8/10/2019 Radiology Code List

1/2

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

8/10/2019 Radiology Code List

2/2

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

76 776 US, T ranspl an ted Ki dney, B -Scan and/o r Rea l T ime 7359 2 X-r ay, Lower Ext , In fant Under 1 year , Mi ni mum 2 Vi ews

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