcranial Arteries, Complete 71020 X-ray, Chest, 2 Views, PA and Lateral 71110 X-ray, Ribs, 3 Views, Bilateral 93888 US, Doppler, Transcranial Arteries, Limited 71030 X-ray, Chest, 4 or More Views 71111 X-ray, Ribs, 3 Views, Bilateral plus PA Chest 93923 US, Doppler, Up or Low Ext. Artery, Multi Level 71034 X-ray, Chest, 4 or More Views plus Fluoroscopy 72220 X-ray, Sacrum & Coccyx, Minimum 2 Views 93922 US, Doppler, Up or Low Ext. Artery, Single Level 71035 X-ray, Chest, Special Views 71130 X-ray, SC Joint(s), Minimum 3 Views 93965 US, Doppler, Up or Low Ext. Vein, Complete Bilateral 73000 X-ray, Clavicle, Complete 73010 X-ray, Scapula, Complete 93925 US, Duplex Lower Ext.

10 Arterial or Bypass, Bilateral 73070 X-ray, Elbow, 2 Views 70240 X-ray, Sella Turcica (Pituitary). 93926 US, Duplex Lower Ext. Arterial or Bypass, Unilateral 73080 X-ray, Elbow, Minimum 3 Views 73020 X-ray, Shoulder, 1 View 93990 US, Duplex Scan of Hemodialysis Access 76010 X-ray, Entire GI Tract, Foreign Body, 1 View 73030 X-ray, Shoulder, Minimum 2 Views 93930 US, Duplex Upper Ext. Arterial or Bypass, Bilateral 70150 X-ray, Facial Bones, 3 or More Views 72202 X-ray, SI Joints, 3 or More Views 93931 US, Duplex Upper Ext. Arterial or Bypass, Unilateral 70140 X-ray, Facial Bones, Less than 3 Views 72200 X-ray, SI Joints, Less than 3 Views 93978 US, Duplex, Aorta, IVC, Iliac or Bypass, Complete 73140 X-ray, Finger(s), Minimum 2 Views 70220 X-ray, Sinuses, 3 or More Views 93979 US, Duplex, Aorta, IVC, Iliac or Bypass, Limited or Unilater 74280 X-ray, Fluoro Colon, Barium Enema c/ Air Contrast 70210 X-ray, Sinuses, Less than 3 Views 93980 US, Duplex, Arterial/Venous Flow of Penis, Complete 74270 X-ray, Fluoro Colon, Barium Enema c/ or s/ KUB 70260 X-ray, Skull, 4 or More Views 93981 US, Duplex, Arterial/Venous Flow of Penis, Limited or Follow 74220 X-ray, Fluoro Esophagus 70250 X-ray, Skull, Less than 4 Views 93975 US, Duplex, Arterial/Venous Flow, Abdomen/Pelvis, Complete 74740 X-ray, Fluoro Hysterosalpingography c/ Contrast 72020 X-ray, Spine, 1 View, Specify Level 93976 US, Duplex, Arterial/Venous Flow, Abdomen/Pelvis, Limited 74251 X-ray, Fluoro Small Intestine Series, Enteroclysis Tube 71120 X-ray, Sternum, Minimum 2 Views 93880 US, Duplex.