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
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 & QCTCT Scan
Digital Mammography
Fluoroscopy
MRI – High Field
MRI – High Field Open
Nuclear Medicine
PET / CT Imaging
Ultrasound
BODY PART
REASON FOR EXAM
EXAM TO PRE-CERT
CPT
CODE
Head / Brain
Trauma CT Head / Brain 70450Headaches 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 70480Fracture 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 70486Fracture Without Contrast
Cellulitis CT Facial Bones With Contrast 70487
Sinuses
Sinusitis CT Sinus Limited 76380Osteomeatal Complex CT Sinus Complete 70486
Sinusitis Polyps
Temporal
Hearing Loss, Conductive* CT Inner Ears, Temporal Bones 70480Bone
Cholesteotoma Without ContrstTrauma
*Sensory neuro hearing loss, order MRI with and without contrast.
CT - Co
mput
e
d Tomogra
phy
CT - Head
BODY PART
REASON FOR EXAM
EXAM TO PRE-CERT
CPT
CODE
Neck
Mass CT Neck 70491Infection 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 72125Spine
Assess Bone Degenerative Changes Without Contrast *MRI recommended for discherniation, mets, infection
Thoracic
Trauma, Fracture, Fusion CT Thoracic Spine 72128Spine
Assess Bony Degenerative Changes Without Contrast *MRI recommended for discherniation, mets, infection
Lumbar
Trauma, Fracture, Fusion CT Lumbar Spine 72131Spine
Assess Bony Degenerative Changes Without Contrast *MRI recommended for discherniation, mets, infection
Chest
F/U nodules CT Chest 71250Renal 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
BODY PART
REASON FOR EXAM
EXAM TO PRE-CERT
CPT
CODE
Chest, High
Interstitial Disease CT Chest 71250Resolution
Fibrosis Without Contrast COPD Hemoptysis Bronchiectasis Sarcoidosis Pleural Plaques AsbestosisBODY 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 74176Pelvis
Stone (Stone Study) Without ContrastAbdominal 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 PrepLiver Hemangioma - No Oral Prep
(recommend MRI)
Hepatitis, Cirrhosis - No Oral Prep
CT- Chest
CT- Abdomen & Pelvis
CT - Co
mput
e
d Tomogra
phy
CT- Abdomen & Pelvis (Continued)
BODY PART
REASON FOR EXAM
EXAM TO PRE-CERT
CPT
CODE
Pelvis
Fracture CT Pelvis 72192Non-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 LeakageCT Enteropgraphy
Crohns Disease/ CT Abdomen and Pelvis 74177 Inflammatory Bowel Disease With ContrastSuspected Partial SBO (Small Bowel Obstruction) Small Bowel Masses Celiac Disease
CT Cystogram
Leakage CT Abdomen and Pelvis 74176 Colovesical Fistula With and Without ContrastVirtual
Colon Survey CT Abdomen and PelvisColonoscopy
Failed Colonoscopy Without ContrastDIAGNOSTIC 74261 SCREENING 74263
CT- Extremities
BODY PART
REASON FOR EXAM
EXAM TO PRE-CERT
CPT
CODE
Upper Extremities
Fracture CT Upper Extremity 73200Finger
Fusion Without ContrastHand
Non-Union/MalunionWrist
Infection CT Upper Extremity 73201Forearm
Tumor/Mass/Cancer/Mets With ContrastElbow
(recommend MRI)Humerus
Shoulder
Clavicle
Scapula
CT - Co
mput
e
d Tomogra
phy
CT- Extremities Continued
BODY PART
REASON FOR EXAM
EXAM TO PRE-CERT
CPT
CODE
Sternoclavicular
Fracture CT Chest 71250Joint
Non Union/Malunion Without ContrastLower Extremities
Fracture CT Lower Extremity 73700Foot
Fusion Without ContrastAnkle
Non-Union/MalunionCalf (Tibia/ Fibula)
ArthritisKnee
Patello Femoral MalalignmentThigh (Femur)
Anteversion/Malrotation (Bilateral)Infection CT Lower Extremity 73701
Tumor/Mass/Cancer/Mets With Contrast
(recommend MRI)
Leg Lengths
Abnormality Leg Length CT Limited 76380Malrotation XR Bone Length 77073
FAI Protocol
Femoral Anteversion for CT Hip Without Contrast AND 72192FAI 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 73701Ankle
Loose Bodies ORShoulder
Upper Extremity With Contrast 73201Elbow
2 - Fluoro Guided Arthrogram 77002Wrist
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 MalformationAneurysm
AVM (Arterio/ Venous Malformation)
CT - Co
mput
e
d Tomogra
phy
CT- Arthrography
BODY PART
REASON FOR EXAM
EXAM TO PRE-CERT
CPT
CODE
CTA Carotid/ Neck
Carotid Stenosis CTA Carotid 70498 BruitTIA, CVA Carotid Dissection
CTA Chest
Thoracic Aortic Dissection CTA Chest 71275 Thoracic Aortic AneurysmCoarctation Aortic Root Dilation
CTA Chest
Chest Pain / Dyspnea CTA Chest 71275PE Study
Tachypnea Shortness of BreathPulmonary Hypertension (PA HTN)
CTA Chest and
Thoracic and Abdominal CTA Chest 71275CTA Abdomen
Aortic Dissection CTA Abdomen 72191 * Dissection going past renalsCalcium Scoring
Calcium Scoring of Coronary Arteries Calcium Score 75571 Fanily History of CADAorta, Renal, Stent
Aneurysm (AAA) CTA Abdomen and 74175 Stent Obstruction/Leak/Malfunction CTA Pelvis 72191 Crossing VesselsAnatomic Marking for Partial/ Complete Nephrectomy Renal Artery Stenosis
CTA Upper
Trauma CTA Upper Extremity 73206Extremities
Arterial StenosisCTA Upper
Peripheral Artery Disease CT Lower Extremity 73706Extremities
Ischemia to Lower Extremity Arterial StenosisCTA Run-Off
Peripheral Artery Disease (PAD) CTA Abdomen, Pelvis, Bilateral 75635 Ischemia to Lower Extremity Lower ExtremitiesArterial Stenosis
CT- Angiograpghy (CTA)
CT - Co
mput
e
d Tomogra
phy
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 ContrastHeadache 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 70540Trauma 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 70543Pain 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
BODY PART
REASON FOR EXAM
PROCEDURE TO PRE-CERT
CPT
CODE
Cervical
Arm / Shoulder Pain or Weakness MRI Cervical Spine 72141 Degenerative Disease Without ContrastNeck 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 ContrastDegenerative 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 ContrastDegenerative 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
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 71552Plexus
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 71552Mediastinum
Without and With ContrastBreast
Implant Rupture MRI Bilateral Breast Without Contrast 77059Abnormal 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 74181Adrenal 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 FractureMuscle / 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 74183GI 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
BODY PART
REASON FOR EXAM
PROCEDURE TO PRE-CERT
CPT
CODE
Non-Joint:
Fracture MRI — Non Joint Without ContrastArm
Stress Fracture Lower Extremity 73718Hand
Muscle / Tendon Tear Upper Extremity 73218Finger
Abcess MRI — Non Joint Without and WithLeg
Ulcer I.V. ContrastFoot
Bone Tumor / Mass / Cancer / Mets Lower Extremity 73720Toe
Cellulitis Upper Extremity 73220Fasciitis Myositis
Morton‘s Neuroma Osteomylitis
Soft Tissue Tumor / Mass / Cancer
Joint:
Arthritis MRI — Joint Without ContrastShoulder
Avascular Necrosis (AVN) Lower Extremity 73721Elbow
Fracture Upper Extremity 73221Wrist
Stress FractureHip
Internal DerangementKnee
Joint Pain (specify joint)Ankle
Labral TearMeniscal 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
BODY PART
REASON FOR EXAM
PROCEDURE TO PRE-CERT
CPT
CODE
Shoulder
Labral Tear MRI Joint With Intra-articular ContrastElbow
Loose BodiesWrist
OCD Stability Requires 3 codes:Hip
Post-op Meniscus Evaluation 1 — Lower Extremity With Contrast OR 73722Knee
Upper Extremity With Contrast 73222Ankle
2 — Fluoro Guided Arthrogram 770023 — 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 AneurysmHead (MRV)
Venous Thrombosis MRV Head Without Contrast 70544Neck
Stroke, CVA, TIA MRA Neck Without Contrast 70547Dissection 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 70549Vessels
Abdomen
AAA (abdominal aortic aneurysm) MRA Abdomen 74185(MRA)
Abdominal Aortic Dissection Without and With Contrast Mesenteric IschemiaPre 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
BODY PART
REASON FOR EXAM
PROCEDURE TO PRE-CERT
CPT
CODE
Abdomen
Venous Thrombosis MRV Abdomen 74185(MRV)
Venous Pathology Without and With ContrastPelvis
AVM (arteriovenous malformation) MRA Pelvis 72198 Without and With ContrastPelvic 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 74185Pain 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
COMMON INDICATIONS
CPT CODES
Primary or metastatic tumors – initial evaluation or follow-up of therapy Total body 78306Pain 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
COMMON INDICATIONS
CPT CODES
Abdominal pain 78264 Gastro-esophageal reflux Vomiting Gastroparesis/Diabetics Weight loss Feeling of fullnessCOMMON 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
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
BODY PART REASON FOR EXAM PREP
CPT CODE
Soft Tissues
Mass None 76536Neck (Thyroid),
Abnormalities detected on other imagingHead / 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 93880Headache 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 76604Pleural effusion Superficial mass
Aorta
Aortic aneurysm (follow up to AAA) NPO 6 hours prior 76775(Limited
Pulsatile aorta to examRetroperitoneal)
BruitFamily history AAA (non medicare)
Ultrasound- Neck
Ultrasound- Chest
Ult
ra
s
o
u
n
d
BODY PART REASON FOR EXAM PREP
CPT CODE
Abdomen
Cirrhosis or hepatic disease NPO 6 hours prior 76700Complete
(Hepatitis / Portal Hypertension) to examAbdominal 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 76705Limited
to examAbdomen
Cirrhosis or hepatic disease (hepatitis/ NPO 6 hours prior 93975Doppler
portal hypertension) to exam 93976(Vascular)
AscitesVarices
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 76856Ovarian 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 93975Follow 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.
BODY PART REASON FOR EXAM PREP CPT CODE
Scrotum
Pain 76870 Trauma Torsion Mass Varicocele Epididymitis Hydrocele (swelling) Undescended testesBODY PART REASON FOR EXAM PREP
CPT CODE
Kidney (renal)
Pain (CVA tenderness/flank pain) Only for bladder: 76770and Bladder
Obstruction (hydronephrosis) Fill bladder with 32 ozHypertension 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 76776Urinoma Lymphocele Pain
Elevated lab values (creatinine) Poor renal function
Renal Doppler
Renal artery stenosis NPO 6 hours prior 93975Renal 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
Ultrasound- Extremities/ Musculoskeletal
BODY PART REASON FOR EXAM PREPCPT CODE
Upper or Lower
Pain None 76881 –Extremity
Fluid collection (Bakers Cyst) – Limited Complete(non Doppler)
Mass – LimitedBiceps 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 ultrasoundUpper or Lower
Edema/swelling None 93965Extremity Venous
Calf pain (non medicare) 93970Doppler
Post surgical (non medicare) 93971Redness Follow up DVT
Positive Homan sign (shooting pain with foot dorsiflexion)
History long plane/car trip
Upper or Lower
Claudication/pain with walking None 93922Extremity Arterial
Decreased or absent pulses 93923Doppler (PVR)
Arthrosclerosis 93924Duplex
Bruit None 93925High 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 93965Leg ulcer (non medicare) Pain (non medicare) Venous insufficiency Varicose veins
Burning or tingling (non medicare) Phlebitis/Thrombophlebitis
Arterial Screening
Carotid None 76999Aorta
ABI (ankle brachial indices)
Ult
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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.
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