Physician CPT Code Desktop Reference - …

1 Physician CPT code Desktop Reference radiology Diagnostic Center 1310 Las Tablas Road, Ste 103 Templeton P: (805) 434-0829 F: (805) 434-0826 Five Cities Medical Imaging 921 Oak Park Blvd, Ste. 102 Pismo Beach P: (805) 779-7900 F: (805) 779-7910 Digital Medical Imaging 522 East Plaza Drive Santa Maria P: (805) 928-3673 F: (805) 928-9588 Interventional radiology Services P: (805) 792-0115 * F: (805) 461-5570 WHY THIS GUIDE IS IMPORTANT TO YOU AND YOUR PATIENTS This ordering guide is meant to assist you when ordering a study with radiology Associates.

2 The guide includes common indications as well as recommendations for the most appropriate exam. It is our goal to provide you and our mutual patients with the most appropriate and complete imaging. After the correct order is placed, exams are further tailored to each patient s specific condition. Thus, it is very important for the radiologist to be aware of the clinical question or specific condition in question so that the appropriate imaging can be performed. It is ideal for us to receive the most recent chart notes relating to the patient s condition or reason for their imaging study in addition to the imaging order.

3 When ordering an examination please include pertinent history as well as signs or symptoms. Please refrain from ordering R/O , Possible , or Suspected exams such as Suspected tear or Rule out anomaly unless history and signs/symptoms are included as well. Feel free to specify a particular entity or condition upon which you would like comment in the report. If you have any questions or concerns, please contact us at one of the numbers listed on the cover of this book. Thank you, The Physicians at radiology Associates _____ Diagnostic Services Interventional radiology (IR) Services Most procedures performed at SVH or FH.

4 Call IR to coordinate. Abdominal Aortic Aneurysm Abscess / Fluid Drainage Angiography / Angioplasty / Stenting Arterial Disease / Plaque Excision Biliary Interventions Biopsies Dialysis Access DVT Thrombolysis Fibroid Embolization Gastrostomy Tubes Inferior Vena Cava (IVC) Filters Infertility Internal Bleeding Pelvic Congestion Syndrome Peripheral Arterial Disease Spine Interventions / Pain Management Thromobolysis TIPS (Transjugular Intrahepatic Portosystemic Shunt) Varicose Vein / Spider Vein Treatment Vascular Access Vertebroplasty DMI FCMI RDC Bone Density QCT only QCT only DX & QCT CT Scan Digital Mammography Fluoroscopy MRI High Field MRI High Field Open Nuclear Medicine PET / CT Imaging Ultrasound X-Ray BODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODEHead / BrainTraumaCT Head / Brain70450 HeadachesWithout ContrastCVA, StrokeBleed, HemorrhageAlzheimer sMemory Loss, ConfusionVertigo.

5 DizzinessShunt CheckHydrocephalusMetastatic StagingCT Head / Brain70460 Mass/TumorWith ContrastInfectionHeadache w/ associated neurologic signsMelanomaCT Head / Brain70470 HIVW ithout and With ContrastToxoplasmosisOrbitsTraumaCT Orbit70480 FractureWithout ContrastForeign BodyGraves DiseasePseudo TumorCT Orbit70481 PainWith ContrastExopthalmusAbscessMassCT Orbit70482 RetinoblastomaWithout and With ContrastFacial BonesTraumaCT Facial Bones70486 FractureWithout ContrastCellulitisCT Facial Bones With Contrast70487 SinusesSinusitis CT Sinus Limited76380 Osteomeatal Complex CT Sinus Complete70486 Sinusitis PolypsTemporalHearing Loss, Conductive*CT Inner Ears, Temporal Bones70480 BoneCholesteotoma Without ContrstTrauma*Sensory neuro hearing loss, order MRI with and without contrast.

6 CT - Computed TomographyCT - Head BODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODENeckMassCT Neck70491 InfectionWith ContrastCancer Workups*If elevated creatinine orderParotid Masswithout contrastHoarsenessCT Neck70490 Vocal Chord ParalysisWithout ContrastVoice ChangesSubmandibular StoneCT Soft Tissue Neck 70492 Infection of Submandibular GlandWithout and With ContrastInfection of Parotid GlandParotid StoneBODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODEC ervicalTrauma, Fracture, FusionCT Cervical Spine72125 SpineAssess Bone Degenerative ChangesWithout Contrast*MRI recommended for disc herniation, mets, infectionThoracicTrauma, Fracture, FusionCT Thoracic Spine72128 SpineAssess Bony Degenerative ChangesWithout Contrast*MRI recommended for disc herniation, mets, infectionLumbarTrauma, Fracture, FusionCT Lumbar Spine72131 SpineAssess Bony Degenerative ChangesWithout Contrast*MRI recommended for disc herniation, mets.

7 InfectionChestF/U nodules CT Chest71250 Renal Failure PatientsWithout ContrastCoughCT Chest71260 PneumoniaWith ContrastLung CAEsophageal CALymphomaLung NoduleMassTracheal StenosisChest Wall MassCT - Head (Continued)CT- Spine CT - Computed TomographyBODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODEC hest, HighInterstitial DiseaseCT Chest71250 ResolutionFibrosisWithout ContrastCOPDH emoptysisBronchiectasisSarcoidosisPleura l PlaquesAsbestosisBODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODEA bdomenF/U for pts with renal cell carcinomain renal failure (recommend MRI)CT Abdomen Without Contrast74150 Abdominal Pain (generalized)

8 CT Abdomen74160 MassWith ContrastRUQ PainLUQ PainEpigastric PainPseudocystPancreatitisAbdomen &Hematuria with PainCT Abdomen and Pelvis74176 PelvisStone (Stone Study)Without ContrastAbdominal PainCT Abdomen and Pelvis 74177 Crohns/Ulcerative Colitis/IBDWith Contrast DiverticulitisAbscessMassHernia ( , umbilical, inguinal)Kidney Cyst vs. Mass CT Abdomen Without and 74178 Cancer StagingWith ContrastCT Pelvis With ContrastAbdomenAdrenal Mass - No Oral PrepCT Abdomen74170(Renal/ Adrenal)Abnormal UltrasoundWithout and With ContrastRenal Mass - No Oral PrepLiver Hemangioma - No Oral Prep (recommend MRI)Hepatitis, Cirrhosis - No Oral PrepCT- ChestCT- Abdomen & Pelvis CT - Computed TomographyCT- Abdomen & Pelvis (Continued)

9 BODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODEP elvisFractureCT Pelvis72192 Non-UnionWithout ContrastProstate Treatment PlanningArthritis CT Pelvis72193 Cancer StagingWith ContrastMassCystsPainInfectionAbscessBon e Infection CT Pelvis72194(recommend MRI)Without and With ContrastCT UrogramTransitional Cell Carcinoma ofCT Abdomen and Pelvis74178(Kidneys/ Bladder)Kidney and/or BladderWith and Without ContrastDefects/Bladder LeakageCT EnteropgraphyCrohns Disease/CT Abdomen and Pelvis 74177 Inflammatory Bowel DiseaseWith ContrastSuspected Partial SBO(Small Bowel Obstruction)

10 Small Bowel MassesCeliac DiseaseCT CystogramLeakageCT Abdomen and Pelvis 74176 Colovesical FistulaWith and Without ContrastVirtualColon SurveyCT Abdomen and Pelvis ColonoscopyFailed ColonoscopyWithout Contrast DIAGNOSTIC74261 SCREENING74263CT- ExtremitiesBODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODEU pper ExtremitiesFractureCT Upper Extremity 73200 FingerFusionWithout ContrastHandNon-Union/MalunionWristInfec tionCT Upper Extremity 73201 ForearmTumor/Mass/Cancer/MetsWith ContrastElbow(recommend MRI)HumerusShoulderClavicleScapula CT - Computed TomographyCT- Extremities ContinuedBODY PARTREASON FOR EXAMEXAM TO PRE-CERTCPT CODES ternoclavicularFractureCT Chest71250 JointNon Union/MalunionWithout ContrastLower ExtremitiesFractureCT Lower Extremity 73700 FootFusionWithout ContrastAnkleNon-Union/MalunionCalf (Tibia/ Fibula)ArthritisKneePatello Femoral Malalignment Thigh (Femur)Anteversion/Malrotation (Bilateral)InfectionCT Lower Extremity 73701 Tumor/Mass/Cancer/MetsWith Contrast(recommend MRI)