MRI NUCLEAR MEDICINE MAMMOGRAPHY PET Full …

1 CPT List Reformatted 1 3/23/2015. 3:16:06 PM 1 1/18/2018 2:33:18 PM. PET/CT CT/CTA MRI/MRA BONE DENSITY NUCLEAR MEDICINE . DIGITAL MAMMOGRAPHY ECHOCARDIOGRAPHY DIGITAL XRAY. ULTRASOUND VASCULAR STUDIES RADIATION ONCOLOGY IMRT. VASCULAR & INTERVENTIONAL CENTER. MRI. MRI. NUCLEAR . NuclearMEDICINE. MEDICINE MRI PET CT. MAMMOGRAPHY . MAMMOGRAPHY PETM edicine NUCLEAR PET. Full-Service, All Digital Imaging Network MAMMOGRAPHY CT. CT. west covina ONTARIO POMONA. DIAGNOSTIC RADIOLOGY CPT GUIDE 2018. 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.

2 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 74010 74019 74021 74021 CHEST. Abdomen Complete Acute Abdomen Series 70422 Chest for Pleural Effusion, Fluid and/ or Masses in Chest Wall 76604. Abdomen Complete Incl. Decubitus & Erect Views 74020 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; Groin P 76705. Facial Bones 70140 70150 KIDNEY/RENAL. Mandible 70100 70110 Kidney/Renal Complete; Retroperitoneal 76770. Mastoids 70120 70130 PELVIS.

3 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 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 71047 71048 OB Limited (Fetal Heartbeat, Placental & Fetal Position) 76815.

4 Chest Special Views 71035 71046 71048 OB Transvaginal 76817. C. Clavicle Complete 73000 OB Follow Up (Re-Evaluate Fetal Size & Organ Sys.) 76816. M. Ribs, Unilateral 71100 71101 SOFT TISSUE. Ribs, Bilateral 71110 71111 Exam of Upper & Lower Extremities (Complete) 76881. Y Sternum 71120 71130 Exam of Upper & Lower Extremities (Limited) 76882. SPINE 1v 2v 3v 4v+ Axilla 76882. CM 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. MY. Lumbosacral, AP & Lateral 72100 72100 72110 Buttock 76857. CY. Lumbosacral, Bending Views Only 72120 72120 Groin (Hip Groin Region & Peripheral Nerves) 76882.

5 Lumbosacral, Complete Incl. Bending Views 72114 Other Soft Tissue 76999. CMY Sacrum & Coccyx 72220 INFANTS. Sacroiliac Joints 72200 72202 Infant Hips Dynamic (w/ Physician Manipulation) 76885. K Spine, Scoliosis Study, Incl. Supine & Erect **(6 or more 72081 72082 72082 72083 SPINE. 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.

6 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. 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 .

7 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 73523) 73521 73522 73522 Dual-Energy X-Ray (DEXA) 77080. Pelvis 72170 72170 ECHOCARDIOGRAPHY.

8 Echocardiography; Transthoracic, Complete 93306. Rev 01162018 Copyright | Centrelake 2018. 10226 Lakewood Blvd, Downey, CA 90241. 1700 W. West Covina Pkwy, West Covina, CA 91790 (909) 242-7300 (626) 773-7717 (562) 287-7200. 3115 E. Guasti Road, Ontario, CA 91761. 1555 N. Orange Grove Ave, Pomona, CA 91767 Scheduling Fax (909) 784-3760. 1183 E. Foothill Blvd, Ste 235, Upland, CA 91786 1433 N. Hollenbeck Ave, Ste 105, Covina, CA 91722. CPT List Reformatted 1 3/23/2015. 3:16:06 PM 1 1/18/2018 2:36:17 PM. PET/CT CT/CTA MRI/MRA BONE DENSITY NUCLEAR MEDICINE . DIGITAL MAMMOGRAPHY ECHOCARDIOGRAPHY DIGITAL XRAY. ULTRASOUND VASCULAR STUDIES RADIATION ONCOLOGY IMRT. VASCULAR & INTERVENTIONAL CENTER.

9 MRI. MRI. NUCLEAR . NuclearMEDICINE. MEDICINE MRI PET CT. MAMMOGRAPHY . MAMMOGRAPHY PETM edicine NUCLEAR PET. Full-Service, All Digital Imaging Network MAMMOGRAPHY CT. CT. west covina ONTARIO POMONA. DIAGNOSTIC RADIOLOGY CPT GUIDE 2018. 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.

10 MR Venography 70545 70546 76377 Renal w/ Pharma Intervention (Diuretic/ Lasix) 78708 A9562. CHEST w/o w/ w/ & w/o 3D WHOLE BODY Scan Material Chest 71550 71551 71552 Gallium Scan, Whole Body, 2 or More Days 78804 A9556. Breast Bilateral 77059 Indium Scan, Whole Body, WBC 78806 A9570. MR Angio Chest (Excl. Myocardium) 71555 76377 Octreotide Scan 78804 A9572. Brachial Plexus 73218 73219 73220 HEPATOBILIARY TRACT/GALLBLADDER Scan Material SPINE/ PELVIS w/o w/ w/ & w/o 3D Hepatobiliary Scan (HIDA Scan) w/o Pharma 78226 A9537. Cervical Spine 72141 72142 72156 Hepatobiliary Scan (HIDA Scan) w/ Pharma 78227 A9537. Lumbar Spine 72148 72149 72158 CARDIOVASCULAR Scan Material Thoracic Spine 72146 72147 72157 Cardiac Stress Test (4 CPT codes required) 78452 multi study 93015 A9500 x 2.