DIAGNOSTIC IMAGING SERVICES CPT CODE LISTING - 2013
CPT CODE
DESCRIPTION
CPT CODE
DESCRIPTION
CPT CODE
DESCRIPTION
74177
CT, Abd /Pelvis c/Contrast
70545
MRA, Angiography Head c/ Contrast
78278
NM, Acute GI Blood Loss Imaging-Hemangioma
74178
CT, Abd /Pelvis c/s Contrast
70546
MRA, Angiography Head c/s Contrast
78075
NM, Adrenal Imaging, Cortex and/or Medulla
74176
CT, Abd/Pelvis s/Contrast
70544
MRA, Angiography Head s/ Contrast
78300
NM, Bone, Joint Imaging, Limited Area
74160
CT, Abdomen c/ Contrast
70548
MRA, Angiography Neck c/ Contrast
78305
NM, Bone, Joint Imaging, Multiple Areas
74170
CT, Abdomen c/s Contrast
72198
MRA, Angiography Pelvis c/ or s/ Contrast
78320
NM, Bone, Joint Imaging, SPECT
74150
CT, Abdomen s/ Contrast
72159
MRA, Angiography Spinal Canal c/ or s/ Contrast
78315
NM, Bone, Joint Imaging, Three Phase
74174
CT, Angiography Abd/Pelvis c/s Contrast
73225
MRA, Angiography Upper Ext. c/ or s/ Contrast
78306
NM, Bone, Joint Imaging, Whole Body
75635
CT, Angiography Aorta & Bilat Iliofemor run off c/s Contrast
74185
MRA, Angiography, Abd/Renal c/ or s/ Contrast
78494
NM, Cardiac Blood Pool, SPECT, Wall & Eject
71275
CT, Angiography Chest c/s Contrast
73725
MRA, Angiography, Lower Ext. c/ or s/ Contrast
78483
NM, Cardiac Blood Pool, Wall & Eject, Multiple
70496
CT, Angiography Head c/s Contrast
74182
MRI, Abdomen c/ Contrast
78481
NM, Cardiac Blood Pool, Wall & Eject, Single
73706
CT, Angiography Lower Ext. c/s Contrast
74183
MRI, Abdomen c/s Contrast
78496
NM, Cardiac Blood Pool, Wall & RV Eject, Single
70498
CT, Angiography Neck c/s Contrast
74181
MRI, Abdomen s/ Contrast
78473
NM, Cardiac Blood Pool, Wall Motion, MultipleSingle
72191
CT, Angiography Pelvis c/s Contrast
70552
MRI, Brain c/ Contrast
78472
NM, Cardiac Blood Pool, Wall Motion, Single
74175
CT, Angiography, Abdomen c/s Contrast
70553
MRI, Brain c/s Contrast
78264
NM, Gastric Emptying Study
73206
CT, Angiography, Upper Ext. c/s Contrast
70551
MRI, Brain s/ Contrast
78261
NM, Gastric Mucosa Imaging
75571
CT, Calcium Scoring
77059
MRI, Breast Bilat c/and or s/Contrast
78262
NM, Gastroesophageal Reflux Study
72126
CT, Cervical Spine c/ Contrast
77058
MRI, Breast Unilateral c/and or s/Contrast
78227
NM, Hepatobiliary Imaging, with Pharm iInter, icl Quant
72127
CT, Cervical Spine c/s Contrast
75554
MRI, Cardiac Function, Complete
78226
NM, Hepatolbiliary Imaging
72125
CT, Cervical Spine s/ Contrast
75555
MRI, Cardiac Function, Limited
78290
NM, Intestine Imaging (Meckels)
70460
CT, Head or Brain c/ Contrast
75553
MRI, Cardiac Morphology c/ Contrast
78708
NM, Kidney c/ Flow & Funct, c/ Phar MAG3 c LASIX,single
70470
CT, Head or Brain c/s Contrast
75552
MRI, Cardiac Morphology s/ Contrast
78709
NM, Kidney c/ Flow & Funct, c/s Pharm, Mult (Captopril)
70450
CT, Head or Brain s/ Contrast
75556
MRI, Cardiac Velocity Flow Mapping
78707
NM, Kidney c/ Flow & Funct, s/ Pharm ,Mag 3, Single
73701
CT, Lower Extremity c/ Contrast
72142
MRI, Cervical Spine c/ Contrast
78725
NM, Kidney Function, Non Imaging
73702
CT, Lower Extremity c/s Contrast
72156
MRI, Cervical Spine c/s Contrast
78704
NM, Kidney Imaging, c/ Function
73700
CT, Lower Extremity s/ Contrast
72141
MRI, Cervical Spine s/ Contrast
78701
NM, Kidney Imaging, c/ Vascular Flow
72132
CT, Lumbar Spine c/ Contrast
71551
MRI, Chest c/ Contrast
78710
NM, Kidney Imaging, SPECT
72133
CT, Lumbar Spine c/s Contrast
71552
MRI, Chest c/s Contrast
78700
NM, Kidney Imaging, Static Only
72131
CT, Lumbar Spine s/ Contrast
71550
MRI, Chest s/ Contrast
78715
NM, Kidney Vascular Flow Only
70487
CT, Maxillofacial Area c/ Contrast
73722
MRI, Lower Ext. Joint c/ Contrast
78216
NM, Liver and Spleen, c/ Vascular Flow
70488
CT, Maxillofacial Area c/s Contrast
73723
MRI, Lower Ext. Joint c/s Contrast
78215
NM, Liver and Spleen, Static Only
70486
CT, Maxillofacial Area s/ Contrast
73721
MRI, Lower Ext. Joint s/ Contrast
78205
NM, Liver Imaging SPECT
70481
CT, Orbit, Sella, Post Fossa or Ear c/ Contrast
73719
MRI, Lower Ext. Non-Joint c/ Contrast
78206
NM, Liver Imaging SPECT, c/ Vascular Flow
70482
CT, Orbit, Sella, Post Fossa or Ear c/s Contrast
73720
MRI, Lower Ext. Non-Joint c/s Contrast
78202
NM, Liver Imaging, c/ Vascular Flow
70480
CT, Orbit, Sella, Post Fossa or Ear s/ Contrast
73718
MRI, Lower Ext. Non-Joint s/ Contrast
78201
NM, Liver Imaging, Static Only
72193
CT, Pelvis c/ Contrast
72149
MRI, Lumbar Spine c/ Contrast
78070
NM, Parathyroid Imaging
72194
CT, Pelvis c/s Contrast
72158
MRI, Lumbar Spine c/s Contrast
78805
NM, Radiopharm Local, Inflammatory, Limited
72192
CT, Pelvis s/ Contrast
72148
MRI, Lumbar Spine s/ Contrast
78807
NM, Radiopharm Local, Inflammatory, SPECT
70491
CT, Soft Tissue Neck c/ Contrast
70542
MRI, Orbit, Face or Neck c/ Contrast
78806
NM, Radiopharm Local, Inflammatory, Whole Body
70492
CT, Soft Tissue Neck c/s Contrast
70543
MRI, Orbit, Face or Neck c/s Contrast
78804
NM, Radiopharm Local, Tumor, 2 or more days
70490
CT, Soft Tissue Neck s/ Contrast
70540
MRI, Orbit, Face or Neck s/ Contrast
78800
NM, Radiopharm Local, Tumor, Limited
72129
CT, Thoracic Spine c/ Contrast
72196
MRI, Pelvis c/ Contrast
78801
NM, Radiopharm Local, Tumor, Miraluma Scan
72130
CT, Thoracic Spine c/s Contrast
72197
MRI, Pelvis c/s Contrast
78803
NM, Radiopharm Local, Tumor, SPECT
72128
CT, Thoracic Spine s/ Contrast
72195
MRI, Pelvis s/ Contrast
78802
NM, Radiopharm Local, Tumor, Whole Body
71260
CT, Thorax (Chest) c/ Contrast
76390
MRI, Spectroscopy
79005
NM, Therapy by Oral Administration
71270
CT, Thorax (Chest) c/s Contrast
72147
MRI, Thoracic Spine c/ Contrast
79000
NM, Therapy, Hyper-Thyroidism, Initial
71250
CT, Thorax (Chest) s/ Contrast
72157
MRI, Thoracic Spine c/s Contrast
79001
NM, Therapy, Hyper-Thyroidism, Subsequent
73201
CT, Upper Extremity c/ Contrast
72146
MRI, Thoracic Spine s/ Contrast
79100
NM, Therapy, Polycythemia Vera or Chronic Leukemia
73202
CT, Upper Extremity c/s Contrast
70336
MRI, TMJ(s)
79020
NM, Therapy, Thyroid Suppression and Eval
73200
CT, Upper Extremity s/ Contrast
73221
MRI, Upper Ext, Joint s/ Contrast
78016
NM, Thyroid CA Mets Imaging, c/ Addtnl Studies
77080
DEXA, Bone Density, 1 Sites, Axial Skeleton
73222
MRI, Upper Ext. Joint c/ Contrast
78015
NM, Thyroid CA Mets Imaging, Limited
77082
DEXA, IVA
73223
MRI, Upper Ext. Joint c/s Contrast
78018
NM, Thyroid CA Mets Imaging, Whole Body
G0204
Digital Diagnostic Mammogram Bilateral
73219
MRI, Upper Ext. Non-Joint c/ Contrast
78010
NM, Thyroid Imaging Only
G0206
Digital Diagnostic Mammogram Unilateral
73220
MRI, Upper Ext. Non-Joint c/s Contrast
78011
NM, Thyroid Imaging Only, c/ Vascular Flow
G0202
Digital Screening Mammogram
73218
MRI, Upper Ext. Non-Joint s/ Contrast
78012
NM, Thyroid Imaging, c/ Single or Multiple Uptakes
77054
Mammogram, Ductogram or Galactogram, Multiple
72240
Myelography, Cervical Spine
78001
NM, Thyroid Uptake, Multiple Determinates
77053
Mammogram, Ductogram or Galactogram, Single
72270
Myelography, Entire Spine
78000
NM, Thyroid Uptake, Single Determinate
70549
MRA, Angiography Carotid c/s Contrast
72265
Myelography, Lumbar Spine
78003
NM, Thyroid Uptake, Stimulation or Suppression
70547
MRA, Angiography Carotid s/ Contrast
72255
Myelography, Thoracic Spine
78730
NM, Urinary Bladder Residual Study
71555
MRA, Angiography Chest c/ or s/ Contrast
DIAGNOSTIC IMAGING SERVICES CPT CODE LISTING - 2013
CPT CODE
DESCRIPTION
CPT CODE
DESCRIPTION
CPT CODE
DESCRIPTION
78608
PET, Brain Imaging, Metabolic Evaluation
73610
X-ray, Ankle, Minimum 3 Views
70120
X-ray, Mastoids, Less than 3 Views per Side
78811
PET, Limited Area (chest, head/neck)
77072
X-ray, Bone Age Study
70160
X-ray, Nasal Bones, Minimum 3 Views
78814
PET/CT, Limited Area (chest, head/neck)
77073
X-ray, Bone Length Study
70360
X-ray, Neck, Soft Tissue
78815
PET/CT, Skull Base to Mid Thigh
73650
X-ray, Calcaneus (Heel), Minimum 2 Views
70190
X-ray, Optic Foramina, Bilateral
78816
PET/CT, Whole Body
72040
X-ray, Cervical Spine, 2 or 3 Views
70200
X-ray, Orbits Bilateral, Minimum 4 Views
G0389
US, Abd Aortic Aneurysm
72050
X-ray, Cervical Spine, Minimum 4 Views
77075
X-Ray, Osseous Survey, Complete
76700
US, Abdominal Complete, B-Scan and/or Real Time
71010
X-ray, Chest, 1 View - Frontal
77076
X-ray, Osseous Survey, Infant
76705
US, Abdominal Limited, Single Organ
71021
X-ray, Chest, 2 Views plus Apical Lordotic
77074
X-ray, Osseous Survey, Limited
76506
US, Brain, B-Scan and/or Real Time
71023
X-ray, Chest, 2 Views plus Fluoroscopy
73540
X-ray, Pelvis and Hips, Infant or Child, Min. 2 Views
76645
US, Breast(s), B-Scan and/or Real Time
71022
X-ray, Chest, 2 Views plus Oblique
72170
X-ray, Pelvis, 1 or 2 Views
76604
US, Chest, B-Scan and/or Real Time
71020
X-ray, Chest, 2 Views, PA and Lateral
72190
X-ray, Pelvis, Minimum 3 Views
93886
US, Doppler, Transcranial Arteries, Complete
71030
X-ray, Chest, 4 or More Views
70370
X-ray, Pharynx or Larynx, Soft Tissue, including flouroscopy
93888
US, Doppler, Transcranial Arteries, Limited
71034
X-ray, Chest, 4 or More Views plus Fluoroscopy
71100
X-ray, Ribs, 2 Views, Unilateral
93923
US, Doppler, Up or Low Ext. Artery, Multi Level
71035
X-ray, Chest, Special Views
71101
X-ray, Ribs, 2 Views, Unilateral plus PA Chest
93922
US, Doppler, Up or Low Ext. Artery, Single Level
73000
X-ray, Clavicle, Complete
71110
X-ray, Ribs, 3 Views, Bilateral
93965
US, Doppler, Up or Low Ext. Vein, Complete Bilateral
73070
X-ray, Elbow, 2 Views
71111
X-ray, Ribs, 3 Views, Bilateral plus PA Chest
93925
US, Duplex Lower Ext. Arterial or Bypass, Bilateral
73080
X-ray, Elbow, Minimum 3 Views
72220
X-ray, Sacrum & Coccyx, Minimum 2 Views
93926
US, Duplex Lower Ext. Arterial or Bypass, Unilateral
76010
X-ray, Entire GI Tract, Foreign Body, 1 View
71130
X-ray, SC Joint(s), Minimum 3 Views
93990
US, Duplex Scan of Hemodialysis Access
72010
X-ray, Entire Spine, AP and Lateral
73010
X-ray, Scapula, Complete
93930
US, Duplex Upper Ext. Arterial or Bypass, Bilateral
70150
X-ray, Facial Bones, 3 or More Views
70240
X-ray, Sella Turcica (Pituitary)
93931
US, Duplex Upper Ext. Arterial or Bypass, Unilateral
70140
X-ray, Facial Bones, Less than 3 Views
73020
X-ray, Shoulder, 1 View
93978
US, Duplex, Aorta, IVC, Iliac or Bypass, Complete
73550
X-ray, Femur, 2 Views
73030
X-ray, Shoulder, Minimum 2 Views
93979
US, Duplex, Aorta, IVC, Iliac or Bypass, Limited or Unilater
73140
X-ray, Finger(s), Minimum 2 Views
72202
X-ray, SI Joints, 3 or More Views
93980
US, Duplex, Arterial/Venous Flow of Penis, Complete
74280
X-ray, Fluoro Colon, Barium Enema c/ Air Contrast
72200
X-ray, SI Joints, Less than 3 Views
93981
US, Duplex, Arterial/Venous Flow of Penis, Limited or Follow
74270
X-ray, Fluoro Colon, Barium Enema c/ or s/ KUB
70220
X-ray, Sinuses, 3 or More Views
93975
US, Duplex, Arterial/Venous Flow, Abdomen/Pelvis, Complete
74220
X-ray, Fluoro Esophagus
70210
X-ray, Sinuses, Less than 3 Views
93976
US, Duplex, Arterial/Venous Flow, Abdomen/Pelvis, Limited
74740
X-ray, Fluoro Hysterosalpingography c/ Contrast
70260
X-ray, Skull, 4 or More Views
93880
US, Duplex, Carotid Arteries, Bilateral
74251
X-ray, Fluoro Small Intestine Series, Enteroclysis Tube
70250
X-ray, Skull, Less than 4 Views
93882
US, Duplex, Carotid Arteries, Unilateral
74250
X-ray, Fluoro Small Intestine Series, Oral
72020
X-ray, Spine, 1 View, Specify Level
93970
US, Duplex,Up or Low Ex.Vein, Comp. Bil.
74245
X-ray, Fluoro Upper GI and Small Intestine
71120
X-ray, Sternum, Minimum 2 Views
93971
US, Duplex,Up orLow Ext. Vein,Ltd. Unil.
74249
X-ray, Fluoro UGI & Sm bowel/ Air Cont
72070
X-ray, Thoracic Spine, 2 Views
76881
US, Extrem, Non Vasc, Complete
74247
X-ray, Fluoro Upper GI, c/ Air Contrast, KUB
72072
X-ray, Thoracic Spine, 3 Views
76882
US, Extrem, Non Vasc. Lmtd
74246
X-ray, Fluoro Upper GI, c/ Air Contrast, No KUB
72074
X-ray, Thoracic Spine, Minimum 4 Views
76831
US, Hysterosonography
74241
X-ray, Fluoro Upper GI, c/ or s/ Delay, KUB
72090
X-ray, Thoracolumbar Supine & Erect, Scoliosis
76856
US, Pelvic Non OB, B-Scan and or Real Time
74240
X-ray, Fluoro Upper GI, c/ or s/ Delay, No KUB
72080
X-ray, Thoracolumbar, 2 Views
76857
US, Pelvic Non OB, Follow Up or Repeat (Bladder)
73620
X-ray, Foot, 2 Views
72069
X-ray, Thoracolumbar, Standing Scoliosis
76802
US, Preg Uterus, 1st Trimester, Each Additional Gestation
73630
X-ray, Foot, Minimum 3 Views
73590
X-ray, Tibia and Fibula, 2 Views
76812
US, Pregnant Uterus, Fetal Detail, Additional Gestation
73090
X-ray, Forearm, 2 Views
70330
X-ray, TMJ, Open and Closed, Billateral
76811
US, Pregnant Uterus, Fetal Eval, Single Gestation
73120
X-ray, Hand, 2 Views
70328
X-ray, TMJ, Open and Closed, Unilateral
76815
US, Pregnant Uterus, Limited Single Gestation
73130
X-ray, Hand, Minimum 3 Views
73660
X-ray, Toe(s), Minimum 2 Views
76810
US, Pregnant Uterus, Multiple Gestation, after 14 weeks
73500
X-ray, Hip, Unilateral, 1 View
73092
X-ray, Upper Ext, Infant, Minimum 2 Views
76801
US, Pregnant Uterus, Single Gestation, 1st Trimester
73510
X-ray, Hip, Unilateral, Minimum 2 Views
74410
X-ray, Urography c/ Contrast, Infusion
76805
US, Pregnant Uterus, Single Gestation, after 14 weeks
73520
X-ray, Hips, Bilateral, Min. 2 View plus AP Pelvis
73100
X-ray, Wrist, 2 Views
76817
US, Pregnant Uterus, TV
73060
X-ray, Humerus, Minimum 2 Views
73110
X-ray, Wrist, Minimum 3 Views
76816
US, Pregnany Uterus, Follow Up or Repeat
70134
X-ray, Internal Audit Meati, (Middle Ear)
72052
X-ray,Cervical Spine,7V Comp
76770
US, Renal/Aorta Complete B-Scan and/or Real Time
74400
X-ray, IVP c/contrast
76775
US, Retroperitoneal, Limited
77077
X-ray, Joint Survey, 2 or More Joints, 1 View
76870
US, Scrotum and Contents
73560
X-ray, Knee, 1 or 2 Views
76536
US, Soft/T.Head, Neck, B-Scan /or Real Time
73562
X-ray, Knee, 3 Views
76800
US, Spinal Canal & Contents
73565
X-ray, Knee, Bilateral Standing
19295
US, Tissue Marker Placement
73564
X-ray, Knee, Minimum 4 Views
76776
US, Transplanted Kidney, B-Scan and/or Real Time
73592
X-ray, Lower Ext, Infant Under 1 year, Minimum 2 Views
76830
US, Transvaginal
72100
X-ray, Lumbosacral, 2 or 3 Views
74010
X-ray, Abdomen, AP & Oblique View
72120
X-ray, Lumbosacral, Bend Only, 2 or 3 Views
74000
X-ray, Abdomen, AP View
72114
X-ray, Lumbosacral, Compl c/ Bend, Min 6V
74020
X-ray, Abdomen, Flat with Erect and/or Decub
72110
X-ray, Lumbosacral, Minimum 4 Views
76080
X-ray, Abscess, Fistula or Sinus Tract
70110
X-ray, Mandible (Jaw), 4 or More Views
73050
X-ray, AC Joints, Bilateral c/ or s/ Weights
70100
X-ray, Mandible (Jaw), Less than 4 Views
73600
X-ray, Ankle, 2 Views
70130
X-ray, Mastoids, 3 or More Views per Side
