CT PROCEDURES
NAME
3D RENDERING W/INDEP WKST
ABD / PEL CTA W/WO CON
ABD AORTA ILIOFEM CTA W/WO CON
ABD OR RETROPERITONEAL BX MASS
ABDOMEN & PELVIS WO CONTRAST
ABDOMEN & PELVIS WITH CONTRAST
ABDOMEN & PELVIS WOW CONTRAST
ABDOMEN CTA W/WO CON
ABDOMEN W/ CON
ABDOMEN W/O CON
ABDOMEN W/WO CON
ABDOMINAL PARACENTESIS W GUIDE
ANES FOR NON INVASIVE IMAGING
AORTA CTA RECON FOR VASC SURG
APPENDICEAL PERC ABS DRG
BONE BX SUPERFICIAL
BONE DEEP BX FEMUR VERT
BONE MARROW BX NDL OR TROCAR
BRAIN/HEAD W/ CON
BRAIN/HEAD W/O CON
BRAIN/HEAD W/WO CON
BX CORE ADRENAL GLAND
CALCIUM SCORING SCREENING
CELIAC NERVE INJECTION
CER/THOR EPI INJ ADD LVL
CER/THOR EPIDURAL INJ SGL LVL
CERVICAL SPINE W/ CON
CERVICAL SPINE W/O CON
CERVICAL SPINE W/WO CON
CHEST CTA W/WO CON
CHEST SCREEN LOW DOSE
CT Cerebral Perfusion w/ Con
CT GUID NDL BX ASP INJ LOC
CT GUIDE STEREOTACTIC LOCAL
CT GUIDED RF ABLATION
CT HEART W 3D CONGEN
CT HEART-3D EVALUATION
CT LTD AND/OR LOCALIZED STUDY
CT RECONSTRUCTION
CT SCAN WRITE IN
CTA HEART W/ 3D
FACE CT W/ CON
FACE CT W/O CON
FACE CT W/WO CON
CPT CODE
76377
74174
75635
49180
74176
74177
74178
74175
74160
74150
74170
49083
1922
G0288
44900
20220
20225
38221
70460
70450
70470
60699
75571
64530
64480
64479
72126
72125
72127
71275
76497
0042T
77012
77011
77013
75573
75572
76380
76376
76499
75574
70487
70486
70488
FACET J/N INJ CER/THOR 2ND LVL
FACET J/N INJ CER/THOR ADD LVL
FACET J/N INJ CER/THOR SGL LVL
FINE NDL ASP W/ IMAGE GUIDANCE
GUIDE FOR RADIATION FIELDS
HEAD CTA W/WO CON
INJECTION PROCEDURE S.I. JOIN
INTERVENTIONAL RAD CONSULT
L/S EPIDURAL INJ SGL LVL
L/S EPIDURALJ IN EA ADD LVL
LIVER BIOPSY PERC NDL
LIVER DRAINAGE ABS CYST PERC
LOWER EXT CTA W/WO CON
LOWER EXT LT W/ CON
LOWER EXT LT W/O CON
LOWER EXT LT W/WO CON
LOWER EXT RT W/ CON
LOWER EXT RT W/O CON
LOWER EXT RT W/WO CON
LUMBAR SPINE CLIN TRIAL WO CON
LUMBAR SPINE W/ CON
LUMBAR SPINE W/O CON
LUMBAR SPINE W/WO CON
LUNG/CHEST W/ CON
LUNG/CHEST W/O CON
LUNG/CHEST W/WO CON
LUNG/MEDIASTINUM BX PERC NDL
MOD SEDATION <5YRS 30 MINUTES
MOD SEDATION <5YRS ADD 15 MIN
MOD SEDATION >5 YRS ADD 15 MIN
MOD SEDATION >5YRS 30 MINUTES
MUSCLE BX PERC NDL
NECK CTA W/WO CON
NEPHROSTOMY PERC DRG/INJ
ORBIT/SELLA/POSTFOS/PIT W/ CON
ORBIT/SELLA/POSTFOS/PIT W/O
ORBIT/SELLA/POSTFOS/PIT W/WO
PANCREAS BX PERC NDL
PANCREAS DRAINAGE PSUEDOCYST
PANCREATIC DRG-PANCREATITIS
PARAFACET J/N INJ L/S 2ND LVL
PARAFACET J/N INJ L/S ADD LVL
PARAFACET J/N INJ L/S SGL LVL
PARANASAL SINUSES LTD W/ CON
PARANASAL SINUSES LTD W/O CON
PELVIC ABSCESS DRAINAGE PERC
PELVIS CTA W/WO CON
64491
64492
64490
10022
77014
70496
27096
99243
64483
64484
47000
47011
73706
73701LT
73700LT
73702LT
73701RT
73700RT
73702RT
72131
72132
72131
72133
71260
71250
71270
32405
99143
99145
99145
99144
20206
70498
50392
70481
70480
70482
48102
48511
48000
64494
64495
64493
76380
76380
58823
72191
PELVIS W/ CON
PELVIS W/O CON
PELVIS W/WO CON
PERC RF ABLATION BONE
PERC RF ABLATION KIDNEY
PERC RF ABLATION LIVER
PERC RF ABLATION LUNG
PERC VERTEBROPLASTY LUM(each)
PERC VERTEBROPLSTY THORACIC EA
PERITONEAL PERC ABSCESS DRG
PERQ VERTE/SACROPLASTY, CT
PLEURA BX PERC NDL
PNEUMO PERC DRG ABS OR CYST
RAD GUID PERC DRG CATH PLACE
Reconstruction/Vasc surgery
RENAL BX PERC TROCAR OR NDL
RENAL CYST/PELVIS PERC ASP/IN
RETROPERITONEAL PERC ABSC DRG
REVIEW OUTSIDE CT EXAM
SACRAL VERTEBROPLASTY
SACRAL VERTEBROPLASTY BILAT
SCIATIC NERVE INJECTION
SHOULDER ARTHROGRAM CT LT
SHOULDER ARTHROGRAM CT RT
SIALOGRAM CT LT
SIALOGRAM CT RT
SINUS TRACT INJECTION
SINUSES W/ CON
SINUSES W/ INSTATRAK
SINUSES W/O CON
SINUSES W/WO CON
SOFT TISSUE DEEP ABSCESS DRG
SOFT TISSUE NECK W/ CON
SOFT TISSUE NECK W/O CON
SOFT TISSUE NECK W/WO CON
SOFT TISSUE SUPFIC ABS DRG
SPLEEN BX PERCUTANEOUS
SUBDIAPHRAG/PHREN PERC ABS DRG
SYMPATH NERV BLOCK LUM OR THOR
TEMPORAL BONES/IACS W/ CON
TEMPORAL BONES/IACS W/O CON
TEMPORAL BONES/IACS W/WO CON
THORACENTESIS ASP, INIT/SUBSEQ
THORACENTESIS W/INSERT TUBE
THORACIC SPINE W/ CON
THORACIC SPINE W/O CON
THORACIC SPINE W/WO CON
72193
72192
72194
20982
50593
47382
32999
22521
22520
49021
72292
32400
32201
75989
G0288
50200
50390
49061
76140
0200T
0201T
64445
73201LT
73201RT
70491LT
70491RT
20501
70487
70486
70486
70488
20005
70491
70490
70492
10060
38999
49041
64520
70481
70480
70482
32555
32557
72129
72128
72130
THORACOSTOMY ABS, HEMO, ETC
THYROID BX PERC CORE NDL
UPPER EXT CTA W/WO CON
UPPER EXT LT W/ CON
UPPER EXT LT W/O CON
UPPER EXT LT W/WO CON
UPPER EXT RT W/ CON
UPPER EXT RT W/O CON
UPPER EXT RT W/WO CON
32551
60100
73206
73201LT
73200LT
73202LT
73201RT
73200RT
73202RT
Revised 9/27/13