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CPT COdes, Medicare
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PET/CTBrain (Metabolic Evaluation) 78608Brain (Perfusion Evaluation) 78609Myocardial Metabolic Viability 78459Skull base-mid thigh 78815 Whole Body 78816
UltrasoundAbdomen, complete 76700 Arterial, ABI, 1-2 levels 93922Arterial ABI, 3 or more levels 93923 Arterial Lower Extremity, Bilateral 93925Arterial Lower Extremity, Unilateral 93926Arterial Upper Extremity, Bilateral 93930Arterial Upper Extremity, Unilateral 93931 Arterial Hemodialysis Access 93990Breast 76645 Carotid Bilateral 93880Extremity Soft Tissue, Limited 76882Extremity Soft Tissue, Complete 76881 Gallbladder 76705 Kidneys/Renal/Bladder 76770 Liver 76705 Pelvic (non-obstetric) 76856 OB single or < 14 weeks 76801 OB < 14 weeks, each add’l gestation 76802OB > or = to 14 weeks 76805OB single w/ detailed fetal exam 76811 OB complete, each add’l w/ detail 76812 Pregnancy Transvaginal 76817 Sonohysterography (Cath & Inj) 76831 & 58340Testicular 76870 Thyroid 76536 Transvaginal 76830 Venous Extremity Bilateral 93970 Venous Extremity Unilateral 93971
X-RAYAbdomen, 1 view (KUB) 74000AC Joints, bilateral 73050Ankle, 2 views 73600Ankle, min 3 views 73610Bone Age 77072 Bone Length 77073Bone Survey, limited 77074 Bone Survey, complete 77075Calcaneus 73650Cervical, 2 or 3 views 72040Cervical, min 4 views 72050Cervical, complete w/ fl ex/ext 72052Chest, 1 view 71010Chest, 2 views 71020Chest, min 4 views 71030 Clavicle 73000 Elbow, 2 views 73070 Elbow, min 3 views 73080Facial Bones, less than 3 views 70140Facial Bones, min 3 views 70150Femur 73550Finger(s) 73140Foot, 2 views 73620Foot, min 3 views 73630Forearm 73090Hand, 2 views 73120Hand, min 3 views 73130Hip, unilateral, 1 view 73500Hip, unilateral, min 2 views 73510Hip, bilateral 2 views + AP Pelvis 73520
MRIAbdomen w/o con 74181 Abdomen w/ con 74182Abdomen w_w/o con 74183Brain w/o con 70551 Brain w/ con 70552 Brain w_w/o con 70553 Breast Unilateral 77058Breast Bilateral 77059Cervical w/o con 72141Cervical w/ con 72142Cervical w_w/o con 72156Chest w/o con 71550 Chest w/ con 71551 Chest w_w/o con 71552 Hip w/o con 73721Hip w/ con 73722Hip w_w/o con 73723 Lower Extremity w/o con 73718Lower Extremity w/ con 73719Lower Extremity w_w/o con 73720Lower Extremity Joint w/o con 73721Lower Extremity Joint w/ con 73722Lower Extremity Joint w_w/o con 73723 Lumbar w/o con 72148 Lumbar w/ con 72149Lumbar w_w/o con 72158Orbit Face/Neck w/o con 70540 Orbit Face/Neck w/ con 70542 Orbit Face/Neck w_w/o con 70543Pelvis w/o con 72195 Pelvis w/ con 72196 Pelvis w_w/o con 72197Thoracic w/o con 72146Thoracic w/ con 72147Thoracic w_w/o con 72157TMJ 70336Upper Extremity w/o con 73218Upper Extremity w/ con 73219Upper Extremity w_w/o con 73220Upper Extremity Joint w/o con 73221Upper Extremity Joint w/ con 73222Upper Extremity Joint w_w/o con 73223
MRA Abdomen 74185Chest 71555Head w/o con 70544Head w/ con 70545Head w_w/o con 70546Lower Extremity 73725Neck w/o con 70547Neck w/ con 70548Neck w_w/o con 70549Pelvis 72198Upper Extremity 73225
Nuclear MedicineBone &/or Joint Scan, multiple 78305Bone &/or Joint Scan , whole Body 78306 Bone &/or Joint Scan, phase Study 78315 Hida Scan w/ CCK 78227 Radiopharmaceutical(s) (HCPCS) Thyroid Scan w/ uptake 78007
CT Abdomen & Pelvis w/o con 74176Abdomen & Pelvis w/ con 74177Abdomen & Pelvis w_w/o con 74178Abdomen w/o con 74150 Abdomen w/ con 74160 Abdomen w_w/o con 74170 Brain/Head w/o con 70450Brain/Head w/ con 70460Brain/Head w_ w/o con 70470Cervical w/o con 72125Cervical w/ con 72126Cervical w_w/o con 72127Chest w/o con 71250Chest w/ con 71260Chest w_w/o con 71270CTA Coronary Arteries w/ Cal Score 75574CT Heart w/o contrast w/ Cal Score 75571CT Heart w/ contrast w/ Cal Score 75572CT Heart w/ contrast w/ Cal Score (Cong Disease) 75573IAC w/o con 70480IAC w/ con 70481IAC w_w/o con 70482Larynx/Neck w/o con 70490Larynx/Neck w/ con 70491Larynx/Neck w_w/o con 70492Lower Extremity w/o con 73700Lower Extremity w/ con 73701Lower Extremity w_w/o con 73702Lumbar w/o con 72131Lumbar w/ con 72132Lumbar w_w/o con 72133Maxillofacial w/o con 70486Maxillofacial w/ con 70487Maxillofacial w_w/o con 70488Pelvis w/o con 72192Pelvis w/ con 72193Pelvis w_w/o con 72194Thoracic w/o con 72128Thoracic w/ con 72129Thoracic w_w/o con 72130Upper Extremity w/o con 73200Upper Extremity w/ con 73201Upper Extremity w_w/o con 73202
DEXADEXA Scan 77080 Vertebral Fracture Assessment 77082
Fluoroscopy Barium Enema 74270Barium Enema A/C 74280Esophagram 74220IVP w/ Nephrotomography 74415Small Bowel Series 74250UGI w/ Small Bowel Follow-Through 74245UGI DBL w/ Small Bowel Follow-Through 74249Upper GI w/ KUB 74241Upper GI w/ KUB DBL 74247VCUG w/ Injection 74455 (w/ injection code 51600)
Mammography (Digital)Unilateral - DX G0206 Bilateral - DX G0204Screening G0202
Th e following codes are being provided as a quick reference guide only. Please be sure to consult your offi ce AMA CPT code book to confi rm all CPT coding.cptcpt 20122012
X-RAY, cont.Humerus 73060Knee, 1 or 2 views 73560Knee, 3 views 73562Knee, min 4 views 73564Knee, bilateral, standing 73565 Lumbar, 2 or 3 views 72100Lumbar, 4 views 72110Lumbar, bending, min 4 views 72120Mandible, partial 70100Mandible, min 4 views 70110Mastoids, less than 3 views 70120Mastoids, complete 70130Nasal Bones 70160Neck, soft tissue 70360Orbits 70200 Pelvis, 1 or 2 views 72170Pelvis, min 3 views 72190Pharnyx 74210Ribs, unilateral, 2 views 71100Ribs, w/ PA chest, min 3 views 71101Ribs, bilateral, 3 views 71110Ribs, w/ PA chest, min 4 views 71111Sacrum & Coccyx 72220Scapula 73010SC Joints 71130Scoliosis Study, thoracic 72090Scoliosis Study, thoracolumbar standing 72069Scoliosis Study, entire spine 72010Scoliosis Study, single view 72020Shoulder, 1 view 73020Shoulder, min 2 views 73030SI Joints, less than 3 views 72200SI Joints, 3 or more views 72202Sinuses, paranasal 70210Sinuses, min 3 views 70220Skull, less than 4 views 70250Skull, min 4 views 70260Sternum 71120Thoracic, 2 views 72070Thoracic, 3 views 72072Thoracic, 4 views 72074Tibia / Fibula 73590TMJ, unilateral, open and closed 70328TMJ, bilateral 70330 Toe 73660Wrist, 2 views 73100Wrist, min 3 views 73110 Special Procedures Surgical CPTArthrogram Ankle 27648 73615 Arthrogram Wrist 25246 73115Arthrogram Shoulder 23350 73040Arthrogram Elbow 24220 73085 HSG (Hysterosalpinogram) 58340 74740Myelogram Cervical 62284 72240Myelogram Thoracic 62284 72255Myelogram Lumbar 62284 72265Myelography (2 or more) 62284 72270Venogram Bilateral 36005 75822 Venogram Unilateral 36005 75820
Abdomen & PelvicAbdomen Pain RUQ 789.01 Abdomen Pain LUQ 789.02 Abdomen Pain RLQ 789.03 Abdomen Pain LLQ 789.04 Ascites, Other 789.59Ascites, Malignant 789.51 Constipation 564.00 Diarrhea 787.91 Flatulence Gas Pain 787.3 Hematuria 599.70 Hepatitis NOS 573.3 Hepatomegaly 789.1 Malaise/Fatigue 780.79 Malignant Neo Abd Intra 195.2Malignant Neo Biliary Tract 156.9Malignant Neo Colon 153.9Malignant Neo Liver 155.0 Nausea w/vomit 787.01Nausea w/o vomiting 787.02 Splenomegaly 789.2UTI 599.0Ventral Hernia 553.20 Weight Loss, Abnormal 783.21
BreastBreast Cancer 174.9 Fibrocystic Disease 610.1 Lump or Mass 611.72 Nipple Discharge 611.79 Pain Breast 611.71Screening Mammography V76.12 Screening Mammography, high-risk V76.11
Female DisordersAmenorrhea 626.0 Bleeding Unrelated to Menstrual Cycle 626.6 Dysfunctional Uterine Bleed 626.8 Irregular Menstrual Cycle 626.4 Menorrhagia 626.2Menstrual Disorder Unspecifi ed 626.9Oligomenorrhea 626.1 OB Size & Date V22.1 Pelvic Pain 625.9
Extremities & Joints Bursitis, Elbow 726.33Ganglion Cyst of Joint 727.41Joint Disorder NOS, site unspecifi ed 719.90Joint Effusion, Ankle 719.07Joint Effusion 719.00Joint Effusion, Hand 719.04Joint Effusion, Shoulder 719.01Joint Stiffness NEC 719.50Medial Meniscus Tear 836.0Pain Forearm, Wrist 719.43Pain Hand 719.44Pain Multi Joint 719.49Pain Shoulder 719.41Pain Upper Arm 719.42 Pain Ankle, Foot 719.47Pain Knee 719.46Pain Hip, Pelvic 719.45Rotator Cuff Syndrome 726.10Shoulder Stiffness 719.51Sprain, Strain Rotator Cuff 840.4
Head & NeckAphasia 784.3Convulsions 780.39CVA NOS 434.91Dizziness Giddiness 780.4Headaches 784.0Lack of Coordination 781.3Mass/Lump Neck/Head 784.2Migraine 346.90MS 340 Parkinson’s Disease 332.0Speech Disturbance 784.59Stenosis of Carotid 433.10Subdural Hemorrhage 432.1Syncope 780.2TIA 435.9
Orbit, Face & Neck Chronic Sinusitis 473.9Diplopia 368.2Goiter NOS 240.9Hearing Loss 389.9Orbital Disorder 376.9Thyroid Dysfunction 246.9Thyroid Nodule 241.0Tinnitus 388.30Visual Disturbance 368.9Visual Loss, Both Eyes 369.00
Spine Cervical Radiculopathy 723.4 Cervical Pain 723.1Cervical Spondylosis 721.0Cervical Disc Displacement 722.0Cervical Stenosis 723.0Degen of Cervical 722.4Degen of Thoracic 722.51Degen of Lumbar 722.52Lumbar Pain 724.2Lumbar Spondylosis 721.3Lumbar Disc Displacement 722.10Lumbar Stenosis 724.02Thoracic & Lumbar Radiculopathy 724.4Thoracic Pain 724.1Thoracic Spondylosis 721.2 Thoracic Disc Displacement 722.11Thoracic Stenosis 724.01Sciatica 724.3
Additional DiagnosisCellulitis, Arms 682.3Chest Pain 786.50Cough 786.2 Numbness 782.0Osteoporosis 733.00Osteopenia 733.90Pain in Limb 729.5Superfi cial Swelling 782.2Swelling of Limb 729.81
Surgical CodesInsertion indwelling tunneled pleural catheter w/ cuff 32550
Endovenous ablation incompetent vein, extremity, percutaneous, laser, fi rst vein 36478
Add 2nd & subsequent veins, separate access sites 36479
Carotid stent, intravascular placement, percutaneous with distal embolic protection 37215
Carotid stent, intravascular placement, percutaneous without distal embolic protection 37216
Injection therapeutic agent into renal pelvis &/or ureter through established nephrostomy, pyleostomy or ureterostomy tube 50391
Contrast injection(s) - Radiologic evaluation of existing venous access device (port/catheter check) 36598
icd - 9
DR_01242012
US Guided Breast BiopsyNeedele core; using imaging guidance 19102Vacuum assisted; using imaging guidance 19103Clip Placement 19295Ultrasound Guidance for needle placement 76942Unilateral Mammo for documentation of clip G0206Fine Needle Aspiration 10022Cyst Aspiration (also for puncture aspiration of breast cyst) 19000
Stereo Guided Breast BiopsyVacuum assisted; using imaging guidance 19103Clip Placement 19295X-ray exam of surgical specimen 76098Stereotactic guidance for needle placement 77031
US Guided Thyroid BiopsyFine Needle Aspiration: with imaging guidance 10022Ultrasound guidance for needle placement 76942Soft tissues of head and neck 76536
Needle Core BiopsyMuscle (soft tissue) 20206Bone superfi cial (ie, ilium, sternum, rib) 20220Bone deep (ie, vertebral body, femur) 20225Pleura 32400Lung or Mediasinum 32405Bone Marrow 38221Lymph Node(s) superfi cial 38505Liver 47000Pancreas 48102Abdominal or retroperitoneal mass 49180Kidney 50200Prostate 55700
Imaging GuidanceUltrasound 76942Fluoroscopy 77002CT 77012MRI 77021
Th e following codes are being provided as a quick reference guide only. Please be sure to consult your offi ce AMA CPT code book to confi rm all CPT coding.cptcpt 20122012