I71.3 AAA w/ruptureI71.4 AAA w/o ruptureR19.00 Abdominal/pelvic swelling, mass –

unspecified siteR19.01 Abdominal/pelvic swelling, mass – right

upper quadrantR19.02 Abdominal/pelvic swelling, mass – left

upper quadrantR19.03 Abdominal/pelvic swelling, mass – right

lower quadrantR19.04 Abdominal/pelvic swelling, mass – left

lower quadrantR19.05 Abdominal/pelvic swelling,

mass – periumbilicR19.06 Abdominal/pelvic swelling, mass – epigastricR19.07 Abdominal/pelvic swelling,

mass – generalizedR19.09 Abdominal/pelvic swelling, mass –

other specified siteR09.89 Abnormal chest soundsR10.0 Acute abdomen I21.3 Acute MI unspecifiedB20 AIDS/symptomatic HIV diseaseR41.82 Altered mental status (AMS)I20.9 Angina, NOSI20.0 Angina, unstableR47.01 AphasiaJ80 ARDSJ06.9 ARD NOSM12.80 Arthropathy/arthritis – unspecified siteM12.81 Arthropathy/arthritis – shoulderM12.82 Arthropathy/arthritis – elbowM12.83 Arthropathy/arthritis – wrist

M12.84 Arthropathy/arthritis – handM12.85 Arthropathy/arthritis – hipM12.86 Arthropathy/arthritis – kneeM12.87 Arthropathy/arthritis – ankle and footM12.88 Arthropathy/arthritis – vertebraeM12.89 Arthropathy/arthritis – multiple sitesM12.9 Arthropathy/arthritis – unspecified formR18.0 Ascites, malignantR18.8 Ascites, abdominalI25.10 ASCVDJ45.901 Asthma – unspecified with;

(acute) excerbationJ45.902 Asthma – status asthmaticusJ45.909 Asthma – uncomplicated, asthma NOSR27.0 AtaxiaJ98.11 AtelectasisI48.91 Atrial fibrillation NOSM54.9 Backache NOSH53.8 Blurred visionM77.9 Bone spur NOSR00.1 BradycardiaG93.9 Brain lesionN63 Breast – mass/lump, NOSN64.4 Breast – pain, tendernessN64.89 Breast – other specified disorderR92.0 Breast – microcalcificationR92.1 Breast – calcificationR92.2 Breast – denseJ40 BronchitisJ20.9 Bronchitis – acuteJ42 Bronchitis – chronicM70.1 Bursitis – wristM70.2 Bursitis – elbow, olecranon

For additional codes and when prompted by “-“ or “.” following an ICD-10 code, consult the ICD-10 coding book. www.SCDiag.com

ICD-10 coding guide

M70.3 Bursitis – elbow NECM70.4 Bursitis – knee, prepatellarM70.5 Bursitis – knee NECM70.6 Bursitis – hip, trochantericM70.7 Bursitis – hip NECM71.50 Bursitis – unspecified site, NECM75.5 Bursitis – shoulderM77.9 Bursitis – footM77.3 Calcaneal spurC50.91- Cancer, breast – female (unspecified site)C50.92- Cancer, breast – male (unspecified site)I51.7 Cardiomegaly, idiopathicI65.2 Carotid stenosisI63.23 Carotid stenosis – with cerebral infarctionI65.23 Carotid stenosis – bilateralZ45.2 Catheter check; vascularZ49.0 Catheter check – non-vascularI63.9 Cerebrovascular accidentS13.9 Cervical sprain/strain – joints and

ligaments NOSS16.1 Cervical sprain/strain – muscle, fascia, tendonI50.9 CHF NOSR68.83 Chills (without fever)K81.9 CholecystitisK81.0 Cholecystitis – acuteK81.1 Cholecystitis – chronicK80.20 Cholelithiasis, gallbladderK80.21 Cholelithiasis, gallbladder – with obstructionK80.70 Cholelithiasis, gallbladder/bile ductK80.71 Cholelithiasis, gallbladder/bile duct -

with obstructionM22.4- Chondromalacia patellaeN18.9 Chronic kidney disease (CKD)G89.4 Chronic pain syndromeR41.0 Confusion NOSK59.00 ConstipationT14.8 Contusion; NOSS00.93- Contusion; NOS – headS20.2- Contusion; NOS – thoraxS30.0- Contusion; NOS – low back/pelvisS30.1- Contusion; NOS – abdomenS40.02- Contusion; NOS – arm (upper)S50.1- Contusion; NOS – arm (lower)S80.0- Contusion; NOS – kneeS80.1- Contusion; NOS – legJ44.9 COPDI25.10 Coronary atherosclerosis (ASHD)

R05 CoughK76.89 Cyst – liverM85.60 Cyst – bone NECN28.1 Cyst – kidney (acquired)N60.0- Cyst – breast (solitary)N83.20 Cyst – ovaryM50.3- Degeneration, cervical discM50.1- Degeneration, cervical disc –

with radiculopathyM51.36 Degeneration, lumbar discM51.16 Degeneration, lumbar disc –

with radiculopathyM51.34 Degeneration, thoracic discM51.14 Degeneration, thoracic disc –

with radiculopathyM23.9- Derangement, kneeM23.3- Derangement, knee – meniscusM23.2- Derangement, knee – due to old tear/injuryJ34.2 Deviated nasal septumM50.20 Displacement, cervical discM50.10 Displacement, cervical disc – with

radiculopathyM51.26 Displacement, lumbar discM51.16 Displacement, lumbar disc – with

radiculopathyM51.24 Displacement, thoracic discM51.14 Displacement, thoracic disc – with

radiculopathyK57.92 DiverticulitisK57.93 Diverticulitis – with hemorrhageK57.90 DiverticulosisK57.91 Diverticulosis – with hemorrhageR42 Dizziness/lightheadednessM19.90 DJD; unspecifiedM19.01- DJD – shoulder regionM19.02- DJD – elbowM19.03- DJD – wristM19.07- DJD – ankle and footM16- DJD – hipM17- DJD – knee, bilateralI82.40- DVT, leg, NOSN94.6 DysmenorrheaR13.10 Dysphagia, unspecifiedR06.00 DyspneaR30.0 DysuriaR60.0 Edema – leg(s)R60.0 Edema – localized

For additional codes and when prompted by “-“ or “.” following an ICD-10 code, consult the ICD-10 coding book. www.SCDiag.com

R60.1 Edema – generalizedR60.9 Edema – unspecifiedM25.40 Effusion, joint, unspecified M25.41- Effusion, joint – shoulderM25.42- Effusion, joint – elbowM25.43- Effusion, joint – wristM25.44- Effusion, joint – handM25.45- Effusion, joint – hipM25.46- Effusion, joint – kneeM25.47- Effusion, joint – ankle and footM25.48 Effusion, joint – other siteI26.99 Embolism, pulmonary (acute)N40.0 Enlarged prostateJ43.9 EmphysemaN18.6 ESRDZ80.3 Family history – breast cancerZ82.49 Family history – other cardiovascular diseaseZ82.62 Family history – osteoporosisK76.0 Fatty liverR50.9 Fever (with chills)R91.1 Findings, abnormal – solitary lung noduleR91.8 Findings, abnormal – other lung field findingR92.8 Findings, abnormal – mammogramR93.2 Findings, abnormal – biliary tract/liverR93.3 Findings, abnormal – GI tractR93.7 Findings, abnormal – musculoskeletalM84.48- Fracture – vertebral, pathologicalR26.9 K21.9 K21.0 E04.1 E04.2 M20.1 - Q66.6 M20.3- Q66.3 R51 H90.5 H90.5 H90.5

K92.2 I61.9 I62.00 K40.90 K42.9 K44.9

Gait abnormality (unspecified) GERD – reflux GERD – reflux – with esophagitis Goiter – uninodular (nontoxic) Goiter – multinodular (nontoxic) Hallux valgus – acquired Hallux valgus – congenital Hallux varus – acquired Hallux varus – congenital Headache/facial pain Hearing loss – central NOS Hearing loss – perceptive NOS Hearing loss – sensory NOSHematuria, unspecified Hemorrhage – gastrointestinal NOS Hemorrhage – intracerebral (non-traumatic) Hemorrhage – subdural (non-traumatic) Hernia – inguinal NOS Hernia – umbilical Hernia – hiatal

Z91.81 History of fallingN43.3 HydroceleN13.30 HydronephrosisI10 Hypertension NOSR93.9 Inconclusive test – due to excess body fatN97.9 Infertility, female NOSR91.8 Infiltrate, lungS09.90- Injury, unspecified type – headS09.93- Injury, unspecified type – faceS39.91- Injury, unspecified type – abdomenS49.9- Injury, unspecified type –

shoulder/arm (upper)S59.90- Injury, unspecified type – elbowS59.91- Injury, unspecified type – forearmS69.9- Injury, unspecified type – hand/fingerS79.91- Injury, unspecified type – hipS79.92- Injury, unspecified type – thighS89.9- Injury, unspecified type – knee/leg (lower)S99.92- Injury, unspecified type – footT07 Injury, unspecified type – multiple NOST14.90 Injury, unspecified type – unspecified type,

unspecified siteJ84.9 Interstitial lung disease NOSD25- Leiomyoma, uterusZ79.818 Long-term drug therapy; estrogenH54.7 Loss of vision, NOSJ98.4 Lung calcificationR59.1 LymphadenopathyM83.9 Malacia, bone (adult)Z12.31 Mammogram, screeningN28.89 Mass – kidneyR16.0 Mass – liverR22.0 Mass – headR22.1 Mass – neckR22.2 Mass – chestR22.9 Mass – superficialN92.0 MenorrhagiaN95.0 Menorrhagia – postmenopausalR41.3 Memory lossG43.909 Migraine – unspecifiedG31.84 Mild cognitive impairmentM62.838 Muscle spasmM62.81 Muscle weakness (generalized)R11.0 Nausea w/o vomitingR91.1 Nodule, lung, solitaryR20.0 NumbnessZ04.1 Observation following accident; transport

R31.9

For additional codes and when prompted by “-“ or “.” following an ICD-10 code, consult the ICD-10 coding book. www.SCDiag.com

Z04.3 Observation following accident – other accident

M85.8- OsteopeniaM81.0 OsteoporosisM80.0- Osteoporosis – age related, with current

pathological fractureZ13.820 Osteoporosis – screeningR52 Pain NOSR10.9 Pain, abdominalR10.11 Pain, abdominal – right upper quadrantR10.12 Pain, abdominal – left upper quadrantR10.13 Pain, abdominal – epigastricR10.31 Pain, abdominal – right lower quadrantR10.32 Pain, abdominal – left lower quadrantR10.33 Pain, abdominal – periumbilicR10.84 Pain, abdominal – generalizedM79.60- Pain, armM54.9 Pain, backR07.9 Pain, chestR07.89 Pain, chest – wallR07.2 Pain, chest – precordialR07.89 Pain, chest – pressure/tightnessR68.84 Pain, jawM25.50 Pain, jointM25.51- Pain, joint – shoulder

Z86.73 Personal history – transient ischemic attackJ90 Pleural effusion – NECJ18.9 Pneumonia, unspecifiedJ93.9 PneumothoraxJ95.811 Pneumothorax – postproceduralJ93.0 Pneumothorax – tension (spontaneous)S27.0- Pneumothorax – traumaticM71.2- Popliteal cyst/Baker’s cystR76.11 Positive PPDZ78.0 Postmenopausal state (NOS)J81.1 Pulmonary edema NOSJ81.0 Pulmonary edema NOS – acuteJ84.10 Pulmonary fibrosisM54.10 RadiculopathyM54.12 Radiculopathy – cervical regionM54.14 Radiculopathy – thoracic regionM54.15 Radiculopathy – thoracolumbar regionM54.16 Radiculopathy – lumbar regionM54.17 Radiculopathy – lumbosacral regionI70.1 Renal artery stenosisN19 Renal failure – unspecifiedN17.9 Renal failure – acuteN18.9 Renal failure – chronicR06.03 Respiratory distressJ96.90 Respiratory failure – unspecifiedJ96.0- Respiratory failure – acuteJ96.1- Respiratory failure – chronicM54.3- SciaticaM41.9 ScoliosisR56.9 Seizure NOSR06.02 Shortness of breathM75.4- Shoulder impingementJ32.9 Sinusitis; unspecifiedJ01.90 Sinusitis – acuteJ32.9 Sinusitis – chronicR47.81 Slurred speechR16.1 SplenomegalyM43.12 Spondylolithesis (non traumatic) – cervicalM43.14 Spondylolithesis (non traumatic) – thoracicM43.15 Spondylolithesis (non traumatic) –

thoracolumbarM43.16 Spondylolithesis (non traumatic) – lumbarM43.17 Spondylolithesis (non traumatic) – lumbosacralM43.19 Spondylolithesis (non traumatic) –

multiple sitesM47.812 Spondylosis, cervicalM47.22 Spondylosis, cervical – with radiculopathy

For additional codes and when prompted by “-“ or “.” following an ICD-10 code, consult the ICD-10 coding book. www.SCDiag.com

M25.52- Pain, joint – elbowM25.53- Pain, joint – wrist

M25.55- Pain, joint – hipM25.56- M25.57-N23M79.60- Pain, leg

M54.5M54.2G89.3R10.2M54.6R00.2R20.2I73.9Z85.51Z85.3Z86.718Z85.118Z85.46

M79.64-

M25.54- Pain, joint – hand/finger

Pain, joint – knee Pain, joint – ankle/foot Pain, kidney

M79.67- Pain, hand/fingerPain, foot/toe Pain, low back/lumbar Pain, neck NECPain, neoplasm-relatedPain, pelvic (female) Pain, thoracic spine Palpitations Paresthesia Peripheral vascular disease (PVD) NOS Personal history - bladder cancer Personal history - breast cancer Personal history - DVT Personal history - lung cancer NEC Personal history - prostate cancer

M47.816 Spondylosis, lumbarM47.26 Spondylosis, lumbar – with radiculopathyM47.814 Spondylosis, thoracicM47.24 Spondylosis, thoracic – with radiculopathyS13.4- Sprain – cervicalS63.61- Sprain – fingerS63.50- Sprain – wristS83.9- Sprain – kneeS93.40- Sprain – ankleZ95.1 Status post CABGZ95.0 Status post pacemakerI35.0 Stenosis – aortic valveI05.0 Stenosis – mitral valveK31.1 Stenosis – pyloric (acquired)N35.9 Stenosis – urethra NOSM48.02 Stenosis, spinal – cervicalM48.04 Stenosis, spinal – thoracicM48.06- Stenosis, spinal – lumbarR22.9 Swelling, localized (skin)R22.0 Swelling, localized (skin) – headR22.1 Swelling, localized (skin) – neckR22.2 Swelling, localized (skin) – trunkR22.3- Swelling, localized (skin) – upper limb

R22.4- Swelling, localized (skin) – lower limbR55 Syncope/faintingS83.209- Tear (current) meniscusS83.25-

S83.21-

H93.1- G45.9 Z36.8- Z36.87

N85.2 D25- N93.9 R11.10 R11.2 R53.1 R29.810 M62.81

R63.4 R06.2

Tear (current) meniscus – lateral – bucket-handle Tear (current) meniscus – medial – bucket-handle Tinnitus – unspecified Transient ischemic attack OB screening OB screening, uncertain dates Ultrasound OB screening, unspecified Urinary tract infection Uterine enlargement Uterine fibroid Vaginal bleeding Vomiting Vomiting – with nausea Weakness (generalized) Weakness (generalized) – facial NOS Weakness (generalized) – muscle (generalized) Weight loss Wheezing

N39.0 Z36.9

For additional codes and when prompted by “-“ or “.” following an ICD-10 code, consult the ICD-10 coding book. www.SCDiag.com 09/2019

Abdomen 74150 Abdomen w/o contrast74160 Abdomen w/contrast74170 Abdomen w/wo contrast74175 CTA abdomen w/wo contrast (renal arteries)74176 Abdomen and pelvis w/o contrast74177 Abdomen and pelvis w/contrast74178 Abdomen and pelvis w/wo contrast74174 CTA abdomen and pelvis w/contrast

(aortic aneurysm)

Aorta w/run off75635 CTA run off study

Cervical spine72125 Cervical spine w/o contrast72126 Cervical spine w/contrast

Chest71250 Chest w/o contrast71260 Chest w/contrast71275 CTA chest (PE) (aortic aneurysm)

Head70450 Head w/o contrast70470 Head w/wo contrast70496 CTA head w/contrast

Lower extremity73700 Lower extremity w/o contrast73701 Lower extremity w/contrast

Lumbar spine72131 Lumbar spine w/o contrast72132 Lumbar spine w/contrast

Maxillofacial/Sinus70486 Maxillofacial w/o contrast (sinus)70487 Maxillofacial w/contrast

Neck/Soft tissue70490 Neck w/o contrast70491 Neck w/contrast70498 CTA neck w/contrast

Orbits/IAC/Inner ear70480 Orbits w/o contrast70481 Orbits w/contrast

Pelvis72192 Pelvis w/o contrast72193 Pelvis w/contrast72194 Pelvis w/wo contrast

Stone protocol74176 Abdomen and pelvis w/o contrast

Thoracic spine72128 Thoracic spine w/o contrast72129 Thoracic spine w/contrast

Upper extremity73200 Upper extremity w/o contrast73201 Upper extremity w/contrast

Urogram74178 Abdomen and pelvis w/wo contrast

CT/CTA CPT coding guide

www.SCDiag.com

CPT Coding Guide SC South Carolina Diagnostic.indd 1 9/18/19 3:18 PM

Abdomen 74181 Kidney, liver and pancreas w/o contrast74183 Abdomen w/wo contrast74183 Kidney, liver and pancreas w/wo contrast74185 MRA abdomen w/ or w/o contrast

Brain/Head (IAC/pituitary)70551 70553 70544

Breast77046 77047

Brain/head w/o contrastBrain/head w/wo contrastMRA/MRV w/o contrast

MRI Breast, without contract, unilateral MRI Breast, without contrast, bilateral MRI Breast, without and with contrast, unilateralMRI Breast, without and with contrast, bilateral

Cervical spine72141 Cervical spine w/o contrast72156 Cervical spine w/wo contrast

Lumbar spine72148 Lumbar spine w/o contrast72158 Lumbar spine w/wo contrast

Lower extremity joint (hip, knee, ankle)73721 Lower extremity joint w/o contrast73723 Lower extremity joint w/wo contrast

Lower extremity non joint (femur, lower leg, foot)73718 Lower extremity non joint w/o contrast73720 Lower extremity non joint w/wo contrast

Orbits, face or neck70540 70543 70549

Pelvis72195 72195 72197 72197

Orbits, face or neck w/o contrast Orbits, face or neck w/wo contrast MRA neck w/wo contrast

Pelvis w/o contrastPelvis w/o contrast (bony structures) Pelvis w/wo contrastPelvis w/wo contrast (female pelvis)

Thoracic spine72146 Thoracic spine w/o contrast72157 Thoracic spine w/wo contrast

Upper extremity joint (shoulder, elbow, wrist)73221 Upper extremity joint w/o contrast73223 Upper extremity joint w/wo contrast

Upper extremity non joint (humerus, forearm, hand)73218 Upper extremity non joint w/o contrast73220 Upper extremity non joint w/wo contrast

MRI/MRA CPT coding guide

77048 77049

www.SCDiag.com

CPT Coding Guide SC South Carolina Diagnostic.indd 2 9/18/19 3:18 PM

AAA 76706 AAA Screening

Abdomen76700 Liver, pancreas, aorta, GB, CBD, both kidneys,

IVC, spleen

Abdomen limited/abdomen mass76705 Also includes left kidney

Back mass76604-52 Upper76705 Lower

Breast76641 Complete (unilateral)*76642 Limited (unilateral)* *specify if ordering bilateral

Buttocks mass76857

Carotids93880 (Always bilateral)

Chest mass76604

Lower extremity arteries93926 Unilateral93925 Bilateral

Lower extremity venous with Doppler93971 Unilateral (limited)93970 Bilateral

Pelvis

76856 Complete76857 Limited76830 Transvaginal

Renals (kidneys)76770

Scrotum76870

Soft tissue mass extremity76881 Complete76882 Limited

Thyroid/Soft tissue neck76536

Upper extremity venous with Doppler93971 Unilateral (limited)93970 Bilateral

Ultrasound CPT coding guide

www.SCDiag.com

CPT Coding Guide SC South Carolina Diagnostic.indd 3 9/18/19 3:18 PM

Arthrograms Injection – MR-arthrogram shoulderNon-MR arthrogram shoulderInjection – MR-arthrogram elbowNon-MR arthrogram elbowInjection – MR-arthrogram wristNon-MR arthrogram wristInjection – MR-arthrogram SI jointNon-MR arthrogram SI jointInjection – MR-arthrogram hipNon-MR arthrogram hipInjection – MR-arthrogram kneeNon-MR arthrogram kneeInjection – MR-arthrogram ankleNon-MR arthrogram ankle

23350 73040 24220 73085 25246 73115 27096 73542 27093 73525 27369 73580 27648 73615 77002 Fluoro guidance for needle

placement/MR arthrogram

Fluoroscopy74220 Barium swallow/esophogram74230 Barium swallow modified74270 Colon, barium enema74280 Colon, barium enema with air76000 Fluoroscopy74400 IVP74290 Cholecystography, oral contrast74250 Small bowel74247 UGI/double contrast – with KUB74249 UGI/small bowel follow through

(double contrast)74241 UGI/single contrast – with KUB74245 UGI/small bowel follow through

(single contrast)

Breast procedures77065 7706677067

Diagnostic mammography CAD unilateral Diagnostic mammography CAD bilateral Screening mammography CAD bilateral

Breast biopsy

19081 Stereotactic guidance, placement of localization device(s); first lesion

19082 Stereotactic guidance, each additional lesion19083 Ultrasound guidance, placement of localization

device(s); first lesion19084 Ultrasound guidance, each additional lesion19085 MR guidance, placement of localization

device(s); first lesion19086 MR guidance, each additional lesion

Breast localization device(s)

19281 Mammographic guidance, placement of breast localization device(s); first lesion

19282 Mammographic guidance, each additional lesion

19283 Stereotactic guidance, placement of breast localization device(s); first lesion

19284 Stereotactic guidance, each additional lesion19285 Ultrasound guidance, placement of breast

localization device(s); first lesion19286 Ultrasound guidance, each additional lesion19287 MR guidance, placement of breast localization

device(s); first lesion19288 MR guidance, each additional lesion

Other exams CPT coding guide

continued

www.SCDiag.com

CPT Coding Guide SC South Carolina Diagnostic.indd 4 9/18/19 3:18 PM

Breast procedures (cont.)Fine needle aspiration with imaging guidance

Miscellaneous

19000 Puncture aspiration of cyst77053 Mammary ductogram, single duct77054 Mammary ductogram, multiple ducts

Nuclear medicine78014 Thryoid uptake with single or multiple uptakes78300 Bone scan limited views78305 Bone scan multiple views78315 Bone scan three phase78306 Bone scan whole body78226 Hepatobilary including gallbladder (HIDA)78227 Hepatobilary including gallbladder (HIDA)

with pharmacologic intervention78708 Kidney image with flow and function, single

with pharmacologic intervention78468 MUGA first pass technique 78472 Rest MUGA gated cardiac

10009 10007 10011 10005

CTFluoroscopyMRIUltrasound

09/2019

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