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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

(2)

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. 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.

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. 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

(3)

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Head / Brain

Trauma CT Head / Brain 70450

Headaches Without Contrast

CVA, Stroke Bleed, Hemorrhage Alzheimer’s

Memory Loss, Confusion Vertigo, Dizziness Shunt Check Hydrocephalus

Metastatic Staging CT Head / Brain 70460

Mass/Tumor With Contrast

Infection

Headache w/ associated neurologic signs

Melanoma CT Head / Brain 70470

HIV Without and With Contrast

Toxoplasmosis

Orbits

Trauma CT Orbit 70480

Fracture Without Contrast

Foreign Body Graves Disease

Pseudo Tumor CT Orbit 70481

Pain With Contrast

Exopthalmus Abscess

Mass CT Orbit 70482

Retinoblastoma Without and With Contrast

Facial Bones

Trauma CT Facial Bones 70486

Fracture Without Contrast

Cellulitis CT Facial Bones With Contrast 70487

Sinuses

Sinusitis CT Sinus Limited 76380

Osteomeatal Complex CT Sinus Complete 70486

Sinusitis Polyps

Temporal

Hearing Loss, Conductive* CT Inner Ears, Temporal Bones 70480

Bone

Cholesteotoma Without Contrst

Trauma

*Sensory neuro hearing loss, order MRI with and without contrast.

CT - Co

mput

e

d Tomogra

phy

CT - Head

(4)

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Neck

Mass CT Neck 70491

Infection With Contrast

Cancer Workups *If elevated creatinine order

Parotid Mass without contrast

Hoarseness CT Neck 70490

Vocal Chord Paralysis Without Contrast Voice Changes

Submandibular Stone CT Soft Tissue Neck 70492

Infection of Submandibular Gland Without and With Contrast Infection of Parotid Gland

Parotid Stone

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Cervical

Trauma, Fracture, Fusion CT Cervical Spine 72125

Spine

Assess Bone Degenerative Changes Without Contrast *MRI recommended for disc

herniation, mets, infection

Thoracic

Trauma, Fracture, Fusion CT Thoracic Spine 72128

Spine

Assess Bony Degenerative Changes Without Contrast *MRI recommended for disc

herniation, mets, infection

Lumbar

Trauma, Fracture, Fusion CT Lumbar Spine 72131

Spine

Assess Bony Degenerative Changes Without Contrast *MRI recommended for disc

herniation, mets, infection

Chest

F/U nodules CT Chest 71250

Renal Failure Patients Without Contrast

Cough CT Chest 71260

Pneumonia With Contrast

Lung CA Esophageal CA Lymphoma Lung Nodule Mass Tracheal Stenosis Chest Wall Mass

CT - Head (Continued)

CT- Spine

CT - Co

mput

e

d Tomogra

phy

(5)

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Chest, High

Interstitial Disease CT Chest 71250

Resolution

Fibrosis Without Contrast COPD Hemoptysis Bronchiectasis Sarcoidosis Pleural Plaques Asbestosis

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Abdomen

F/U for pts with renal cell carcinoma in renal failure (recommend MRI)

CT Abdomen Without Contrast 74150

Abdominal Pain (generalized) CT Abdomen 74160

Mass With Contrast

RUQ Pain LUQ Pain Epigastric Pain Pseudocyst Pancreatitis

Abdomen &

Hematuria with Pain CT Abdomen and Pelvis 74176

Pelvis

Stone (Stone Study) Without Contrast

Abdominal Pain CT Abdomen and Pelvis 74177

Crohns/Ulcerative Colitis/IBD With Contrast Diverticulitis

Abscess Mass

Hernia (i.e., umbilical, inguinal)

Kidney Cyst vs. Mass CT Abdomen Without and 74178

Cancer Staging With Contrast

CT Pelvis With Contrast

Abdomen

Adrenal Mass - No Oral Prep CT Abdomen 74170

(Renal/ Adrenal)

Abnormal Ultrasound Without and With Contrast Renal Mass - No Oral Prep

Liver Hemangioma - No Oral Prep

(recommend MRI)

Hepatitis, Cirrhosis - No Oral Prep

CT- Chest

CT- Abdomen & Pelvis

CT - Co

mput

e

d Tomogra

phy

(6)

CT- Abdomen & Pelvis (Continued)

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Pelvis

Fracture CT Pelvis 72192

Non-Union Without Contrast

Prostate Treatment Planning

Arthritis CT Pelvis 72193

Cancer Staging With Contrast

Mass Cysts Pain Infection Abscess

Bone Infection CT Pelvis 72194

(recommend MRI)

Without and With Contrast

CT Urogram

Transitional Cell Carcinoma of CT Abdomen and Pelvis 74178

(Kidneys/ Bladder)

Kidney and/or Bladder With and Without Contrast Defects/Bladder Leakage

CT Enteropgraphy

Crohns Disease/ CT Abdomen and Pelvis 74177 Inflammatory Bowel Disease With Contrast

Suspected Partial SBO (Small Bowel Obstruction) Small Bowel Masses Celiac Disease

CT Cystogram

Leakage CT Abdomen and Pelvis 74176 Colovesical Fistula With and Without Contrast

Virtual

Colon Survey CT Abdomen and Pelvis

Colonoscopy

Failed Colonoscopy Without Contrast

DIAGNOSTIC 74261 SCREENING 74263

CT- Extremities

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Upper Extremities

Fracture CT Upper Extremity 73200

Finger

Fusion Without Contrast

Hand

Non-Union/Malunion

Wrist

Infection CT Upper Extremity 73201

Forearm

Tumor/Mass/Cancer/Mets With Contrast

Elbow

(recommend MRI)

Humerus

Shoulder

Clavicle

Scapula

CT - Co

mput

e

d Tomogra

phy

(7)

CT- Extremities Continued

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

Sternoclavicular

Fracture CT Chest 71250

Joint

Non Union/Malunion Without Contrast

Lower Extremities

Fracture CT Lower Extremity 73700

Foot

Fusion Without Contrast

Ankle

Non-Union/Malunion

Calf (Tibia/ Fibula)

Arthritis

Knee

Patello Femoral Malalignment

Thigh (Femur)

Anteversion/Malrotation (Bilateral)

Infection CT Lower Extremity 73701

Tumor/Mass/Cancer/Mets With Contrast

(recommend MRI)

Leg Lengths

Abnormality Leg Length CT Limited 76380

Malrotation XR Bone Length 77073

FAI Protocol

Femoral Anteversion for CT Hip Without Contrast AND 72192

FAI Cam Lesion CT Knee Without Contrast 73700

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

CT Arthrogram

Cartilage Abnormality Requires 3 codes:

Hip

Meniscus Abnormality 1 - Choose upper or lower ext:

Knee

Labrum Abnormality Lower Extremity With Contrast 73701

Ankle

Loose Bodies OR

Shoulder

Upper Extremity With Contrast 73201

Elbow

2 - Fluoro Guided Arthrogram 77002

Wrist

3 - Choose body part:

Hip 27093 Knee 27370 Ankle 27648 Shoulder 23350 Elbow 24220 Wrist 25246

CTA Brain/ Head

TIA, CVA CTA Brain 70496 Vascular Malformation

Aneurysm

AVM (Arterio/ Venous Malformation)

CT - Co

mput

e

d Tomogra

phy

CT- Arthrography

(8)

BODY PART

REASON FOR EXAM

EXAM TO PRE-CERT

CPT

CODE

CTA Carotid/ Neck

Carotid Stenosis CTA Carotid 70498 Bruit

TIA, CVA Carotid Dissection

CTA Chest

Thoracic Aortic Dissection CTA Chest 71275 Thoracic Aortic Aneurysm

Coarctation Aortic Root Dilation

CTA Chest

Chest Pain / Dyspnea CTA Chest 71275

PE Study

Tachypnea Shortness of Breath

Pulmonary Hypertension (PA HTN)

CTA Chest and

Thoracic and Abdominal CTA Chest 71275

CTA Abdomen

Aortic Dissection CTA Abdomen 72191 * Dissection going past renals

Calcium Scoring

Calcium Scoring of Coronary Arteries Calcium Score 75571 Fanily History of CAD

Aorta, Renal, Stent

Aneurysm (AAA) CTA Abdomen and 74175 Stent Obstruction/Leak/Malfunction CTA Pelvis 72191 Crossing Vessels

Anatomic Marking for Partial/ Complete Nephrectomy Renal Artery Stenosis

CTA Upper

Trauma CTA Upper Extremity 73206

Extremities

Arterial Stenosis

CTA Upper

Peripheral Artery Disease CT Lower Extremity 73706

Extremities

Ischemia to Lower Extremity Arterial Stenosis

CTA Run-Off

Peripheral Artery Disease (PAD) CTA Abdomen, Pelvis, Bilateral 75635 Ischemia to Lower Extremity Lower Extremities

Arterial Stenosis

CT- Angiograpghy (CTA)

CT - Co

mput

e

d Tomogra

phy

(9)

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Brain

Alzheimer’s, Dementia, Memory Loss MRI Brain 70551 Mental Status Changes, Confusion Without Contrast

Headache Without Focal Symptoms Seizures (children)

Stroke, CVA, TIA Trauma

Cranial Nerve Lesions MRI Brain 70553

Dizziness, Vertigo Without and With Contrast Headache With Focal Symptoms

HIV

IAC/Hearing Loss Infection Multiple Sclerosis Neurofibromatosis

Pituitary Lesion, Elevated Prolactin Seizures (adult new onset) Tumor / Mass / Cancer / Mets Vascular Lesions

Vision Changes

Trigeminal Neuralgia Order 2 exams:

MRI Brain Without and With Contrast 70553 MRI Orbits / Face / Neck 70543 Without and With Contrast

Orbits

Grave’s Disease MRI Orbits / Face / Neck 70540

Trauma Without Contrast

Exopthalmos, Proptosis MRI Orbits / Face / Neck 70543 Pseudotumor Without and With Contrast

Tumor / Mass / Cancer / Mets Vascular Lesions

Optic Neuritis

Neck

Infection MRI Orbits/Face/Neck 70543

Pain Without and With Contrast

Tumor / Mass / Cancer / Mets Vocal Cord Paralysis

Parotid Gland MRI Orbits/Face/Neck 70543

Without and With Contrast

MRI- Head & Neck

M

RI - Magn

etic Reson

ance Imag

(10)

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Cervical

Arm / Shoulder Pain or Weakness MRI Cervical Spine 72141 Degenerative Disease Without Contrast

Neck Pain Disc Herniation Cervical Fusion Radiculopathy

Discitis MRI Cervical Spine 72156

Osteomylitis Without and With Contrast Multiple Sclerosis

Myelopathy Syrinx

Tumor / Mass / Cancer / Mets Vascular Lesions, AVM

Thoracic

Back Pain MRI Thoracic Spine 72146 Compression Fx (no hx cancer) Without Contrast

Degenerative Disease Disc Herniation Radiculopathy Trauma

Compression Fx (with hx cancer) MRI Thoracic Spine 72157

Discitis Without and With Contrast

Osteomylitis Multiple Sclerosis Myelopathy Syrinx

Tumor / Mass / Cancer / Mets Vascular Lesions

AVM

Lumbar

Back Pain MRI Lumbar Spine 72148 Compression Fx (no hx malig / mets) Without Contrast

Degenerative Disease Disc Herniation Radiculopathy Sciatica Spondylolithesis Stenosis Trauma

Compression Fx (no hx malig / mets) MRI Lumbar Spine 72158

Discitis Without and With Contrast

Osteomylitis

Tumor / Mass / Cancer / Mets

MRI- Spine

M

RI - Magn

etic Reson

ance Imag

ing

(11)

MRI- Chest / Abdomen / Pelvis

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Brachial

Brachial Plexus Injury MRI Chest Without and With Contrast 71552

Plexus

Nerve Avulsion MRI Neck Without and With Contrast 70543 Tumor / Mass / Cancer / Mets (Please authorize BOTH codes.)

Chest-

Tumor / Mass / Cancer / Mets MRI Chest / Mediastinum 71552

Mediastinum

Without and With Contrast

Breast

Implant Rupture MRI Bilateral Breast Without Contrast 77059

Abnormal Mammogram MRI Bilateral Breast 77059

Abnormal Ultrasound Without and With Contrast Dense Breast/High Risk

Mass / Lesion / Cancer Palpable Mass

Abdomen

MRCP (Biliary / Pancreatic Ducts) MRI Abdomen Without Contrast 74181

Adrenal Adenoma MRI Abdomen 74183

Adrenal Mass (not adenoma) Without and With Contrast Hemangioma

Liver, Kidney, or Pancreas Mass Tumor / Mass / Cancer / Mets

Pelvis

Adenomyosis MRI Pelvis Without Contrast 72195 Fracture

Muscle / Tendon Tear Urethral Diverticulum Sports Hernia

Fibroids MRI Pelvis Without and With Contrast 72197 Osteomylitis

Septic Arthritis

Tumor / Mass / Cancer / Mets Abcess

Ulcer

MRI- Enterography Abdomen & Pelvis

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Abdomen

Crohns Disease/Inflammatory Order 2 Exams:

Pelvis

Bowel Disease MRI Abdomen 74183

GI Bleed Without and With Contrast

Suspected Partial SBO MRI Pelvis Without and With Contrast 72197 (Small Bowel Obstruction)

Small Bowel Masses Celiac Disease

M

RI - Magn

etic Reson

ance Imag

ing

(12)

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Non-Joint:

Fracture MRI — Non Joint Without Contrast

Arm

Stress Fracture Lower Extremity 73718

Hand

Muscle / Tendon Tear Upper Extremity 73218

Finger

Abcess MRI — Non Joint Without and With

Leg

Ulcer I.V. Contrast

Foot

Bone Tumor / Mass / Cancer / Mets Lower Extremity 73720

Toe

Cellulitis Upper Extremity 73220

Fasciitis Myositis

Morton‘s Neuroma Osteomylitis

Soft Tissue Tumor / Mass / Cancer

Joint:

Arthritis MRI — Joint Without Contrast

Shoulder

Avascular Necrosis (AVN) Lower Extremity 73721

Elbow

Fracture Upper Extremity 73221

Wrist

Stress Fracture

Hip

Internal Derangement

Knee

Joint Pain (specify joint)

Ankle

Labral Tear

Meniscal Tear Muscle Tear Tendon Tear Ligament Tear Cartilage Tear

Osteochondritis Dessicans (OCD)

Abcess MRI — Joint Without and With

Ulcer I.V. Contrast

Cellulitis Lower Extremity 73723

Fasciitis Upper Extremity 73223

Myositis

Inflammatory Arthritis (pannus eval) Osteomylitis

Septic Arthritis

Tumor / Mass / Cancer / Mets

MRI- Extremities

M

RI - Magn

etic Reson

ance Imag

ing

(13)

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Shoulder

Labral Tear MRI Joint With Intra-articular Contrast

Elbow

Loose Bodies

Wrist

OCD Stability Requires 3 codes:

Hip

Post-op Meniscus Evaluation 1 — Lower Extremity With Contrast OR 73722

Knee

Upper Extremity With Contrast 73222

Ankle

2 — Fluoro Guided Arthrogram 77002

3 — Choose one code for body part:

Shoulder 23350 Elbow 24220 Wrist 25246 Hip 27093 Knee 27370 Ankle 27648

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Head (MRA)

Stroke, CVA, TIA MRA Head Without Contrast 70544 Aneurysm

Head (MRV)

Venous Thrombosis MRV Head Without Contrast 70544

Neck

Stroke, CVA, TIA MRA Neck Without Contrast 70547

Dissection MRA Neck Without and With Contrast 70549

Chest

Thoracic Aorta MRA Chest Without and With Contrast 71555 (other than dissection)

Vascular Anomalies Subclavian Vessels

Aortic Dissection Order 2 Exams:

MRA Chest Without and With Contrast 71555

MRA Abdomen 74185

Without and With Contrast

Arch & Great

Stroke, CVA, TIA MRA Neck Without and With Contrast 70549

Vessels

Abdomen

AAA (abdominal aortic aneurysm) MRA Abdomen 74185

(MRA)

Abdominal Aortic Dissection Without and With Contrast Mesenteric Ischemia

Pre Kidney Transplant

Renal Mass Order 2 Exams:

Uncontrolled Blood Pressure MRA Abdomen 74185

Without and With Contrast

MRI Abdomen 74183

Without and With Contrast

M

RI - Magn

etic Reson

ance Imag

ing

MRI- Arthrography Joints

(14)

BODY PART

REASON FOR EXAM

PROCEDURE TO PRE-CERT

CPT

CODE

Abdomen

Venous Thrombosis MRV Abdomen 74185

(MRV)

Venous Pathology Without and With Contrast

Pelvis

AVM (arteriovenous malformation) MRA Pelvis 72198 Without and With Contrast

Pelvic Congestion Order 2 Exams:

MRA Pelvis 72198

Without and With Contrast

MRI Pelvis 72197

Without and With Contrast

Peripheral

Claudication Requires 3 codes:

Run-Off

Cold Foot MRA Abdomen 74185

Pain Without and With Contrast

MRA Lower Extremity 73725

Without and With Contrast (Left)

MRA Lower Extremity 73725

Without and With Contrast (Right)

M

RI - Magn

etic Reson

ance Imag

ing

(15)

COMMON INDICATIONS

CPT CODES

Primary or metastatic tumors – initial evaluation or follow-up of therapy Total body 78306

Pain of suspected musculoskeletal etiology Multi-area 78305

Paget’s disease 3-phase 78315

Stress or occult fractures Bone SPECT 78320

Trauma Limited Area 78300

Osteomyelitis or musculoskeletal inflammation Bone viability–grafts or avascular necrosis (AVN) Metabolic bone disease

Arthritities

Prosthetic joint evaluation for loosening or infection Evaluation of abnormal findings by other imaging modalities

Evaluation of abnormal lab findings, especially elevated alkaline phosphatase Reflex sympathetic dystrophy (RSD)

Suspected Charcot’s joint

COMMON INDICATIONS

CPT CODES

Right upper quadrant or abdominal pain Biliary 78223

Gallstones on CT or ultrasound Biliary with CCK 78223

Evaluation of gallbladder ejection fraction i.e., CCK Biliary Assessment of liver transplant function

Evaluation of biliary atresia in pediatric patients Evaluation of bile leak

Evaluation of common bile duct obstruction Evaluation of choledochal cyst

COMMON INDICATIONS

CPT CODES

Evaluation of fevers of unknown origin Total body 78806

Disk space or joint space infection Limited area 78805

Evaluation of infection in immuno-compromised individuals SPECT 78803 Osteomylitis (Bone Gallium)

Infection of prosthetic joints

Detection of inflammatory disease such as sarcoid and tuberculosis. Evaluation of vascular graft infection

Abscess localization

Evaluation of pulmonary inflammation due to drug/environmental reaction, e.g., Amiodarone toxicity

Polynephritis

Post-operative surgical incision site infection Evaluation of inflammatory bowel disease Evaluation of diabetic ulcers

N

u

c

le

a

r

Me

d

ic

in

e

Nuclear Medicine- Bone Scan

Nuclear Medicine- Gallium Scan

Nuclear Medicine- Biliary Scan

(16)

COMMON INDICATIONS

CPT CODES

Abdominal pain 78264 Gastro-esophageal reflux Vomiting Gastroparesis/Diabetics Weight loss Feeling of fullness

COMMON INDICATIONS

CPT CODES

Evaluation of fevers of unknown origin 78805 for both

Disk space or joint space infection

Evaluation of infection in immunocompromised individuals Osteomylitis

Infection of prosthetic joints Evaluation of vascular graft infection Abscess localization

Post-operative surgical incision site infection Evaluation of inflammatory bowel disease Evaluation of diabetic ulcers

Note: Indium is a better choice for ortho patients with hardware.

COMMON INDICATIONS

CPT CODES

The assessment of the probability of acute or chronic pulmonary VQ scan 78585

thromboembolic disease VQ QUANT 78596

The establishment of the presence of chronic, unresolved pulmonary emboli The quantification of differential pulmonary function

The evaluation of lung transplants

The evaluation of the effects of congenital heart/lung disease The confirmation of the presence of bronchopleural fistulae

The evaluation of effects of chronic pulmonary parenchymal disorders such as cystic fibrosis

COMMON INDICATIONS

CPT CODES

Parathyroid adenoma 78070

Increased PTH levels Hypercalcemia

Nuclear Medicine- Indium & Ceretec WBC Scan

Nuclear Medicine- Gastric Emptying Scan

N

u

c

le

a

r

Me

d

ic

in

e

Nuclear Medicine- Lung (VQ) Scan

(17)

COMMON INDICATIONS

CPT CODES

Urinary tract obstruction DTPA or MAG3 78707

Evaluate renal function Captopril renal 78709

Renal vascular disease Renal with Lasix 78708

Polycystic kidney disease DMSA renal 78700

Post transplant evaluation Pyelonephritis

Parenchymal scarring

COMMON INDICATIONS

CPT CODES

Assessment of size and location of thyroid tissue Thyroid scan only

Evaluation of thyroid masses 78013

Abnormal thyroid lab results (Hyperthyroidism / Hypothyroidism) Thyroid uptake and scan

Differentiation of hyperthyroidism/thyroiditis 78014

Abnormal weight gain or weight loss I123 Thyroid uptake and scan

Cardiac arrythmia 78014

COMMON INDICATIONS

CPT CODES

Evaluation and treatment of thyroid carcinoma 78018

Hyperthyroidism

Nuclear Medicine-

I

-131 Whole Body Scan

N

u

c

le

a

r

Me

d

ic

in

e

Nuclear Medicine- Thyroid Scan and Uptake

Nuclear Medicine- Renal Scan

(18)

BODY PART REASON FOR EXAM PREP

CPT CODE

Soft Tissues

Mass None 76536

Neck (Thyroid),

Abnormalities detected on other imaging

Head / Face

(CT / MRI / PET / NM)

Enlarged thyroid gland Multinodular goiter (MNG) Abnormal lab tests

(elevated calcium levels / abnormal thyroid level) Parathyroid adenomas

Hyperthyroidism / Hypothyroidism

Carotid Artery

Weakness None 93880

Headache Syncope Hemiplegia

Difference in arm blood pressure Aphasia

Ataxia

Reversible ischemic neurological deficit (RIND) Bruit

Vertigo / dizziness (non medicare) Memory loss (non medicare) Dementia (non medicare) Transient ischemic attack (TIA) Confusion

Stroke

Visual disturbance

Cerebrovascular accident (CVA) Amaurosis fugax

BODY PART REASON FOR EXAM PREP

CPT CODE

Chest

Diaphragm paralysis None 76604

Pleural effusion Superficial mass

Aorta

Aortic aneurysm (follow up to AAA) NPO 6 hours prior 76775

(Limited

Pulsatile aorta to exam

Retroperitoneal)

Bruit

Family history AAA (non medicare)

Ultrasound- Neck

Ultrasound- Chest

Ult

ra

s

o

u

n

d

(19)

BODY PART REASON FOR EXAM PREP

CPT CODE

Abdomen

Cirrhosis or hepatic disease NPO 6 hours prior 76700

Complete

(Hepatitis / Portal Hypertension) to exam

Abdominal distention (fluid collection) ascites Pain (Abdominal / Epigastric / Periumbilical) Nausea / Vomiting

Gallstones

Obstructive symptoms of the biliary system (Jaundice)

Abnormal diagnostic tests (CT / MR) Gastroesophageal reflux (GERD) Splenomegaly

Abnormal liver functions (Elevated LFT‘s / Fatty liver) Hepatomegaly

Abdomen

* all of the above NPO 6 hours prior 76705

Limited

to exam

Abdomen

Cirrhosis or hepatic disease (hepatitis/ NPO 6 hours prior 93975

Doppler

portal hypertension) to exam 93976

(Vascular)

Ascites

Varices

Portal vein thrombosis Budd-Chiari Syndrome

Intrahepatic Portosystemic Venous Shunts — TIPS Hepatomegaly

Splenomegaly

BODY PART REASON FOR EXAM PREP

CPT CODE

Pelvis

Pain (pelvic or adnexal tenderness) Pelvis Complete 76856

Ovarian cyst Transvaginal 76830

Uterine fibroids

Enlarged uterus or ovary (mass) Adnexal abnormalities

Dysfunctional uterine bleeding

Post menopausal bleeding Fill bladder with 32 oz

Precocious puberty of water 1/2 hour prior

Polycystic ovary Disease (PCOD) to exam. Do not void.

Ovarian follicle monitoring

Pelvic Doppler

Ovarian torsion/Pelvic pain Fill bladder with 32 oz 93975

Follow up fibroid embolization of water 1 hour prior 93976

Ovarian vein embolization to exam.

Evaluation of pelvic congestion syndrome (PCS) Do not void. Transvaginal Only: No prep

Ultrasound- Abdomen

Ult

ra

s

o

u

n

d

Ultrasound- Pelvis

*Please note: An Us Pelvis Complete is a Transabdominal exam. If a Transvaginal Us is needed it must be specifically indicated.

(20)

BODY PART REASON FOR EXAM PREP CPT CODE

Scrotum

Pain 76870 Trauma Torsion Mass Varicocele Epididymitis Hydrocele (swelling) Undescended testes

BODY PART REASON FOR EXAM PREP

CPT CODE

Kidney (renal)

Pain (CVA tenderness/flank pain) Only for bladder: 76770

and Bladder

Obstruction (hydronephrosis) Fill bladder with 32 oz

Hypertension of water 1/2 hour prior

Follow up to other diagnostic imaging test to exam.

(CT or MRI) Do not void.

Abnormal lab values (BUN or Creatinine) Stones (renal)

Chronic renal medical disease (renal function/ renal failure)

Polycystic kidney disease (PCKD) Urinary tract infection/cystitis/pyelonephritis Renal cancer

Trauma

Hematuria (microscopic or gross) Neurogenic bladder

Urinary retention - Evaluate post void residual (PVR)

Bladder diverticula

Renal Transplant

Post renal transplant None 76776

Urinoma Lymphocele Pain

Elevated lab values (creatinine) Poor renal function

Renal Doppler

Renal artery stenosis NPO 6 hours prior 93975

Renal artery aneurysm to exam 93976

Renal vein thrombosis Hypertension

Abnormal laboratory values

(elevated creatinine/BUN)

Ult

ra

s

o

u

n

d

Ultrasound- Retroperitoneal

Ultrasound- Pelvis

(21)

Ultrasound- Extremities/ Musculoskeletal

BODY PART REASON FOR EXAM PREP

CPT CODE

Upper or Lower

Pain None 76881 –

Extremity

Fluid collection (Bakers Cyst) – Limited Complete

(non Doppler)

Mass – Limited

Biceps tendon/rotator cuff exams (MSK radiologist 76882 –

needs to perform - Book w/JRIS) – Complete Limited

Musculoskeletal

Biceps tendon scan with injection Bakers cyst aspiration with injection Joints/shoulder/elbow/ankle/knee ultrasound

Upper or Lower

Edema/swelling None 93965

Extremity Venous

Calf pain (non medicare) 93970

Doppler

Post surgical (non medicare) 93971

Redness Follow up DVT

Positive Homan sign (shooting pain with foot dorsiflexion)

History long plane/car trip

Upper or Lower

Claudication/pain with walking None 93922

Extremity Arterial

Decreased or absent pulses 93923

Doppler (PVR)

Arthrosclerosis 93924

Duplex

Bruit None 93925

High risk family history (non medicare) 93926

Numbness (non medicare) 93930

S/P graft or stenting 93931

Ulcer on foot or toe (non medicare) Discoloration of feet or legs (non medicare) Thoracic outlet syndrome

Decrease arm pressure

Cold fingers or toes (poor circulation)

Venous Reflux

Edema/swelling None 93965

Leg ulcer (non medicare) Pain (non medicare) Venous insufficiency Varicose veins

Burning or tingling (non medicare) Phlebitis/Thrombophlebitis

Arterial Screening

Carotid None 76999

Aorta

ABI (ankle brachial indices)

Ult

ra

s

o

u

n

d

(22)

EXAM PREP SPECIAL INSTRUCTIONS

CPT CODE

IR Lumbar Epidural (Includes FL Guidance 77003) 62311

Myelogram (Includes Intrathecal Injection 62284) - ThoracicNone Schedule in morning first and CT to follow 72255 Needs Recovery Time, Needs Driver

Myelogram (Includes Intrathecal Injection 62284) - Lumbar None Schedule in morning first and CT to follow 72265 Needs Recovery Time, Needs Driver

Esophogram - Contrast XR w/ Barium NPO 8 hrs prior to exam Schedule in morning 74220

Swallowing Function - Contrast XR w/ Barium NPO 4 hrs prior to exam 74230

UGI (Upper Gastrointestinal) NPO 8 hrs prior to exam 74240

UGI with KUB 74241

UGI with SBFT 74245

UGI with Air 74246

UGI with Air and KUB 74247

UGI with Air and SBFT 74249

SBFT (Small Bowel Follow Thru) NPO after midnight Schedule at 8:30 (may take 4 hrs) 74250

Hypotonic Duodenography 74260

BE (Barium Enema) with or without KUB Pick up BE Prep kit 2 days prior 74270

BE with Air Pick up BE Prep kit 2 days prior 74280

IVP No food 2 hrs prior to exam. Patient can drink. 74400

Cystourethrogram - Retrograde 74450

Cystourethrogram - Voiding (VCUG) None Patient needs to arrive pre-cathed 74455

Must be done between the 7th - 10th day following the start of the patient's menstrual cycle.

Hysterosalpinogram (HSG) (Includes cpt 58340) Schedule 7th- 10th day following first day of 74740 menstrual cycle

Venogram - Extremity Unilateral (Includes Injection 36005) 75820

Venogram - Extremity Bilateral (Includes Injection 36005) 75822

Arthrogram None Schedule MRI or CT to follow

FL Guided Lumbar Puncture Hydrate well day before exam Schedule morning exam before 10 am Patient needs a driver

FL Guided Needle Placement None

FL Guided Picc Placement None

FL Guided Port Study None Tunneled ports need to come pre-accessed

SNIFF Test

Flouroscopy

Flour

os

c

opy

No sexual contact once period has started until after procedure.

(23)

EXAM

PREP

SPECIAL INSTRUCTIONS

CPT CODE

Chest 1 View schedule s/p Thoracentesis

Chest 2 View 71020

Lumbar Spine 2-3 Views 72100

Lumbar Spine includes bending views; only 2 or 3 views 72120

Lumbar Spine Complete includes bending views; minimum of 6 views 72114

Abdomen (KUB) 1 View 74000

Thoracic 3 View 72072

Cervical 2-3 Views 72040

Sinus less than 3 Views 70210

Pelvis 1-2 Views 72170

Shoulder minimum 3 Views 73030

Elbow minimum 3 Views 73080

Forearm 2 Views 73090

Wrist 2 Views 73100

Hand 2 Views 73120

Fingers minimum 3 Views 73140

Hip minimum 2 Views 73510

Ankle 2 View 73600

Foot 2 View 73620

Toes minimum 2 Views 73660

Small Intestines 74250

X rays

X-Ray

References

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