Our Procedure Code 

ULTRASOUND

76506 □ Head 76828 □ Echo Doppler Fetal Pulse & Cont. Repe
76536 □ Neck, Soft Tissue 76830 □ Transvaginal
76604 □ Chest 76856 □ Pelvic Cmpl
76641 □ Breast unilat. Cmpl 76857 □ Pelvic Lmtd
76642 □ Breast unilat. Lmtd 76870 □ Scrotum and Contents
76700 □ Abdominal Cmpl 76872 □ Transrectal
76705 □ Abdominal Lmtd 76873 □ Transrectal, Prostate Volume
76706 □ Abd Aorta, AAA Screening 76881 □ Extremity, Cmpl Joint
76770 □ Retroperitoneal Cmpl 76882 □ Extremity, Lmtd Joint
76775 □ Retroperitoneal Cmpl 93303 □ Transthoracic Echo, Cmpl
76776 □ Transplanted Kidney 93304 □ Transthoracic Echo, Lmtd
76800 □ Spinal Canal and Contents 93306 □ Echo 2D w/ Color Doppler
76801 □ OB <14 weeks, Single Fetus 93307 □ Echo 2D w/o Color Doppler
76802 □ OB <14 weeks, Addl Fetus 93308 □ Echo 2D M-mode
78605 □ OB >14 weeks, Single Fetus 93320 □ Echo Doppler Pulse Wave Cmpl
78610 □ OB >14 weeks, Addl Fetus 93321 □ Echo Doppler Pulse Wave Lmtd
76811 □ OB Mat/Eva & Det/Ex, Single F 93325 □ Echo Doppler Color Flow
76812 □ OB Mat/Eva & Det/Ex, Addl F 93351 □ Stress Test - Echo
76813 □ Nuchal Translucency, Single F 93880 □ Duplex Scan Extracranial Arteries
76814 □ Nuchal Translucency, Addl F 93886 □ Transcranial Doppler, Cmpl
76815 □ OB Limited, 1 or more Fetuses 93888 □ Transcranial Doppler, Lmtd
76816 □ OB Follow-Up, per Fetus 93975 □ Duplex Scan art. ven., Cmpl
76817 □ OB Transvaginal 93976 □ Duplex Scan art. ven., Lmtd
76818 □ Fetal Biophysical Profile w/ nonst. 93978 □ Duplex Scan Aorta, Cmpl
76819 □ Fetal Biophysical Profile w/ nst. 93979 □ Duplex Scan Aorta, Lmtd
76820 □ Umbilical Artery Echo 93980 □ Duplex Scan Penile Vessls, Cmpl
76821 □ Middle Cerebrak Artery Echo 93981 □ Duplex Scan Penile Vessls, Lmtd
76825 □ Echo Fetal-CV SYS-Real Time w/ Doc 93990 □ Duplex Scan hemodialysis access
76826 □ Echo Fetal-CV SYS-Real Time Rept
76827 □ Echo Doppler Fetal Pulse & Cont. Cmpl

ARTERY UPPER & LOWER EXTREMITY

93925 □ Duplex Scan lwr extremity, Cmpl
93926 □ Duplex Scan lwr extremity, Lmtd
93930 □ Duplex Scan upp extremity, Cmpl
93931 □ Duplex Scan upp extremity, Lmtd

VENOUS UPPER & LOWER EXTREMITY

93970 □ Duplex Scan extremity, Cmpl
93971 □ Duplex Scan extremity, Lmtd

STRESS TEST PLAIN

93015 □ Cardiovascular Stress Test

EKG

93000 □ Electrocardiogram Cmpl

CT

70450 □ Head or Brain w/o C. 74176 □ Abdomen & Pelvis w/o C.
70460 □ Head or Brain w/ C. 74177 □ Abdomen & Pelvis w/ C.
70470 □ Head or Brain w/ & w/o C. 74178 □ Abdomen & Pelvis w/ &w/o C.
70480 □ Orbits/Ear/Post. Fossa w/o C. 73200 □ Upper Extremity w/o C.
70481 □ Orbits/Ear/Post. Fossa w/ C. 73201 □ Upper Extremity w/ C.
70482 □ Orbits/Ear/Post. Fossa w/ & w/o C. 73202 □ Upper Extremity w/ & w/o C.
70486 □ Maxofacial Area w/o C. 73700 □ Lower Extremity w/o C.
70487 □ Maxofacial Area w/ C. 73701 □ Lower Extremity w/ C.
70488 □ Maxofacial Area w/ & w/o C. 73702 □ Lower Extremity w/ & w/o C.
70490 □ Soft Tissue Neck w/o C. 76380 □ CAT Scan Follow-up Study
70491 □ Soft Tissue Neck w/ C. 75571 □ Calcium Score
70492 □ Soft Tissue Neck w/ & w/o C.
71250 □ Thorax w/o C.
71260 □ Thorax w/ C.
71270 □ Thorax w/ & w/o C.
72125 □ Cervical Spine w/o C.
72126 □ Cervical Spine w/ C.
72127 □ Cervical Spine w/ & w/o C.
72128 □ Thoracic Spine w/o C.
72129 □ Thoracic Spine w/ C.
72130 □ Thoracic Spine w/ C.
72131 □ Lumbar Spine w/o C.
72132 □ Lumbar Spine w/ C.
72133 □ Lumbar Spine w & w/o C.
72192 □ Pelvis w/o C.
72193 □ Pelvis w/ C.
72194 □ Pelvis w/ & w/o C.
74150 □ Abdomen w/o C.
74160 □ Abdomen w/ C.
74170 □ Abdomen w/ & w/o C.

CTA

70496 □ Angiography, Head
70498 □ Angiography, Neck
71275 □ Angiography, Chest
72191 □ Angiography Pelvic w/ & w/o C.
74174 □ CTA Abd & Pelvis w/ C.
74175 □ Angiography Abd. w/ & w/o C.
73206 □ CTA Upper Extremity w/ & w/o C.
73706 □ CTA Lower Extremity w/ & w/o C.
75635 □ CTA Abd Aorta & Bilat. Iliorem low. Ext runoff

CONVENTIONAL NUCLEAR MEDICINE

AMYLOIDOSIS
78800 □ Radiopharm. localization of tumor. Lmtd
78803 □ Radiopharm. localization of tumor SPECT
A9538 □ Tech TC-99m Pyrophosphate
A9560 □ Tech TC-99m Red blood cells
LIVER
78201 □ Liver Imaging, Static Only
78202 □ Liver Imaging w/ Vascular Flow
78803 □ Liver & Spleen Tomo-SPECT
78203 □ Liver Imaging SPECT w/ V. F.
78215 □ Liver & Spleen Static Only
A9541 □ Tech TC-99m Sulfur Colloid
BONE
78306 □ Bone Scan WB
78315 □ Bone Scan (Three Phase Study)
78803 □ Bone Scan SPECT
A9503 □ Tech TC-99m Medronate
A9561 □ Tech TC-99m Oxidronate
DAT SCAN
78803 □ Brain Imaging Tomo-SPECT
A9521 □ Tech TC-99 Examentazine
GASTRIC
78262 □ Gastroesophageal Reflux Study
A9541 □ Tech TC-99m Sulfur Colloid
MUGA
78472 □ MUGA Scan
A9512 □ Pertenetrate
A9560 □ Ultratag
PARATHYROID
78070 □ Parathyroid Planar Imaging
78071 □ Parathyroid Planar I. w/ SPECT
A9500 □ Tech TC-99m Sestamibi
PIPIDA
78226 □ Pipida Scan
78227 □ Pipida Scan w/ Pharmac. Int.
A9537 □ Tech TC-99m Mebrofenin
RENAL
78707 Renal Scan w/ or w/o Lasix
78708 Captopril Renal Scan
A9562 Tech TC-99m Mertiatide
THYROID
78012 Thyroid Uptake only
78013 Thyroid Scan or Imaging
78014 Thyroid Uptake & Scan
A9516 Iodine I-123
A9512 Tech TC-99m pertechnetate

NUCLEAR STRESS TEST

78452 □ Tomographic Perfusion SPECT
93015 □ Supervision w/ interpretation
93017 □ Supervision w/o interpretation
A9502 □ Technetium TC-99m (2 doses)

PET SCAN

78608 □ Brain Imaging PET
78814 □ PET/CT Limited
78815 □ WB PET/CT Skull Base -Midta
78816 □ WB PET/CT Head to Toe
A9552 □ FDG/F-18

CARDIAC PET SCAN

78491 □ Myocardial Imaging PET Perf. Single Study
78492 □ Myocardial Imaging PET Perf.
A9555 □ Rubidium RB-82 (2 units)
93015 □ Sup. w/ interp. & report
93017 □ Tracing w/o interp. & report

CARDIAC PET CT SCAN

78429 □ Cardiac PET CT Scan (Metabolic)
78430 □ Cardiac PET CT Scan (Perfusion single)
78431 □ Cardiac PET CT Scan (Perfusion multiple)
78434 □ CFR
A9555 □ Rubidium RB-82 (2 units)
93015 □ Sup. w/ interp. & report
93017 □ Tracing w/o interp. & report
A9526 □ Ammonia N-13 (Coming Soon)

CARDIAC PET VIABILITY

78432 □ Cardiac PET Viability
A9555 □ Rubidium Rb-82 (1 unit)
A9552 □ FDG/F-18 (2 units)

CARDIAC PET CT VIABILITY

78433 □ Cardiac PET CT Viability
A9555 □ Rubidium Rb-82 (1 unit)
A9552 □ FDG/F-18 (2 units)

PHARMACOLOGIC PSTRESS AGENT

J0153 □ Adenosine (1mg)
J1245 □ Dipyridamole (Persantine) (10mg)
J1250 □ Dobutamine (250 mg)
J2785 □ Regadenoson (Lexiscan) (0.1mg)

MODIFIERS

PI □ Initial Treatment
PS □ Subsequent Treatment
50 □ Bilateral Procedure
51 □ Multiple Procedures