T
T
T
T
CPT CODE
CPT CODE
CPT CODE
70450
70460
70450
70470
70460
70480
70470
70481
70480
70482
70481
70486
70482
70487
70486
70488
70487
70490
70488
70491
70490
70492
70491
70496
70492
70498
70496
71250
70498
71260
71250
71270
71260
71275
71270
72125
71275
72126
72125
72127
72126
72128
72127
72129
72128
72130
72129
72131
72130
72132
72131
72133
72132
72191
72133
72192
72191
72193
72192
72194
72193
73200
72194
73201
73200
73202
73201
73206
73202
73700
73206
73701
73700
73702
73701
73706
73702
73706
CPT CODE
CT 2015
PROCEDURE
PROCEDURE
2015
FLUORO
2015
PROCEDURE
CT BRAIN without contrast
CT BRAIN
BRAIN without
with contrast
CT
contrast
CT BRAIN
BRAIN with
w/o &contrast
with contrast
CT
CT BRAIN
ORBIT/SKULL
without
contrast
CT
w/o & with
contrast
CT ORBIT/SKULL
ORBITS/SKULLwithout
with contrast
CT
contrast
CT ORBITS/SKULL
ORBIT/SKULL w/o
& contrast
with contrast
CT
with
CT
MAXILLOFACIAL
without
CT ORBIT/SKULL w/o & with contrast
contrast
CT MAXILLOFACIAL
FACE with contrast
CT
without contrast
CT FACE
FACE with
w/o &contrast
with contrast
CT
CT FACE
NECK w/o
SOFT
TISSUE
without contrast
CT
& with
contrast
CT NECK
NECT SOFT
contrast
CT
SOFT TISSUE
TISSUE with
without
contrast
MAMMO
CT NECT
NECK SOFT
SOFT TISSUE
TISSUE with
w/o &
with contrast
CT
contrast
CT
ANGIO
HEAD
with
and/or
w/o
contrast
CT NECK SOFT TISSUE w/o & with contrast
CT ANGIO
ANGIO/NECK
with and/or
and/or w/o
w/o contrast
contrast
CT
HEAD with
CT ANGIO/NECK
CHEST withoutwith
contrast
CT
and/or w/o contrast
CT CHEST
CHEST without
with contrast
CT
contrast
CT CHEST
CHEST with
w/o &contrast
with contrast
MRI
CT
CT
ANGIOGRAPHY/CHEST
with
and/or
w/o
contrast
CT CHEST w/o & with contrast
CT ANGIOGRAPHY/CHEST
CERVICAL SPINE withoutwith
contrast
CT
and/or w/o contrast
CT CERVICAL
CERVICAL SPINE
SPINE without
with contrast
CT
contrast
CT CERVICAL
CERVICAL SPINE
SPINE with
w/o contrast
& with contrast
CT
CT CERVICAL
THORACICSPINE
SPINE w/o
without
contrast
CT
& with
contrast
CT
THORACIC
SPINE
with
contrast
CT THORACIC SPINE without contrast
CT THORACIC
THORACIC SPINE
SPINE with
w/o &contrast
with contrast
CT
CT
LUMBAR
SPINE
without
contrast
CT THORACIC SPINE w/o & with contrast
CT LUMBAR
LUMBAR SPINE
SPINE without
with contrast
CT
contrast
CT
LUMBAR
SPINE
w/o
with contrast
CT LUMBAR SPINE with&contrast
CT ANGIO
PELVIS
w/o contrast
CT
LUMBAR
SPINEwith
w/oand/or
& with contrast
CT ANGIO
PELVISPELVIS
without with
contrast
CT
and/or w/o contrast
CT PELVIS
PELVIS without
with contrast
CT
contrast
CT PELVIS
PELVIS with
w/o &contrast
with contrast
CT
CT PELVIS
UPPER w/o
EXTREMITY
without contrast
CT
& with contrast
CT UPPER
UPPER EXTREMITY
EXTREMITY without
with contrast
CT
contrast
CT
UPPER
EXTREMITY
w/o &contrast
with contrast
CT UPPER EXTREMITY with
CT ANGIO
EXTREM
with
and/or
w/o contrast
CT
UPPER UPPER
EXTREMITY
w/o &
with
contrast
CT ANGIO
LOWERUPPER
EXTREMITY
without
CT
EXTREM
withcontrast
and/or w/o contrast
CT LOWER
LOWER EXTREMITY
EXTREMITY without
with contrast
CT
contrast
CT LOWER
LOWER EXTREMITY
EXTREMITY with
w/o &contrast
with contrast
CT
CT ANGIO
EXT with
w/o contrast
CT
LOWERLOWER
EXTREMITY
w/o and/or
& with contrast
CPT CODE
74210
74220
74241
74245
74247
74249
74250
74270
74280
74400
G0206 or 77055
G0204
or 77056
CPT CODE
G0202 or 77057
77063
77065
77066
70336
77067
70540
CT ANGIO LOWER EXT with and/or w/o contrast
2016
PROCEDURE
CT 2016
CPT CODE
PROCEDURE
CPT CODE
PROCEDURE
73636.375168691 CT BRAIN without contrast
73731.8413630229
CT BRAIN
BRAIN without
with contrast
73636
CT
contrast
73827.3075573549
CT
BRAIN
w/o &contrast
with contrast
73731
CT BRAIN with
73922.7737516869
CT BRAIN
ORBIT/SKULL
without
contrast
73827
CT
w/o & with
contrast
73922
74018
74113
74209
74304
74400
74495
74591
74018
74113
74209
74304
74400
74495
74591
2016
CT ORBIT/SKULL without contrast
CT ORBITS/SKULL with1contrast
CT ORBIT/SKULL w/o & with contrast
1
CT MAXILLOFACIAL without contrast
CT FACE with contrast
CT FACE w/o & with contrast
CT NECK SOFT TISSUE without contrast
CT NECT SOFT TISSUE with contrast
AVG
UORO
74210
74220
74241
74245
74247
74249
FLUORO Upper Esophagram
FLUORO ESOPHAGUS EXAM
FLUORO UPPER GI SERIES
FLUORO UPPER GI W/ SMALL BOWEL
FLUORO UPPER GI TRACT WITH AIR
FLUORO UGI & SB WITH AIR
pg 1
70542
70543
70544
CPT 70545
CODE
70546
70336
70547
70540
70548
70542
70549
70543
70551
70544
70552
70545
70553
70546
71550
70547
71551
70548
71552
70549
71555
70551
72141
70552
72142
70553
72146
71550
72147
71551
72148
71552
72149
71555
72141
72142
72146
72147
72148
72149
72156
72157
72158
72159
72195
72196
72197
72198
73218
73219
73220
73221
73222
73223
2017 RADIOLOGY
CPT CODES
CT ORBITS/SKULL with contrast
CT ORBIT/SKULL w/o & with contrast
CT MAXILLOFACIAL without contrast
CT FACE with contrast
CT FACE w/o & with contrast
CT NECK SOFT TISSUE without contrast
CT NECT SOFT TISSUE with contrast
FLUORO
AVG
PROCEDURE
FLUORO Upper Esophagram
FLUORO ESOPHAGUS EXAM
FLUORO UPPER GI SERIES
FLUORO UPPER GI W/ SMALL BOWEL
FLUORO UPPER GI TRACT WITH AIR
FLUORO UGI & SB WITH AIR
FLUORO SMALL BOWEL SERIES
FLUORO BARIUM ENEMA
FLUORO BARIUM ENEMA W/AIR CONT
FLUORO IVP
MAMMO
MAMMOGRAPHY-Diagnostic UNILATERAL
MAMMOGRAPHY-Diagnostic- BILATERAL
PROCEDURE
MAMMOGRAPHY SCREENING
MAMMOGRAPHY 3D DIGITAL SCREENING
MAMMOGRAPHY-Diagnostic UNILATERAL
MAMMOGRAPHY-DiagnosticMRI TEMPOROMANDIBULARBILATERAL
JOI
MAMMOGRAPHY
MRI SOFT TISSUESCREENING
NECK,ORBIT without contrast
AVG
MRI SOFT TISSUE NECK,ORBIT with contrast
MRIw/o
part
MRI NECK,ORBIT
& 1with contrast
MRA HEAD without contrast
PROCEDURE
MRA HEAD with contrast
MRATEMPOROMANDIBULAR
HEAD w/o & with contrastJOI
MRI
MRASOFT
NECKTISSUE
withoutNECK,ORBIT
contrast
MRI
without contrast
MRASOFT
NECK/CAROTID
with contrast
MRI
TISSUE NECK,ORBIT
with contrast
MRA/NECK
w/o & w/o
with&contrast
MRI
NECK,ORBIT
with contrast
MRI BRAIN
withoutcontrast
contrast
MRA
HEAD without
MRI BRAIN
withcontrast
contrast
MRA
HEAD with
MRI BRAIN
w/o&&with
withcontrast
contrast
MRA
HEAD w/o
MRI CHEST
withoutcontrast
contrast
MRA
NECK without
MRI CHEST
with contrast
MRA
NECK/CAROTID
with contrast
MRI CHESTw/o
w/o&&with
withcontrast
contrast
MRA/NECK
MRABRAIN
CHEST
MRI
without contrast
MRI BRAIN
CERV.SPINE
without contrast
MRI
with contrast
MRI BRAIN
CERV SPINE
withcontrast
contrast
MRI
w/o & with
MRI CHEST
THORACIC
without
contrast
MRI
without
contrast
MRI CHEST
THORACIC
with contrast
MRI
with contrast
MRI CHEST
LUMBAR
MRI
w/oSPINE
& withwithout
contrastcontrast / MRI LUMBAR PLEXUS
MRI LUMBAR
MRA
CHEST SPINE with contras
MRI CERV.SPINE without contrast
MRI CERV SPINE with contrast
2
MRI THORACIC without contrast
MRI THORACIC with contrast
MRI LUMBAR SPINE without contrast / MRI LUMBAR PLEXUS
MRI LUMBAR SPINE with contrast
MRI/CERV SPINE w/o & with contrast
MRI THORACIC w/o & with contrast
MRI LUMBAR SPINE w/o & with contrast
MRI SPINE Angiography
MRI PELVIS without contrast
MRI PELVIS with contrast
MRI PELVIS w/o & with contrast
MRA PELVIS
MRI UPPER EXT. NON JOINT without contrast
MRI UPPER EXT. NON JOINT with contras
MRI UPPER EXT NON JOINT w/o & with contrast
MRI UPPER EXT. JOINT without contrast
MRI UPPER EXT JOINT with contrast
MRI UPPER JOINT w/o & with contrast
72156
MRI/CERV SPINE w/o & with contrast
72157
MRI THORACIC w/o & with contrast
72158
MRI LUMBAR SPINE w/o & with contrast
72159
MRI SPINE Angiography
72156
72156
MRI/CERVMRI
MRI/CERV
SPINE
w/o
SPINE
& withw/o
contrast
& with contrast
72195
PELVIS
without
contrast
72157
72157
MRI THORACIC
THORACIC
w/o &with
withcontrast
w/o
contrast
& with contrast
72196
MRI PELVIS
72158
72158
MRI LUMBAR
MRI SPINE
LUMBAR
w/o
SPINE
&& with
contrast
& with contrast
72197
PELVIS
w/o
withw/o
contrast
72159
72159
MRI SPINE
MRI
Angiography
SPINE
Angiography
72198
MRA
PELVIS
72195
72195
MRI PELVIS
without
PELVIS
contrast
without
contrast
73218
MRI
UPPER
EXT.
NON
JOINT without contrast
72196
72196
MRI PELVIS
with
PELVIS
contrast
with contrast
73219
MRI
UPPER
EXT.
NON JOINT with contras
72197
72197
MRI PELVIS
w/o
PELVIS
& withEXT
w/o
contrast
&NON
with JOINT
contrastw/o & with contrast
73220
MRI
UPPER
MRIJOINT
part 2 without contrast
72198
72198
MRA PELVIS
MRAUPPER
PELVISEXT.
73221
MRI
73218
73218
MRI UPPER
EXT.
NONEXT
EXT.
JOINT
NON
without
JOINT
without contrast
73222
MRI
UPPER
JOINT
withcontrast
contrast
CPT CODE
CPT CODE
PROCEDURE
73219
73219
MRI UPPER
MRI
EXT.
UPPER
NONJOINT
EXT.
JOINT
NON
withJOINT
contras
73223
w/o
&contras
with with
contrast
73220
73220
MRI UPPER
MRI
EXT
UPPER
NON EXT
JOINT
NON
w/oJOINT
& withw/o
contrast
& with contrast
76506
73225
MRA
UPPER
EXTREMITY
73221
73221
MRI UPPER
MRI
EXT.
UPPER
JOINT
EXT.
without
JOINT
contrast
without
76536
73718
LOWER
EXT
without
contrastcontrast
73222
73222
MRI UPPER
EXT
UPPER
JOINT
EXT
withJOINT
contrast
with contrast
76604
73719
MRI
LOWER
EXT
with
contrast
73223
73223
MRI UPPER
JOINT
UPPER
w/oJOINT
& with
contrast
& with
contrast
76641
73720
MRI
LOWER
EX.
w/ow/o
& with
contrast
73225
73225
MRA UPPER
MRA
EXTREMITY
UPPER EXT
EXTREMITY
76700
73721
MRI
LOWER
JOINT without contrast
73718
73718
MRI LOWER
without
contrast
withoutwith
contrast
76705
73722
MRIEXT
LOWER
EXT
JOINT
contrast
73719
73719
MRI LOWER
MRIEXT
LOWER
withLOW
contrast
EXTEXTREMITY
with contrastw/o & with contrast
76706
73723
MRI/JOINT
73720
73720
MRI LOWER
MRIEX.
LOWER
w/o &EX.
withw/o
contrast
& with contrast
76770
73725
MRA.ANGIO,LOWER
EXTREMITY
73721
73721
MRI LOWER
MRIEXT
LOWER
JOINT
EXT
without
JOINT
contrast
without contrast
76775
74181
ABDOMEN
without
contrast
73722
73722
MRI LOWER
MRIEXT
LOWER
JOINT
EXT
with
JOINT
contrast
with contrast
76776
74182
MRI/ABDOMEN
with
contrast
76800
73723
73723
MRI/JOINTMRI
MRI/JOINT
LOW
EXTREMITY
LOW
EXTREMITY
w/o
& withw/o
contrast
& with contrast
74183
ABD.
w/o
& with
contrast
73725
73725
MRA.ANGIO,LOWER
MRA.ANGIO,LOWER
EXTREMITY
EXTREMITY
76801
74185
MRA
ABDOMEN
76802
74181
74181
MRI ABDOMEN
without contrast
without contrast
77058
MRI ABDOMEN
BREAST
UNILATERL
76805
74182
74182
MRI/ABDOMEN
MRI/ABDOMEN
with contrast
with contrast
77059
MRI
BREAST
BILATERAL
74183
74183
MRI ABD. MRI
w/o &
ABD.
withw/o
contrast
& with contrast
76810
AVG
76811
74185
74185
MRA ABDOMEN
MRA ABDOMEN
CLEAR
76812
77058
77058
MRI BREAST
MRIUNILATERL
BREAST
UNILATERL
78012
NUCLEAR
EXAM
THYROID (UPTAKE only)
NUCLEAR
76813
77059
77059
MRI BREAST
MRIBILATERAL
BREAST
BILATERAL
78014
NUCLEAR
EXAM
THYROID (WITH UPTAKE)
76814
AVG
(single or muliple quantitative measurements) AVG
CPT CODE
PROCEDURE
76815
CLEAR
78013
NUCLEAR EXAM THYROID (WITH IMAGING ONLY)
76816
78012
78012
NUCLEARNUCLEAR
EXAM THYROID
EXAM PARATHYROID
THYROID
(UPTAKE (UPTAKE
only) SCAN
only)
78070
76817
78014
78014
NUCLEARNUCLEAR
EXAM THYROID
THYROID
(WITH UPTAKE)
(WITHSCAN
UPTAKE)
78071
EXAM PARATHYROID
with SPECT
76830
(single or muliple
(single or
quantitative
muliple
measurements)
measurements)
78206
NUCLEAR
LIVERquantitative
SCAN
SPECT(HEMANGIOMA)
76831
78013
78013
NUCLEARNUCLEAR
EXAM THYROID
EXAM
THYROID
(WITH IMAGING
(WITHstatic
IMAGING
ONLY)
ONLY)
78215
LIVER/SPLEEN
SCAN
76856
78070
78070
NUCLEARNUCLEAR
EXAM PARATHYROID
EXAM PARATHYROID
SCAN
78226
HEPATOBILIARY
SCANSCAN
76857
78071
78071
NUCLEARNUCLEAR
EXAM PARATHYROID
EXAM PARATHYROID
SCAN
withSCAN
SPECT
SPECT
78227
HEPATOBILIARY
SCAN
WITHwith
PHARM
76870
78206
78206
NUCLEARNUCLEAR
LIVER SCAN
LIVER
SPECT(HEMANGIOMA)
SCAN
SPECT(HEMANGIOMA)
78290
MECKELS
SCAN
76870
78215
78215
NUCLEAR
NUCLEAR
LIVER/SPLEEN
LIVER/SPLEEN
SCAN
static
SCAN
static
78306
BONE
WHOLE BODY
76881
78226
78226
NUCLEARNUCLEAR
HEPATOBILIARY
HEPATOBILIARY
SCAN3 PHASE
SCAN
78315
BONE
SCAN
76882
78227
78227
NUCLEARNUCLEAR
HEPATOBILIARY
HEPATOBILIARY
SCANSPECT
WITH
SCAN
PHARM
WITH PHARM
78320
BONE
SCAN
93880
78290
78290
NUCLEARMyoCardial
NUCLEAR
MECKELSMECKELS
SCAN Imaging/Exercise
SCAN
78452
Perfusion
with 93015
93926
78306
78306
NUCLEARMyoCardial
NUCLEAR
BONE SCAN
BONE
WHOLE
SCAN
BODY
WHOLE BODY
78452
Perfusion
Imaging/Pharmacologic
with 93015
93970
78315
78315
NUCLEARNUCLEAR
BONE SCAN
BONE
3 PHASE
SCAN 3CARDIA
PHASEIMAGING
78472
MUGA
93971
78320
78320
NUCLEARNUCLEAR
BONE SCAN
BONE
SPECT
SCAN(DaTscan)
SPECT
78607
Brain
Spect
93975
78452
78452
MyoCardial
MyoCardial
PerfusionRENAL
Imaging/Exercise
Perfusion
Imaging/Exercise
with 93015with 93015
78707
NUCLEAR
SCAN
WITH MAG 3
93976
78452
78452
MyoCardial
MyoCardial
Perfusion Imaging/Pharmacologic
Perfusion Imaging/Pharmacologic with 93015with 93015
93990
78472
78472
NUCLEARNUCLEAR
MUGA SCAN
MUGA
CARDIA
SCANIMAGING
CARDIA IMAGING
3
78607
78607
NUCLEARNUCLEAR
Brain Spect
Brain
(DaTscan)
Spect (DaTscan)
78707
78707
NUCLEARNUCLEAR
RENAL SCAN
RENAL
WITH
SCAN
MAG
WITH
3 MAG 3
78708
NUCLEARNUCLEAR
RENAL SCAN
WITH
LASIX
ORLASIX
CAPTOPRIL
78708
RENAL
SCAN
WITH
OR CAPTOPRIL
78800
NUCLEARNUCLEAR
GALLIUM GALLIUM
SCAN
with 78803with 78803
78800
SCAN
78804
NUCLEARNUCLEAR
OCTREO SCAN
with 78803with 78803
3
3
78804
OCTREO
SCAN
78807
NUCLEARNUCLEAR
SCAN FOR
INFLAMATION
with spect with spect
78807
SCAN
FOR INFLAMATION
AVG
AVG
78708
NUCLEAR RENAL SCAN WITH LASIX OR CAPTOPRIL
T
78800
NUCLEAR GALLIUM SCAN
with 78803
78608
PET BRAIN
IMAG
78608
PET
BRAINOCTREO
IMAG
78804
NUCLEAR
SCAN
with 78803
78814
PET SCANNUCLEAR
WITH
CT SCAN
Limited
78814
PET
SCAN
WITH CT
Limited
PET
78807
FOR
INFLAMATION with spect
78815
PET SCANN
with
CT Skull
mid
thigh
78815
PET
SCANN
withtoCT
Skull
to mid thigh
AVG
CODE
78816CPT 78816
PET SCANPROCEDURE
withSCAN
CT fullwith
body
PET
CT full body
T
AVG
AVG
78608
PET BRAIN IMAG
S
78814
PET SCAN WITH CT Limited
76506
U/S EXAMPET
OF EXAM
HEAD
76506
U/S
OFwith
HEAD
78815
SCANN
CT Skull to mid thigh
76536
U/S
Soft
Tissue
Neck(thyroid,parathyroid,etc.)
76536
U/S
Soft
Tissue
78816
PET SCAN
with Neck(thyroid,parathyroid,etc.)
CT full body
76604
U/S CHEST
76604
U/S CHEST
AVG
76641
U/S BREAST(uni
or bi)
76641
U/S BREAST(uni
or bi)
S
76700
U/S ABDOMEN
COMPLETE
76700
U/S ABDOMEN
COMPLETE
76506
U/S
EXAM
OF HEAD
76705
U/S ABDOMEN(limited)
76705
U/S ABDOMEN(limited)
76536
U/S
Soft Tissue Neck(thyroid,parathyroid,etc.)
76770
U/S RETRO(renal,aorta,nodes)
76770
U/S CHEST
RETRO(renal,aorta,nodes)
76604
U/S
76775
U/S RETRO-limited
76775
U/S BREAST(uni
RETRO-limited
76641
U/S
or bi)
76776
U/S TRANSPLANTED
KIDNEY
76776
U/S ABDOMEN
TRANSPLANTED
KIDNEY
76700
U/S
COMPLETE
76800
U/S ECHOU/S
EXAM
SPINAL
CANAL
76800
U/S
ECHO
EXAM
SPINAL CANAL
76705
ABDOMEN(limited)
76801
U/S OB FIRST
TRIMESTER
76801
U/S
FIRST TRIMESTER
pg 2
76770
U/S OB
RETRO(renal,aorta,nodes)
76802
U/S OB/FIRST
TRI/EACHTRI/EACH
ADD
76802
U/S
ADD
76775
U/S OB/FIRST
RETRO-limited
2017 RADIOLOGY
CPT CODES
US
PROCEDURE
U/S EXAM OF HEAD
U/S Soft Tissue Neck (thyroid,parathyroid,etc.)
U/S CHEST
U/S BREAST (uni or bi)
U/S ABDOMEN COMPLETE
U/S ABDOMEN (limited)
U/S ABDOMEN AORTA, AAA SCREENING
U/S RETRO (renal,aorta,nodes)
U/S RETRO-limited
U/S TRANSPLANTED KIDNEY
U/S ECHO EXAM SPINAL CANAL
U/S OB FIRST TRIMESTER
U/S OB/FIRST TRI/EACH ADD
U/S OB-GYN > 14 WEEKS
U/S OB > 14 WEEKS/EACH ADD
U/S OB MATERN/EVAL&DET EX
U/S OB MATERN/EVAL&DET EX/EACH ADD
U/S NUCHAL TRANSLUCENCY
U/S Nuchal Translucency/EACH ADD
U/S OB LIMITED
U/S OB LIMITED FOLLOW UP
U/S OB TRANSVAG
U/S TRANSVAGINAL
U/S HYSTEROGRAM WITH DOPPLER
U/S PELVIS-NON OB
U/S PELVIS-NON OB LIMITED
U/S SCROTUM
U/S SCROTUM with Doppler 93975
U/S EXTREMITY NON VASCULAR
U/S EXTREMITY NON VASCULAR LIMITED
U/S CAROTID DOPPLER/DUPLEX
U/S DUPLEX SCAN LOW EXT ARTERY r/o pseudo
U/S VENOUS DUPLEX/EXTREMITY
U/S VENOUS DUPLEX/EXTRM/UNILA
U/S DOPPLER,ABDOMINAL/PELVIC
U/S LIMITED STUDY DUPLEX SCAN
U/S DUPLEX SCAN OF HEMODIALYS
RAY
2017 RADIOLOGY
CPT CODES
X-RAY
CPT CODE
70030
70100
70110
70140
70150
70160
70210
70220
70250
70260
70360
71010
71020
71021
71022
71023
71030
71034
71035
71100
71101
71110
71111
71120
71130
72010
72020
72040
72050
72052
72069
72070
72072
72074
72080
72090
72100
72110
72114
72120
72170
72190
72200
72202
72220
73000
73010
73020
X-RAY
CPT CODE
PROCEDURE
73030
73040
73050
73060
73070
73080
73085
73090
73092
73100
73110
73115
73120
73130
73140
73500
73510
73520
73525
73540
73550
73560
73562
73564
73565
73580
73590
73592
73600
73610
73615
73620
73630
73650
73660
74000
74010
74020
74022
76010
77072
77073
77074
77075
77076
77080
X-RAY EYE FOR FOREIGN BOD
XRAY MANDIBLE < 4 VIEWS
X-RAY EXAM OF MANDIBLE 4 VIEWS
XRAY FACIAL BONES < 3VIEWS
X-RAY FACIAL BONES 3VIEWS
XRAY NASAL BONES 3 VIEWS+
XRAY SINUSES < 3 VIEWS
XRAY SINUSES 3 OR MORE VIEWS
XRAY SKULL < 4 VIEWS
XRAY SKULL 4VIEWS
XRAY NECK SOFT TISSUE
XRAY CHEST, ONE VIEW
XRAY CHEST, TWO VIEWS
XRAY CHEST W/APICAL LORDO
XRAY CHEST W/OBLIQUE PROJEC
XRAY CHEST W/FLUORO
XRAY CHEST 4 VIEWS
XRAY CHEST 4 VIEWS W/FLUOROS.
XRAY CHEST LATERAL DECUBITUS
XRAY RIBS,UNILAT.,TWO VIEWS
XRAY RIBS INCL CHEST 3 VI
XRAY RIB BILAT 3 VIEWS
XRAY RIBS BILATERAL INCL CHEST 4 VI
XRAY STERNUM 2 VIEWS
XRAY STERNO CLAVI JOINT 3 VIEWS
XRAY SPINE, ENTIRE AP & LAT
XRAY SPINE ONE VIEW
XRAY CERVICAL SPINE < 4 VIEWS
XRAY CERVICAL SPINE 4 or 5 VIEWS
XRAY SPINE CERV INCL OBLI 6VIEWS
XRAY SPINE THORACOLUMBAR SCOLIOSIS
XRAY THORACIC SPINE 2 VIEWS
XRAY SPINE THORACIC 3 VIE
XRAY SPINE THORACIC 4 VIE
XRAY SPINE THORACOLUMBAR
XRAY SCOLIOSIS STUDY ERECT & SUPINE
XRAY LUMBAR SPINE < 4 VIEWS
XRAY LUMBAR SPINE 4 VIEWS
X-RAY LUMBAR SPINE 6 VIEWS
X-RAY LUMBAR SPINE <4 VIEW
XRAY PELVIS 1 OR 2 VIEWS
XRAY PELVIS 3 VIEWS
XRAY SACROILIAC JOINTS < 3 VIEWS
XRAY SACROILIAC JOINTS 3VIEW
XRAY COCCYX/SACRUM 2VIEWS
XRAY CLAVICLE
XRAY SCAPULA, COMPLETE
XRAY SHOULDER MIN 1 VIEWS
PROCEDURE
XRAY SHOULDER 2 VIEWS
XRAY SHOULDER ARTHROGRAPHY
X-RAY ACOMIOCLAVICULAR JOINTS
XRAY HUMERUS 2 VIEWS
XRAY ELBOW TWO VIEWS
XRAY ELBOW THREE VIEWS
XRAY ELBOW ARTHROGRAPHY
XRAY FOREARM TWO VIEWS
X-RAY EXAM OF ARM, INFANT
XRAY WRIST 2 VIEWS
XRAY WRIST MIN 3 VIEWS
XRAY WRIST ARTHROGRAPHY
XRAY HAND 2 VIEWS
XRAY HAND MIN 3 VIEWS
XRAY FINGER 2 VIEWS
XRAY XRAY HIP 1 VIEW
XRAY HIP MIN TWO VIEWS
XRAY HIP BILAT TWO VIEWS
XRAY HIP ARTHROGRAPHY
X-RAY EXAM OF PELVIS INFANT OR CHILD
X-RAY FEMUR TWO VIEWS
X-RAY KNEE 1 OR 2 VIEWS
X-RAY KNEE-3 VIEWS
X-RAY EXAM OF KNEE 4 VIEWS
X-RAY KNEE,BILATERAL STANDING
X-RAY KNEE ARTHROGRAPHY
X-RAY TIBIA/FIBULA
X-RAY EXAM OF LEG, INFANT
X-RAY ANKLE
X-RAY ANKLE BILATERAL
X-RAY ANKLE ARTHROGRAPHY
X-RAY FOOT 2 VIEWS
X-RAY FOOT,COMPLETE
X-RAY HEEL,TWO VIEWS
X-RAY TOE(S)
X-RAY ABDOMEN AP VIEW
X-RAY EXAM OF ABDOMEN WITH OBLIQUE
X-RAY EXAM OF ABDOMEN SUPINE & ERECT
X-RAY ABDOMEN COMPLETE WITH AP CHEST
X-RAY, NOSE TO RECTUM CHILD
X-RAY BONE AGE STUDIES
X-RAY BONE LENGTH EVALUATION SCANOGRAM
X-RAY BONE SURVEY limited
X-RAY BONE SURVEY COMPLETE
X-RAY BONE EVALUATION infant
X-RAY DEXA/BONE DENSITY STUDY
AVG
printed 3/30/2015
5
6
3/10/2017
pg 3