SIM ORDERABLE CPT CPT CPT CPT CPT REMARKS 63 …...80 chest 1 v 71045 7703 chest 1 v w/abdomen...
Transcript of SIM ORDERABLE CPT CPT CPT CPT CPT REMARKS 63 …...80 chest 1 v 71045 7703 chest 1 v w/abdomen...
SIM ORDERABLE CPT CPT CPT CPT CPT REMARKS
63 ABDOMEN 1 V 74018
572 ABDOMEN COMPLETE 2 V 74019
812 ABDOMEN COMPLETE W/ 1 V CHEST 74022
2459 ABSCESS DRAIN PERITONEAL/RETROP 49406
2458 ABSCESS DRAINAGE ORGAN 49405
2460 ABSCESS DRAINAGE SOFT TISSUE 10030
1213 ABSCESSOGRAM THRU EXISTING CATHETER 76080 49424
2544 ABSCESSOGRAM W/SCLEROSING AGNT 49185
36 AC JOINTS BILAT 73050
8528 ALIGNMENT STUDY/BONE LENGTH 7355150
182 ANGIO CEREBRAL CAROTID BIL COMP 36223
253 ANGIO CEREBRAL CAROTID LT COMP 36223
254 ANGIO CEREBRAL CAROTID RT COMP 36223
181 ANGIO CERVICAL CAROTID BIL COMP 36222
219 ANGIO CERVICAL CAROTID LT COMP 36222
220 ANGIO CERVICAL CAROTID RT COMP 36222
7143 ANGIO FLUOROSCOPY none
2196 ANGIO SELECTED COMP 36226
2545 ANGIO US GUIDED BIOPSY 76942
184 ANGIO VERT NON-SELECTED COMP 36225
236 ANGIOGRAM ARCH COMPLETE 36221
189 ANGIOGRAM EXTERNAL CAROTID BILAT ADDL 36227
194 ANGIOGRAM EXTERNAL CAROTID LT ADDL 36227
196 ANGIOGRAM EXTERNAL CAROTID RT ADDL 36227
694 ANGIOGRAM EXTREMITY BILAT 75716
276 ANGIOGRAM EXTREMITY UNI LT 75710
278 ANGIOGRAM EXTREMITY UNI RT 75710
203 ANGIOGRAM INTERNAL CAROTID LT COMP 36224
213 ANGIOGRAM INTERNAL CAROTID RT COMP 36224
207 ANGIOGRAM PELVIC SELECTIVE 75736
211 ANGIOGRAM PULMONARY BILAT 75743
214 ANGIOGRAM PULMONARY NON SELECTIVE CATH 75746
6207 ANGIOGRAM PULMONARY UNI LT 75741
6272 ANGIOGRAM PULMONARY UNI RT 75741
159 ANGIOGRAM SPINAL SELECTIVE 75705
570 ANGIOGRAM THRU EXIST CATHETER F/U STUDY 75898
261 ANGIOGRAM VISCERAL SELECTIVE 75726
5333 ANKLE 2 V LT 73600
5334 ANKLE 2 V RT 73600
5339 ANKLE COMPLETE MIN 3 V LT 73610
5340 ANKLE COMPLETE MIN 3 V RT 73610
8543 ANKLES MIN 3 V EA BILAT 7361050
239 AORTOGRAM ABD + BIL ILIOFEMORAL EXTREM 75630
20 AORTOGRAM ABDOMINAL 75625
21 AORTOGRAM THORACIC 75605
872 ARTERIAL CATH/CANNULATION FOR MONITORING 36620
2631 ARTERIAL PTA 37246
2632 ARTERIAL PTA ADDITIONAL SITE 37247
2450 ARTERIAL STENT ABOVE ILIACS 37236
5131 ARTHROGRAM ELBOW LT 24220 73085
5133 ARTHROGRAM ELBOW RT 24220 73085
5288 ARTHROGRAM HIP LT 27093 73525
5290 ARTHROGRAM HIP RT 27093 73525
5323 ARTHROGRAM KNEE LT 27369 73580
5325 ARTHROGRAM KNEE RT 27369 73580
5107 ARTHROGRAM SHOULDER LT 23350 73040
5109 ARTHROGRAM SHOULDER RT 23350 73040
5159 ARTHROGRAM WRIST LT 25246 73115
5161 ARTHROGRAM WRIST RT 25246 73115
2628 AV CENTRAL DIALYSIS + PTA 36907
2629 AV CENTRAL DIALYSIS + STENT/PTA 36908
2627 AV DIALYSIS + DECLOT/PTA/STENT 36906
2630 AV DIALYSIS EMBOLIZATION 36909
2625 AV DIALYSIS PLUS DECLOT 36904
2626 AV DIALYSIS PLUS DECLOT/PTA 36905
2623 AV DIALYSIS PLUS PTA 36902
2624 AV DIALYSIS PLUS PTA/STENT 36903
2622 AV DIALYSIS SHUNT 36901
74 BARIUM ENEMA ADULT 74270
417 BARIUM ENEMA PEDS 0-6 YRS 74270
435 BARIUM ENEMA PEDS 6-16 YRS 74270
139 BARIUM ENEMA W/ AIR COLON 74280
2382 BD NO CHARGE none Provider office would not order
2522 BILI STNT PLC S/P PTC W EXT TUBE 47538
2524 BILI STNT PLCMNT NEW PTC W EX TUB 47540
2527 BILIARY BRUSH BIOPSY ADDL 47543
1577 BILIARY ENDOSCOPY W/ DILATION + STENT 47556
2523 BILIARY STENT PLCMNT NEW PTC 47539
2518 BILIARY STONE REMOVAL ADDL 47544
6 BONE AGE STUDY 77072
887 BONE DENSITY AXIAL SKELETON 77080
2305 BONE DENSITY AXIAL W/VERTEBRAL FX ASSESS 77085
7909 BONE DENSITY PERIPHERAL SKELETON 77081
2112 BONE DENSITY VERTEBRAL FX ASSESS 77086P
891 BONE LENGTH STUDY 77073
226 BONE SURVEY METABOLIC 77075
413 BONE SURVEY METASTATIC 77075
149 CHAIN CYSTOURTHROGRAM 51605 74430
2536 CHANGE NEPHROSTOMY TUBE LT COMP 50435
2537 CHANGE NEPHROSTOMY TUBE RT COMP 50435
2520 CHANGE OF INT/EXT BILIARY TUBE 47536
2902 CHANGE URETEROSTOMY STENT/ILEAL CONDUIT 50688 75984
8510 CHEMOEMBOLIZATION 96549
6231 CHEMOTHERAPY ADMIN INTRA-ARTERIAL 96420
80 CHEST 1 V 71045
7703 CHEST 1 V W/ABDOMEN (INFANT ONLY) 71045
82 CHEST 2 V 71046
440 CHEST 2 V W/ABDOMEN (INFANT ONLY) 71046
3125 CHEST 3 V 71047
83 CHEST 4 V 71048
6204 CHEST DECUBITUS LT 71045
6269 CHEST DECUBITUS RT 71045
736 CHEST TUBE INSERTION W/O FLUORO 32556
2521 CHOLANGI POST BILIARY STNT PLCMNT 47537
142 CHOLANGIOGRAM INTRAOPERATIVE 74300
2514 CHOLANGIOGRAPHY INTRAOPERATIVE 47531
5085 CLAVICLE COMPLETE LT 73000
5086 CLAVICLE COMPLETE RT 73000
859 COLON STUDY W/ GASTROGRAFIN 74270
6430 CONTRAST INJECTION FOR FEEDING TUBE 49465
2519 CONV EXT BILIARY TUBE TO INT EXT 47535
6432 CONVERSION G TUBE TO GJ TUBE 49446
7838 CR FOREIGN IMAGES none Provider office would not order
3060 CT ABD + PELVIS W/IV CONT (NO ORAL) 74177
3063 CT ABD + PELVIS W/O CONT (NO ORAL-NO IV) 74176
3064 CT ABD + PELVIS W/O IV CONT (ORAL ONLY) 74176
3061 CT ABDOMEN + PELVIS W/CONTRAST (ORAL+IV) 74177
3470 CT ABDOMEN W/ + W/O ADRENAL PROTOCOL 74170
2275 CT ABDOMEN W/ + W/O CONT (NO ORAL CONT) 74170
3471 CT ABDOMEN W/ + W/O LIVER TRIPLE PHASE 74170
3054 CT ABDOMEN W/ + W/O CONTRAST (ORAL + IV) 74170
2304 CT ABDOMEN W/ CONTRAST PANCREAS PROTOCOL 74160
3050 CT ABDOMEN W/ CONTRAST (ORAL + IV) 74160
3472 CT ABDOMEN W/CON LIVER DUAL PHASE 74160
3051 CT ABDOMEN W/IV CONTRAST (NO ORAL CONT) 74160
3052 CT ABDOMEN W/O CONTRAST (NO ORAL-NO IV) 74150
3053 CT ABDOMEN W/O IV CONTRAST (ORAL ONLY) 74150
3469 CT ABDOMEN W+W/O RENAL PROTOCOL 74170
819 CT ABSCESS DRAINAGE 75989
2298 CT ABSCESS DRAINAGE (US) 76942 Provider office would not order
2132 CT ADDITIONAL VIEWS NONE Provider office would not order
2402 CT BIOPSY/US GUIDED 76942 Provider office would not order
2366 CT BONE CRYOABLATION 20983
7608 CT CALCIUM SCORING 75571
136 CT CERVICAL SPINE W/ CONTRAST 72126
135 CT CERVICAL SPINE W/O CONTRAST 72125
3065 CT CHEST + ABD W/O CONT (NO ORAL-NO IV) 71250 74150
3069 CT CHEST + ABDOMEN W/ CONT (ORAL + IV) 71260 74160
3071 CT CHEST + ABDOMEN W/ IV CONT (NO ORAL) 71260 74160
3067 CT CHEST + ABDOMEN W/O IV (ORAL ONLY) 71250 74150
3077 CT CHEST ABD PELVIS W/IV CONT (NO ORAL) 74177 71260
3073 CT CHEST ABD PELVIS W/O (NO ORAL-NO IV) 71250 74176
3075 CT CHEST ABD PELVIS W/O IV (ORAL ONLY) 71250 74176
3079 CT CHEST ABDOMEN PELVIS W/CONT (ORAL+IV) 74177 71260
2939 CT CHEST PE PROTOCOL 71260
123 CT CHEST W/ + W/O CONTRAST 71270
122 CT CHEST W/ CONTRAST 71260
121 CT CHEST W/O CONTRAST 71250
398 CT CYST ASP 77012
3473 CT ENTEROGRAPHY 74177
7240 CT FACIAL BONES W/ + W/O CONTRAST 70488
562 CT FACIAL BONES W/ CONTRAST 70487
129 CT FACIAL BONES W/O CONTRAST 70486
7839 CT FOREIGN IMAGES none Provider office would not order
399 CT GUIDANCE BIOPSY/NEEDLE PLACEMENT 77012 Also include biopy CPT
3479 CT GUIDANCE CRYO ABLATION LIVER 47382 77013
3476 CT GUIDANCE CRYO ABLATION LUNG 32994
6241 CT GUIDANCE CRYO ABLATION RENAL 50593
6482 CT GUIDANCE FOR RF BONE ABLATION 20982
3477 CT GUIDANCE MICROWAVE ABLATION BONE 20982
3481 CT GUIDANCE MICROWAVE ABLATION LIVER 47382 77013
3478 CT GUIDANCE MICROWAVE ABLATION LUNG 32998
3483 CT GUIDANCE MICROWAVE ABLATION RENAL 50592 77013
6205 CT GUIDANCE THORACENTESIS 32555
7907 CT GUIDED CHEST TUBE PLACEMENT 32551
4215 CT GUIDED FINE NEEDLE ASPIRATION 10009
4216 CT GUIDED FINE NEEDLE ASPIRATION (US) 10005 Provider office would not order
71 CT HEAD W/ + W/O CONTRAST 70470
70 CT HEAD W/ CONTRAST 70460
69 CT HEAD W/O CONTRAST 70450
2949 CT HEMATURIA PROTOCOL 74178
5190 CT LOWER EXTREM W/ CONTRAST LT 73701
5191 CT LOWER EXTREM W/ CONTRAST RT 73701
5186 CT LOWER EXTREM W/O CONTRAST LT 73700
5187 CT LOWER EXTREM W/O CONTRAST RT 73700
119 CT LUMBAR SPINE W/ CONTRAST 72132
118 CT LUMBAR SPINE W/O CONTRAST 72131
7695 CT LUNG CANCER SCREENING ANNUAL EXAM G0297
2562 CT LUNG CANCER SCREENING INTERVAL F/U 71250
854 CT LUNGS HIGH RESOLUTION 71250
134 CT NECK SOFT TISSUE W/ + W/O CONTRAST 70492
133 CT NECK SOFT TISSUE W/ CONTRAST 70491
132 CT NECK SOFT TISSUE W/O CONTRAST 70490
2385 CT NO CHARGE none Provider office would not order
1742 CT ORBITS W/ + W/O CONTRAST 70482
110 CT ORBITS w/ CONTRAST 70481
73 CT ORBITS W/O CONTRAST 70480
7649 CT OUTSIDE IMAGES FOR CONSULTATION none Provider office would not order
3057 CT PELVIS W/ CONTRAST (ORAL + IV) 72193
3058 CT PELVIS W/IV CONTRAST (NO ORAL CONT) 72193
3055 CT PELVIS W/O CONTRAST (NO ORAL-NO IV) 72192
3056 CT PELVIS W/O IV CONTRAST (ORAL ONLY) 72192
5060 CT PELVIS/KIDNEY STONE W/O CONTRAST 74176
395 CT PITUITARY W/ CONTRAST 70481
401 CT PITUITARY W/O CONTRAST 70480
4873 CT ROTATION STUDY 73700RT 73700LT
407 CT SCANOGRAM 77073
1581 CT SINUSES W/ CONTRAST 70487
561 CT SINUSES W/O CONTRAST 70486
2349 CT STATISTICAL CHARGE ONLY none
2434 CT STEALTH HEAD W/CONTRAST 70460
3474 CT STEALTH HEAD W/O CONTRAST 70450
403 CT TEMPORAL BONES W/ CONTRAST 70481
396 CT TEMPORAL BONES W/O CONTRAST 70480
137 CT THORACIC SPINE W/ CONTRAST 72129
138 CT THORACIC SPINE W/O CONTRAST 72128
5274 CT UPPER EXTREM W/ CONTRAST LT 73201
5275 CT UPPER EXTREM W/ CONTRAST RT 73201
5270 CT UPPER EXTREM W/O CONTRAST LT 73200
5271 CT UPPER EXTREM W/O CONTRAST RT 73200
2549 CT VENOGRAM/HEAD W/ CONTRAST 70460
2550 CT VENOGRAM/HEAD W/ + W/O CONTRAST 70470
5394 CTA ABD AORTA/RUNOFF 75635
2406 CTA ABDOMEN + PELVIS W/ IMAGE POST PROC 74174
5393 CTA ABDOMEN W/ IMAGE POST PROCESSING 74175
3046 CTA CARDIAC PULMONARY VEIN MAPPING 75572
2438 CTA CARDIAC TAVI W/ CONTRAST 75572
2439 CTA CARDIAC TAVI W/O CONTRAST 7557252
2429 CTA CHEST ABD PELV TAVI W/CON 71275 74174
2431 CTA CHEST ABD PELV TAVI W/O CONTRAST 71275 74174 A9510
2401 CTA CHEST THORACIC AORTA 71275
2200 CTA CHEST/ABD DISSECTION PROTOCOL 71275 74175
8452 CTA CORONARY ARTERIES 75574
7617 CTA CORONARY ARTERIES W/ CALCIUM SCORING 75574
5385 CTA HEAD W/ IMAGE POST PROCESSING 70496
2484 CTA LOWER EXT BIL W/IMAGE POST 7370650
2437 CTA MESENTERIC 74174
5386 CTA NECK W/ IMAGE POST PROCESSING 70498
5388 CTA PELVIS W/ IMAGE POST PROCESSING 72191
5389 CTA UPPER EXTREM RT W/IMAGE POST PROCESS 73206
5390 CTA UPPER EXTREM LT W/IMAGE POST PROCESS 73206
6333 CV CATH CNTEL INS NON TUNN W/O 36556
1502 CV CATH CNTRL INSERTION NON TUNNEL FLUO 36556 77001
1506 CV CATH CNTRL INSERTION TUNNELED FLUORO 36558 77001
1510 CV CATH CNTRL INSERTION TUNNELED W/PORT 36561 77001
4210 CV CATH PERIPH INSERT > 5 INC GUIDANCE 36573
4209 CV CATH PERIPH INSERT< 5 INC GUIDANCE 36572
4211 CV CATH PICC REPLACEMENT 36584
1534 CV CATH REMOVAL W/ PORT FLUORO 36590 77001
7891 CV CATH REMOVAL W/ PORT W/O FL 36590
1532 CV CATH REMOVAL W/O PORT FLUORO 36589 77001
7890 CV CATH REMOVAL W/O PORT W/O FL 36589
1520 CV CATH REPAIR W/O PORT FLUORO 36575 77001
1522 CV CATH REPAIR W/ PORT FLUORO 36576 77001
1528 CV CATH REPLACEMENT TUNNELED W/ PORT FL 36582 77001
1526 CV CATH REPLACEMENT TUNNELED W/O PORT FL 36581 77001
1524 CV CATH REPLACEMENT W/O PORT FLUORO 36580 77001
1536 CV CATH REPOSITION/PREVIOUSLY PLACED FL 36597 76000
161 CYSTOGRAM 51600 74430
7878 CYSTOSTOMY TUBE CHANGE 75984 51705
7089 CYSTOURETHROSCOPY INSER URETERAL STEN LT 52332
7087 CYSTOURETHROSCOPY INSER URETERAL STEN RT 52322
2722 CYSTOURETHROSCOPY INSERT URETERAL WIRE 52334
6230 CYSTOURETHROSCOPY URETERAL BRUSH BX LT 52354
6295 CYSTOURETHROSCOPY URETERAL BRUSH BX RT 52354
7097 CYSTOURETHROSCOPY URETERAL STENT REM LT 52310
7095 CYSTOURETHROSCOPY URETERAL STENT REM RT 52310
1452 DECLOTTING IMPLANTED VASC DEVICE 36593
894 DEFECOGRAPHY 74270
2526 DILATATION OF BILIARY TREE ADDL 47542
2542 DILATATION OF URETER LT ADDL 50706
2543 DILATATION OF URETER RT ADDL 50706
4200 DILATION NEPHROSTOMY 74485
373 DILATION OF BILIARY TRACT 74360
7117 DILATION OF URETER LT 74485 50553
7115 DILATION OF URETER RT 74485 50553
564 DISCOGRAPHY LUMBAR EACH LEVEL 72295 62290
5121 ELBOW 2 V LT 73070
5122 ELBOW 2 V RT 73070
5127 ELBOW COMP MIN 3 V LT 73080
5128 ELBOW COMP MIN 3 V RT 73080
2455 EMBOLIZATION ARTERIAL 37242
2457 EMBOLIZATION HEMORRHAGE 37244
2456 EMBOLIZATION TUMOR/ORGAN 37243
2454 EMBOLIZATION VENOUS 37241
168 ERCP BILIARY + PANCREATIC DUCTAL SYS 74330
5487 ERCP BILIARY DUCTAL SYSTEM 74328
65 ESOPHAGRAM 74220
3126 ESOPHAGRAM W/ AIR CONTRAST 74246
2296 EVALUATION OF GASTRIC TUBE 49465
1217 EXCHANGE OF ABSCESS OR CYST DRAIN CATH 49423 75984
5063 FACIAL BONES < 3 V 70140
8442 FACIAL BONES COMPLETE MIN 3 V 70150
8738 FEM/POP ATHERECTOMY COMPLETE 37225
8737 FEM/POP PTA COMPLETE 37224
8739 FEM/POP STENT COMPLETE 37226
5298 FEMUR 2 V LT 73552
5299 FEMUR 2 V RT 73552
2004 FINGER MIN 2 V LT 73140
2011 FINGER MIN 2 V RT 73140
571 FISTULA OR SINUS TRACT STUDY W/INJECTION 20501 76080 J2805
2819 FIXED OR FLUORO none
7690 FLUOR GU NEEDLE PLACEMENT W/BONE BIOPSY 77002 20225
7900 FLUORO EVALUATION OF GASTRIC TUBE 49465
7740 FLUORO FOR INJECTION PAIN CLINIC 77003
7705 FLUORO GU TRIGGER POINT/NERVE BLOCK 77002
6384 FLUORO GUIDANCE FOR INJECTION 61070 77003
695 FLUORO GUIDANCE FOR NEEDLE PLACEMENT 77002
5345 FOOT 2 V LT 73620
5169 FOOT 2 V RT 73620
8531 FOOT COMPLETE MIN 3 V EA BILAT 7363050 NONE
5174 FOOT COMPLETE MIN 3 V LT 73630
5175 FOOT COMPLETE MIN 3 V RT 73630
5135 FOREARM 2 V LT 73090
5136 FOREARM 2 V LT 73090
584 FOREIGN BODY SCAN CHILD 76010
2184 GD ADDITIONAL VIEWS none Provider office would not order
2381 GD NO CHARGE none Provider office would not order
7626 GD OUTSIDE IMAGES FOR CONSULTATION none Provider office would not order
178 GUIDANCE FOR PERCUTANEOUS DRAINAGE 75989
7956 HAND 2 V EACH BIL 73120LT 73120RT
5164 HAND 2 V LT 73120
5165 HAND 2 V RT 73120
8533 HAND MIN 3 V BILAT 7313050
5264 HAND MIN 3 V LT 73130
5265 HAND MIN 3 V RT 73130
5180 HEEL MIN 2 V LT 73650
5181 HEEL MIN 2 V RT 73650
5276 HIP 1 V UNI LT 73501
5277 HIP 1 V UNI RT 73501
2220 HIP 1V LT W/PELVIS 1 V 73501
2222 HIP 1V RT W/PELVIS 1 V 73501
5282 HIP COMPLETE MIN 2 V LT 73502
5283 HIP COMPLETE MIN 2 V RT 73502
51 HIPS MIN 2 V BILAT 73521
5115 HUMERUS MIN 2 V LT 73060
5116 HUMERUS MIN 2 V RT 73060
2564 HYDROCELE ASPIRATION 55000
163 HYSTEROSALPINGOGRAPHY 58340 74740
8746 ILIAC 2ND KISSING STENT COMPLETE 3722159
8735 ILIAC ADDL PTA ISPILATERAL COMPLETE 37222
8736 ILIAC ADDL STENT ISPLATERAL COMPLETE 37223
3083 ILIAC ANEURYSM ENDOGRAFT 34900 75954
8733 ILIAC PTA COMPLETE 37220
8734 ILIAC STENT COMPLETE 37221
7449 INJECTION OF CONTRAST PERITONEAL CAVITY 49400
7641 INJECTION W/ FLUORO EVAL CV DEVICE 36598
8423 INS INDWELL TUNNEL PERITONEAL CATH W/CUF 49418
1800 INSERT INDWELL TUNNEL PLEURAL CATH W/CUF 32550 75989
7904 INSERT PERCUTANEOUS DUODENOSTOMRY/J TUBE 49441
1799 INSERTION OF TIPS 37182
920 IR CLINIC CONSULTATION Multiple Based on time
2393 IR CLINIC FOLLOW UP Multiple Based on time
2415 IVC FILTER INSERT COMPLETE 37191
2416 IVC FILTER REMOVAL COMPLETE 37193
146 IVP 74400
3127 JOINT ASPIRATION LT 77002 Also need joint CPT
3128 JOINT ASPIRATION RT 77002 Also need joint CPT
3129 JOINT INJECTION LT 77002 Also need joint CPT
3130 JOINT INJECTION RT 77002 Also need joint CPT
5303 KNEE 1 - 2 V LT 73560
5304 KNEE 1 - 2 V RT 73560
5309 KNEE 3 V LT 73562
5310 KNEE 3 V RT 73562
5315 KNEE COMPLETE MIN 4 V LT 73564
5316 KNEE COMPLETE MIN 4 V RT 73564
8529 KNEES BILATERAL 2 V EACH 7356450
6227 KNEES BILATERAL 3 V EACH 73562LT 73562RT
8535 KNEES BILATERAL 4 V EACH 7356450 NONE
5321 KNEES STANDING AP ONLY BILAT 73565
2374 KYPHOPLASTY EA ADD THOR OR LUMB VERT 22515
2373 KYPHOPLASTY LUMBAR FIRST VERT 22514
2372 KYPHOPLASTY THORACIC FIRST VERT 22513
7701 LOOPOGRAM 50690 74425
2039 LUMBAR PUNCTURE DIAGNOSTIC 62270
7902 LUMBAR PUNCTURE THERAPEUTIC 62272
1781 LUMBAR PUNCTURE W/ CHEMO 96450
2971 MA BREAST SPECIMEN UNI LT FROM OR 76098 Provider office would not order
2972 MA BREAST SPECIMEN UNI RT FROM OR 76098 Provider office would not order
7921 MA DIAGNOSTIC CONSULTATION LETTER none Provider office would not order
2477 MA FFD DX FOLLOW PROCEDURE BIL 77066 Provider office would not order
2478 MA FFD DX FOLLOW PROCEDURE LT 77065 Provider office would not order
2479 MA FFD DX FOLLOW PROCEDURE RT 77065 Provider office would not order
8459 MA FFD MAMM DIAGNOSTIC BILAT 77066
2169 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN BIL 77066GG Provider office would not order
2170 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN LT 77065GG Provider office would not order
2171 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN RT 77065GG Provider office would not order
8469 MA FFD MAMM DIAGNOSTIC UNI LT 77065
8472 MA FFD MAMM DIAGNOSTIC UNI RT 77065
2593 MA FFD MAMM SCREEN BILATERAL 77067
2594 MA FFD MAMM SCREEN LT UNI 7706752
2595 MA FFD MAMM SCREEN RT UNI 7706752
7842 MA FOREIGN IMAGES none Provider office would not order
7218 MA GUIDED BREAST CYST ASPIRATION LT 19000 19000
7219 MA GUIDED BREAST CYST ASPIRATION RT 19000 19000
2975 MA GUIDED BREAST DUCTOGRAM W/MULT LT 77054 77054
2976 MA GUIDED BREAST DUCTOGRAM W/MULT RT 77054 77054
2977 MA GUIDED BREAST DUCTOGRAM W/SINGLE LT 19030 77053
2978 MA GUIDED BREAST DUCTOGRAM W/SINGLE RT 19030 77053
2979 MA GUIDED BREAST NEEDLE LOC WIRE LT 19281
2980 MA GUIDED BREAST NEEDLE LOC WIRE RT 19281
2983 MA GUIDED BREAST STEREOTACTIC LT 19081
2984 MA GUIDED BREAST STEREOTACTIC RT 19081
2587 MA MAMM 3D DIAGNOSTIC BIL 77066 G0279
2588 MA MAMM 3D DIAGNOSTIC LT 77065 G0279
2589 MA MAMM 3D DIAGNOSTIC RT 77065 G0279
2584 MA MAMM 3D SCREENING BIL 77067 77063
2585 MA MAMM 3D SCREENING LT 7706752 7706352
2586 MA MAMM 3D SCREENING RT 7706752 7706352
7609 MA MAMMOGRAM MISCELLANEOUS none Provider office would not order
2383 MA NO CHARGE none Provider office would not order
1248 MA OUTSIDE IMAGES FOR CONSULTATION none Provider office would not order
7560 MA PRETREATMENT REVIEW none Provider office would not order
2859 MA RADIOLOGY PATHOLOGY F/U REPORT none Provider office would not order
3 MANDIBLE COMPLETE MIN 4 V 70110
7748 MANIPULATION OF PERITONEAL DIALYSIS CATH 49999
6118 MISC INTERVENTIONAL RADIOLOGY EXAM none
7844 MR FOREIGN IMAGES none Provider office would not order
7648 MR OUTSIDE IMAGES FOR CONSULTATION none Provider office would not order
6357 MRA ABDOMEN W/ + W/O CONTRAST C8902
6355 MRA ABDOMEN W/ CONTRAST C8900
6356 MRA ABDOMEN W/O CONTRAST C8901
6351 MRA CHEST W/ + W/O CONTRAST C8911
6349 MRA CHEST W/ CONTRAST C8909
6350 MRA CHEST W/O CONTRAST C8910
5365 MRA HEAD W/ + W/O CONTRAST 70546
5363 MRA HEAD W/ CONTRAST 70545
5361 MRA HEAD W/O CONTRAST 70544
7928 MRA INCOMPLETE ABDOMEN C890152
7931 MRA INCOMPLETE CHEST C891052
7929 MRA INCOMPLETE HEAD 7054452
7933 MRA INCOMPLETE LOWER EXTREMITY C891352
7932 MRA INCOMPLETE NECK 7054752
7930 MRA INCOMPLETE PELVIS C892052
7934 MRA INCOMPLETE UPPER EXTREMITY C893552
1357 MRA LOWER EXTREM W/ + W/O CONTRAST LT C8914
1358 MRA LOWER EXTREM W/ + W/O CONTRAST RT C8914
2921 MRA LOWER EXTREM W/ OUTFLOW C891250
5371 MRA NECK W/ + W/O CONTRAST 70549
5369 MRA NECK W/ CONTRAST 70548
5367 MRA NECK W/O CONTRAST 70547
865 MRA PELVIS W/ + W/O CONTRAST C8920
1367 MRA RENAL W/ + W/O CONTRAST C8902
1366 MRA RENAL W/ CONTRAST C8900
1365 MRA RENAL W/O CONTRAST C8901
7553 MRA UPPER EXTREM W/ + W/O CONTRAST LT C8936
7554 MRA UPPER EXTREM W/ + W/O CONTRAST RT C8936
1360 MRA UPPER EXTREM W/ CONTRAST LT C8934
1363 MRA UPPER EXTREM W/ CONTRAST RT C8934
1359 MRA UPPER EXTREM W/O CONTRAST LT C8935
1362 MRA UPPER EXTREM W/O CONTRAST RT C8935
4088 MRI ABDOMEN (MRCP) W/ + W/O CONTRAST 74183
4087 MRI ABDOMEN (MRCP) W/O CONTRAST 74181
5383 MRI ABDOMEN W/ + W/O CONTRAST 74183
5381 MRI ABDOMEN W/ CONTRAST 74182
527 MRI ABDOMEN W/O CONTRAST 74181
860 MRI ADDITION VIEWS none Provider office would not order
7574 MRI ANKLE W/ + W/O CONTRAST LT 73723
7575 MRI ANKLE W/ + W/O CONTRAST RT 73723
7572 MRI ANKLE W/ CONTRAST LT 73722
7573 MRI ANKLE W/ CONTRAST RT 73722
7576 MRI ANKLE W/O CONTRAST LT 73721
7577 MRI ANKLE W/O CONTRAST RT 73721
6160 MRI BONE MARROW BLOOD STUDY 77084
2498 MRI BRACHIAL PLEXUS W + W/O CONTRAST 73220
667 MRI BRAIN W/ + W/O CONTRAST 70553
546 MRI BRAIN W/ CONTRAST 70552
519 MRI BRAIN W/O CONTRAST 70551
2556 MRI BRAIN W/O VENTRICLES MEASUREMENT 7055152
6348 MRI BREAST W/ & W/O CONT BIL 77049
6342 MRI BREAST W/ & W/O CONT LT 77048
6345 MRI BREAST W/ & W/O CONTR RT 77048
6347 MRI BREAST W/O CONTRAST BILAT 77047
6341 MRI BREAST W/O CONTRAST LT 77046
6344 MRI BREAST W/O CONTRAST RT 77046
668 MRI CERVICAL SPINE W/ + W/O CONTRAST 72156
545 MRI CERVICAL SPINE W/ CONTRAST 72142
521 MRI CERVICAL SPINE W/O CONTRAST 72141
5360 MRI CHEST W/ + W/O CONTRAST 71552
5358 MRI CHEST W/ CONTRAST 71551
520 MRI CHEST W/O CONTRAST 71550
7584 MRI ELBOW W/ CONTRAST LT 73222
7585 MRI ELBOW W/ CONTRAST RT 73222
7586 MRI ELBOW W/+W/O CONTRAST LT 73223
7587 MRI ELBOW W/+W/O CONTRAST RT 73223
7588 MRI ELBOW W/O CONTRAST LT 73221
7590 MRI ELBOW W/O CONTRAST RT 73221
2388 MRI ENTEROGRAPHY ABD/PEL W/O W/GLUCAGON 74181 72195 A9954
2387 MRI ENTEROGRAPHY ABD/PEL W+WO W/GLUCAGON 74183 72197 J1610 A9954
5413 MRI FACE W/ & W/O CONTRAST 70543
5410 MRI FACE W/ CONTRAST 70542
535 MRI FACE W/O CONTRAST 70540
2503 MRI FOOT W + W/O CONTRAST LT 73720
2504 MRI FOOT W + W/O CONTRAST RT 73720
2501 MRI FOOT W/ CONTRAST LT 73719
2502 MRI FOOT W/ CONTRAST RT 73719
2499 MRI FOOT W/O CONTRAST LT 73718
2500 MRI FOOT W/O CONTRAST RT 73718
2442 MRI GUIDED BREAST BIOPSY LT 19085
2443 MRI GUIDED BREAST BIOPSY RT 19085
2441 MRI GUIDED BREAST NEEDLE LOC LT 19287
2440 MRI GUIDED BREAST NEEDLE LOC RT 19287
2496 MRI HAND W + W/O CONTRAST LT 73220
2497 MRI HAND W + W/O CONTRAST RT 73220
2494 MRI HAND W/ CONTRAST LT 73219
2495 MRI HAND W/ CONTRAST RT 73219
2492 MRI HAND W/O CONTRAST LT 73218
2493 MRI HAND W/O CONTRAST RT 73218
6166 MRI HEART FOR VELOCITY FLOW MAPPING 75565
6415 MRI HEART W/ + W/O CONTRAST 75561
6163 MRI HEART W/ CONTRAST 7556152
528 MRI HEART W/O CONTRAST 75557
7568 MRI HIP W/ + W/O CONTRAST LT 73723
7569 MRI HIP W/ + W/O CONTRAST RT 73723
7564 MRI HIP W/ CONTRAST LT 73722
7567 MRI HIP W/ CONTRAST RT 73722
7570 MRI HIP W/O CONTRAST LT 73721
7571 MRI HIP W/O CONTRAST RT 73721
8537 MRI HIPS BIL W/ + W/O CONTRAST 7372350
8539 MRI HIPS BILATERAL W/ CONTRAST 7372250
8541 MRI HIPS BILATERAL W/O CONTRAST 7372150
7862 MRI INCOMPLETE ABDOMEN 7418152 Provider office would not order
7863 MRI INCOMPLETE BRAIN 7055152 Provider office would not order
7875 MRI INCOMPLETE BREAST C890452 Provider office would not order
7864 MRI INCOMPLETE CERVICAL SPINE 7214152 Provider office would not order
7865 MRI INCOMPLETE CHEST 7155052 Provider office would not order
7870 MRI INCOMPLETE FACE NECK ORBIT 7054052 Provider office would not order
7866 MRI INCOMPLETE JOINT LOWER EXTREM 7372152 Provider office would not order
7867 MRI INCOMPLETE JOINT UPPER EXTREM 7322152 Provider office would not order
7868 MRI INCOMPLETE LOWER EXTREMITY 7371852 Provider office would not order
7869 MRI INCOMPLETE LUMBAR SPINE 7214852 Provider office would not order
7871 MRI INCOMPLETE PELVIS 7219552 Provider office would not order
7872 MRI INCOMPLETE THORACIC SPINE 7214652 Provider office would not order
7873 MRI INCOMPLETE TMJ 7033652 Provider office would not order
7874 MRI INCOMPLETE UPPER EXTREMITY 7321852 Provider office would not order
2160 MRI KNEE W/ + W/O CONTRAST LT 73723
2161 MRI KNEE W/ + W/O CONTRAST RT 73723
2158 MRI KNEE W/ CONTRAST LT 73722
2159 MRI KNEE W/ CONTRAST RT 73722
2164 MRI KNEE W/O CONTR LT 73721
7563 MRI KNEE W/O CONTRAST RT 73721
6217 MRI LOWER EXTREM W/ + W/O CONTRAST LT 73720
6282 MRI LOWER EXTREM W/ + W/O CONTRAST RT 73720
6253 MRI LOWER EXTREM W/ CONTRAST LT 73719
6318 MRI LOWER EXTREM W/ CONTRAST RT 73719
6251 MRI LOWER EXTREM W/O CONTRAST LT 73718
6316 MRI LOWER EXTREM W/O CONTRAST RT 73718
670 MRI LUMBAR SPINE W/ + W/O CONTRAST 72158
544 MRI LUMBAR SPINE W/ CONTRAST 72149
523 MRI LUMBAR SPINE W/O CONTRAST 72148
5412 MRI NECK W/ + W/O CONTRAST 70543
5409 MRI NECK W/ CONTRAST 70542
534 MRI NECK W/O CONTRAST 70540
861 MRI NO CHARGE none Provider office would not order
5411 MRI ORBITS W/ + W/O CONTRAST 70543
5408 MRI ORBITS W/ CONTRAST 70542
1368 MRI ORBITS W/O CONTRAST 70540
3487 MRI PELVIS - FIBROID PROTOCOL 72197
5398 MRI PELVIS W/ + W/O CONTRAST 72197
524 MRI PELVIS W/ CONTRAST 72196
5396 MRI PELVIS W/O CONTRAST 72195
2547 MRI PROSTATE W/ & W/O CONTRAST 72197
7578 MRI SHOULDER W/ CONTRAST LT 73222
7579 MRI SHOULDER W/ CONTRAST RT 73222
7580 MRI SHOULDER W/+W/O CONTRAST LT 73223
7581 MRI SHOULDER W/+W/O CONTRAST RT 73223
7583 MRI SHOULDER W/O CONRAST RT 73221
7582 MRI SHOULDER W/O CONTRAST LT 73221
2491 MRI STEALTH 70552
669 MRI THORACIC SPINE W/ + W/O CONTRAST 72157
543 MRI THORACIC SPINE W/ CONTRAST 72147
522 MRI THORACIC SPINE W/O CONTRAST 72146
585 MRI TMJ 70336
6216 MRI UPPER EXTREM W/ + W/O CONTRAST LT 73220
6281 MRI UPPER EXTREM W/ + W/O CONTRAST RT 73220
6261 MRI UPPER EXTREM W/ CONTRAST LT 73219
6326 MRI UPPER EXTREM W/ CONTRAST RT 73219
6259 MRI UPPER EXTREM W/O CONTRAST LT 73218
6324 MRI UPPER EXTREM W/O CONTRAST RT 73218
7591 MRI WRIST W/ CONTRAST LT 73222
7592 MRI WRIST W/ CONTRAST RT 73222
7593 MRI WRIST W/+W/O CONTRAST LT 73223
7594 MRI WRIST W/+W/O CONTRAST RT 73223
7595 MRI WRIST W/O CONTRAST LT 73221
7596 MRI WRIST W/O CONTRAST RT 73221
2482 MRV HEAD W/ & W/O CONTRAST 70546
2481 MRV HEAD W/ CONTRAST 70545
2490 MRV HEAD W/O CONTRAST 70544
2505 MRV LOWER EXTREM W/O CONTR LT C8913
2506 MRV LOWER EXTREM W/O CONTR RT C8913
2507 MRV UPPER EXTREM W/O CONTR LT C8935
2508 MRV UPPER EXTREM W/O CONTR RT C8935
2319 MYELOGRAM CERVICAL SPINE 62302
2321 MYELOGRAM LUMBAR SPINE 62304
2322 MYELOGRAM SPINE TWO OR MORE REGIONS 62305
2320 MYELOGRAM THORACIC SPINE 62303
8443 NASAL BONES COMPLETE MIN 3 V 70160
78 NECK SOFT TISSUE 70360
2535 NEPH TUBE CONVER TO NEPHROURETE 50434
2530 NEPHROSTOGRAM LT THRU CATHETER 50431
2528 NEPHROSTOGRAM LT THRU NEEDLE 50430
2531 NEPHROSTOGRAM RT THRU CATHETER 50431
2529 NEPHROSTOGRAM RT THRU NEEDLE 50430
6434 NG TUBE PLACEMENT/REPOSITION 43752
2183 NM ADDITIONAL VIEWS none Provider office would not order
6386 NM BACLOFEN PUMP EVAL 75809 A9548
358 NM BONE SCAN THREE PHASE 78315 A9503
1478 NM BONE WHOLE BODY 78306 A9503
2198 NM BONE WHOLE BODY W SPECT/CT 78306 78320 A9503
834 NM BONE WHOLE BODY W/SPECT 78320 A9503
7715 NM BONE/JOINT IMAGING 78300 A9503
332 NM BOWEL IMAGING MECKELS 78290 A9512
1584 NM BRAIN SCAN W/ SPECT 78607 A9584
885 NM CARDIAC BLD POOL 1ST PASS 78472 A9560
906 NM CARDIAC BLD POOL MUGA/REST 78472 A9560
368 NM CEREBRAL VASCULAR FLOW 78610 A9539
1788 NM CEREBROSPINAL FLUID FLOW FOR PATENCY 78630 62322
1784 NM CISTERNOGRAM 78630 A9548 A9539
7843 NM FOREIGN IMAGES none Provider office would not order
334 NM GALLBLADDER IMAGING 78226 A9537
582 NM GALLBLADDER W/STIMULATION 78227 A9537 A9540
742 NM GASTRIC EMPTYING LIQUID 78264 A9572 A9540
743 NM GASTRIC EMPTYING LIQUID + SOLID 78264 A9572
367 NM GASTRIC EMPTYING SOLID 78264 A9541
874 NM GASTROESOPHAGEAL REFLUX STUDY 78262 A9541
566 NM GI BLEED TAGGED RBC 78278 A9560
2597 NM I 131 TOTAL BODY SCAN W/O TREATMENT 78018
2600 NM I-131 THERAPY 79005
7614 NM I-131 TOTAL BODY SCAN 78018
7711 NM I-131 TOTAL BODY SCAN FOLLOW UP 78018
5421 NM LAVEEN SHUNT PATENCY 49427 78291
338 NM LIVER + SPLEEN IMAGING 78215 A9541
337 NM LIVER IMAGING 78205 A9541
820 NM LIVER IMAGING W/ SPECT 78205 A9560
903 NM LIVER IMAGING W/ SPECT + VASC FLOW 78206 A9560
873 NM LYMPH GLAND IMAGING 78195 A9541
2551 NM MIBG SCAN 78804 A9516
2602 NM MYO MULTI SPECT PERF W /PHARMACOLOGIC 78452 A9500
1499 NM MYO MULTI SPECT W/ STRESS 78452 A9500
2603 NM MYOC MLT SPECT THALLIUM STR/PHARMACOLOGIC 78452 A9500
7174 NM MYOC PERF PLANAR MULTI SESTAMIBI 78454 A9500
1749 NM MYOC PERF PLANAR SINGLE SESTAMIBI 78453 A9500
1747 NM MYOC PERF PLANAR SINGLE THALLIUM 78453 A9505
2646 NM MYOC PYP 78469 A9538
2601 NM MYOC SINGLE W/ SPECT SESTAMIBI REST 78451 A9500
7168 NM MYOC SINGLE W/ SPECT THALLIUM REST 78451 A9505 A9558
2386 NM NO CHARGE none Provider office would not order
869 NM OCTREOSCAN WH BODY W/SPECT SINGLE 78804 A9572
7853 NM OUTSIDE IMAGES FOR CONSULTATION none Provider office would not order
1480 NM PARATHYROID IMAGING 78070 A9500
2191 NM PARATHYROID PLANAR W/SPECT CT 78072 A9500 78999
2135 NM PET MYOCARDIAL VIABILITY 78459 A9552
2911 NM PET/CT BRAIN PI 78608PI A9552
2912 NM PET/CT BRAIN PS 78608PS A9552
6243 NM PET/CT LIMITED AREA PI 78814PI A9552
6250 NM PET/CT LIMITED AREA PS 78814PS A9552
6420 NM PET/CT OUTSIDE IMAGES FOR CONS none
6267 NM PET/CT SKULL TO MID THIGH PI 78815PI A9552
6270 NM PET/CT SKULL TO MID THIGH PS 78815PS A9552
6274 NM PET/CT WHOLE BODY PI 78816PI A9552
6276 NM PET/CT WHOLE BODY PS 78816PS A9552
2808 NM PULM PERFUSION + AEROSOL LUNG SCAN 78582 A9567
7170 NM PULM PERFUSION W/VENTILATION IMAGING 78582 A9540
587 NM PULM PERFUSION/VENTILATION QUANTITATIVE 78598 A9558
345 NM PULM VENTILATION W/REBREAT+WASHOUT 78582 A9558
2413 NM PULMONARY PERFUSION (ONLY) IMAGING 78580 A9540
2411 NM PULMONARY VENTILATION (ONLY) IMAGING 78579 A9558
907 NM RENAL W/ FLOW + DIURETIC 78708 A9562
429 NM RENAL W/ VASCULAR FLOW 78701 A9562
909 NM RENAL W/FLOW MULTIPLEW/ ACE INHIBIT 78709 A9562
908 NM RENAL W/FLOW SINGLE W/ACE INHIBIT 78708 A9562
2599 NM THYROGEN I 131 TOTAL BODY SCAN W/O TREATMENT 78018
2598 NM THYROGEN I 131 TOTAL BODY SCAN W/TREATMENT 78018
340 NM THYROID + UPTAKE 78014 A9516
347 NM THYROID IMAGING 78013 A9512
359 NM THYROID UPTAKE ONLY 78012 A9516 A9541
6169 NM TRIPLE TRACER BONE SCAN 78315 78805 A9503 A9570 A9541
1495 NM TUMOR LOCALIZATION W/ SPECT 78804 A9572
365 NM URETERAL REFLUX STUDY 78740 78730
1330 NM WHITE BLOOD CELLS 78804 A9521
904 NM WHITE BLOOD CELLS W/ SPECT 78807 A9521
2323 NM XOFIGO INJ THERAPY 79101
2444 NM Y90 LIVER/LUNG SCAN 78205 78580
2848 O ARM/FLUORO NEURO none Provider office would not order
8444 ORBITS COMPLETE MIN 4 V 70200
2363 PARACENTESIS W/ GUIDANCE 49083
2362 PARACENTESIS W/O GUIDANCE 49082
102 PELVIS 1 - 2 V 72170
802 PELVIS COMPLETE MIN 3 V 72190
2517 PERC BILIARY DRAIN INT/EXT COMPLETE 47534
2516 PERC BILIARY DRAINAGE EXT COMPLETE 47533
2532 PERC DRAINAGE KIDNEY LT COMP 50432
2533 PERC DRAINAGE KIDNEY RT COMP 50432
7708 PERC GASTROSTOMY TUBE EXCHANGE 43760 75984
293 PERC INTRODUCTION OF NEPHROSTOMY LT 50396 74425
294 PERC INTRODUCTION OF NEPHROSTOMY RT 74425 50396
155 PERC TRANSHEPATIC PORTOGRAM W/ HEMO EVAL 75885 36481
727 PERC TRANSHEPATIC PORTOGRAM W/O HEMO EV 75887 36481
884 PERCUT TRANSCATH PERMANENT EMBOLIZATION 75894 61626
828 PERCUTANEOUS ANTERGRADE PYELOGRAM 50390 74425
4875 PERCUTANEOUS CHOLECYSTOSTOMY 47490 75989
7132 PERCUTANEOUS STONE REMOVAL LT 50080
7131 PERCUTANEOUS STONE REMOVAL RT 50080
8521 PERITONEAL PERM DRAINAGE CATH REMOVAL 49422
7450 PERITONEOGRAM AFTER INJ AIR OR CONTRAST 74190
2189 PICC INSERTION W/ PORT >5Y 36571
2534 PLCMNT NEPHROURETERAL NEW ACC 50433
2540 PLCMNT URETER STNT NEW ACC - CATH 50695
2539 PLCMNT URETERAL STENT NEW ACCESS 50694
2538 PLCMNT URETERAL STENT OLD ACCESS 50693
2931 PLEURAL DRAINAGE CATH REMOVAL 32552
1336 PORTOCAVAL VENOUS ANASTOMOSIS OPEN 37140
879 POSTURAL STUDY 72100
7658 REMOVAL NEPHROSTOMY TUBE/INTERNAL STENT 50389
2541 REMOVAL/REPLACE NEPHROURETERAL CATH COMP 50387
7621 REMOVAL/URETERAL STENT/PERC 50384
6431 REMOVE OBSTRUCTIVE MATERIAL/FEEDING TUBE 49460
2419 RENAL ANGIO 1ST BILAT COMP 36252
2417 RENAL ANGIO 1ST UNILAT COMP 36251
2418 RENAL ANGIO 2ND UNILAT COMP 36253
6388 RENAL CYST CONTRAST STUDY W/ INJECTION 74470 50390
4212 REPLACE G TUBE NO FLUORO 43762
7662 REPLACE URETER STENT INDWELLING 50382
2896 REPLACMENT OF G TUBE PERCUTANEOUS 49450
27 REPLACMENT OF G-J TUBE PERCUTANEOUS 49452
3488 REPLACMENT OF J TUBE PERCUTANEOUS 49451
6203 REPOSITION GASTR FEEDING TUBE 43761
830 RESERVOIR SHUNT PUNCTURE 61070 75809
7618 REVISION OF TIPS INCLUSIVE 37183
5168 RIBS 2 V UNI LT 71100
5073 RIBS 2 V UNI RT 71100
5076 RIBS MIN 2V LT W/ 1 V CHEST 71101
5075 RIBS MIN 2V RT W/ 1 V CHEST 71101
809 RIBS MIN 3 V BILAT 71110
86 RIBS MIN 3 V BILAT W/ 1 V CHEST 71111
103 SACROILIAC JOINTS 3 OR MORE VIEWS 72202
104 SACRUM/COCCYX MIN 2 V 72220
5091 SCAPULA COMPLETE LT 73010
5092 SCAPULA COMPLETE RT 73010
101 SCOLIOSIS SURVEY 72082
2289 SHOULDER 1 V BILATERAL 7302050
5095 SHOULDER 1 V LT 73020
5096 SHOULDER 1 V RT 73020
2291 SHOULDER COMP MIN 2 V BILATERAL 7303050
5101 SHOULDER COMPLETE MIN 2 V LT 73030
5102 SHOULDER COMPLETE MIN 2 V RT 73030
153 SIALOGRAM 70390 42550
2032 SINUSES 1 V WATER VIEW 70210
15 SINUSES COMPLETE MIN 3 V 70220
227 SKELETAL SURVEY PEDIATRIC FOR TRAUMA 77076
730 SKELETAL SURVEY PEDS FOR CONGEN ANAM 77076
17 SKULL < 4 V 70250
18 SKULL COMPLETE MIN 4 V 70260
68 SMALL BOWEL 74250
84 SNIFF TEST 71046
2395 SP NO CHARGE none Provider office would not order
3450 SPECIMEN FROM OR 76098
90 SPINE CERVICAL 1 V 72020
91 SPINE CERVICAL 2 OR 3 V 72040
5488 SPINE CERVICAL 2 V W/ FLEX + EXT 72050
92 SPINE CERVICAL 4 OR 5 V 72050
93 SPINE CERVICAL COMP W/ FLEX + EXT 72052
8446 SPINE CERVICAL LAT W/ FLEX + EXT 72040
89 SPINE COMPLETE AP + LAT 72082
96 SPINE LUMBAR 1 V 72020
97 SPINE LUMBAR 2 V 72100
7543 SPINE LUMBAR AP + LAT W/ FLEX + EXT 72110
590 SPINE LUMBAR LAT W/ FLEX + EXT 72120
99 SPINE LUMBAR MIN 4 V 72110
5350 SPINE LUMBAR MIN 4 V W/ FLEX + EXT 72114
7266 SPINE THORACIC 1 V 72020
94 SPINE THORACIC 2 V 72070
7211 SPINE THORACIC 2 V W/ SWIMMERS 72072
2575 SPINE THORACIC 2 V W/FLEX + EXT 72074
95 SPINE THORACOLUMBAR 2 V 72080
6210 STERNOCLAVICULAR JOINTS BILAT MIN 3 V 71130
87 STERNUM MIN 2 V 71120
2303 THERASPHERE ADMINISTATION 79445
2720 THORACENTESIS W/ INSERTION OF TUBE none
2360 THORACENTESIS W/FLUORO GUIDANCE 32555
2359 THORACENTESIS W/O GUIDE none
2364 THORACENTESIS W/US GUIDANCE 32555 J1610
2193 THORACENTESIS WITH TUBE W/O IMAGE 32556
2726 THORACOSTOMY W/ RADIOLOGICAL GUIDANCE 32557 75989
1879 THROMBECTOMY MECH PERC ARTERIAL INIT 37184
1880 THROMBECTOMY MECH PERC ARTERIAL SUBSQU 37185
1878 THROMBECTOMY MECH PERC VEINS REPEAT 37188
7893 THROMBECTOMY MECH PERCUT VEIN 37187
5021 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT 35875
2194 THROMBOLYSIS ARTERIAL INI 37211
2192 THROMBOLYSIS FINAL DAY COMPLETE 37214
8522 THROMBOLYSIS SUBSEQUENT DAY COMP 37213
2195 THROMBOLYSIS VENOUS INI 37212
5327 TIBIA/FIBULA 2 V LT 73590
5328 TIBIA/FIBULA 2 V RT 73590
8745 TIBIAL/PERONEAL ADDL PTA COMPLETE 37232
8742 TIBIAL/PERONEAL ATHERECTOMY COMPLETE 37229
8741 TIBIAL/PERONEAL PTA COMPLETE 37228
8743 TIBIAL/PERONEAL STENT COMPLETE 37230
77 TMJ BILAT 70330
2002 TOE MIN 2 V LT 73660
2003 TOE MIN 2 V RT 73660
7612 TRANSCATH INS INTRAVASC STENT W/EMBOLIC 37215
2197 TRANSCATH RETRIEVAL PERCUTUTANEOUS 37197
6140 TRANSCATHETER BIOPSY 37200 75970 78103
7105 TRANSCERVICAL INTRO FALLOPIAN TU CATH LT 74742 58345
7103 TRANSCERVICAL INTRO FALLOPIAN TU CATH RT 74742 58345
2525 TRANSHEP PERC PLCMNT FOR ERCP 47541
2515 TRANSHEPATIC PERC CHOLANGIOGRAM 47532
1449 UGI/ESOPHAGRAM/SM BOWEL/AIR CONSTR 74249
66 UPPER GI 74240
596 UPPER GI W/ AIR CONTRAST 74246
5465 UPPER GI W/ ESOPHAGRAM 74240 768752
67 UPPER GI W/ SMALL BOWEL 74245
1447 UPPER GI/ESOPHAGRAM W/ SMALL BOWEL 74245
3143 UPPER GI/ESOPHAGRAM W/AIR 74246
810 UPPER GI/SMALL BOWEL W/AIR CONTRAST 74249
735 URETERAL BRUSH BIOPSY 50606
150 URETHROCYSTOGRAM 74450 51610
7704 UROGRAPHY RETROGRADE 74420
2957 US ABDOMEN APPENDIX 76705
2958 US ABDOMEN ASCITES 76705
303 US ABDOMEN COMPLETE 76700
2961 US ABDOMEN HERNIA 76705
2909 US ABDOMEN INTUSSUSCEPTION 76705
2959 US ABDOMEN LUQ 76705
2400 US ABDOMEN PYLORIC STENOSIS 76705
2960 US ABDOMEN RUQ 76705
2182 US ADDITIONAL VIEWS none Provider office would not order
6400 US AORTA ABDOMINAL 76775
7849 US AORTA SCREENING 76706 One time benefits from Medicare
302 US AORTA/RENAL COMPLETE 76770
2962 US BLADDER 76857
2314 US BREAST AXILLA BIL 7688250
2312 US BREAST AXILLA LT 76882LT
2313 US BREAST AXILLA RT 76882RT
2309 US BREAST LIMITED BIL 7664250
2310 US BREAST LIMITED LT 76642LT
2311 US BREAST LIMITED RT 76642RT
2306 US BREAST WHOLE BIL 7664150
2307 US BREAST WHOLE LT 76641LT
2308 US BREAST WHOLE RT 76641RT
6208 US CHEST LT 76604
6273 US CHEST RT 76604
319 US CRANIAL NEONATAL 76506
5218 US EXT NON VASC LT 76882
5219 US EXT NON VASC RT 76882
2987 US EXT NON VASCULAR TENSON/MUSCLE LT 76882
2988 US EXT NON VASCULAR TENSON/MUSCLE RT 76882
313 US FOLLICULAR 76857
7854 US FOREIGN IMAGES none Provider office would not order
1875 US GUIDANCE 76942 Provider office would not order
8527 US GUIDANCE FOR VASCULAR ACCESS 76937 Provider office would not order
328 US GUIDANCE INTRAOPERATIVE 76998 Provider office would not order
2375 US GUIDANCE VASC ACC NO CHARGE none Provider office would not order
318 US GUIDED AMNIOCENTESIS 76946 59000
2727 US GUIDED ASPIRATION ABSCESS/CYST 76942 10160 A9540
2965 US GUIDED BREAST CORE BIOPSY LT 19083
2966 US GUIDED BREAST CORE BIOPSY RT 19083
2967 US GUIDED BREAST CYST ASPIRATION LT 76942 19000
2968 US GUIDED BREAST CYST ASPIRATION RT 76942 19000
2969 US GUIDED BREAST FINE NEEDLE ASP LT 76942 10022
2970 US GUIDED BREAST FINE NEEDLE ASP RT 76942 10022
2963 US GUIDED BREAST NEEDLE LOC LT 19285
2964 US GUIDED BREAST NEEDLE LOC RT 19285
5436 US GUIDED BX SOFT TISSUE NECK/THORAX 76942 20206
2325 US GUIDED ELBOW TENDON ASP – LAVAGE 20606
4213 US GUIDED FINE NEEDLE ASPIRATION 10005
2156 US GUIDED GOLD SEED PROSTATE 55876 76942
7606 US GUIDED GOLD SEED RECTAL WALL 55876 76872
2326 US GUIDED HIP JOINT ASP/INJECTION 20611
2327 US GUIDED HIP TENDON INJECTION 20611
5061 US GUIDED HYSTEROSONOGRAM 76831 58340
2328 US GUIDED KNEE JOINT ASP/INJECTION 20611
5428 US GUIDED LIVER BX 76942 47000
2408 US GUIDED PARACENTESIS 49083
5470 US GUIDED PROSTATE BX 76942 55700
3004 US GUIDED PROSTATE BX W/SEDATION 55700 76942
1394 US GUIDED PSEUDO INJECTION 36002
5454 US GUIDED RENAL ASP 76942 50390
2329 US GUIDED SHOULDER TENDON ASP – LAVAGE 20611
23 US GUIDED SHOULDER TENDON INJECTION 76942 20550
5426 US GUIDED SPLEEN ASP 76942 38999
5460 US GUIDED THORACENTESIS 32555
1369 US GUIDED THORACENTESIS W/ TUBE INSERT 32557
5452 US GUIDED THYROID CYST ASP 76942 60300
4214 US GUIDED THYROID FINE NEEDLE ASPIRATION 10005
2955 US HEAD SOFT TISSUE 76536
7232 US HIPS INFANT 76885
2577 US INGUINAL HERNIA LT 76882
2578 US INGUINAL HERNIA RT 76882
2954 US NECK SOFT TISSUE 76536
2384 US NO CHARGE none Provider office would not order
2076 US OB 1ST TRIMESTER 76801
7677 US OB 1ST TRIMESTER QUADS 76801 76802 76802
7674 US OB 1ST TRIMESTER TRIPLETS 76801 76802 76802
7672 US OB 1ST TRIMESTER TWINS 76801 76802 76802
2080 US OB COMPLETE 76805
7876 US OB COMPLETE - HIGH RISK 76811
7668 US OB COMPLETE QUADS 76811 76812 76812
7665 US OB COMPLETE TRIPLETS 76811 76812 76812
7663 US OB COMPLETE TWINS 76811 76812 76812
858 US OB CORD DOPPLER 76820
317 US OB FETAL BIOPHYSICAL PROFILE 76819
3012 US OB FETAL BIOPHYSICAL PROFILE TRIPLETS 76819 7681959
3010 US OB FETAL BIOPHYSICAL PROFILE TWINS 76819 7681959 7681959
7231 US OB FETAL BIOPHYSICAL WITH NON STRESS 76818
2422 US OB FETAL ECHO 76825
2423 US OB FETAL ECHO F/U 76826
2272 US OB FETAL ECHO F/U QUADS 76826 7682659 7682659
2270 US OB FETAL ECHO F/U TRIPLETS 76826 7682659 7682659
2268 US OB FETAL ECHO F/U TWINS 76826 7682659 7682659
2266 US OB FETAL ECHO QUADS 76825 7682559 7682559
2264 US OB FETAL ECHO TRIPLETS 76825 7682559 7682559
2262 US OB FETAL ECHO TWINS 76825 7682559 7682559
883 US OB FOLLOW UP 76816
7686 US OB FOLLOW UP QUADS 76816 7681659 7681659
7683 US OB FOLLOW UP TRIPLETS 76816 7681659 7681659
7681 US OB FOLLOW UP TWINS 76816 7681659 7681659
2426 US OB HIGH RISK TRIPLETS 76811 76812
2424 US OB HIGH RISK TWINS 76811 76812 76812
4097 US OB LIMITED 76815
2261 US OB MCA DOPPLER 76821
2086 US OB TRANSVAGINAL 76817
2410 US OUTSIDE IMAGES FOR COMPARISON none Provider office would not order
2405 US OUTSIDE IMAGES FOR CONSULTATION none Provider office would not order
3020 US PEDIATRIC none Provider office would not order
304 US PELVIS 76856
2576 US PELVIS SOFT TISSUE 76857
2903 US RADIOLOGY PATHOLOGY F/U REPORT none Provider office would not order
305 US RENAL 76775
7723 US RENAL/BLADDER 76770
5214 US SHOULDER LT 76881
5215 US SHOULDER RT 76881
888 US SPINE AND CONTENTS 76800
2354 US STATISTICAL CHARGE ONLY none Provider office would not order
314 US TESTICULAR/SCROTUM 76870
2956 US THYROID 76536
330 US TRANSRECTAL 76872
329 US TRANSVAGINAL NON OB 76830
7855 US TRUNK/ABDOMEN SOFT TISSUE 76705
6226 USV AORTA FEM BYPASS LT 93979
6291 USV AORTA FEM BYPASS RT 93979
641 USV AORTA ILIAC BYPASS 93978
647 USV AORTA ILIAC BYPASS LIMITED 93979
640 USV AORTA-FEM BYPASS 93978
5220 USV BYPASS GRAFT LT 93926
5221 USV BYPASS GRAFT RT 93926
652 USV BYPASS GRAFTS BIL 93925
1372 USV CALF REFLUX STUDY BILAT 93970
5624 USV CALF REFLUX STUDY LT 93971
5625 USV CALF REFLUX STUDY RT 93971
311 USV CAROTID 93880
2031 USV CAROTID LT 93882
2029 USV CAROTID RT 93882
2989 USV DIALYSIS FISTULA 93990
4084 USV DIALYSIS GRAFT 93990
2990 USV GROIN BIL/PSEUDO 93925
2991 USV GROIN LT/PSEUDO 93926
2992 USV GROIN RT/PSEUDO 93926
6200 USV GUIDED PSEUDO INJECTION 76936 96373
638 USV ILIAC ARTERY BILAT 93978
6224 USV ILIAC ARTERY LT 93979
6289 USV ILIAC ARTERY RT 93979
6225 USV ILIAC VEIN LT 93979
6290 USV ILIAC VEIN RT 93979
639 USV ILIAC VEINS BILATERAL 93978
637 USV INFERIOR VENA CAVA 93978
2030 USV KIDNEY TRANSPLANT 76776
612 USV LIVER DOPPLER 93975
624 USV LIVER DOPPLER WITH TIPPS 93976
6199 USV LOWER ART NON EXERCISE UNI 93922
2218 USV LOWER ARTERIAL ABI ONLY 93922
7835 USV LOWER ARTERIAL EXERCISE UNI 93922
7830 USV LOWER ARTERIAL W/ ABI EXERCISE 93923
555 USV LOWER ARTERIAL W/ABI NON EXERCISE 93923
2993 USV LOWER EXT ARTERY BIL 93925
2994 USV LOWER EXT ARTERY LT 93926
2995 USV LOWER EXT ARTERY RT 93926
580 USV LOWER EXT VEIN BILAT 93970
5238 USV LOWER EXT VEIN LT 93971
5239 USV LOWER EXT VEIN RT 93971
614 USV MESENTERIC DOPPLER 93975
618 USV MESENTERIC VEIN 93975
2996 USV PALMAR ARCH 93930
613 USV RENAL ARTERY DOPPLER 93975
625 USV RENAL DOPPLER LIMITED 93976
617 USV RENAL VEIN 93975
615 USV SPLENIC ARTERY DOPPLER 93975
619 USV SPLENIC VEIN 93975
2997 USV SUBCLAVIAN ARTERIES BILAT 93930
2998 USV SUBCLAVIAN ARTERY LT 93931
2999 USV SUBCLAVIAN ARTERY RT 93931
2590 USV TEMPORAL ARTERY 93882
7834 USV UPPER ARTERIAL EXERCISE UNI 93922
7752 USV UPPER ARTERIAL NON-EXERCISE UNI 93923
7831 USV UPPER ARTERIAL W/ WBI EXERCISE 93923
556 USV UPPER ARTERIAL W/WBI NON EXERCISE 93923
660 USV UPPER EXT ARTERY BIL 93930
4158 USV UPPER EXT ARTERY LT 93931
4159 USV UPPER EXT ARTERY RT 93931
717 USV UPPER EXT VEIN BILAT 93970
5236 USV UPPER EXT VEIN LT 93971
5237 USV UPPER EXT VEIN RT 93971
3025 USV VEIN MAPPING BILAT ARMS 93970
2816 USV VEIN MAPPING BILAT LEGS 93970
2818 USV VEIN MAPPING HEMODIALYSIS ACCESS G0365
3023 USV VEIN MAPPING LT ARM 93971
3022 USV VEIN MAPPING LT LEG 93971
3024 USV VEIN MAPPING RT ARM 93971
3021 USV VEIN MAPPING RT LEG 93971
270 VENOGRAM CAVAL INFERIOR 75825
209 VENOGRAM EXTREMITY BILAT 75822
7128 VENOGRAM EXTREMITY UNI LT 75820 36005
7127 VENOGRAM EXTREMITY UNI RT 75820 36005
720 VENOGRAM HEPATIC W/ HEMODYNAMIC EVAL 75889
726 VENOGRAM HEPATIC W/O HEMODYNAMIC EVAL 72891 36011
197 VENOGRAM RENAL SELECTIVE BILAT 75833
274 VENOGRAM RENAL SELECTIVE UNI LT 75831
275 VENOGRAM RENAL SELECTIVE UNI RT 75831
216 VENOGRAM VENOUS SINUS OR JUGULAR LT 75860
218 VENOGRAM VENOUS SINUS OR JUGULAR RT 75860
271 VENOGRAPHY CAVAL SUPERIOR + SERIALOGRAM 75827
5490 VENOUS CATH FOR BLOOD SAMPLING 75893 36500
1572 VENOUS PORT CHECK FOR PATENCY 36598 76000
2633 VENOUS PTA 37248
2452 VENOUS STENT 37238
2371 VERTEBROPALSTY EA ADD CERVTH OR LUMBSAC 22512
2369 VERTEBROPLASTY CERVICOTHORA 22510
2370 VERTEBROPLASTY LUMBOSACRAL 22511
878 VIDEO FLUOROSCOPY W/ SPEECH PATH 74230
162 VOIDING CYSTOURETHROGRAM 51600 74455
8078 WHITAKER TEST 50396 74425
5141 WRIST 2 V LT 73100
5142 WRIST 2 V RT 73100
5147 WRIST COMP MIN 3 V LT 73110
5148 WRIST COMP MIN 3 V RT 73110