DIAGNOSTIC RADIOLOGY CPT GUIDE 2021

1 DIAGNOSTIC RADIOLOGY CPT GUIDE 2021. MRI (MAGNETIC RESONANCE IMAGING) NUCLEAR MEDICINE. HEAD/ NECK w/o w/ w/ & w/o 3D BONE/ JOINT Scan Material Brain (incl. Brainstem) 70551 70552 70553 Bone and/or Joint Scan; Limited 78300 A9503. MR Angio Brain/ Head 70544 76377 Bone and/or Joint Scan, Whole Body 78306 A9503. MR Angio Neck 70547 70548 70549 76377 Bone and/or Joint Scan; 3 Phase Study 78315 A9503. Orbit, Face and/or Neck 70540 70542 70543 KIDNEY/ RENAL Scan Material Temporomandibular Joint(s) 70336 Renal w/o Pharma Intervention 78707 A9562. MR Venography 70545 70546 76377 Renal w/ Pharma Intervention (Diuretic/ Lasix) 78708 A9562. CHEST w/o w/ w/ & w/o 3D WHOLE BODY Scan Scan Material Chest 71550 71551 71552 Gallium Scan, Whole Body, 2 or More Days 78835 78804 A9556. Breast Unilateral w/ CAD 77048 Indium Scan, Whole Body, WBC 78804 A9570. Breast Bilateral w/ CAD 77049 Octreotide Scan 78804 A9572.

2 MR Angio Chest (Excl. Myocardium) 71555 76377 HEPATOBILIARY TRACT/GALLBLADDER Scan Material Brachial Plexus 73218 73219 73220 Hepatobiliary Scan (HIDA Scan) w/o Pharma 78226 A9537. SPINE/ PELVIS w/o w/ w/ & w/o 3D Hepatobiliary Scan (HIDA Scan) w/ Pharma 78227 A9537. Cervical Spine 72141 72142 72156 CARDIOVASCULAR Scan Material Lumbar Spine 72148 72149 72158 Cardiac Stress Test (4 CPT codes required) 78452 multi 93015 A9500 x 2. Thoracic Spine 72146 72147 72157 Cardiac Blood Pool Imaging, Gated Equil, 78472 A9560. Pelvis/SI Joint/ Sacrum/ Coccyx 72195 72196 72197 Cardiac Blood Pool Imaging, Gated Equil, Single Study 78496. MR Angio Pelvis 72198 76377 THYROID & PARATHYROID Scan Material EXTREMITIES w/o w/ w/ & w/o 3D Thyroid Uptake, Scan w/ I-123 Capsule, 78014 A9516. Upper Extremity, Other Than Joint 73218 73219 73220 Thyroid Scan Only 78013 A9512. Upper Extremity, Any Joint 73221 73222 73223 Parathyroid Imaging 78070 A9500.

3 Lower Extremity, Other Than Joint 73718 73719 73720 LIVER & SPLEEN Scan Material Lower Extremity, Any Joint 73721 73722 73723 Liver-Spleen 78215 A9541. MR Angio Upper Extremity 73225 76377 PET (POSITRON EMISSION TOMOGRAPHY). MR Angio Lower Extremity 73725 76377 Scan Material 73725 x 2 PET/CT Skull Base to Mid Thigh 78815 A9552. MR Angio Run-Off (Abdomen to Lower Extr) 76377 x 3. 74185 PET/CT Whole Body (Skull Base to 78816 A9552. ABDOMEN w/o w/ w/ & w/o 3D CT ARTHROGRAPHY (W/ CONTRAST ONLY). Abdomen 74181 74182 74183 Fluoro Needle Scan MR Angio Abdomen 74185 76377 Wrist (Requires all 3 codes) 77002 25246 73201. S8037 Elbow (Requires all 3 codes) 77002 24220 73201. MRCP (Abdomen, Liver, Pancreas). or 74181 Shoulder (Requires all 3 codes) 77002 23350 73201. CT (COMPUTED TOMOGRAPHY) Hip (Requires all 3 codes) 77002 27093 73701. HEAD/NECK w/o w/ w/ & w/o 3D Knee (Requires all 3 codes) 77002 27370 73701.)

4 Angiography Head 70496 76377 Ankle (Requires all 3 codes) 77002 27648 73701. Angiography Neck 70498 76377 MRI ARTHROGRAPHY (W/ CONTRAST ONLY). Head/Brain 70450 70460 70470 Fluoro Needle Scan Maxillofacial Area/Sinus/ TMJ/ Mandible 70486 70487 70488 Wrist (Requires all 3 codes) 77002 25246 73222. Orbit/Sella/P. Fossa/ Mastoid/ Temporal/ Ear 70480 70481 70482 Elbow (Requires all 3 codes) 77002 24220 73222. Soft tissue neck 70490 70491 70492 Shoulder (Requires all 3 codes) 77002 23350 73222. CHEST w/o w/ w/ & w/o 3D Hip (Requires all 3 codes) 77002 27093 73722. Thorax/Chest 71250 71260 71270 Knee (Requires all 3 codes) 77002 27369 73722. Angiography Chest (Non Coronary/ Heart) 71275 76377 Ankle (Requires all 3 codes) 77002 27648 73722. ABDOMEN w/o w/ w/ & w/o 3D. Abdomen 74150 74160 74170. Angiography Abdomen 74175 76377. ABDOMEN & PELVIS (BUNDLED) w/o w/ w/ & w/o 3D.

5 Abdomen & Pelvis 74176 74177 74178. Angiography Abdomen & Pelvis 74174 76377 IMPORTANT #1: FOR NUCLEAR, PET & ARTHROGRAPHY STUDIES, Urogram 74178 PLEASE AUTHORIZE ALL CODES LISTED FOR THAT STUDY. SPINE/ PELVIS w/o w/ w/ & w/o 3D. Cervical Spine 72125 72126 72127 IMPORTANT #2: FOR ALL MRI & CT ANGIOGRAPHY, CT JOINTS &. Lumbar Spine 72131 72132 72133 SPINE, PLEASE AUTHORIZE 3D RECONSTRUCTION CODE LISTED. Thoracic Spine 72128 72129 72130 FOR THAT STUDY. Pelvis 72192 72193 72194. Angiography Pelvis 72191 76377 ** If the study is not listed on this GUIDE , please call our EXTREMITIES w/o w/ w/ & w/o 3D office for additional assistance. Lower Extremity 73700 73701 73702. Upper Extremity 73200 73201 73202 Rev 01282021 Copyright | Centrelake 2021. Angiography Lower Extremity 73706 76377. Angiography Upper Extremity 73206 76377. CT Angio Run-Off (Abdomen to Lower Extr) 75635 76377.

6 Low Dose CA Screening 71271. DIAGNOSTIC RADIOLOGY CPT GUIDE 2021. X-RAY ULTRASOUND. BONE & JOINTS HEAD/NECK. Bone Age Studies 77072 Soft tissues of Head & Neck (Thyroid, Parathyroid, Parotid) 76536. Bone Length Studies (Scanogram/ Orthoroentgenogram) 77073 BREAST. Bone Survey - Skeletal 77075 Breast Complete (Unilateral) 76641. ABDOMEN 1v 2v 3v 4v+ Breast Limited (Unilateral) 76642. Abdomen AP and Add'l Oblique and Cone Views 74019 74021 74021 CHEST. Abdomen Complete Acute Abdomen Series 74022 Chest for Pleural Effusion, Fluid and/ or Masses in Chest 76604. Abdomen Complete Incl. Decubitus & Erect Views 74019 74021 74021 ABDOMEN. Abdomen, AP, Single View KUB 74018 Abdomen (Complete) 76700. HEAD, NECK & OROFACIAL BONES 1v 2v 3v 4v+ Abdomen (Ltd) 1 Org/Quad; F/U; Inguinal Hern; R/O Hern; 76705. Facial Bones 70140 70150 KIDNEY/RENAL. Mandible 70100 70110 Kidney/Renal Complete; Retroperitoneal 76770.

7 Mastoids 70120 70130 PELVIS. Nasal Bones 70160 Pelvic Limited (Non OB); Inguinal Hern; R/O Hern; Groin Pain 76857. Sinuses/ Paranasal 70210 70220 Pelvic Complete (Non Obstetric) 76856. Skull 70250 70260 Transvaginal (Non Obstetric) 76830. Neck, Soft Tissue 70360 GENITALIA (MALE). Orbits 70200 Prostate (Non-Transrectal) 76856. Temporomandibular Joint, Open/Closed, Bilateral 70330 Scrotum and Contents (Testicles) 76870. CHEST 1v 2v 3v 4v+ OBSTERICAL. Chest 71045 71046 71047 71048 OB (1st Trimester <14 Weeks 0 days) 76801. Chest, 2 Views w/ Apical Lordotic Procedure 71047 OB (2nd & 3rd Trimester > or = 14 Weeks 0 Days) 76805. Chest, 2 Views w/ Oblique Projections 74022 71047 71048 OB Limited (Fetal Heartbeat, Placental & Fetal Position) 76815. Chest Special Views 71046 71047 71048 OB Transvaginal 76817. Clavicle Complete 73000 OB Follow Up (Re-Evaluate Fetal Size & Organ Sys.)

8 76816. Ribs, Unilateral 71100 71101 SOFT TISSUE. Ribs, Bilateral 71110 71111 Exam of Upper & Lower Extremities (Complete) 76881. Sternum 71120 71130 Exam of Upper & Lower Extremities (Limited) 76882. SPINE 1v 2v 3v 4v+ Axilla 76882. Cervical Spine **(6 or more views use CPT 72052) 72040 72050 Chest Wall (Limited) 76604-52. Cervical Spine Complete, Incl Oblique; Flex & Ext 72052 Pelvic Wall (Retroperitoneal Region, Penis, Perinum) 76857. Lumbosacral, AP & Lateral 72100 72100 72110 Buttock 76857. Lumbosacral, Bending Views Only 72120 72120 Groin (Hip Groin Region & Peripheral Nerves) 76882. Lumbosacral, Complete Incl. Bending Views 72114 Other Soft Tissue 76999. Sacrum & Coccyx 72220 INFANTS. Sacroiliac Joints 72200 72202 Infant Hips Dynamic (w/ Physician Manipulation) 76885. Spine, Scoliosis Study, Incl. Supine & Erect **(6 or 72081 72082 72082 72083 SPINE.)

9 More views use CPT 72084) Spinal Canal & Contents 76800. Spine, Single View, Specify Level (Scoliosis) 72020 VASCULAR ULTRASOUND duplex /DOPPLER. Thoracic 72070 72072 72074 VENOUS REFLUX EXTREMITY. Thoracolumbar Junction 72080 duplex extremity veins - Complete Bilateral 93970. SHOULDER, UPPER ARM & ELBOW 1v 2v 3v 4v+ duplex extremity veins - Limited/ Unilateral 93971. Acromioclavicular Joint Bilat w/ or w/o Weights 73050 ARTERIAL EXTREMITY. Elbow 73070 73080 duplex Lower Extremities Arteries Complete Bilateral 93925. Humerus 73060 duplex Lower Extremity Arteries Limited/ Unilateral 93926. Scapula Complete 73010 duplex Upper Extremities Arteries Complete Bilateral 93930. Shoulder 73020 73030 duplex Upper Extremity Arteries Limited/ Unilateral 93931. FOREARM, HAND & FINGERS 1v 2v 3v 4v+ ABI 93922. Fingers 73140 CAROTID. Forearm 73090 duplex Extracranial Arteries Complete Bilateral 93880.

10 Hand 73120 73130 AORTA. Wrist 73100 73110 Abdominal/ Aorta - Screening AAA 76706. LOWER LEG, KNEE, ANKLE & FOOT 1v 2v 3v 4v+ KIDNEY/ RENAL. Calcaneus or Heel 73650 Renal Arterial Complete 93975. Foot 73620 73630 DIGITAL MAMMOGRAPHY. Ankle 73600 73610 CHEST. Tibia & Fibula 73590 Screening, Bilateral; All Views (formerly G0202) 77067. Toe(s) 73660 DIAGNOSTIC , Bilateral; All Views (formerly G0204) 77066. Knee 73560 73560 73562 73564 DIAGNOSTIC , Unilateral; All Views (formerly G0206) 77065. Knee, Both, Standing AP 73565 Spot Compression, Bilateral (formerly G0204) 77066. PELVIC REGION, HIP & THIGH 1v 2v 3v 4v+ Spot Compression, Unilateral (formerly G0206) 77065. Femur 73551 73552 Implants (formerly G0204) 77066. Hip Unilateral, Incl. AP of Pelvis 73501 73502 73502 73503 DEXA (BONE DENSITOMETRY). Hip Bilateral, Incl. AP of Pelvis **(5 v+ use CPT 73521 73522 73522 Dual-Energy X-Ray (DEXA) 77080.)