S02 - Attachment D2 - CPT Codes.xlsx
XLSX spreadsheet 32 KB Posted
- Solicitation number
- 36C25625Q0797
About this file
The document is an Excel spreadsheet (S02 - Attachment D2 - CPT Codes.xlsx) containing a comprehensive list of Current Procedural Terminology (CPT) codes for various medical imaging procedures. The spreadsheet includes 62 distinct imaging procedures categorized across four primary imaging types: General Radiology, CT Scan, Magnetic Resonance Imaging (MRI), Ultrasound, and Nuclear Medicine.
The CPT codes cover a wide range of anatomical regions and imaging techniques, including head and neck imaging (e.g., optic foramina, sinuses, CT head scans), spine examinations (cervical, thoracic, lumbar), extremity imaging, and specialized scans like MUGA, gastric emptying, and nuclear medicine procedures. Each entry is systematically organized with a unique number, specific procedure name, corresponding CPT code, imaging type, and procedure detail level. This comprehensive coding list appears to be a supporting document for the Department of Veterans Affairs teleradiology services solicitation (36C25625Q0797) for the Gulf Coast Veterans Health Care System, which requires professional teleradiology services across multiple sites in Mississippi, Alabama, Florida, and two Department of Defense locations.
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Sheet1
| NUMBER | NAME | CPT CODE | TYPE OF IMAGING | TYPE OF PROCEDURE |
| 20 | OPTIC FORAMINA | 70190 | GENERAL RADIOLOGY | DETAILED |
| 23 | SINUSES 3 OR MORE VIEWS | 70220 | GENERAL RADIOLOGY | DETAILED |
| 26 | SELLA TURCICA | 70240 | GENERAL RADIOLOGY | DETAILED |
| 32 | TM JOINT UNILAT O&C MOUTH | 70328 | GENERAL RADIOLOGY | DETAILED |
| 33 | TM JOINTS BILAT O&C MOUTH | 70330 | GENERAL RADIOLOGY | DETAILED |
| 43 | CT HEAD W/O CONT | 70450 | CT SCAN | DETAILED |
| 44 | CT HEAD W/IV CONT | 70460 | CT SCAN | DETAILED |
| 45 | CT HEAD W&WO CONT | 70470 | CT SCAN | DETAILED |
| 46 | CT ORBIT SELLA P FOS OR TEMP BONE W/O CONT | 70480 | CT SCAN | DETAILED |
| 49 | CT MAXILLOFACIAL W/O CONT | 70486 | CT SCAN | DETAILED |
| 50 | CT MAXILLOFACIAL W/CONT | 70487 | CT SCAN | DETAILED |
| 51 | CT MAXILLOFACIAL W&W/O CONT | 70488 | CT SCAN | DETAILED |
| 52 | CT NECK SOFT TISSUE W/O CONT | 70490 | CT SCAN | DETAILED |
| 53 | CT NECK SOFT TISSUE W/CONT | 70491 | CT SCAN | DETAILED |
| 77 | CT CHEST W/O CONT | 71250 | CT SCAN | DETAILED |
| 78 | CT CHEST W/CONT | 71260 | CT SCAN | DETAILED |
| 79 | CT CHEST W&W/O CONT | 71270 | CT SCAN | DETAILED |
| 81 | SPINE SINGLE VIEW | 72020 | GENERAL RADIOLOGY | DETAILED |
| 84 | SPINE CERVICAL MIN 6 VIEWS | 72052 | GENERAL RADIOLOGY | DETAILED |
| 88 | SPINE THORACOLUMBAR 2 VIEWS | 72080 | GENERAL RADIOLOGY | DETAILED |
| 94 | CT CERVICAL SPINE W/O CONT | 72125 | CT SCAN | DETAILED |
| 95 | CT CERVICAL SPINE W/CONT | 72126 | CT SCAN | DETAILED |
| 96 | CT THORACIC SPINE W/O CONT | 72128 | CT SCAN | DETAILED |
| 97 | CT THORACIC SPINE W/CONT | 72129 | CT SCAN | DETAILED |
| 98 | CT LUMBAR SPINE W/O CONT | 72131 | CT SCAN | DETAILED |
| 99 | CT LUMBAR SPINE W/CONT | 72132 | CT SCAN | DETAILED |
| 103 | CT PELVIS W/O CONT | 72192 | CT SCAN | DETAILED |
| 104 | CT PELVIS W/CONT | 72193 | CT SCAN | DETAILED |
| 105 | CT PELVIS W&W/O CONT | 72194 | CT SCAN | DETAILED |
| 142 | CT UPPER EXTREMITY W/O CONT | 73200 | CT SCAN | DETAILED |
| 143 | CT UPPER EXTREMITY W/CONT | 73201 | CT SCAN | DETAILED |
| 144 | CT UPPER EXTREMITY W&W/O CONT | 73202 | CT SCAN | DETAILED |
| 169 | CT LOWER EXTREMITY W/O CONT | 73700 | CT SCAN | DETAILED |
| 170 | CT LOWER EXTREMITY W/CONT | 73701 | CT SCAN | DETAILED |
| 171 | CT LOWER EXTREMITY W&W/O CONT | 73702 | CT SCAN | DETAILED |
| 176 | CT ABDOMEN W/O CONT | 74150 | CT SCAN | DETAILED |
| 177 | CT ABDOMEN W/CONT | 74160 | CT SCAN | DETAILED |
| 178 | CT ABDOMEN W&W/O CONT | 74170 | CT SCAN | DETAILED |
| 537 | FACIAL BONES | 70150 | GENERAL RADIOLOGY | DETAILED |
| 552 | TOMOGRAM | 76100 | GENERAL RADIOLOGY | DETAILED |
| 554 | MANDIBLE | 70110 | GENERAL RADIOLOGY | DETAILED |
| 555 | MASTOIDS | 70130 | GENERAL RADIOLOGY | DETAILED |
| 556 | NASAL BONES | 70160 | GENERAL RADIOLOGY | DETAILED |
| 557 | NECK, SOFT TISSUE | 70360 | GENERAL RADIOLOGY | DETAILED |
| 558 | ORBIT | 70200 | GENERAL RADIOLOGY | DETAILED |
| 559 | SKULL SERIES | 70260 | GENERAL RADIOLOGY | DETAILED |
| 560 | SINUS SERIES | 70220 | GENERAL RADIOLOGY | DETAILED |
| 562 | SALIVARY GLAND | 70380 | GENERAL RADIOLOGY | DETAILED |
| 581 | PELVIS | 72170 | GENERAL RADIOLOGY | DETAILED |
| 586 | CERVICAL SPINE | 72050 | GENERAL RADIOLOGY | DETAILED |
| 588 | SACRUM/COCCYX | 72220 | GENERAL RADIOLOGY | DETAILED |
| 589 | S-I JOINTS | 72202 | GENERAL RADIOLOGY | DETAILED |
| 590 | THORACIC SPINE | 72072 | GENERAL RADIOLOGY | DETAILED |
| 591 | STERNOCLAVICULAR JOINTS | 71130 | GENERAL RADIOLOGY | DETAILED |
| 592 | STERNUM | 71120 | GENERAL RADIOLOGY | DETAILED |
| 613 | A-C JOINTS | 73050 | GENERAL RADIOLOGY | DETAILED |
| 673 | MRI, LOWER EXTREMITY W/CONT | 73720 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 674 | MRI, UPPER EXTREMITY W/CONT | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 675 | MRI, ABDOMEN W/CONT | 74181 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 677 | MRI, LUMBAR SPINE W/CONT | 72149 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 681 | MRI, THORACIC SPINE W/CONT | 72147 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 682 | ULTRASOUND, ABDOMEN | 76700 | ULTRASOUND | DETAILED |
| 683 | ULTRASOUND, RENAL | 76770 | ULTRASOUND | DETAILED |
| 684 | ULTRASOUND, BLADDER | 76705 | ULTRASOUND | DETAILED |
| 685 | ULTRASOUND, THYROID | 76536 | ULTRASOUND | DETAILED |
| 686 | ULTRASOUND, POPLITEAL BILAT | 93925 | ULTRASOUND | DETAILED |
| 688 | ULTRASOUND, PELVIS | 76856 | ULTRASOUND | DETAILED |
| 690 | ULTRASOUND, SPLEEN | 76705 | ULTRASOUND | DETAILED |
| 691 | ULTRASOUND, FEMORAL BILAT | 93925 | ULTRASOUND | DETAILED |
| 692 | ULTRASOUND, SCROTAL | 76870 | ULTRASOUND | DETAILED |
| 698 | ULTRASOUND, CHEST | 76604 | ULTRASOUND | DETAILED |
| 709 | MECKEL'S SCAN (ECTOPIC GASTRIC MUCOSA SCAN) | 78290 | NUCLEAR MEDICINE | DETAILED |
| 710 | GASTRIC EMPTYING SCAN | 78264 | NUCLEAR MEDICINE | DETAILED |
| 717 | MUGA SCAN | 78472 | NUCLEAR MEDICINE | DETAILED |
| 719 | MYOCARDIAL INFARCT AVID | 78466 | NUCLEAR MEDICINE | DETAILED |
| 720 | VENOUS THROMBOSIS IMAGING (E.G. VENOGRAM), UNILATERAL | 78457 | NUCLEAR MEDICINE | DETAILED |
| 721 | LUNG SCAN (PULMONARY PERFUSION ONLY) | 78580 | NUCLEAR MEDICINE | DETAILED |
| 724 | BRAIN SCAN LIMITED (<4 VIEWS) | 78600 | NUCLEAR MEDICINE | DETAILED |
| 725 | RENAL SCAN WITHOUT INTERVENTION | 78707 | NUCLEAR MEDICINE | DETAILED |
| 726 | GALLIUM SCAN WB (1 DAY) | 78802 | NUCLEAR MEDICINE | DETAILED |
| 727 | UNLISTED MISCELLANEOUS PROCEDURE | 78999 | NUCLEAR MEDICINE | DETAILED |
| 731 | PARATHYROID SCAN | 78070 | NUCLEAR MEDICINE | DETAILED |
| 733 | ESOPHAGEAL MOTILITY | 78258 | NUCLEAR MEDICINE | DETAILED |
| 734 | GASTROESOPHAGEAL REFLUX STUDY | 78262 | NUCLEAR MEDICINE | DETAILED |
| 736 | UNLISTED GASTROINTESTINAL SCAN | 78299 | NUCLEAR MEDICINE | DETAILED |
| 737 | UNLISTED ENDOCRINE SCAN | 78099 | NUCLEAR MEDICINE | DETAILED |
| 741 | LEVEEN SHUNT SCAN (PERITONEAL-VENOUS SHUNT PATENCY) | 78291 | NUCLEAR MEDICINE | DETAILED |
| 745 | TESTICULAR IMAGING, WITH VASCULAR FLOW | 78761 | NUCLEAR MEDICINE | DETAILED |
| 746 | VENOUS THROMBOSIS IMAGING, BILATERAL | 78458 | NUCLEAR MEDICINE | DETAILED |
| 750 | BRAIN SCAN LIMITED W/ VASCULAR FLOW | 78601 | NUCLEAR MEDICINE | DETAILED |
| 759 | MRI, THORACIC SPINE W/O CONT | 72146 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 765 | MRI, HIP | 73721 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 766 | MRI, UPPER EXTREMITY | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 767 | MRI, ABDOMEN | 74181 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 769 | MRI, LUMBAR SPINE W/O CONT | 72148 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 770 | MRI, BRAIN | 70551 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 782 | THYROID CA METS IMAGING (LIMITED) | 78015 | NUCLEAR MEDICINE | DETAILED |
| 785 | ADRENAL IMAGING, CORTEX AND/OR MEDULLA (MIBG) | 78075 | NUCLEAR MEDICINE | DETAILED |
| 786 | BONE MARROW SCAN (LIMITED AREA) | 78102 | NUCLEAR MEDICINE | DETAILED |
| 787 | BONE MARROW SCAN (MULTIPLE AREAS) | 78103 | NUCLEAR MEDICINE | DETAILED |
| 788 | BONE MARROW SCAN (WHOLE BODY) | 78104 | NUCLEAR MEDICINE | DETAILED |
| 789 | PLASMA VOLUME, RADIONUCLIDE VOL.-DILUTION TECHNIQUE | 78110 | NUCLEAR MEDICINE | DETAILED |
| 790 | PLASMA VOLUME RADIONUCLIDE VOL.-DILUTIO TECH, MULT SAMPLING | 78111 | NUCLEAR MEDICINE | DETAILED |
| 801 | SPLEEN IMAGING ONLY, PLANAR | 78185 | NUCLEAR MEDICINE | DETAILED |
| 803 | PLATELET SURVIVAL STUDY | 78191 | NUCLEAR MEDICINE | DETAILED |
| 806 | LYMPHATIC/LYMPH NODE IMAGING | 78195 | NUCLEAR MEDICINE | DETAILED |
| 807 | UNLISTED HEMATOPOIETIC/RETICULOENDOTHELIAL/LYMPHATIC SCAN | 78199 | NUCLEAR MEDICINE | DETAILED |
| 808 | HEMANGIOMA/LIVER SCAN W/O FLOW | 78201 | NUCLEAR MEDICINE | DETAILED |
| 809 | HEMANGIOMA SCAN W/VASCULAR FLOW | 78202 | NUCLEAR MEDICINE | DETAILED |
| 812 | SALIVARY GLAND IMAGING | 78230 | NUCLEAR MEDICINE | DETAILED |
| 813 | SALIVARY GLAND FUNCTION STUDY | 78232 | NUCLEAR MEDICINE | DETAILED |
| 815 | GASTROINTESTINAL ASPIRATE BLOOD LOSS LOCALIZATION | 78278 | NUCLEAR MEDICINE | DETAILED |
| 816 | GASTROINTESTINAL PROTEIN LOSS | 78282 | NUCLEAR MEDICINE | DETAILED |
| 817 | BONE SCAN (LIMITED AREA) | 78300 | NUCLEAR MEDICINE | DETAILED |
| 818 | BONE SCAN (MULTIPLE AREAS) | 78305 | NUCLEAR MEDICINE | DETAILED |
| 821 | UNLISTED MUSCOLOSKELETAL SCAN | 78399 | NUCLEAR MEDICINE | DETAILED |
| 822 | EJECTION FRACTION, PROBE TECHNIQUE | 78414 | NUCLEAR MEDICINE | DETAILED |
| 823 | CARDIAC SHUNT DETECTION | 78428 | NUCLEAR MEDICINE | DETAILED |
| 824 | VASCULAR FLOW IMAGING (I.E. ANGIOGRAPHY, VENOGRAPHY) | 78445 | NUCLEAR MEDICINE | DETAILED |
| 828 | MYOCARDIAL INFARCT AVID WITH FIRST PASS | 78468 | NUCLEAR MEDICINE | DETAILED |
| 829 | MYOCARDIAL INFARCT AVID SPECT ONLY | 78469 | NUCLEAR MEDICINE | DETAILED |
| 831 | CARDIAC, GATED EQUIL (EX MUGA) MULTI,REST,WALL MOTION+EJECT | 78473 | NUCLEAR MEDICINE | DETAILED |
| 833 | CARDIAC, FIRST PASS TECH,EXER,WALL MOTION,MULTIPLE EX/PHARM | 78483 | NUCLEAR MEDICINE | DETAILED |
| 834 | UNLISTED CARDIOVASCULAR PROCEDURE | 78499 | NUCLEAR MEDICINE | DETAILED |
| 841 | UNLISTED RESPIRATORY PROCEDURE | 78599 | NUCLEAR MEDICINE | DETAILED |
| 842 | BRAIN SCAN (MIN. 4 VIEWS) | 78605 | NUCLEAR MEDICINE | DETAILED |
| 843 | BRAIN SCAN W/ VASCULAR FLOW | 78606 | NUCLEAR MEDICINE | DETAILED |
| 844 | BRAIN SCAN VASCULAR FLOW ONLY | 78610 | NUCLEAR MEDICINE | DETAILED |
| 846 | VENTRICULOGRAPHY | 78635 | NUCLEAR MEDICINE | DETAILED |
| 847 | CSF SHUNT EVALUATION | 78645 | NUCLEAR MEDICINE | DETAILED |
| 848 | CSF LEAKAGE DETECTION AND LOCALIZATION | 78650 | NUCLEAR MEDICINE | DETAILED |
| 851 | RADIONUCLIDE DACRYOCYSTOGRAPHY | 78660 | NUCLEAR MEDICINE | DETAILED |
| 852 | UNLISTED VERVOUS SYSTEM PROCEDURE | 78699 | NUCLEAR MEDICINE | DETAILED |
| 853 | RENAL IMAGING W/O FLOW OR FUNCTION | 78700 | NUCLEAR MEDICINE | DETAILED |
| 854 | RENAL IMAGING W/ FLOW (NO FUNCTION) | 78701 | NUCLEAR MEDICINE | DETAILED |
| 858 | KIDNEY FUNCTION STUDY W/O PHARMACOLOGIC INTERVENTION | 78725 | NUCLEAR MEDICINE | DETAILED |
| 861 | URINARY BLADDER RESIDUAL STUDY | 78730 | NUCLEAR MEDICINE | DETAILED |
| 862 | URETERAL REFLUX STUDY (RADIONUCLIDE VOIDING CYSTOGRAM) | 78740 | NUCLEAR MEDICINE | DETAILED |
| 864 | UNLISTED GENITOURINARY PROCEDURE | 78799 | NUCLEAR MEDICINE | DETAILED |
| 865 | GALLIUM SCAN LIMITED (1 DAY/AREA) | 78800 | NUCLEAR MEDICINE | DETAILED |
| 867 | TOMOGRAPHIC SPECT ONLY (1 DAY/AREA) | 78803 | NUCLEAR MEDICINE | DETAILED |
| 883 | BONE SCAN (WHOLE BODY) | 78306 | NUCLEAR MEDICINE | DETAILED |
| 885 | CISTERNOGRAPHY (CSF FLOW) | 78630 | NUCLEAR MEDICINE | DETAILED |
| 886 | VASCULAR FLOW ONLY (BONE IMAGING) | 78445 | NUCLEAR MEDICINE | DETAILED |
| 894 | LIVER/SPLEEN SCAN | 78215 | NUCLEAR MEDICINE | DETAILED |
| 905 | UNLISTED NERVOUS SYSTEM PROCEDURE | 78699 | NUCLEAR MEDICINE | DETAILED |
| 912 | PLASMA VOLUME RADIONUCLIDE VOL.-DILUTION TECH, MULT SAMPLING | 78111 | NUCLEAR MEDICINE | DETAILED |
| 920 | THYROID CA METS IMAGING (WHOLE BODY) | 78018 | NUCLEAR MEDICINE | DETAILED |
| 928 | CT ORBIT W/O CONT | 70480 | CT SCAN | DETAILED |
| 929 | CT SELLA W/CONT | 70480 | CT SCAN | DETAILED |
| 930 | CT SELLA W/O CONT | 70480 | CT SCAN | DETAILED |
| 931 | CT TEMP BONE W/CONT | 70480 | CT SCAN | DETAILED |
| 932 | CT TEMP BONE W/O CONT | 70480 | CT SCAN | DETAILED |
| 933 | CT CERVICAL SPINE W/MYELOGRAM | 72126 | CT SCAN | DETAILED |
| 934 | CT LUMBAR SPINE W/ MYELOGRAM | 72132 | CT SCAN | SERIES |
| 935 | CT SINUS W/CONT | 70487 | CT SCAN | DETAILED |
| 936 | CT SINUS W/O CONT | 70486 | CT SCAN | DETAILED |
| 945 | MRI, PELVIS | 72196 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 950 | MRI, CERVICAL SPINE | 72141 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 951 | MRI, CERVICAL SPINE W/CONT | 72141 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 953 | MRI, IAC'S W/CONT | 70552 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 954 | CT IAC'S W/CONT | 70480 | CT SCAN | DETAILED |
| 955 | CT IAC'S W/O CONT | 70480 | CT SCAN | DETAILED |
| 971 | MRA, ABDOMEN | 74185 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 972 | MRA, CHEST | 71555 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 973 | MRA, EXTREM LOWER | 73725 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 974 | MRA, EXTREM UPPER | 73225 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 977 | MRA, PELVIS W/O & W | 72198 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 978 | MRA, SPINE | 72159 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 984 | MRI, SELLA W/CONT | 70551 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 997 | ULTRASOUND, GUIDED BILIARY TUBE PLACEMENT | 76942 | ULTRASOUND | DETAILED |
| 1001 | ULTRASOUND, POPLITEAL UNIL | 93926 | ULTRASOUND | DETAILED |
| 1002 | ULTRASOUND, FEMORAL UNI | 93926 | ULTRASOUND | DETAILED |
| 1003 | CT LIMITED LOCALIZED F/U STUDY | 76380 | CT SCAN | DETAILED |
| 1004 | MRI, BRACHIAL PLEXUS | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1009 | ZYGOMATIC ARCHES | 70140 | GENERAL RADIOLOGY | DETAILED |
| 1010 | ULTRASOUND, DUPLEX RENAL | 93975 | ULTRASOUND | DETAILED |
| 1011 | ULTRASOUND, DUPLEX ABDOMEN | 93975 | ULTRASOUND | DETAILED |
| 1018 | ULTRASOUND, PROSTATE | 76872 | ULTRASOUND | DETAILED |
| 1019 | ULTRASOUND, TRANSVAGINAL PELVIS | 76830 | ULTRASOUND | DETAILED |
| 1020 | BREAST IMAGING | 78801 | NUCLEAR MEDICINE | DETAILED |
| 1021 | REPRINT CT | 76499 | CT SCAN | DETAILED |
| 1022 | NM BONE SCAN (WHOLE BODY) | NUCLEAR MEDICINE | PARENT | |
| 1024 | NM BONE SCAN (WHOLE BODY WITH SPECT/CT) | NUCLEAR MEDICINE | PARENT | |
| 1025 | NM BONE SCAN (MULTIPLE AREAS) | NUCLEAR MEDICINE | PARENT | |
| 1026 | NM BONE SCAN (LIMITED AREA) | NUCLEAR MEDICINE | PARENT | |
| 1029 | NM BONE SCAN (3 PHASE) | NUCLEAR MEDICINE | PARENT | |
| 1034 | NM MUGA SCAN | NUCLEAR MEDICINE | PARENT | |
| 1035 | NM MUGA WITH FIRST PASS | NUCLEAR MEDICINE | PARENT | |
| 1037 | NM BILIARY SCAN | NUCLEAR MEDICINE | PARENT | |
| 1040 | NM LUNG SCAN (PERF & VENT) | NUCLEAR MEDICINE | PARENT | |
| 1041 | NM LUNG SCAN QUANT (PERFUSION ONLY) | NUCLEAR MEDICINE | PARENT | |
| 1042 | NM RENAL (MAG3) | NUCLEAR MEDICINE | PARENT | |
| 1046 | NM LIVER/SPLEEN SCAN | NUCLEAR MEDICINE | PARENT | |
| 1047 | NM HEMANGIOMA WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1048 | NM GASTRIC EMPTYING SCAN | NUCLEAR MEDICINE | PARENT | |
| 1049 | NM GI BLEEDING SCAN | NUCLEAR MEDICINE | PARENT | |
| 1050 | NM BRAIN SCAN WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1051 | NM GALLIUM WHOLE BODY (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1052 | NM GALLIUM WHOLE BODY (2+ DAYS) | NUCLEAR MEDICINE | PARENT | |
| 1053 | NM GALLIUM LIMITED (1 DAY/AREA) | NUCLEAR MEDICINE | PARENT | |
| 1054 | NM GALLIUM LIMITED (MULTI) | NUCLEAR MEDICINE | PARENT | |
| 1056 | NM BREAST SCAN | NUCLEAR MEDICINE | PARENT | |
| 1064 | NM OCTREOSCAN (WHOLE BODY) | NUCLEAR MEDICINE | PARENT | |
| 1067 | NM PARATHYROID SCAN | NUCLEAR MEDICINE | PARENT | |
| 1068 | NM PARATHYROID WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1070 | NM LUNG SCAN (PERFUSION ONLY) | NUCLEAR MEDICINE | PARENT | |
| 1071 | MRI, TMJ'S | 70336 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1074 | NM RENAL (DMSA) WITH SPECT | NUCLEAR MEDICINE | PARENT | |
| 1075 | NM BONE SCAN (3PHASE & WB WITH SPECT/CT) | NUCLEAR MEDICINE | PARENT | |
| 1076 | NM PYP MYOCARDIAL SCAN | NUCLEAR MEDICINE | PARENT | |
| 1077 | NM PYP MYOCARDIAL W/ SPECT | NUCLEAR MEDICINE | PARENT | |
| 1078 | NM ESOPHAGEAL MOTILITY STUDY | NUCLEAR MEDICINE | PARENT | |
| 1083 | NM THALLIUM WHOLE BODY | NUCLEAR MEDICINE | PARENT | |
| 1084 | NM MECKEL'S | NUCLEAR MEDICINE | PARENT | |
| 1088 | BONE SCAN (3 PHASE) | 78315 | NUCLEAR MEDICINE | DETAILED |
| 1098 | RENAL W/CAPTOPRIL | 78708 | NUCLEAR MEDICINE | DETAILED |
| 1107 | OTHER NUCLEAR SCAN | 78299 | NUCLEAR MEDICINE | DETAILED |
| 1108 | MRI, SINUSES | 70540 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1114 | CERVICAL SPINE W FLEX/EXT | 72052 | GENERAL RADIOLOGY | DETAILED |
| 1115 | NM BONE SCAN (3PHASE & WB) | NUCLEAR MEDICINE | PARENT | |
| 1117 | NM THYROID CA METS POST ABLATION (WB) | NUCLEAR MEDICINE | PARENT | |
| 1119 | NM LYMPHOSCINTIGRAPHY | NUCLEAR MEDICINE | PARENT | |
| 1121 | MRI, ORBIT,FACE,NECK | 70540 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1123 | PROV DIAG RADIOPHARM | A4641 | NUCLEAR MEDICINE | DETAILED |
| 1126 | INDIUM IN-111 SATUMOMAB PENDETIDE | A4642 | NUCLEAR MEDICINE | DETAILED |
| 1128 | TC-99M SESTAMIBI | A9500 | NUCLEAR MEDICINE | DETAILED |
| 1130 | BONE W/24HR | 78306 | NUCLEAR MEDICINE | DETAILED |
| 1131 | BONE MOD | 78306 | NUCLEAR MEDICINE | DETAILED |
| 1136 | NM RENAL (MAG3) W/ LASIX | NUCLEAR MEDICINE | PARENT | |
| 1138 | NM RENAL (MAG3) W/ CAPTOPRIL | NUCLEAR MEDICINE | PARENT | |
| 1140 | NM RENAL (MAG3) W/ LASIX & CAPTOPRIL | NUCLEAR MEDICINE | PARENT | |
| 1148 | FIRST PASS ADD ON | 78496 | NUCLEAR MEDICINE | DETAILED |
| 1149 | NUC DR SUPERVISION | 93016 | NUCLEAR MEDICINE | DETAILED |
| 1154 | ULTRASOUND, SPINAL CANAL/CONTENTS | 76800 | ULTRASOUND | DETAILED |
| 1155 | MRI,LOWER EXTREM NON JOINT W/W/O CONTRAST | 73720 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1156 | MRI, FEMUR/THIGH | 73718 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1157 | MRI, TIBIA/FIBULA | 73718 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1158 | MRI, FEMUR/THIGH W/CONT | 73720 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1159 | MRI, TIBIA/FIBULA W/CONT | 73720 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1161 | MRI, KNEE | 73721 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1162 | MRI, KNEE W/CONT | 73723 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1163 | MRI, ANKLE | 73721 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1164 | MRI, ANKLE W/CONT | 73723 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1165 | MRI, FOOT | 73718 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1166 | MRI, FOOT W/CONT | 73720 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1167 | MRI, HIP W/CONT | 73723 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1168 | MRI, SHOULDER | 73221 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1169 | MRI, SHOULDER W/CONT | 73223 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1170 | MRI, HUMERUS/UPPER ARM | 73218 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1171 | MRI, HUMERUS/UPPER ARM W/CONT | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1172 | MRI, ELBOW | 73221 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1173 | MRI, ELBOW W/CONT | 73223 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1174 | MRI, ULNA/RADIUS/FOREARM | 73218 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1175 | MRI, ULNA/RADIUS/FOREARM W/CONT | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1176 | MRI, WRIST | 73221 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1177 | MRI, WRIST W/CONT | 73223 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1178 | MRI, HAND | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1179 | MRI, HAND W/CONT | 73223 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1180 | MRI, SACRUM/COCCYX | 72148 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1181 | MRI, SACRUM/COCCYX W/CONT | 72149 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1189 | MRI, CLAVICLE | 73218 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1190 | MRI, CLAVICLE W/CONTRAST | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1192 | ULTRASOUND, LIMITED ABDOMEN | 76705 | ULTRASOUND | DETAILED |
| 1195 | MRI, SCAPULA | 73218 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1196 | MRI, SCAPULA W/CONT | 73219 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1198 | MRA NECK WO CONTRAST | 70547 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1199 | MRA NECK WO/W CONTRAST | 70549 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1200 | MRA HEAD WO CONTRAST | 70544 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1201 | MRA HEAD WO/W CONTRAST | 70546 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1218 | NM CISTERNOGRAM | NUCLEAR MEDICINE | PARENT | |
| 1220 | MRI, ARTHROGRAM SHOULDER | 73223 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1222 | ULTRASOUND ASPIRATION | 76942 | ULTRASOUND | DETAILED |
| 1223 | MRI,IAC'S W/O CONT | 70551 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1231 | ULTRASOUND TRANSVAGINAL | 76830 | ULTRASOUND | DETAILED |
| 1236 | MRI, ARTHROGRAM ELBOW | 73223 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1241 | NM PET/CT LIMITED AREA | NUCLEAR MEDICINE | PARENT | |
| 1243 | PET/CT WHOLE BODY | 78816 | NUCLEAR MEDICINE | DETAILED |
| 1244 | PET/CT LIMITED AREA | 78814 | NUCLEAR MEDICINE | DETAILED |
| 1245 | NM PET/CT WHOLE BODY | NUCLEAR MEDICINE | PARENT | |
| 1250 | MRCP | 74181 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1251 | MRI IAC W/W/O CONTRAST | 70543 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1267 | PET/CT SKULL BASE TO MID THIGH | 78815 | NUCLEAR MEDICINE | DETAILED |
| 1269 | NM PROSTASCINT | NUCLEAR MEDICINE | PARENT | |
| 1271 | NM PET/CT SKULL TO MID THIGH | NUCLEAR MEDICINE | PARENT | |
| 1273 | CT ANGIO ABD AORTA W/RUNOFF W/W/O CONTRAST | 75635 | CT SCAN | DETAILED |
| 1277 | CT ANGIO BRAIN W/W/O CONTRAST | 70496 | CT SCAN | DETAILED |
| 1278 | CT ANGIO NECK W/W/O CONTRAST | 70498 | CT SCAN | DETAILED |
| 1279 | METASTATIC BONE SURVEY | 77074 | GENERAL RADIOLOGY | SERIES |
| 1280 | DEXA BONE DENSITY | 77080 | GENERAL RADIOLOGY | DETAILED |
| 1295 | NM URETERAL REFLUX STUDY | NUCLEAR MEDICINE | PARENT | |
| 1297 | MRI, PITUITARY W/WO CONTRAST | 70553 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1298 | CT THORACIC W/MYELOGRAM | 72255 | CT SCAN | DETAILED |
| 1299 | CT ANGIO CHEST | 71275 | CT SCAN | DETAILED |
| 1300 | MRI, BRAIN W/W/O CONTRAST | 70553 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1301 | MRI CERVICAL SPINE W/O CONTRAST | 72141 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1302 | MRI NECK SOFT TISSUE W/O CONTRAST | 70540 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1305 | CTA LOWER EXTREMITY W/WO CONTRAST | 73706 | CT SCAN | DETAILED |
| 1306 | MRI NECK SOFT TISSUE W/W/O CONTRAST | 70543 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1308 | MRI HEART MORPH & FUNCTION W/O CONTRAST | 75557 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1309 | MRI HEART MORPH & FUNCTION W/W/O CONTRAST | 75561 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1310 | MRI CHEST W/O CONTRAST | 71550 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1311 | MRI CHEST WITH CONTRAST | 71551 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1312 | MRI CHEST W/W/O CONTRAST | 71552 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1313 | MRI LUMBAR W/W/O CONTRAST | 72158 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1314 | LONG BONE LENGTH SURVEY | 77073 | GENERAL RADIOLOGY | DETAILED |
| 1318 | MRI IAC W/O CONTRAST | 70540 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1321 | MRI KNEE | 73721 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1325 | NM CARDIAC SPECT/CT (STRESS AND REST) | NUCLEAR MEDICINE | PARENT | |
| 1327 | MYOCARDIAL PERFUSION IMAGING REST OR STRESS | 78451 | NUCLEAR MEDICINE | DETAILED |
| 1328 | NM CARDIAC SPECT/CT SINGLE (REST OR STRESS) | NUCLEAR MEDICINE | PARENT | |
| 1329 | MRI,ABDOMEN W/W/O CONTRAST | 74183 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1330 | CTA CHEST W/W/0 CONTRAST | 71275 | CT SCAN | DETAILED |
| 1332 | NM CARDIAC THALLIUM SPECT/CT (STRESS AND REST) | NUCLEAR MEDICINE | PARENT | |
| 1333 | NM CARDIAC THALLIUM SPECT/CT SINGLE (REST OR STRESS) | NUCLEAR MEDICINE | PARENT | |
| 1334 | NM CARDIAC THALLIUM VIABILITY | NUCLEAR MEDICINE | PARENT | |
| 1335 | MRI KNEE BILATERAL | MAGNETIC RESONANCE IMAGING | BROAD | |
| 1336 | MRA NECK W/CONTRAST | 70548 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1337 | CT ANGIO ABD W/W/O CONTRAST | 74175 | CT SCAN | DETAILED |
| 1338 | CT ANGIO PELVIS W/W/O CONTRAST | 72191 | CT SCAN | DETAILED |
| 1340 | ULTRASOUND, SOFT TISSUE HEAD NECK | 76536 | ULTRASOUND | DETAILED |
| 1341 | MRI,THORACIC W/W/O CONTRAST | 72156 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1342 | MRI CERVICAL W/W/O CONTRAST | 72156 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1343 | MRI THORACIC W/W/O CONTRAST | 72157 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1345 | CT ABD & PELVIS W/O CONTRAST | 74176 | CT SCAN | DETAILED |
| 1346 | CT ABD & PELVIS W/CONTRAST | 74177 | CT SCAN | DETAILED |
| 1347 | CT ABD & PELVIS W/W/O CONTRAST | 74178 | CT SCAN | DETAILED |
| 1348 | MRI ABD W/W/0 CONTRAST | 74183 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1350 | MRI LOWER EXTREMITY JOINT W/W/O CONTRAST | 73723 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1351 | MRI PELVIS W/O CONTRAST | 72195 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1352 | MRI PELVIS W/CONTRAST | 72196 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1353 | MRI PELVIS W/W/O CONTRAST | 72197 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1354 | ULTRASOUND EXTREMITY NON VASCULAR | 76882 | ULTRASOUND | DETAILED |
| 1355 | MRI,LOWER EXTREM NON JOINT W/O CONTRAST | 73718 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1356 | MRI,UPPER EXTREMITY JOINT W/O CONTRAST | 73221 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1357 | MRI,UPPER EXTREMITY JOINT W/W/O CONTRAST | 73223 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1358 | MRI,LOWER EXTREMITY JOINT W/O CONTRAST | 73721 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1359 | MRI,UPPER EXTREM NON JOINT W/O CONTRAST | 73218 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1360 | MRI,UPPER EXTREM NON JOINT W/W/O CONTRAST | 73220 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1361 | MRI,UPPER EXTREMITY JOINT W/CONTRAST | 73222 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1366 | NM BONE MARROW (WB) | NUCLEAR MEDICINE | PARENT | |
| 1382 | MRI,LOWER EXTREM NON JOINT W/CONTRAST | 73719 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1383 | MRI, ORBIT,FACE W/W/O CONTRAST | 70542 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1385 | MRI,UPPER EXTREM NON JOINT W/CONTRAST | 73219 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1391 | HEPATOBILIARY SCAN W/O INTERVENTION | 78226 | NUCLEAR MEDICINE | DETAILED |
| 1394 | HEPATOBILIARY SCAN WITH INTERVENTION | 78227 | NUCLEAR MEDICINE | DETAILED |
| 1403 | QUANTITATIVE LUNG PERF | 78597 | NUCLEAR MEDICINE | DETAILED |
| 1404 | NM BILIARY WITH CCK | NUCLEAR MEDICINE | PARENT | |
| 1405 | NM BILIARY WITH MORPHINE | NUCLEAR MEDICINE | PARENT | |
| 1412 | KNEES BILATERAL STANDING AP | 73565 | GENERAL RADIOLOGY | DETAILED |
| 1422 | CT HEART STRUCTURE/MORPHOLOGY W/CONTRAST | 75572 | CT SCAN | DETAILED |
| 1430 | MRI SPECTROSCOPY | 76390 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1433 | MRI ARTHROGRAM UPPER EXTREMITY | MAGNETIC RESONANCE IMAGING | PARENT | |
| 1434 | CT ARTHROGRAM UPPER EXTREMITY | CT SCAN | PARENT | |
| 1438 | MRI ARTHROGRAM LOWER EXTREMITY | MAGNETIC RESONANCE IMAGING | PARENT | |
| 1439 | MRI LOWER EXTREMITY JOINT W/CONTRAST | 73722 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1440 | CT ARTHROGRAM LOWER EXTREMITY | CT SCAN | PARENT | |
| 1442 | THYROID SCAN W/UPTAKE(S) | 78014 | NUCLEAR MEDICINE | DETAILED |
| 1443 | NM THYROID SCAN I-123 W/UPTAKE | NUCLEAR MEDICINE | PARENT | |
| 1444 | I-123 UPTAKE/SCAN DOSE | A9516 | NUCLEAR MEDICINE | DETAILED |
| 1446 | NM THYROID SCAN TC-99M W/ I-131 UPTAKE | NUCLEAR MEDICINE | PARENT | |
| 1447 | IODINE I-131 SODIUM IODIDE DIAGNOSTIC (UP TO 100UCI) | A9531 | NUCLEAR MEDICINE | DETAILED |
| 1448 | NM THYROID UPTAKE ONLY I-131 | NUCLEAR MEDICINE | PARENT | |
| 1449 | THYROID UPTAKE ONLY SINGLE/MULTIPLE | 78012 | NUCLEAR MEDICINE | DETAILED |
| 1450 | NM THYROID UPTAKE ONLY I-123 | NUCLEAR MEDICINE | PARENT | |
| 1451 | THYROID IMAGING ONLY | 78013 | NUCLEAR MEDICINE | DETAILED |
| 1452 | NM THYROID IMAGING ONLY I-123 | NUCLEAR MEDICINE | PARENT | |
| 1453 | NM THYROID IMAGING ONLY TC-99M | NUCLEAR MEDICINE | PARENT | |
| 1464 | CT ORBIT W&W/O CONT | 70482 | CT SCAN | DETAILED |
| 1465 | CT ORBIT W/CONTRAST | 70481 | CT SCAN | DETAILED |
| 1469 | HIP-BILATERAL | 73521 | GENERAL RADIOLOGY | DETAILED |
| 1472 | DEXA BONE DENSITY FOREARM ONLY | 77081 | GENERAL RADIOLOGY | DETAILED |
| 1475 | NM DAT SCAN | NUCLEAR MEDICINE | PARENT | |
| 1476 | MRI, PITUITARY W/O CONTRAST | 70551 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1480 | ULTRASOUND, AORTA SCREENING | 76706 | ULTRASOUND | DETAILED |
| 1481 | ULTRASOUND GALL BLADDER | 76705 | ULTRASOUND | DETAILED |
| 1482 | ULTRASOUND LIVER | 76705 | ULTRASOUND | DETAILED |
| 1483 | ULTRASOUND PANCREAS | 76705 | ULTRASOUND | DETAILED |
| 1484 | ULTRASOUND RIGHT UPPER QUADRANT | 76705 | ULTRASOUND | DETAILED |
| 1485 | ULTRASOUND, AORTA FOLLOW-UP | 76770 | ULTRASOUND | DETAILED |
| 1486 | HAND RIGHT | 73130 | GENERAL RADIOLOGY | DETAILED |
| 1487 | HAND LEFT | 73130 | GENERAL RADIOLOGY | DETAILED |
| 1488 | FINGER(S) RIGHT | 73140 | GENERAL RADIOLOGY | DETAILED |
| 1490 | WRIST RIGHT | 73110 | GENERAL RADIOLOGY | DETAILED |
| 1491 | WRIST LEFT | 73110 | GENERAL RADIOLOGY | DETAILED |
| 1492 | FOREARM RIGHT | 73090 | GENERAL RADIOLOGY | DETAILED |
| 1493 | FOREARM LEFT | 73090 | GENERAL RADIOLOGY | DETAILED |
| 1494 | ELBOW RIGHT | 73070 | GENERAL RADIOLOGY | DETAILED |
| 1495 | ELBOW LEFT | 73070 | GENERAL RADIOLOGY | DETAILED |
| 1496 | HUMERUS RIGHT | 73060 | GENERAL RADIOLOGY | DETAILED |
| 1497 | HUMERUS LEFT | 73060 | GENERAL RADIOLOGY | DETAILED |
| 1498 | SHOULDER RIGHT | 73030 | GENERAL RADIOLOGY | DETAILED |
| 1499 | SHOULDER LEFT | 73030 | GENERAL RADIOLOGY | DETAILED |
| 1500 | FINGER(S) LEFT | 73140 | GENERAL RADIOLOGY | DETAILED |
| 1501 | CLAVICLE RIGHT | 73000 | GENERAL RADIOLOGY | DETAILED |
| 1502 | CLAVICLE LEFT | 73000 | GENERAL RADIOLOGY | DETAILED |
| 1503 | SCAPULA RIGHT | 73010 | GENERAL RADIOLOGY | DETAILED |
| 1504 | SCAPULA LEFT | 73010 | GENERAL RADIOLOGY | DETAILED |
| 1505 | NAVICULAR SERIES RIGHT | 73110 | GENERAL RADIOLOGY | DETAILED |
| 1506 | NAVICULAR SERIES LEFT | 73110 | GENERAL RADIOLOGY | DETAILED |
| 1507 | ANKLE RIGHT | 73610 | GENERAL RADIOLOGY | DETAILED |
| 1508 | ANKLE LEFT | 73610 | GENERAL RADIOLOGY | DETAILED |
| 1509 | FEMUR RIGHT | 73552 | GENERAL RADIOLOGY | DETAILED |
| 1510 | FEMUR LEFT | 73552 | GENERAL RADIOLOGY | DETAILED |
| 1511 | FOOT RIGHT | 73630 | GENERAL RADIOLOGY | DETAILED |
| 1512 | FOOT LEFT | 73630 | GENERAL RADIOLOGY | DETAILED |
| 1513 | HEEL RIGHT | 73650 | GENERAL RADIOLOGY | DETAILED |
| 1514 | HEEL LEFT | 73650 | GENERAL RADIOLOGY | DETAILED |
| 1517 | KNEE 3 VIEWS RIGHT | 73562 | GENERAL RADIOLOGY | DETAILED |
| 1518 | KNEE 3 VIEWS LEFT | 73562 | GENERAL RADIOLOGY | DETAILED |
| 1519 | KNEE 4 OR MORE VIEWS RIGHT | 73564 | GENERAL RADIOLOGY | DETAILED |
| 1520 | KNEE 4 OR MORE VIEWS LEFT | 73564 | GENERAL RADIOLOGY | DETAILED |
| 1521 | SUNRISE VIEW RIGHT | 73560 | GENERAL RADIOLOGY | DETAILED |
| 1522 | SUNRISE VIEW LEFT | 73560 | GENERAL RADIOLOGY | DETAILED |
| 1523 | TIBIA/FIBULA RIGHT | 73590 | GENERAL RADIOLOGY | DETAILED |
| 1524 | TIBIA/FIBULA LEFT | 73590 | GENERAL RADIOLOGY | DETAILED |
| 1525 | TOE(S) RIGHT | 73660 | GENERAL RADIOLOGY | DETAILED |
| 1526 | TOE(S) LEFT | 73660 | GENERAL RADIOLOGY | DETAILED |
| 1527 | KNEE 2 VIEWS LEFT | 73560 | GENERAL RADIOLOGY | DETAILED |
| 1528 | KNEE 2 VIEWS RIGHT | 73560 | GENERAL RADIOLOGY | DETAILED |
| 1529 | HIP LEFT | 73501 | GENERAL RADIOLOGY | DETAILED |
| 1530 | HIP RIGHT | 73501 | GENERAL RADIOLOGY | DETAILED |
| 1531 | RIBS LEFT | 71101 | GENERAL RADIOLOGY | SERIES |
| 1532 | RIBS RIGHT | 71101 | GENERAL RADIOLOGY | SERIES |
| 1533 | RIBS BILATERAL | 71111 | GENERAL RADIOLOGY | SERIES |
| 1534 | CHEST ONE VIEW | 71045 | GENERAL RADIOLOGY | DETAILED |
| 1535 | CHEST TWO VIEWS | 71046 | GENERAL RADIOLOGY | DETAILED |
| 1536 | CHEST APICAL LORDOTIC ONLY | 71045 | GENERAL RADIOLOGY | DETAILED |
| 1537 | CHEST WITH APICAL LORDOTIC | 71047 | GENERAL RADIOLOGY | DETAILED |
| 1541 | CHEST WITH DECUBITUS BILATERAL | 71048 | GENERAL RADIOLOGY | DETAILED |
| 1542 | CHEST OBLIQUES ONLY | 71046 | GENERAL RADIOLOGY | DETAILED |
| 1543 | CHEST WITH OBLIQUES | 71048 | GENERAL RADIOLOGY | DETAILED |
| 1544 | CHEST DECUBITUS ONLY UNILATERAL | 71045 | GENERAL RADIOLOGY | DETAILED |
| 1545 | CHEST DECUBITUS ONLY BILATERAL | 71046 | GENERAL RADIOLOGY | DETAILED |
| 1546 | CHEST WITH DECUBITUS UNILATERAL | 71047 | GENERAL RADIOLOGY | DETAILED |
| 1548 | ABDOMEN ONE VIEW | 74018 | GENERAL RADIOLOGY | DETAILED |
| 1549 | ABDOMEN TWO VIEWS | 74019 | GENERAL RADIOLOGY | DETAILED |
| 1550 | ABDOMEN THREE OR MORE VIEWS | 74021 | GENERAL RADIOLOGY | DETAILED |
| 1551 | ABDOMEN ACUTE SERIES (INCLUDES PA CHEST) | 74022 | GENERAL RADIOLOGY | SERIES |
| 1552 | PELVIS/LUMBAR AP 1 VIEW | 72170 | GENERAL RADIOLOGY | DETAILED |
| 1554 | CT NECK SOFT TISSUE W/O&W CONT | 70492 | CT SCAN | DETAILED |
| 1556 | HAND, 2 VIEWS FOR RA | 73120 | GENERAL RADIOLOGY | DETAILED |
| 1557 | ULTRASOUND ELASTOGRAPHY | 76981 | ULTRASOUND | DETAILED |
| 1558 | CT UROGRAM W&W/0 CONTRAST | CT SCAN | PARENT | |
| 1561 | CT CERVICAL SPINE W/O & W/CONT | 72127 | CT SCAN | DETAILED |
| 1562 | CT ANGIO ABD & PELVIS W/W/O CONTRAST | 74174 | CT SCAN | DETAILED |
| 1570 | NM WBC INDIUM LIMITED (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1572 | WHITE BLOOD CELL LIMITED (1 DAY/AREA) | 78800 | NUCLEAR MEDICINE | DETAILED |
| 1584 | WHITE BLOOD CELL LIMITED (MULTI) | 78801 | NUCLEAR MEDICINE | DETAILED |
| 1585 | WHITE BLOOD CELL WB (1 DAY) | 78802 | NUCLEAR MEDICINE | DETAILED |
| 1586 | TOMOGRAPHIC SPECT/CT (1 DAY/AREA) | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1587 | WHITE BLOOD CELL WB (2+ DAYS) | 78804 | NUCLEAR MEDICINE | DETAILED |
| 1588 | TOMOGRAPHIC SPECT/CT (MULTI) | 78832 | NUCLEAR MEDICINE | DETAILED |
| 1589 | NM WBC INDIUM LIMITED (MULTI) | NUCLEAR MEDICINE | PARENT | |
| 1590 | NM WBC CERETEC LIMITED (MULTI) | NUCLEAR MEDICINE | PARENT | |
| 1591 | NM WBC INDIUM WB (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1592 | NM WBC CERETEC WB (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1593 | NM WBC INDIUM WB WITH SPECT/CT (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1594 | NM WBC CERETEC WB WITH SPECT/CT (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1596 | NM WBC INDIUM WB (MULTI DAYS) | NUCLEAR MEDICINE | PARENT | |
| 1597 | NM WBC INDIUM LIMITED WITH SPECT/CT (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1598 | NM WBC CERETEC LIMITED WITH SPECT/CT (1 DAY) | NUCLEAR MEDICINE | PARENT | |
| 1599 | NM WBC CERETEC WB (MULTI DAYS) | NUCLEAR MEDICINE | PARENT | |
| 1600 | QUANTITATIVE LUNG PERF & VENT | 78598 | NUCLEAR MEDICINE | DETAILED |
| 1601 | NM LUNG SCAN QUANTITATIVE (PERF & VENT) | NUCLEAR MEDICINE | PARENT | |
| 1602 | NM BONE MARROW (LIMITED) | NUCLEAR MEDICINE | PARENT | |
| 1603 | NM BONE SCAN (3PHASE WITH SPECT/CT-1 DAY/AREA) | NUCLEAR MEDICINE | PARENT | |
| 1604 | MYOCARDIAL PERFUSION IMAGING REST/STRESS | 78452 | NUCLEAR MEDICINE | DETAILED |
| 1605 | GI BLEED IMAGING | 78278 | NUCLEAR MEDICINE | DETAILED |
| 1606 | PARATHYROID WITH SPECT/CT | 78072 | NUCLEAR MEDICINE | DETAILED |
| 1607 | LUNG SCAN (PERF & VENT) | 78582 | NUCLEAR MEDICINE | DETAILED |
| 1608 | NM LIVER/SPLEEN WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1609 | GALLIUM SCAN LIMITED (MULTI) | 78801 | NUCLEAR MEDICINE | DETAILED |
| 1610 | GALLIUM SCAN WB (2+ DAYS) | 78804 | NUCLEAR MEDICINE | DETAILED |
| 1611 | MUGA WITH FIRST PASS | 78472 | NUCLEAR MEDICINE | DETAILED |
| 1612 | NM GASTRIC EMPTYING SCAN (LIQUID ONLY) | NUCLEAR MEDICINE | PARENT | |
| 1613 | NM GASTRIC EMPTYING SCAN (SOLID & LIQUID) | NUCLEAR MEDICINE | PARENT | |
| 1614 | BRAIN SPECT/CT | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1615 | NM BRAIN SCAN (BRAIN DEATH STUDY) | NUCLEAR MEDICINE | PARENT | |
| 1616 | NM CSF LEAK STUDY | NUCLEAR MEDICINE | PARENT | |
| 1617 | NM CSF SHUNT EVAL | NUCLEAR MEDICINE | PARENT | |
| 1618 | OCTREOSCAN WB (2+ DAYS) | 78804 | NUCLEAR MEDICINE | DETAILED |
| 1620 | NM PYP MYOCARDIAL W/ FIRST PASS | NUCLEAR MEDICINE | PARENT | |
| 1621 | RENAL SCAN WITH INTERVENTION | 78708 | NUCLEAR MEDICINE | DETAILED |
| 1622 | PROSTASCINT SCAN WB (2+ DAYS) | 78804 | NUCLEAR MEDICINE | DETAILED |
| 1623 | THALLIUM WB (1 DAY) | 78802 | NUCLEAR MEDICINE | DETAILED |
| 1625 | NM THYROID CA METS (WHOLE BODY) | NUCLEAR MEDICINE | PARENT | |
| 1626 | NM THYROID CA METS (LIMITED) | NUCLEAR MEDICINE | PARENT | |
| 1627 | NM THYROID CA METS POST ABLATION (LIMITED) | NUCLEAR MEDICINE | PARENT | |
| 1628 | PARATHRYROID SCAN WITH SPECT | 78071 | NUCLEAR MEDICINE | DETAILED |
| 1629 | NM PARATHYROID SCAN WITH SPECT | NUCLEAR MEDICINE | PARENT | |
| 1630 | WBC STUDY SPECT/CT (1 DAY/AREA) | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1631 | NM WBC CERETEC LIMITED WITH SPECT/CT (MULTI) | NUCLEAR MEDICINE | PARENT | |
| 1632 | WBC STUDY SPECT/CT (MULTI) | 78832 | NUCLEAR MEDICINE | DETAILED |
| 1633 | NM WBC INDIUM LIMITED WITH SPECT/CT (MULTI) | NUCLEAR MEDICINE | PARENT | |
| 1634 | CT THORACIC SPINE W/O & W/CONT | 72130 | CT SCAN | DETAILED |
| 1635 | 3PHASE WITH SPECT/CT (1 DAY/AREA) | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1636 | 3PHASE WITH SPECT/CT (MULTI) | 78832 | NUCLEAR MEDICINE | DETAILED |
| 1637 | NM BONE SCAN (3PHASE WITH SPECT/CT-MULTI) | NUCLEAR MEDICINE | PARENT | |
| 1638 | LIVER SPECT/CT | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1639 | NM HEMANGIOMA SCAN | NUCLEAR MEDICINE | PARENT | |
| 1640 | PARATHYROID WITH SPECT ONLY | 78071 | NUCLEAR MEDICINE | DETAILED |
| 1641 | LUNG SPECT/CT | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1642 | NM LUNG PERFUSION WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1643 | CARDIAC AMYLOID SCAN | 78800 | NUCLEAR MEDICINE | DETAILED |
| 1644 | CARDIAC AMYLOID SCAN WITH SPECT | 78803 | NUCLEAR MEDICINE | DETAILED |
| 1645 | NM CARDIAC AMYLOID SCAN | NUCLEAR MEDICINE | PARENT | |
| 1646 | NM CARDIAC AMYLOID WITH SPECT | NUCLEAR MEDICINE | PARENT | |
| 1647 | CARDIAC AMYLOID SCAN WITH SPECT/CT | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1648 | NM CARDIAC AMYLOID WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1650 | CT HEAD WO CONTRAST STROKE TX CANDIDATE | 70450 | CT SCAN | DETAILED |
| 1651 | CTA HEAD STROKE TX CANDIDATE | 70496 | CT SCAN | DETAILED |
| 1652 | CTA NECK STROKE TX CANDIDATE | 70498 | CT SCAN | DETAILED |
| 1653 | CTA HEAD & NECK STROKE TX CANDIDATE | CT SCAN | PARENT | |
| 1654 | MRI BRAIN WO CONTRAST STROKE TX CANDIDATE | 70551 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1655 | THALLIUM VIABILITY STUDY | 78452 | NUCLEAR MEDICINE | DETAILED |
| 1656 | NM BONE SPECT/CT LIMITED | NUCLEAR MEDICINE | PARENT | |
| 1657 | BONE SPECT/CT (1 DAY/AREA) | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1658 | NM GASTROESOPHAGEAL REFLUX STUDY | NUCLEAR MEDICINE | PARENT | |
| 1659 | GASTRIC REFLUX/ASPIRATION SPECT/CT (2+ DAYS) | 78832 | NUCLEAR MEDICINE | DETAILED |
| 1660 | NM GASTRIC REFLUX/ASPIRATION STUDY WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1661 | NM SALIVAGRAM | NUCLEAR MEDICINE | PARENT | |
| 1662 | PULMONARY ASPIRATION/SALIVAGRAM | 78299 | NUCLEAR MEDICINE | DETAILED |
| 1663 | SALIVAGRAM WITH SPECT/CT | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1664 | NM PULMONARY ASPIRATION/SALIVAGRAM WITH SPECT/CT | NUCLEAR MEDICINE | PARENT | |
| 1665 | GASTRIC REFLUX/ASPIRATION SPECT/CT (1 DAY) | 78830 | NUCLEAR MEDICINE | DETAILED |
| 1666 | NM BONE SCAN (WHOLE BODY WITH SPECT ONLY) | NUCLEAR MEDICINE | PARENT | |
| 1667 | NM HEMANGIOMA WITH SPECT ONLY | NUCLEAR MEDICINE | PARENT | |
| 1668 | NM BONE SCAN (3PHASE WITH SPECT ONLY) | NUCLEAR MEDICINE | PARENT | |
| 1669 | NM BONE SCAN (3PHASE & WB WITH SPECT ONLY) | NUCLEAR MEDICINE | PARENT | |
| 1670 | MRI PROSTATE W/O & W CONTRAST | 72197 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1671 | CT HEART CALCIUM SCORE | 75571 | CT SCAN | DETAILED |
| 1672 | MRV, BRAIN W/O CONTRAST | 70544 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1673 | FATTY MEAL (ENSURE PLUS) | B4150 | NUCLEAR MEDICINE | DETAILED |
| 1674 | NM BILIARY WITH FATTY MEAL | NUCLEAR MEDICINE | PARENT | |
| 1677 | IR PARACENTESIS | 49083 | ULTRASOUND | DETAILED |
| 1692 | LUMBAR SPINE | 72100 | GENERAL RADIOLOGY | DETAILED |
| 1693 | LUMBAR SPINE W FLEX/EXT | 72110 | GENERAL RADIOLOGY | DETAILED |
| 1694 | LUMBAR SPINE W OBLIQUES | 72110 | GENERAL RADIOLOGY | DETAILED |
| 1695 | LUMBAR SPINE W OBLIQUES AND FLEX/EXT | 72114 | GENERAL RADIOLOGY | DETAILED |
| 1696 | LUMBAR SPINE FLEX/EXT ONLY | 72120 | GENERAL RADIOLOGY | DETAILED |
| 1697 | LUMBAR SPINE OBLIQUES ONLY | 72100 | GENERAL RADIOLOGY | DETAILED |
| 1713 | LUNG SCAN (VENTILATION ONLY) | 78579 | NUCLEAR MEDICINE | DETAILED |
| 1714 | NM LUNG SCAN (VENTILATION ONLY) | NUCLEAR MEDICINE | PARENT | |
| 1733 | CT IAC W/O & W CONTRAST | 70482 | CT SCAN | DETAILED |
| 1750 | ULTRASOUND, PELVIS LIMITED | 76857 | ULTRASOUND | DETAILED |
| 1760 | MRI LIVER W/WO IV CONTRAST HCC | 74183 | MAGNETIC RESONANCE IMAGING | DETAILED |
| 1761 | CT LIVER W/ IV CONTRAST 3 PHASE HCC | 74160 | CT SCAN | DETAILED |
| 1762 | CT LIVER W/WO IV CONTRAST 4 PHASE HCC | 74170 | CT SCAN | DETAILED |
| 1763 | US LIVER HCC SCREENING | 76705 | ULTRASOUND | DETAILED |
| 1764 | US LIVER W/CONTRAST HCC | 76978 | ULTRASOUND | DETAILED |
| 1765 | LDCT LUNG CANCER SCREENING | 71271 | CT SCAN | DETAILED |
| 1766 | LDCT LCS 1, 3 OR 6 MONTH FOLLOW UP | 71250 | CT SCAN | DETAILED |
| 1767 | LDCT INCIDENTAL PULMONARY NODULE | 71250 | CT SCAN | DETAILED |
| 1782 | PET/CT PROSTATE PSMA SKULL BASE TO MID THIGH | 78815 | NUCLEAR MEDICINE | DETAILED |
| 1783 | NM PET/CT PROSTATE PSMA SKULL BASE TO MID THIGH | NUCLEAR MEDICINE | PARENT | |
| 1784 | GALLIUM 68 PSMA | A9587 | NUCLEAR MEDICINE | DETAILED |
File details come from the government source that posted it. Updated .