sim description cpt1 cpt2 63 abdomen 1 v 74018 572 …

SIM Description CPT1 CPT2

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

891 ALIGNMENT STUDY/BONE LENGTH 77073

236 ANGIO ARCH COMPLETE 36221

182 ANGIO CEREBRAL CAROTID BIL COMP 3622350

253 ANGIO CEREBRAL CAROTID LT COMP 36223

254 ANGIO CEREBRAL CAROTID RT COMP 36223

181 ANGIO CERVICAL CAROTID BIL COMP 3622250

219 ANGIO CERVICAL CAROTID LT COMP 36222

220 ANGIO CERVICAL CAROTID RT COMP 36222

7143 ANGIO FLUOROSCOPY -

2545 ANGIO US GUIDED BIOPSY 76942

184 ANGIO VERT NON-SELECTED COMP 36225

2196 ANGIO VERT SELECTED COMP 36226

189 ANGIOGRAM EXTERNAL CAROTID BILAT ADDL 3622750

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

2451 ARTERIAL STENT ABOVE ILIACS ADDL 37237

4385 ARTHROGRAM ANKLE 27648 73615

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 74270

417 BARIUM ENEMA PEDS 0-6 YRS 74270

435 BARIUM ENEMA PEDS 7-16 YRS 74270

139 BARIUM ENEMA W/ AIR COLON 74280

2382 BD NO CHARGE -

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 77086

226 BONE SURVEY METABOLIC 77075

413 BONE SURVEY METASTATIC 77075

287 C ARM OR FLUORO -

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

6231 CHEMOTHERAPY ADMIN INTRA-ARTERIAL 96420

80 CHEST 1 V 71045

4349 CHEST 1 V (NICU LINE SERIES) 71045

7703 CHEST 1 V W/ABDOMEN (INFANT ONLY) 71045

4348 CHEST 1 V W/ABDOMEN (NICU LINE SERIES) 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 CHOLANGIOGRAPHY INTRAOPERATIVE 74300

2514 CHOLANGIOGRAPHY INTRAOPERATIVE IR 47531

3144 CISTERNOGRAM INJECTION (NM) 62323

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

4228 CT 3D RECONSTRUCTION ADDL VIEWS -

5060 CT ABD + PELVIS KIDNEY STONE W/O 74176

3062 CT ABD + PELVIS W/+W/O CONTR (ORAL+IV) 74178

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

3054 CT ABDOMEN W/ + W/O CONTRAST (ORAL + IV) 74170

3471 CT ABDOMEN W/ + W/O LIVER TRIPLE PHASE 74170

3050 CT ABDOMEN W/ CONTRAST (ORAL + IV) 74160

2304 CT ABDOMEN W/ CONTRAST PANCREAS PROTOCOL 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

2132 CT ADDITIONAL VIEWS -

2402 CT BIOPSY/US GUIDED 76942

2366 CT BONE CRYOABLATION 20983

2554 CT BRACHYTHERAPY -

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

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

4246 CT CYSTOGRAM 72192

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 -

4378 CT GUIDANCE BIOPSY LUNG 32408

399 CT GUIDANCE BIOPSY/NEEDLE PLACEMENT 77012

3479 CT GUIDANCE CRYO ABLATION LIVER 77013 47383

6241 CT GUIDANCE CRYO ABLATION RENAL 50593

4379 CT GUIDANCE INJECTION SACROILIAC JOINT G0260

3481 CT GUIDANCE MICROWAVE ABLATION LIVER 47382 77013

3483 CT GUIDANCE MICROWAVE ABLATION RENAL 50592 77013

2397 CT GUIDANCE PARACENTESIS 49083

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

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

2399 CT HYDRATION 96360 - 1st hr 96361 - addl hrs

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

120 CT LUMBAR SPINE W/ + W/O CONTRAST 72133

119 CT LUMBAR SPINE W/ CONTRAST 72132

118 CT LUMBAR SPINE W/O CONTRAST 72131

7695 CT LUNG CANCER SCREENING ANNUAL EXAM 71271

2562 CT LUNG CANCER SCREENING INTERVAL F/U 71250

854 CT LUNGS HIGH RESOLUTION 71250

4240 CT MISCELLANEOUS EXAM -

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 -

1742 CT ORBITS W/ + W/O CONTRAST 70482

110 CT ORBITS W/ CONTRAST 70481

73 CT ORBITS W/O CONTRAST 70480

7818 CT OUTSIDE IMAGES FOR COMPARISON -

7649 CT OUTSIDE IMAGES FOR CONSULTATION -

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

402 CT PITUITARY W/ + W/O CONTRAST 70482

395 CT PITUITARY W/ CONTRAST 70481

401 CT PITUITARY W/O CONTRAST 70480

4873 CT ROTATION STUDY LOW EXT W/O 73700RT52 73700LT52

407 CT SCANOGRAM 77073

1151 CT SINUSES W/ + W/O CONTRAST 70488

1581 CT SINUSES W/ CONTRAST 70487

561 CT SINUSES W/O CONTRAST 70486

2434 CT STEALTH HEAD W/ CONTRAST 70460

3474 CT STEALTH HEAD W/O CONTRAST 70450

404 CT TEMPORAL BONES W/ + W/O CONTRAST 70482

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

7251 CT UPPER EXTREM W/ + W/O CONTRAST LT 73202

7252 CT UPPER EXTREM W/ + W/O CONTRAST RT 73202

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

2550 CT VENOGRAM/HEAD W/ + W/O CONTRAST 70470

2549 CT VENOGRAM/HEAD W/ CONTRAST 70460

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

4271 CTA CARDIAC TAVI W/ + CTA C/A/P TAVI W/ 71275 74174

2438 CTA CARDIAC TAVI W/ IV CONTRAST 75572

2439 CTA CARDIAC TAVI W/O CONTRAST 7557252

2429 CTA CHEST ABD PELVIS TAVI W/ CONTRAST 71275 74174

2431 CTA CHEST ABD PELVIS TAVI W/O CONTRAST 71275 74174

4364 CTA CHEST PE PROTOCOL 71275

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

4251 CTA HEAD & NECK W/ IMAGE POST PROCESSING 70496 70498

5385 CTA HEAD W/ IMAGE POST PROCESSING 70496

2484 CTA LOWER EXTREM BIL W/IMAGE POST PROC 7370650

5392 CTA LOWER EXTREM LT W/IMAGE POST PROCESS 73706

5391 CTA LOWER EXTREM RT W/IMAGE POST PROCESS 73706

2437 CTA MESENTERIC 74174

5386 CTA NECK W/ IMAGE POST PROCESSING 70498

5388 CTA PELVIS W/ IMAGE POST PROCESSING 72191

5390 CTA UPPER EXTREM LT W/IMAGE POST PROCESS 73206

5389 CTA UPPER EXTREM RT W/IMAGE POST PROCESS 73206

2829 CTA VENOGRAM LOWER EXT LT 73706

2828 CTA VENOGRAM LOWER EXT RT 73706

2827 CTA VENOGRAM UPPER EXT LT 73206

2826 CTA VENOGRAM UPPER EXT RT 73206

4280 CTP HEAD W/ IMAGE POST PROCESSING 0042T

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

4209 CV CATH PERIPH INSERT < 5 INC GUIDANCE 36572

4210 CV CATH PERIPH INSERT > 5 INC GUIDANCE 36573

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 77001 36580

1536 CV CATH REPOSITION/PREVIOUSLY PLACED FL 76000 36597

161 CYSTOGRAM 74430 51600

7878 CYSTOSTOMY TUBE CHANGE 75984 51705

7089 CYSTOURETHROSCOPY INSER URETERAL STEN LT 52332

7087 CYSTOURETHROSCOPY INSER URETERAL STEN RT 52332

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

4220 DILATION NEPHROSTOMY 74485

373 DILATION OF BILIARY TRACT 74360

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 74221

2296 EVALUATION OF GASTRIC TUBE 49465

1217 EXCHANGE OF ABSCESS OR CYST DRAIN CATH 49423

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

2819 FIXED OR FLUORO -

7690 FLUOR GU NEEDLE PLACEMENT W/BONE BIOPSY 77002 20225

7900 FLUORO EVALUATION OF GASTRIC TUBE 49465

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

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 RT 73090

584 FOREIGN BODY SCAN CHILD 76010

2184 GD ADDITIONAL VIEWS -

7838 GD FOREIGN IMAGES -

2381 GD NO CHARGE -

7817 GD OUTSIDE IMAGES FOR COMPARISON -

7626 GD OUTSIDE IMAGES FOR CONSULTATION -

178 GUIDANCE FOR PERCUTANEOUS DRAINAGE 75989

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 74740 58340

8746 ILIAC 2ND KISSING STENT COMPLETE 3722159

8735 ILIAC ADDL PTA ISPILATERAL COMPLETE 37222

8736 ILIAC ADDL STENT ISPLATERAL COMPLETE 37223

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 -

2393 IR CLINIC FOLLOW UP -

2415 IVC FILTER INSERT COMPLETE 37191

2416 IVC FILTER REMOVAL COMPLETE 37193

146 IVP 74400

4775 JOINT ASP/INJ US GUIDED LT -

4774 JOINT ASP/INJ US GUIDED RT -

3127 JOINT ASPIRATION LT 77002

3128 JOINT ASPIRATION RT 77002

3129 JOINT INJECTION LT 77002

3130 JOINT INJECTION RT 77002

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 7356050

6227 KNEES BILATERAL 3 V EACH 73562LT 73562RT

8535 KNEES BILATERAL 4 V EA 7356450

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 (GENERAL DX) 50690 74425

378 LOOPOGRAM (SPECIALS) 74425 50690

2039 LUMBAR PUNCTURE DIAGNOSTIC 62328

7902 LUMBAR PUNCTURE THERAPEUTIC 62329

1781 LUMBAR PUNCTURE W/ CHEMO 96450

2971 MA BREAST SPECIMEN UNI LT FROM OR 76098

2972 MA BREAST SPECIMEN UNI RT FROM OR 76098

7921 MA DIAGNOSTIC CONSULTATION LETTER -

2477 MA FFD DX FOLLOW PROCEDURE BIL 77066

2478 MA FFD DX FOLLOW PROCEDURE LT 77065

2479 MA FFD DX FOLLOW PROCEDURE RT 77065

8459 MA FFD MAMM DIAGNOSTIC BILAT 77066

2169 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN BIL 77066GG

2170 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN LT 77065GG

2171 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN RT 77065GG

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 -

7218 MA GUIDED BREAST CYST ASPIRATION LT 19000

7219 MA GUIDED BREAST CYST ASPIRATION RT 19000

2975 MA GUIDED BREAST DUCTOGRAM W/MULT LT 77054

2976 MA GUIDED BREAST DUCTOGRAM W/MULT RT 77054

2977 MA GUIDED BREAST DUCTOGRAM W/SINGLE LT 77053

2978 MA GUIDED BREAST DUCTOGRAM W/SINGLE RT 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

4224 MA MAMM 3D DX FOLL PROCEDURE BIL 77066 G0279

4226 MA MAMM 3D DX FOLL PROCEDURE LT 77065 G0279

4227 MA MAMM 3D DX FOLL PROCEDURE 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 -

2383 MA NO CHARGE -

7829 MA OUTSIDE IMAGES FOR COMPARISON -

1248 MA OUTSIDE IMAGES FOR CONSULTATION -

7560 MA PRETREATMENT REVIEW -

2859 MA RADIOLOGY PATHOLOGY F/U REPORT -

3 MANDIBLE COMPLETE MIN 4 V 70110

7748 MANIPULATION OF PERITONEAL DIALYSIS CATH 49999

8524 MECH REMOVAL FIBRIN SHEATH VENOUS ACCESS 36595 75901

6118 MISC INTERVENTIONAL RADIOLOGY EXAM -

7844 MR FOREIGN IMAGES -

7837 MR OUTSIDE IMAGES FOR COMPARISON -

7648 MR OUTSIDE IMAGES FOR CONSULTATION -

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

2921 MRA LOWER EXT OUTFLOW W/ CONTRAST BIL C891250

4368 MRA LOWER EXT OUTFLOW W/ CONTRAST LT C8912

4369 MRA LOWER EXT OUTFLOW W/ CONTRAST RT C8912

1357 MRA LOWER EXTREM W/ + W/O CONTRAST LT C8914

1358 MRA LOWER EXTREM W/ + W/O CONTRAST RT C8914

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 -

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 CONTRAST BILAT C8908

6342 MRI BREAST W/ + W/O CONTRAST LT 77048

6345 MRI BREAST W/ + W/O CONTRAST 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

7586 MRI ELBOW W/ + W/O CONTRAST LT 73223

7587 MRI ELBOW W/ + W/O CONTRAST RT 73223

7584 MRI ELBOW W/ CONTRAST LT 73222

7585 MRI ELBOW W/ CONTRAST RT 73222

7588 MRI ELBOW W/O CONTRAST LT 73221

7590 MRI ELBOW W/O CONTRAST RT 73221

2387 MRI ENTEROGRAPHY ABD/PEL W+WO W/GLUCAGON 74183 72197

2388 MRI ENTEROGRAPHY ABD/PEL WO W/GLUCAGON 74181 72195

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

2952 MRI HIP LIMITED W/O CONTRAST LT 7372152

2953 MRI HIP LIMITED W/O CONTRAST RT 7372152

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

7863 MRI INCOMPLETE BRAIN 7055152

7875 MRI INCOMPLETE BREAST 7704652

7864 MRI INCOMPLETE CERVICAL SPINE 7214152

7865 MRI INCOMPLETE CHEST 7155052

7870 MRI INCOMPLETE FACE NECK ORBIT 7054052

7866 MRI INCOMPLETE JOINT LOWER EXTREM 7372152

7867 MRI INCOMPLETE JOINT UPPER EXTREM 7322152

7868 MRI INCOMPLETE LOWER EXTREMITY 7371852

7869 MRI INCOMPLETE LUMBAR SPINE 7214852

7871 MRI INCOMPLETE PELVIS 7219552

7872 MRI INCOMPLETE THORACIC SPINE 7214652

7873 MRI INCOMPLETE TMJ 7033652

7874 MRI INCOMPLETE UPPER EXTREMITY 7321852

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 CONTRAST 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

4230 MRI MISCELLANEOUS EXAM -

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 -

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

7580 MRI SHOULDER W/ + W/O CONTRAST LT 73223

7581 MRI SHOULDER W/ + W/O CONTRAST RT 73223

7578 MRI SHOULDER W/ CONTRAST LT 73222

7579 MRI SHOULDER W/ CONTRAST RT 73222

7582 MRI SHOULDER W/O CONTRAST LT 73221

7583 MRI SHOULDER W/O CONTRAST RT 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

4366 MRI WHOLE BODY W/ + W/O CONTRAST 76498

4367 MRI WHOLE BODY W/ CONTRAST 76498

4365 MRI WHOLE BODY W/O CONTRAST 76498

7593 MRI WRIST W/ + W/O CONTRAST LT 73223

7594 MRI WRIST W/ + W/O CONTRAST RT 73223

7591 MRI WRIST W/ CONTRAST LT 73222

7592 MRI WRIST W/ CONTRAST RT 73222

7595 MRI WRIST W/O CONTRAST LT 73221

7596 MRI WRIST W/O CONTRAST RT 73221

4242 MRI/CT NURSE VISIT -

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 CONTRAST LT C8913

2506 MRV LOWER EXTREM W/O CONTRAST RT C8913

2507 MRV UPPER EXTREM W/O CONTRAST LT C8935

2508 MRV UPPER EXTREM W/O CONTRAST 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

4275 NEURO IR PROCEDURE -

6434 NG TUBE PLACEMENT/REPOSITION 43752

4241 NG TUBE PLACEMENT/REPOSITION SP 43752

2183 NM ADDITIONAL VIEWS -

6386 NM BACLOFEN PUMP EVAL A9548 78800

358 NM BONE SCAN THREE PHASE 78315 A9503

4277 NM BONE SCAN THREE PHASE W/ SPECT 78803 A9503

4276 NM BONE SCAN THREE PHASE W/ SPECT CT A9503 78830

1478 NM BONE WHOLE BODY A9503 78306

834 NM BONE WHOLE BODY W/ SPECT 78803 78306

2198 NM BONE WHOLE BODY W/SPECT CT 78306 A9503

7715 NM BONE/JOINT IMAGING 78300 A9503

332 NM BOWEL IMAGING MECKELS 78290 A9512

1584 NM BRAIN SCAN W/ SPECT 78830 A9584

885 NM CARDIAC BLD POOL (1ST PASS/RT EF) A9560 78472

906 NM CARDIAC BLD POOL MUGA/REST A9560 78472

368 NM CEREBRAL VASCULAR FLOW 78606 A9539

1788 NM CEREBROSPINAL FLUID FLOW FOR PATENCY 78630 A9539

1784 NM CISTERNOGRAM A9548 78630

7843 NM FOREIGN IMAGES -

334 NM GALLBLADDER IMAGING 78226 A9537

582 NM GALLBLADDER W/STIMULATION 78227 A9537

742 NM GASTRIC EMPTYING LIQUID 78264 A9548

743 NM GASTRIC EMPTYING LIQUID + SOLID 78264 A9548

367 NM GASTRIC EMPTYING SOLID 78264 A9540

874 NM GASTROESOPHAGEAL REFLUX STUDY 78262 A9541

566 NM GI BLEED TAGGED RBC 78278 A9560

7711 NM I 131 TOTAL BODY POST THERAPY 78018

2597 NM I 131 TOTAL BODY SCAN W/O TREATMENT 78018

7860 NM I 131 TOTAL BODY SCAN W/RETEN + TX 78018 78020

7614 NM I 131 TOTAL BODY SCAN W/TREATMENT 78018

2600 NM I-131 THERAPY 79005

5421 NM LAVEEN SHUNT PATENCY A9512 49427

338 NM LIVER + SPLEEN IMAGING 78215 A9541

337 NM LIVER + SPLEEN IMAGING W/SPECT 78201 A9541

820 NM LIVER IMAGING W/ SPECT 78830 A9560

903 NM LIVER IMAGING W/ SPECT + VASC FLOW 78830 A9560

873 NM LYMPH GLAND IMAGING 78195 A9541

2551 NM MIBG SCAN 78804 A9582

4218 NM MISCELLANEOUS EXAM -

2602 NM MYO MULTI SPECT PERF W /PHARMACOLOGIC 78452 A9500

1499 NM MYO MULTI SPECT W/ STRESS 78452 A9500

2603 NM MYOC MLT SP THALLIUM STR/PHARMCOLOGIC 78452 A9505

2646 NM MYOC PYP A9538

2601 NM MYOC SINGLE W/ SPECT SESTAMIBI REST 78451 A9500

7168 NM MYOC SINGLE W/ SPECT THALLIUM REST 78451 A9505

2386 NM NO CHARGE -

869 NM OCTREOSCAN WH BODY W/SPECT SINGLE 78804 78832

7833 NM OUTSIDE IMAGES FOR COMPARISON -

7853 NM OUTSIDE IMAGES FOR CONSULTATION -

1480 NM PARATHYROID IMAGING 78070 A9500

2191 NM PARATHYROID PLANAR W/SPECT CT 78072 A9500

2135 NM PET MYOCARDIAL VIABILITY 78492 A9552

2911 NM PET/CT BRAIN PI 78608PI A9552

2912 NM PET/CT BRAIN PS 78608PS A9552

4384 NM PET/CT CARDIAC SARCOIDOSIS 78433 A9500

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 CONSULT -

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

4247 NM QUADRAMET INJ THERAPY 79101

907 NM RENAL W/ FLOW + DIURETIC A9562 78708

429 NM RENAL W/ VASCULAR FLOW A9562 78701

909 NM RENAL W/FLOW MULTIPLEW/ ACE INHIBIT A9562 78709

908 NM RENAL W/FLOW SINGLE W/ACE INHIBIT A9562 78708

336 NM TESTICULAR W/ VASCULAR FLOW 78761 A9512

2599 NM THYROGEN I 131 TOTAL BODY W/O TX 78018

2598 NM THYROGEN I 131 TOTAL BODY W/TX 78018

340 NM THYROID + UPTAKE 78014 A9516

347 NM THYROID IMAGING 78013 A9512

359 NM THYROID UPTAKE ONLY 78012 A9516

6169 NM TRIPLE TRACER BONE SCAN A9503 A9570

1495 NM TUMOR LOCALIZATION 78804 A9572

365 NM URETERAL REFLUX STUDY 78740 A9541

1330 NM WHITE BLOOD CELLS 78804 A9569

904 NM WHITE BLOOD CELLS W/ SPECT A9569 78830

2323 NM XOFIGO INJ THERAPY 79101

2444 NM Y90 LIVER/LUNG SCAN 78201 A9540

2848 O ARM/FLUORO NEURO -

2199 OR CASE - PERCUTANEOUS NEPHROSTOGRAM -

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

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

6233 PERCUTANEOUS ASPIRATION DISC 62267

4875 PERCUTANEOUS CHOLECYSTOSTOMY 47490

381 PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE 49440 43246

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

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

4383 RADIOLOGY NURSE VISIT -

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 REPLACEMENT OF G TUBE PERCUTANEOUS 49450

3488 REPLACEMENT OF J TUBE PERCUTANEOUS 49451

27 REPLACMENT OF G-J TUBE PERCUTANEOUS 49452

6203 REPOSITION GASTR FEEDING TUBE 43761

830 RESERVOIR SHUNT PUNCTURE 61070 75809

7618 REVISION OF TIPS ALL INCLUSIVE 37183

5168 RIBS 2 V UNI LT 71100

5073 RIBS 2 V UNI RT 71100

5075 RIBS MIN 2V LT W/1V CHEST 71101

5076 RIBS MIN 2V RT W/1V CHEST 71101

809 RIBS MIN 3 V BILAT 71110

86 RIBS MIN 3V BIL W/1V 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

8445 SINUSES < 3 V 70210

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 ANOM 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 -

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 MIN 2 V 72080

6210 STERNOCLAVICULAR JOINTS BILAT MIN 3 V 71130

87 STERNUM MIN 2 V 71120

2303 THERASPHERE ADMINISTRATION 79445

2360 THORACENTESIS W/ FLUORO GUIDANCE 32555

2720 THORACENTESIS W/ INSERTION OF TUBE 32557

2364 THORACENTESIS W/ US GUIDANCE 32555

2359 THORACENTESIS W/O GUIDANCE 32554

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

7888 THYROGEN INJECTION 96372

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

7611 TRANSCATH INS EXTRACRANIAL STENT EA ADDL 0076T

7610 TRANSCATH INS EXTRACRANIAL STENT INITIAL 0075T

7612 TRANSCATH INS INTRAVASC STENT W/EMBOLIC 37215

2197 TRANSCATH RETRIEVAL PERCUTANEOUS 37197

6140 TRANSCATHETER BIOPSY 37200 75970

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

66 UPPER GI 74240

4259 UPPER GI SM BOWEL/AIR CONTRAST 74246 74248

596 UPPER GI W/ AIR CONTRAST 74246

5465 UPPER GI W/ ESOPHAGRAM 74240

3143 UPPER GI W/ESOPHAGRAM W/AIR CONTRAST 74246

4257 UPPER GI WITH SM BOWEL 74240 74248

1447 UPPER GI/ESOPHAGRAM W/ SMALL BOWEL 74240 74248

1449 UPPER GI/ESOPHAGRAM/SM BOWEL/AIR CONSTR 74246 74248

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 -

6400 US AORTA ABDOMINAL 76775

7849 US AORTA SCREENING 76706

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 TENDON/MUSCLE LT 76882

2988 US EXT NON VASCULAR TENDON/MUSCLE RT 76882

313 US FOLLICULAR 76857

7854 US FOREIGN IMAGES -

1875 US GUIDANCE 76942

8527 US GUIDANCE FOR VASCULAR ACCESS 76937

328 US GUIDANCE INTRAOPERATIVE 76998

2375 US GUIDANCE VASC ACC NO CHARGE -

318 US GUIDED AMNIOCENTESIS 76946 59000

2727 US GUIDED ASPIRATION ABSCESS/CYST 76942 10160

2965 US GUIDED BREAST CORE BIOPSY LT 19083

2966 US GUIDED BREAST CORE BIOPSY RT 19083

2967 US GUIDED BREAST CYST ASPIRATION LT 76942

2968 US GUIDED BREAST CYST ASPIRATION RT 76942

2969 US GUIDED BREAST FINE NEEDLE ASP LT 76942

2970 US GUIDED BREAST FINE NEEDLE ASP RT 76942

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

4248 US HANDS BILATERAL 7688150

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 -

2076 US OB 1ST TRIMESTER 76801

7677 US OB 1ST TRIMESTER QUADS 76801 76802

7674 US OB 1ST TRIMESTER TRIPLETS 76801 76802

7672 US OB 1ST TRIMESTER TWINS 76801 76802

2080 US OB COMPLETE 76805

7876 US OB COMPLETE - HIGH RISK 76811

7668 US OB COMPLETE QUADS 76811 76812

7665 US OB COMPLETE TRIPLETS 76811 76812

7663 US OB COMPLETE TWINS 76811 76812

858 US OB CORD DOPPLER 76820

317 US OB FETAL BIOPHYSICAL PROFILE 76819

3012 US OB FETAL BIOPHYSICIAL PROFILE TRIPLETS 76819 7681959

3010 US OB FETAL BIOPHYSICIAL PROFILE TWINS 76819 7681959

2422 US OB FETAL ECHO 76825

2423 US OB FETAL ECHO F/U 76826

2272 US OB FETAL ECHO F/U QUADS 76826 7682659

2270 US OB FETAL ECHO F/U TRIPLETS 76826 7682659

2268 US OB FETAL ECHO F/U TWINS 76826 7682659

2266 US OB FETAL ECHO QUADS 76825 7682559

2264 US OB FETAL ECHO TRIPLETS 76825 7682559

2262 US OB FETAL ECHO TWINS 76825 7682559

883 US OB FOLLOW UP 76816

7686 US OB FOLLOW UP QUADS 76816 7681659

7683 US OB FOLLOW UP TRIPLETS 76816 7681659

7681 US OB FOLLOW UP TWINS 76816 7681659

2426 US OB HIGH RISK TRIPLETS 76811 76812

2424 US OB HIGH RISK TWINS 76811 76812

4097 US OB LIMITED 76815

4352 US OB LIMITED W/ BIOMETRY 76815

2261 US OB MCA DOPPLER 76821

4208 US OB MFM CLINIC -

2410 US OUTSIDE IMAGES FOR COMPARISON -

2405 US OUTSIDE IMAGES FOR CONSULTATION -

304 US PELVIS 76856

2576 US PELVIS SOFT TISSUE 76857

2903 US RADIOLOGY PATHOLOGY F/U REPORT -

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

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

4256 USV MAPPING HEMODIALYSIS ACC BIL 93986

4255 USV MAPPING HEMODIALYSIS ACC UNI 93985

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

4339 USV TCD COMPLETE 93886

4344 USV TCD EMBOLI DETECTION W/ MICROBUBBLE 93893

4343 USV TCD EMBOLI DETECTION W/O MICROBUBBLE 93892

4341 USV TCD FOLLOW UP 93888

4340 USV TCD LIMITED 93888

4342 USV TCD VASOREACTIVITY 93890

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

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 75891 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

2633 VENOUS PTA 37248

2634 VENOUS PTA ADDITIONAL SITE 37249

2452 VENOUS STENT 37238

2453 VENOUS STENT ADDL 37239

2369 VERTEBROPLASTY CERVICOTHORA 22510

2371 VERTEBROPLASTY EA ADD CERVTH OR LUMBSAC 22512

2370 VERTEBROPLASTY LUMBOSACRAL 22511

878 VIDEO FLUOROSCOPY W/ SPEECH PATH 74230

162 VOIDING CYSTOURETHROGRAM 74455 51600

8078 WHITAKER TEST 50396 74425

5141 WRIST 2 V LT 73100

5142 WRIST 2 V RT 73100

4370 WRIST COMP MIN 3 V BILAT 7311050

5147 WRIST COMP MIN 3 V LT 73110

5148 WRIST COMP MIN 3 V RT 73110

CPT3 CPT4 CPT5 CPT6

J1610 Q9954

J1610 Q9954

A9503

78830

78496

62322

J2805

A9541

78291

A9572

A9540

A9558

A9540

A9541 78315 78800 78103

78730

78580

76872

76872

76802 76802

76802

76812 76812

76812

7681959

7682659 7682659

7682659

7682559 7682559

7682559

7681659 7681659

7681659

76812

Notes

Provider office would not order


Also need biopsy CPT





99211-99215 charged based on time


Also need joint CPT

Also need joint CPT

Also need joint CPT

Also need joint CPT

Also need joint CPT

Also need joint CPT

Provider office would not order. Dr. Rajah use only




MFM clinic use only




sim description cpt1 cpt2 63 abdomen 1 v 74018 572 …

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