Procedure Codes

Our Procedure Code

ULTRASOUND

76506	□ Head	76828	□ Echo Doppler Fetal Pulse & Cont. Repe
76536	□ Neck, Soft Tissue	76830	□ Transvaginal
76604	□ Chest	76856	□ Pelvic Cmpl
76641	□ Breast unilat. Cmpl	76857	□ Pelvic Lmtd
76642	□ Breast unilat. Lmtd	76870	□ Scrotum and Contents
76700	□ Abdominal Cmpl	76872	□ Transrectal
76705	□ Abdominal Lmtd	76873	□ Transrectal, Prostate Volume
76706	□ Abd Aorta, AAA Screening	76881	□ Extremity, Cmpl Joint
76770	□ Retroperitoneal Cmpl	76882	□ Extremity, Lmtd Joint
76775	□ Retroperitoneal Cmpl	93303	□ Transthoracic Echo, Cmpl
76776	□ Transplanted Kidney	93304	□ Transthoracic Echo, Lmtd
76800	□ Spinal Canal and Contents	93306	□ Echo 2D w/ Color Doppler
76801	□ OB <14 weeks, Single Fetus	93307	□ Echo 2D w/o Color Doppler
76802	□ OB <14 weeks, Addl Fetus	93308	□ Echo 2D M-mode
78605	□ OB >14 weeks, Single Fetus	93320	□ Echo Doppler Pulse Wave Cmpl
78610	□ OB >14 weeks, Addl Fetus	93321	□ Echo Doppler Pulse Wave Lmtd
76811	□ OB Mat/Eva & Det/Ex, Single F	93325	□ Echo Doppler Color Flow
76812	□ OB Mat/Eva & Det/Ex, Addl F	93351	□ Stress Test - Echo
76813	□ Nuchal Translucency, Single F	93880	□ Duplex Scan Extracranial Arteries
76814	□ Nuchal Translucency, Addl F	93886	□ Transcranial Doppler, Cmpl
76815	□ OB Limited, 1 or more Fetuses	93888	□ Transcranial Doppler, Lmtd
76816	□ OB Follow-Up, per Fetus	93975	□ Duplex Scan art. ven., Cmpl
76817	□ OB Transvaginal	93976	□ Duplex Scan art. ven., Lmtd
76818	□ Fetal Biophysical Profile w/ nonst.	93978	□ Duplex Scan Aorta, Cmpl
76819	□ Fetal Biophysical Profile w/ nst.	93979	□ Duplex Scan Aorta, Lmtd
76820	□ Umbilical Artery Echo	93980	□ Duplex Scan Penile Vessls, Cmpl
76821	□ Middle Cerebrak Artery Echo	93981	□ Duplex Scan Penile Vessls, Lmtd
76825	□ Echo Fetal-CV SYS-Real Time w/ Doc	93990	□ Duplex Scan hemodialysis access
76826	□ Echo Fetal-CV SYS-Real Time Rept
76827	□ Echo Doppler Fetal Pulse & Cont. Cmpl

ARTERY UPPER & LOWER EXTREMITY

93925	□ Duplex Scan lwr extremity, Cmpl
93926	□ Duplex Scan lwr extremity, Lmtd
93930	□ Duplex Scan upp extremity, Cmpl
93931	□ Duplex Scan upp extremity, Lmtd

VENOUS UPPER & LOWER EXTREMITY

93970	□ Duplex Scan extremity, Cmpl
93971	□ Duplex Scan extremity, Lmtd

STRESS TEST PLAIN

93015	□ Cardiovascular Stress Test

EKG

93000	□ Electrocardiogram Cmpl

CT

70450	□ Head or Brain w/o C.	74176	□ Abdomen & Pelvis w/o C.
70460	□ Head or Brain w/ C.	74177	□ Abdomen & Pelvis w/ C.
70470	□ Head or Brain w/ & w/o C.	74178	□ Abdomen & Pelvis w/ &w/o C.
70480	□ Orbits/Ear/Post. Fossa w/o C.	73200	□ Upper Extremity w/o C.
70481	□ Orbits/Ear/Post. Fossa w/ C.	73201	□ Upper Extremity w/ C.
70482	□ Orbits/Ear/Post. Fossa w/ & w/o C.	73202	□ Upper Extremity w/ & w/o C.
70486	□ Maxofacial Area w/o C.	73700	□ Lower Extremity w/o C.
70487	□ Maxofacial Area w/ C.	73701	□ Lower Extremity w/ C.
70488	□ Maxofacial Area w/ & w/o C.	73702	□ Lower Extremity w/ & w/o C.
70490	□ Soft Tissue Neck w/o C.	76380	□ CAT Scan Follow-up Study
70491	□ Soft Tissue Neck w/ C.	75571	□ Calcium Score
70492	□ Soft Tissue Neck w/ & w/o C.
71250	□ Thorax w/o C.
71260	□ Thorax w/ C.
71270	□ Thorax w/ & w/o C.
72125	□ Cervical Spine w/o C.
72126	□ Cervical Spine w/ C.
72127	□ Cervical Spine w/ & w/o C.
72128	□ Thoracic Spine w/o C.
72129	□ Thoracic Spine w/ C.
72130	□ Thoracic Spine w/ C.
72131	□ Lumbar Spine w/o C.
72132	□ Lumbar Spine w/ C.
72133	□ Lumbar Spine w & w/o C.
72192	□ Pelvis w/o C.
72193	□ Pelvis w/ C.
72194	□ Pelvis w/ & w/o C.
74150	□ Abdomen w/o C.
74160	□ Abdomen w/ C.
74170	□ Abdomen w/ & w/o C.

CTA

70496	□ Angiography, Head
70498	□ Angiography, Neck
71275	□ Angiography, Chest
72191	□ Angiography Pelvic w/ & w/o C.
74174	□ CTA Abd & Pelvis w/ C.
74175	□ Angiography Abd. w/ & w/o C.
73206	□ CTA Upper Extremity w/ & w/o C.
73706	□ CTA Lower Extremity w/ & w/o C.
75635	□ CTA Abd Aorta & Bilat. Iliorem low. Ext runoff

CONVENTIONAL NUCLEAR MEDICINE

AMYLOIDOSIS
78800	□ Radiopharm. localization of tumor. Lmtd
78803	□ Radiopharm. localization of tumor SPECT
A9538	□ Tech TC-99m Pyrophosphate
A9560	□ Tech TC-99m Red blood cells

LIVER
78201	□ Liver Imaging, Static Only
78202	□ Liver Imaging w/ Vascular Flow
78803	□ Liver & Spleen Tomo-SPECT
78203	□ Liver Imaging SPECT w/ V. F.
78215	□ Liver & Spleen Static Only
A9541	□ Tech TC-99m Sulfur Colloid

BONE
78306	□ Bone Scan WB
78315	□ Bone Scan (Three Phase Study)
78803	□ Bone Scan SPECT
A9503	□ Tech TC-99m Medronate
A9561	□ Tech TC-99m Oxidronate

DAT SCAN
78803	□ Brain Imaging Tomo-SPECT
A9521	□ Tech TC-99 Examentazine
GASTRIC
78262	□ Gastroesophageal Reflux Study
A9541	□ Tech TC-99m Sulfur Colloid
MUGA
78472	□ MUGA Scan
A9512	□ Pertenetrate
A9560	□ Ultratag
PARATHYROID
78070	□ Parathyroid Planar Imaging
78071	□ Parathyroid Planar I. w/ SPECT
A9500	□ Tech TC-99m Sestamibi
PIPIDA
78226	□ Pipida Scan
78227	□ Pipida Scan w/ Pharmac. Int.
A9537	□ Tech TC-99m Mebrofenin
RENAL
78707	Renal Scan w/ or w/o Lasix
78708	Captopril Renal Scan
A9562	Tech TC-99m Mertiatide
THYROID
78012	Thyroid Uptake only
78013	Thyroid Scan or Imaging
78014	Thyroid Uptake & Scan
A9516	Iodine I-123
A9512	Tech TC-99m pertechnetate

NUCLEAR STRESS TEST

78452	□ Tomographic Perfusion SPECT
93015	□ Supervision w/ interpretation
93017	□ Supervision w/o interpretation
A9502	□ Technetium TC-99m (2 doses)

PET SCAN

78608	□ Brain Imaging PET
78814	□ PET/CT Limited
78815	□ WB PET/CT Skull Base -Midta
78816	□ WB PET/CT Head to Toe
A9552	□ FDG/F-18

CARDIAC PET SCAN

78491	□ Myocardial Imaging PET Perf. Single Study
78492	□ Myocardial Imaging PET Perf.
A9555	□ Rubidium RB-82 (2 units)
93015	□ Sup. w/ interp. & report
93017	□ Tracing w/o interp. & report

CARDIAC PET CT SCAN

78429	□ Cardiac PET CT Scan (Metabolic)
78430	□ Cardiac PET CT Scan (Perfusion single)
78431	□ Cardiac PET CT Scan (Perfusion multiple)
78434	□ CFR
A9555	□ Rubidium RB-82 (2 units)
93015	□ Sup. w/ interp. & report
93017	□ Tracing w/o interp. & report
A9526	□ Ammonia N-13 (Coming Soon)