Type of Service (TOS) Indicator 4: Diagnostic Radiology
CPT codes | ||
| Code | Description | |
|---|---|---|
| 0028T | CPT Code | |
| 0042T | CPT Code | |
| 0042U | CPT Code | |
| 0043T | CPT Code | |
| 0067T | CPT Code | |
| 0067U | CPT Code | |
| 0068T | CPT Code | |
| 0068U | CPT Code | |
| 0069T | CPT Code | |
| 0069U | CPT Code | |
| 00700 | CPT Code | |
| 00702 | CPT Code | |
| 0070T | CPT Code | |
| 0073T | CPT Code | |
| 0145T | CPT Code | |
| 0145U | CPT Code | |
| 01462 | CPT Code | |
| 01464 | CPT Code | |
| 0146T | CPT Code | |
| 0146U | CPT Code | |
| 01470 | CPT Code | |
| 01472 | CPT Code | |
| 01474 | CPT Code | |
| 0147T | CPT Code | |
| 0147U | CPT Code | |
| 01480 | CPT Code | |
| 01482 | CPT Code | |
| 01484 | CPT Code | |
| 01486 | CPT Code | |
| 0148T | CPT Code | |
| 0148U | CPT Code | |
| 01490 | CPT Code | |
| 0149T | CPT Code | |
| 0149U | CPT Code | |
| 01500 | CPT Code | |
| 01502 | CPT Code | |
| 0150T | CPT Code | |
| 0150U | CPT Code | |
| 0151A | CPT Code | |
| 0151T | CPT Code | |
| 0151U | CPT Code | |
| 01520 | CPT Code | |
| 01522 | CPT Code | |
| 0154T | CPT Code | |
| 0159T | CPT Code | |
| 0174T | CPT Code | |
| 0174U | CPT Code | |
| 01756 | CPT Code | |
| 01758 | CPT Code | |
| 0175T | CPT Code | |
| 0223T | CPT Code | |
| 0223U | CPT Code | |
| 0224T | CPT Code | |
| 0224U | CPT Code | |
| 0225T | CPT Code | |
| 0330T | CPT Code | |
| 0330U | CPT Code | |
| 0331T | CPT Code | |
| 0331U | CPT Code | |
| 0332T | CPT Code | |
| 70010 | CPT Code | |
| 70015 | CPT Code | |
| 70030 | CPT Code | |
| 70100 | CPT Code | |
| 7010F | CPT Code | |
| 70110 | CPT Code | |
| 70120 | CPT Code | |
| 70130 | CPT Code | |
| 70134 | CPT Code | |
| 70140 | CPT Code | |
| 70150 | CPT Code | |
| 70160 | CPT Code | |
| 70170 | CPT Code | |
| 70190 | CPT Code | |
| 70200 | CPT Code | |
| 7020F | CPT Code | |
| 70210 | CPT Code | |
| 70220 | CPT Code | |
| 70240 | CPT Code | |
| 70250 | CPT Code | |
| 7025F | CPT Code | |
| 70260 | CPT Code | |
| 70300 | CPT Code | |
| 70310 | CPT Code | |
| 70320 | CPT Code | |
| 70328 | CPT Code | |
| 70330 | CPT Code | |
| 70332 | CPT Code | |
| 70336 | CPT Code | |
| 70350 | CPT Code | |
| 70355 | CPT Code | |
| 70360 | CPT Code | |
| 70370 | CPT Code | |
| 70371 | CPT Code | |
| 70373 | CPT Code | |
| 70380 | CPT Code | |
| 70390 | CPT Code | |
| 70450 | CPT Code | |
| 70460 | CPT Code | |
| 70470 | CPT Code | |
| 70480 | CPT Code | |
| 70481 | CPT Code | |
| 70482 | CPT Code | |
| 70486 | CPT Code | |
| 70487 | CPT Code | |
| 70488 | CPT Code | |
| 70490 | CPT Code | |
| 70491 | CPT Code | |
| 70492 | CPT Code | |
| 70496 | CPT Code | |
| 70498 | CPT Code | |
| 70540 | CPT Code | |
| 70542 | CPT Code | |
| 70543 | CPT Code | |
| 70544 | CPT Code | |
| 70545 | CPT Code | |
| 70546 | CPT Code | |
| 70547 | CPT Code | |
| 70548 | CPT Code | |
| 70549 | CPT Code | |
| 70551 | CPT Code | |
| 70552 | CPT Code | |
| 70553 | CPT Code | |
| 70554 | CPT Code | |
| 70555 | CPT Code | |
| 70557 | CPT Code | |
| 70558 | CPT Code | |
| 70559 | CPT Code | |
| 71010 | CPT Code | |
| 71015 | CPT Code | |
| 71020 | CPT Code | |
| 71021 | CPT Code | |
| 71022 | CPT Code | |
| 71023 | CPT Code | |
| 71030 | CPT Code | |
| 71034 | CPT Code | |
| 71035 | CPT Code | |
| 71040 | CPT Code | |
| 71045 | CPT Code | |
| 71046 | CPT Code | |
| 71047 | CPT Code | |
| 71048 | CPT Code | |
| 71060 | CPT Code | |
| 71090 | CPT Code | |
| 71100 | CPT Code | |
| 71101 | CPT Code | |
| 71110 | CPT Code | |
| 71111 | CPT Code | |
| 71120 | CPT Code | |
| 71130 | CPT Code | |
| 71250 | CPT Code | |
| 71260 | CPT Code | |
| 71270 | CPT Code | |
| 71271 | CPT Code | |
| 71275 | CPT Code | |
| 71550 | CPT Code | |
| 71551 | CPT Code | |
| 71552 | CPT Code | |
| 71555 | CPT Code | |
| 72010 | CPT Code | |
| 72020 | CPT Code | |
| 72040 | CPT Code | |
| 72050 | CPT Code | |
| 72052 | CPT Code | |
| 72069 | CPT Code | |
| 72070 | CPT Code | |
| 72072 | CPT Code | |
| 72074 | CPT Code | |
| 72080 | CPT Code | |
| 72081 | CPT Code | |
| 72082 | CPT Code | |
| 72083 | CPT Code | |
| 72084 | CPT Code | |
| 72090 | CPT Code | |
| 72100 | CPT Code | |
| 72110 | CPT Code | |
| 72114 | CPT Code | |
| 72120 | CPT Code | |
| 72125 | CPT Code | |
| 72126 | CPT Code | |
| 72127 | CPT Code | |
| 72128 | CPT Code | |
| 72129 | CPT Code | |
| 72130 | CPT Code | |
| 72131 | CPT Code | |
| 72132 | CPT Code | |
| 72133 | CPT Code | |
| 72141 | CPT Code | |
| 72142 | CPT Code | |
| 72146 | CPT Code | |
| 72147 | CPT Code | |
| 72148 | CPT Code | |
| 72149 | CPT Code | |
| 72156 | CPT Code | |
| 72157 | CPT Code | |
| 72158 | CPT Code | |
| 72159 | CPT Code | |
| 72170 | CPT Code | |
| 72190 | CPT Code | |
| 72191 | CPT Code | |
| 72192 | CPT Code | |
| 72193 | CPT Code | |
| 72194 | CPT Code | |
| 72195 | CPT Code | |
| 72196 | CPT Code | |
| 72197 | CPT Code | |
| 72198 | CPT Code | |
| 72200 | CPT Code | |
| 72202 | CPT Code | |
| 72220 | CPT Code | |
| 72240 | CPT Code | |
| 72255 | CPT Code | |
| 72265 | CPT Code | |
| 72270 | CPT Code | |
| 72275 | CPT Code | |
| 72285 | CPT Code | |
| 72291 | CPT Code | |
| 72292 | CPT Code | |
| 72295 | CPT Code | |
| 73000 | CPT Code | |
| 73010 | CPT Code | |
| 73020 | CPT Code | |
| 73030 | CPT Code | |
| 73040 | CPT Code | |
| 73050 | CPT Code | |
| 73060 | CPT Code | |
| 73070 | CPT Code | |
| 73080 | CPT Code | |
| 73085 | CPT Code | |
| 73090 | CPT Code | |
| 73092 | CPT Code | |
| 73100 | CPT Code | |
| 73110 | CPT Code | |
| 73115 | CPT Code | |
| 73120 | CPT Code | |
| 73130 | CPT Code | |
| 73140 | CPT Code | |
| 73200 | CPT Code | |
| 73201 | CPT Code | |
| 73202 | CPT Code | |
| 73206 | CPT Code | |
| 73218 | CPT Code | |
| 73219 | CPT Code | |
| 73220 | CPT Code | |
| 73221 | CPT Code | |
| 73222 | CPT Code | |
| 73223 | CPT Code | |
| 73225 | CPT Code | |
| 73500 | CPT Code | |
| 73501 | CPT Code | |
| 73502 | CPT Code | |
| 73503 | CPT Code | |
| 73510 | CPT Code | |
| 73520 | CPT Code | |
| 73521 | CPT Code | |
| 73522 | CPT Code | |
| 73523 | CPT Code | |
| 73525 | CPT Code | |
| 73530 | CPT Code | |
| 73540 | CPT Code | |
| 73542 | CPT Code | |
| 73550 | CPT Code | |
| 73551 | CPT Code | |
| 73552 | CPT Code | |
| 73560 | CPT Code | |
| 73562 | CPT Code | |
| 73564 | CPT Code | |
| 73565 | CPT Code | |
| 73580 | CPT Code | |
| 73590 | CPT Code | |
| 73592 | CPT Code | |
| 73600 | CPT Code | |
| 73610 | CPT Code | |
| 73615 | CPT Code | |
| 73620 | CPT Code | |
| 73630 | CPT Code | |
| 73650 | CPT Code | |
| 73660 | CPT Code | |
| 73700 | CPT Code | |
| 73701 | CPT Code | |
| 73702 | CPT Code | |
| 73706 | CPT Code | |
| 73718 | CPT Code | |
| 73719 | CPT Code | |
| 73720 | CPT Code | |
| 73721 | CPT Code | |
| 73722 | CPT Code | |
| 73723 | CPT Code | |
| 73725 | CPT Code | |
| 74000 | CPT Code | |
| 74010 | CPT Code | |
| 74018 | CPT Code | |
| 74019 | CPT Code | |
| 74020 | CPT Code | |
| 74021 | CPT Code | |
| 74022 | CPT Code | |
| 74150 | CPT Code | |
| 74160 | CPT Code | |
| 74170 | CPT Code | |
| 74174 | CPT Code | |
| 74175 | CPT Code | |
| 74176 | CPT Code | |
| 74177 | CPT Code | |
| 74178 | CPT Code | |
| 74181 | CPT Code | |
| 74182 | CPT Code | |
| 74183 | CPT Code | |
| 74185 | CPT Code | |
| 74190 | CPT Code | |
| 74210 | CPT Code | |
| 74220 | CPT Code | |
| 74221 | CPT Code | |
| 74230 | CPT Code | |
| 74235 | CPT Code | |
| 74240 | CPT Code | |
| 74241 | CPT Code | |
| 74245 | CPT Code | |
| 74246 | CPT Code | |
| 74247 | CPT Code | |
| 74248 | CPT Code | |
| 74249 | CPT Code | |
| 74250 | CPT Code | |
| 74251 | CPT Code | |
| 74260 | CPT Code | |
| 74261 | CPT Code | |
| 74262 | CPT Code | |
| 74263 | CPT Code | |
| 74270 | CPT Code | |
| 74280 | CPT Code | |
| 74283 | CPT Code | |
| 74290 | CPT Code | |
| 74291 | CPT Code | |
| 74300 | CPT Code | |
| 74301 | CPT Code | |
| 74305 | CPT Code | |
| 74320 | CPT Code | |
| 74327 | CPT Code | |
| 74328 | CPT Code | |
| 74329 | CPT Code | |
| 74330 | CPT Code | |
| 74340 | CPT Code | |
| 74350 | CPT Code | |
| 74355 | CPT Code | |
| 74360 | CPT Code | |
| 74363 | CPT Code | |
| 74400 | CPT Code | |
| 74410 | CPT Code | |
| 74415 | CPT Code | |
| 74420 | CPT Code | |
| 74425 | CPT Code | |
| 74430 | CPT Code | |
| 74440 | CPT Code | |
| 74445 | CPT Code | |
| 74450 | CPT Code | |
| 74455 | CPT Code | |
| 74470 | CPT Code | |
| 74475 | CPT Code | |
| 74480 | CPT Code | |
| 74485 | CPT Code | |
| 74710 | CPT Code | |
| 74712 | CPT Code | |
| 74713 | CPT Code | |
| 74740 | CPT Code | |
| 74742 | CPT Code | |
| 74775 | CPT Code | |
| 75552 | CPT Code | |
| 75553 | CPT Code | |
| 75554 | CPT Code | |
| 75555 | CPT Code | |
| 75556 | CPT Code | |
| 75557 | CPT Code | |
| 75558 | CPT Code | |
| 75559 | CPT Code | |
| 75560 | CPT Code | |
| 75561 | CPT Code | |
| 75562 | CPT Code | |
| 75563 | CPT Code | |
| 75564 | CPT Code | |
| 75565 | CPT Code | |
| 75571 | CPT Code | |
| 75572 | CPT Code | |
| 75573 | CPT Code | |
| 75574 | CPT Code | |
| 75580 | CPT Code | |
| 75600 | CPT Code | |
| 75605 | CPT Code | |
| 75625 | CPT Code | |
| 75630 | CPT Code | |
| 75635 | CPT Code | |
| 75650 | CPT Code | |
| 75658 | CPT Code | |
| 75660 | CPT Code | |
| 75662 | CPT Code | |
| 75665 | CPT Code | |
| 75671 | CPT Code | |
| 75676 | CPT Code | |
| 75680 | CPT Code | |
| 75685 | CPT Code | |
| 75705 | CPT Code | |
| 75710 | CPT Code | |
| 75716 | CPT Code | |
| 75722 | CPT Code | |
| 75724 | CPT Code | |
| 75726 | CPT Code | |
| 75731 | CPT Code | |
| 75733 | CPT Code | |
| 75736 | CPT Code | |
| 75741 | CPT Code | |
| 75743 | CPT Code | |
| 75746 | CPT Code | |
| 75756 | CPT Code | |
| 75774 | CPT Code | |
| 75790 | CPT Code | |
| 75791 | CPT Code | |
| 75801 | CPT Code | |
| 75803 | CPT Code | |
| 75805 | CPT Code | |
| 75807 | CPT Code | |
| 75809 | CPT Code | |
| 75810 | CPT Code | |
| 75820 | CPT Code | |
| 75822 | CPT Code | |
| 75825 | CPT Code | |
| 75827 | CPT Code | |
| 75831 | CPT Code | |
| 75833 | CPT Code | |
| 75840 | CPT Code | |
| 75842 | CPT Code | |
| 75860 | CPT Code | |
| 75870 | CPT Code | |
| 75872 | CPT Code | |
| 75880 | CPT Code | |
| 75885 | CPT Code | |
| 75887 | CPT Code | |
| 75889 | CPT Code | |
| 75891 | CPT Code | |
| 75893 | CPT Code | |
| 75898 | CPT Code | |
| 75956 | CPT Code | |
| 75957 | CPT Code | |
| 75958 | CPT Code | |
| 75959 | CPT Code | |
| 75970 | CPT Code | |
| 75992 | CPT Code | |
| 75993 | CPT Code | |
| 75994 | CPT Code | |
| 75995 | CPT Code | |
| 75996 | CPT Code | |
| 76000 | CPT Code | |
| 76001 | CPT Code | |
| 76010 | CPT Code | |
| 76080 | CPT Code | |
| 76098 | CPT Code | |
| 76100 | CPT Code | |
| 76101 | CPT Code | |
| 76102 | CPT Code | |
| 76120 | CPT Code | |
| 76125 | CPT Code | |
| 76140 | CPT Code | |
| 76145 | CPT Code | |
| 76150 | CPT Code | |
| 76350 | CPT Code | |
| 76376 | CPT Code | |
| 76377 | CPT Code | |
| 76380 | CPT Code | |
| 76390 | CPT Code | |
| 76391 | CPT Code | |
| 76496 | CPT Code | |
| 76497 | CPT Code | |
| 76498 | CPT Code | |
| 76499 | CPT Code | |
| 76506 | CPT Code | |
| 76510 | CPT Code | |
| 76511 | CPT Code | |
| 76512 | CPT Code | |
| 76513 | CPT Code | |
| 76514 | CPT Code | |
| 76516 | CPT Code | |
| 76519 | CPT Code | |
| 76529 | CPT Code | |
| 76536 | CPT Code | |
| 76604 | CPT Code | |
| 76641 | CPT Code | |
| 76642 | CPT Code | |
| 76645 | CPT Code | |
| 76700 | CPT Code | |
| 76705 | CPT Code | |
| 76706 | CPT Code | |
| 76770 | CPT Code | |
| 76775 | CPT Code | |
| 76776 | CPT Code | |
| 76800 | CPT Code | |
| 76801 | CPT Code | |
| 76802 | CPT Code | |
| 76805 | CPT Code | |
| 76810 | CPT Code | |
| 76811 | CPT Code | |
| 76812 | CPT Code | |
| 76813 | CPT Code | |
| 76814 | CPT Code | |
| 76815 | CPT Code | |
| 76816 | CPT Code | |
| 76817 | CPT Code | |
| 76818 | CPT Code | |
| 76819 | CPT Code | |
| 76820 | CPT Code | |
| 76821 | CPT Code | |
| 76825 | CPT Code | |
| 76826 | CPT Code | |
| 76827 | CPT Code | |
| 76828 | CPT Code | |
| 76830 | CPT Code | |
| 76831 | CPT Code | |
| 76856 | CPT Code | |
| 76857 | CPT Code | |
| 76870 | CPT Code | |
| 76872 | CPT Code | |
| 76873 | CPT Code | |
| 76880 | CPT Code | |
| 76881 | CPT Code | |
| 76882 | CPT Code | |
| 76883 | CPT Code | |
| 76885 | CPT Code | |
| 76886 | CPT Code | |
| 76930 | CPT Code | |
| 76932 | CPT Code | |
| 76937 | CPT Code | |
| 76940 | CPT Code | |
| 76945 | CPT Code | |
| 76970 | CPT Code | |
| 76975 | CPT Code | |
| 76977 | CPT Code | |
| 76978 | CPT Code | |
| 76979 | CPT Code | |
| 76981 | CPT Code | |
| 76982 | CPT Code | |
| 76983 | CPT Code | |
| 76984 | CPT Code | |
| 76987 | CPT Code | |
| 76988 | CPT Code | |
| 76989 | CPT Code | |
| 76998 | CPT Code | |
| 76999 | CPT Code | |
| 77001 | CPT Code | |
| 77002 | CPT Code | |
| 77003 | CPT Code | |
| 77011 | CPT Code | |
| 77012 | CPT Code | |
| 77013 | CPT Code | |
| 77014 | CPT Code | |
| 77021 | CPT Code | |
| 77022 | CPT Code | |
| 77031 | CPT Code | |
| 77032 | CPT Code | |
| 77046 | CPT Code | |
| 77047 | CPT Code | |
| 77048 | CPT Code | |
| 77049 | CPT Code | |
| 77051 | CPT Code | |
| 77053 | CPT Code | |
| 77054 | CPT Code | |
| 77055 | CPT Code | |
| 77056 | CPT Code | |
| 77058 | CPT Code | |
| 77059 | CPT Code | |
| 77061 | CPT Code | |
| 77062 | CPT Code | |
| 77063 | CPT Code | |
| 77065 | CPT Code | |
| 77066 | CPT Code | |
| 77067 | CPT Code | |
| 77071 | CPT Code | |
| 77072 | CPT Code | |
| 77073 | CPT Code | |
| 77074 | CPT Code | |
| 77075 | CPT Code | |
| 77076 | CPT Code | |
| 77077 | CPT Code | |
| 77078 | CPT Code | |
| 77079 | CPT Code | |
| 77080 | CPT Code | |
| 77081 | CPT Code | |
| 77082 | CPT Code | |
| 77083 | CPT Code | |
| 77084 | CPT Code | |
| 77371 | CPT Code | |
| 77372 | CPT Code | |
| 77373 | CPT Code | |
| 77424 | CPT Code | |
| 77425 | CPT Code | |
| 77469 | CPT Code | |
| 78000 | CPT Code | |
| 78001 | CPT Code | |
| 78003 | CPT Code | |
| 78006 | CPT Code | |
| 78007 | CPT Code | |
| 78010 | CPT Code | |
| 78011 | CPT Code | |
| 78012 | CPT Code | |
| 78013 | CPT Code | |
| 78014 | CPT Code | |
| 78015 | CPT Code | |
| 78016 | CPT Code | |
| 78018 | CPT Code | |
| 78020 | CPT Code | |
| 78070 | CPT Code | |
| 78071 | CPT Code | |
| 78072 | CPT Code | |
| 78075 | CPT Code | |
| 78099 | CPT Code | |
| 78102 | CPT Code | |
| 78103 | CPT Code | |
| 78104 | CPT Code | |
| 78110 | CPT Code | |
| 78111 | CPT Code | |
| 78120 | CPT Code | |
| 78121 | CPT Code | |
| 78122 | CPT Code | |
| 78130 | CPT Code | |
| 78135 | CPT Code | |
| 78140 | CPT Code | |
| 78185 | CPT Code | |
| 78190 | CPT Code | |
| 78191 | CPT Code | |
| 78195 | CPT Code | |
| 78199 | CPT Code | |
| 78201 | CPT Code | |
| 78202 | CPT Code | |
| 78205 | CPT Code | |
| 78206 | CPT Code | |
| 78215 | CPT Code | |
| 78216 | CPT Code | |
| 78220 | CPT Code | |
| 78223 | CPT Code | |
| 78226 | CPT Code | |
| 78227 | CPT Code | |
| 78230 | CPT Code | |
| 78231 | CPT Code | |
| 78232 | CPT Code | |
| 78258 | CPT Code | |
| 78261 | CPT Code | |
| 78262 | CPT Code | |
| 78264 | CPT Code | |
| 78270 | CPT Code | |
| 78271 | CPT Code | |
| 78272 | CPT Code | |
| 78278 | CPT Code | |
| 78282 | CPT Code | |
| 78290 | CPT Code | |
| 78291 | CPT Code | |
| 78299 | CPT Code | |
| 78300 | CPT Code | |
| 78305 | CPT Code | |
| 78306 | CPT Code | |
| 78315 | CPT Code | |
| 78320 | CPT Code | |
| 78350 | CPT Code | |
| 78351 | CPT Code | |
| 78399 | CPT Code | |
| 78414 | CPT Code | |
| 78428 | CPT Code | |
| 78429 | CPT Code | |
| 78430 | CPT Code | |
| 78431 | CPT Code | |
| 78432 | CPT Code | |
| 78433 | CPT Code | |
| 78434 | CPT Code | |
| 78445 | CPT Code | |
| 78451 | CPT Code | |
| 78452 | CPT Code | |
| 78453 | CPT Code | |
| 78454 | CPT Code | |
| 78456 | CPT Code | |
| 78457 | CPT Code | |
| 78458 | CPT Code | |
| 78459 | CPT Code | |
| 78460 | CPT Code | |
| 78461 | CPT Code | |
| 78464 | CPT Code | |
| 78465 | CPT Code | |
| 78466 | CPT Code | |
| 78468 | CPT Code | |
| 78469 | CPT Code | |
| 78472 | CPT Code | |
| 78473 | CPT Code | |
| 78478 | CPT Code | |
| 78480 | CPT Code | |
| 78481 | CPT Code | |
| 78483 | CPT Code | |
| 78491 | CPT Code | |
| 78492 | CPT Code | |
| 78494 | CPT Code | |
| 78496 | CPT Code | |
| 78499 | CPT Code | |
| 78579 | CPT Code | |
| 78580 | CPT Code | |
| 78582 | CPT Code | |
| 78584 | CPT Code | |
| 78585 | CPT Code | |
| 78586 | CPT Code | |
| 78587 | CPT Code | |
| 78588 | CPT Code | |
| 78591 | CPT Code | |
| 78593 | CPT Code | |
| 78594 | CPT Code | |
| 78596 | CPT Code | |
| 78597 | CPT Code | |
| 78598 | CPT Code | |
| 78599 | CPT Code | |
| 78600 | CPT Code | |
| 78601 | CPT Code | |
| 78605 | CPT Code | |
| 78606 | CPT Code | |
| 78607 | CPT Code | |
| 78608 | CPT Code | |
| 78609 | CPT Code | |
| 78610 | CPT Code | |
| 78615 | CPT Code | |
| 78630 | CPT Code | |
| 78635 | CPT Code | |
| 78645 | CPT Code | |
| 78647 | CPT Code | |
| 78650 | CPT Code | |
| 78660 | CPT Code | |
| 78699 | CPT Code | |
| 78700 | CPT Code | |
| 78701 | CPT Code | |
| 78707 | CPT Code | |
| 78708 | CPT Code | |
| 78709 | CPT Code | |
| 78710 | CPT Code | |
| 78725 | CPT Code | |
| 78730 | CPT Code | |
| 78740 | CPT Code | |
| 78761 | CPT Code | |
| 78799 | CPT Code | |
| 78800 | CPT Code | |
| 78801 | CPT Code | |
| 78802 | CPT Code | |
| 78803 | CPT Code | |
| 78804 | CPT Code | |
| 78805 | CPT Code | |
| 78806 | CPT Code | |
| 78807 | CPT Code | |
| 78811 | CPT Code | |
| 78812 | CPT Code | |
| 78813 | CPT Code | |
| 78814 | CPT Code | |
| 78815 | CPT Code | |
| 78816 | CPT Code | |
| 78830 | CPT Code | |
| 78831 | CPT Code | |
| 78832 | CPT Code | |
| 78835 | CPT Code | |
| 78890 | CPT Code | |
| 78891 | CPT Code | |
| 78999 | CPT Code | |
| 79005 | CPT Code | |
| 79101 | CPT Code | |
| 79445 | CPT Code | |
| 91110 | CPT Code | |
| 91111 | CPT Code | |
| 92978 | CPT Code | |
| 92979 | CPT Code | |
| 93555 | CPT Code | |
| 93556 | CPT Code | |
| 95965 | CPT Code | |
| 95966 | CPT Code | |
| 95967 | CPT Code | |
| 96020 | CPT Code | |
HCPCS codes | ||
| Code | Description | |
| A4641 | Radiopharmaceutical, diagnostic, not otherwise classified | |
| A4642 | Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries | |
| A4643 | SUPPLY OF ADDITIONAL HIGH DOSE CONTRAST MATERIAL(S) DURING MAGNETIC RESONANCE IMAGING, E.G., GADOTERIDOL INJECTION | |
| A4644 | SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (100-199 MGS OF IODINE) | |
| A4645 | SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (200-299 MGS OF IODINE) | |
| A4646 | SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (300-399 MGS OF IODINE) | |
| A4647 | SUPPLY OF PARAMAGNETIC CONTRAST MATERIAL, EG., GADOLINIUM | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | |
| A9501 | Technetium tc-99m teboroxime, diagnostic, per study dose | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | |
| A9504 | Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries | |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | |
| A9506 | Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible | |
| A9507 | Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries | |
| A9508 | Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie | |
| A9509 | Iodine i-123 sodium iodide, diagnostic, per millicurie | |
| A9510 | Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries | |
| A9511 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M, DEPREOTIDE, PER MCI | |
| A9512 | Technetium tc-99m pertechnetate, diagnostic, per millicurie | |
| A9513 | Lutetium lu 177, dotatate, therapeutic, 1 millicurie | |
| A9514 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M PYROPHOSPHATE, PER MCI | |
| A9515 | Choline c-11, diagnostic, per study dose up to 20 millicuries | |
| A9516 | Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries | |
| A9519 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M MACROAGGREGATED ALBUMIN, PER MCI | |
| A9520 | Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries | |
| A9521 | Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries | |
| A9522 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM-111 IBRITUMOMAB TIUXETAN, PER MCI | |
| A9524 | Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries | |
| A9525 | SUPPLY OF LOW OR ISO-OSMOLAR CONTRAST MATERIAL, 10 MG OF IODINE | |
| A9526 | Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries | |
| A9527 | Iodine i-125, sodium iodide solution, therapeutic, per millicurie | |
| A9528 | Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie | |
| A9529 | Iodine i-131 sodium iodide solution, diagnostic, per millicurie | |
| A9531 | Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) | |
| A9533 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, I-131 TOSITUMOMAB, PER MILLICURIE | |
| A9535 | INJECTION, METHYLENE BLUE, 1 ML | |
| A9536 | Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries | |
| A9537 | Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries | |
| A9538 | Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries | |
| A9539 | Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries | |
| A9540 | Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries | |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | |
| A9542 | Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries | |
| A9544 | Iodine i-131 tositumomab, diagnostic, per study dose | |
| A9546 | Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie | |
| A9547 | Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie | |
| A9548 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | |
| A9549 | TECHNETIUM TC-99M ARCITUMOMAB, DIAGNOSTIC, PER STUDY DOSE, UP TO 25 MILLICURIES | |
| A9550 | Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie | |
| A9551 | Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries | |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | |
| A9553 | Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries | |
| A9554 | Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries | |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | |
| A9556 | Gallium ga-67 citrate, diagnostic, per millicurie | |
| A9557 | Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries | |
| A9558 | Xenon xe-133 gas, diagnostic, per 10 millicuries | |
| A9559 | Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie | |
| A9560 | Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries | |
| A9561 | Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries | |
| A9562 | Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries | |
| A9565 | INDIUM IN-111 PENTETREOTIDE, DIAGNOSTIC, PER MILLICURIE | |
| A9566 | Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries | |
| A9567 | Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries | |
| A9568 | Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries | |
| A9569 | Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose | |
| A9570 | Indium in-111 labeled autologous white blood cells, diagnostic, per study dose | |
| A9571 | Indium in-111 labeled autologous platelets, diagnostic, per study dose | |
| A9572 | Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries | |
| A9573 | Injection, gadopiclenol, 1 ml | |
| A9574 | Air polymer-type a intrauterine foam, 0.1 ml | |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | |
| A9576 | Injection, gadoteridol, (prohance multipack), per ml | |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | |
| A9578 | Injection, gadobenate dimeglumine (multihance multipack), per ml | |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | |
| A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | |
| A9582 | Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries | |
| A9583 | Injection, gadofosveset trisodium, 1 ml | |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | |
| A9585 | Injection, gadobutrol, 0.1 ml | |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | |
| A9698 | Non-radioactive contrast imaging material, not otherwise classified, per study | |
| C1079 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, CYANOCOBALAMIN CO 57/58, PER 0.5 MICROCURIE | |
| C1080 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, I-131 TOSITUMOMAB, PER DOSE | |
| C1082 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM-111 IBRITUMOMAB TIUXETAN, PER DOSE | |
| C1091 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM 111 OXYQUINOLINE, PER 0.5 MILLICURIE | |
| C1092 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM 111 PENTETATE, PER 0.5 MILLICURIE | |
| C1093 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M FANOLESOMAB, PER DOSE (10 - 20 MCI) | |
| C1122 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M ARCITUMOMAB, PER VIAL | |
| C1200 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M SODIUM GLUCOHEPTONATE, PER VIAL | |
| C1201 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M SUCCIMER, PER VIAL | |
| C1775 | SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, FLUORODEOXYGLUCOSE F18 (2-DEOXY-2-[18F]FLUORO-D-GLUCOSE), PER DOSE (4-40 MCI/ML) | |
| C2637 | Brachytherapy source, non-stranded, ytterbium-169, per source | |
| C2639 | Brachytherapy source, non-stranded, iodine-125, per source | |
| C2640 | Brachytherapy source, stranded, palladium-103, per source | |
| C2641 | Brachytherapy source, non-stranded, palladium-103, per source | |
| C2642 | Brachytherapy source, stranded, cesium-131, per source | |
| C2643 | Brachytherapy source, non-stranded, cesium-131, per source | |
| C2698 | Brachytherapy source, stranded, not otherwise specified, per source | |
| C2699 | Brachytherapy source, non-stranded, not otherwise specified, per source | |
| C5271 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area | |
| C5272 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) | |
| C5273 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children | |
| C5274 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) | |
| C5275 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area | |
| C5276 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) | |
| C5277 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children | |
| C5278 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) | |
| C7500 | Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (eg, subfacial) drug-delivery device(s) | |
| C7501 | Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral and bilateral (for single lesion biopsy, use appropriate code) | |
| C7502 | Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral or bilateral (for single lesion biopsy, use appropriate code) | |
| C7503 | Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg, mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed | |
| C7504 | Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance | |
| C7505 | Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance | |
| C7506 | Arthrodesis, interphalangeal joints, with or without internal fixation | |
| C7507 | Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance | |
| C7508 | Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance | |
| C7509 | Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed | |
| C7510 | Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed | |
| C7511 | Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed | |
| C7512 | Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed | |
| C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report | |
| C7514 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with all angioplasty in the central dialysis segment, and transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report | |
| C7515 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins, including all required imaging, radiological supervision and interpretation, image documentation and report | |
| C7516 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report | |
| C7517 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation | |
| C7518 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging, supervision, interpretation and report | |
| C7519 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | |
| C7520 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation | |
| C7521 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report | |
| C7522 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | |
| C7523 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report | |
| C7524 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | |
| C7525 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report | |
| C7526 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | |
| C7527 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report | |
| C7528 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | |
| C7529 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | |
| C7530 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment, with transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging, radiological supervision and interpretation, documentation and report | |
| C7531 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation | |
| C7532 | Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation | |
| C7533 | Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy | |
| C7534 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation | |
| C7535 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation | |
| C7537 | Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable debribrillator or pacemake pulse generator (eg, for upgrade to dual chamber system) | |
| C7538 | Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defribrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) | |
| C7539 | Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) | |
| C7540 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) | |
| C7541 | Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | |
| C7542 | Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | |
| C7543 | Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | |
| C7544 | Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | |
| C7545 | Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation | |
| C7546 | Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation | |
| C7547 | Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dialation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | |
| C7548 | Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | |
| C7549 | Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | |
| C7550 | Cystourethroscopy, with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent | |
| C7551 | Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle | |
| C7552 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, initial vessel | |
| C7553 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed | |
| C7554 | Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent | |
| C7555 | Thyroidectomy, total or complete with parathyroid autotransplantation | |
| C7556 | Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed | |
| C7557 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention | |
| C7558 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed | |
| C7560 | Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) | |
| C7561 | Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less with manual preparation and insertion of drug-delivery device(s), deep (e.g., subfascial) | |
| C7900 | Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service | |
| C7901 | Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service | |
| C7902 | Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service) | |
| C7903 | Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service | |
| C8000 | Support device, extravascular, for arteriovenous fistula (implantable) | |
| C8900 | Magnetic resonance angiography with contrast, abdomen | |
| C8901 | Magnetic resonance angiography without contrast, abdomen | |
| C8902 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | |
| C8903 | Magnetic resonance imaging with contrast, breast; unilateral | |
| C8904 | Magnetic resonance imaging without contrast, breast; unilateral | |
| C8905 | Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral | |
| C8906 | Magnetic resonance imaging with contrast, breast; bilateral | |
| C8907 | Magnetic resonance imaging without contrast, breast; bilateral | |
| C8908 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral | |
| C8909 | Magnetic resonance angiography with contrast, chest (excluding myocardium) | |
| C8910 | Magnetic resonance angiography without contrast, chest (excluding myocardium) | |
| C8911 | Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) | |
| C8912 | Magnetic resonance angiography with contrast, lower extremity | |
| C8913 | Magnetic resonance angiography without contrast, lower extremity | |
| C8914 | Magnetic resonance angiography without contrast followed by with contrast, lower extremity | |
| C8918 | Magnetic resonance angiography with contrast, pelvis | |
| C8919 | Magnetic resonance angiography without contrast, pelvis | |
| C8920 | Magnetic resonance angiography without contrast followed by with contrast, pelvis | |
| C8921 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete | |
| C8922 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study | |
| C8923 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spectral or color doppler echocardiography | |
| C8924 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study | |
| C8925 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report | |
| C8926 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report | |
| C8927 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis | |
| C8928 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report | |
| C8929 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography | |
| C8930 | Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision | |
| C8931 | Magnetic resonance angiography with contrast, spinal canal and contents | |
| C8932 | Magnetic resonance angiography without contrast, spinal canal and contents | |
| C8933 | Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents | |
| C8934 | Magnetic resonance angiography with contrast, upper extremity | |
| C8935 | Magnetic resonance angiography without contrast, upper extremity | |
| C8936 | Magnetic resonance angiography without contrast followed by with contrast, upper extremity | |
| C9275 | Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose | |
| C9406 | Iodine i-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | |
| C9733 | Non-ophthalmic fluorescent vascular angiography | |
| C9756 | Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure) | |
| C9762 | Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging | |
| C9763 | Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging | |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | |
| G0031 | Palliative care services given to patient any time during the measurement period | |
| G0032 | Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics | |
| G0033 | Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines | |
| G0034 | Patients receiving palliative care during the measurement period | |
| G0035 | Patient has any emergency department encounter during the performance period with place of service indicator 23 | |
| G0036 | Patient or care partner decline assessment | |
| G0037 | On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available | |
| G0038 | Clinician determines patient does not require referral | |
| G0039 | Patient not referred, reason not otherwise specified | |
| G0040 | Patient already receiving physical/occupational/speech/recreational therapy during the measurement period | |
| G0041 | Patient and/or care partner decline referral | |
| G0042 | Referral to physical, occupational, speech, or recreational therapy | |
| G0043 | Patients with mechanical prosthetic heart valve | |
| G0044 | Patients with moderate or severe mitral stenosis | |
| G0045 | Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention | |
| G0046 | Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention | |
| G0047 | Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed | |
| G0048 | Patients who receive palliative care services any time during the intake period through the end of the measurement year | |
| G0049 | With maintenance hemodialysis (in-center and home hd) for the complete reporting month | |
| G0050 | Patients with a catheter that have limited life expectancy | |
| G0106 | Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema | |
| G0120 | Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema. | |
| G0122 | Colorectal cancer screening; barium enema | |
| G0125 | PET IMAGING REGIONAL OR WHOLE BODY; SINGLE PULMONARY NODULE | |
| G0130 | Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) | |
| G0204 | Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral | |
| G0206 | Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral | |
| G0210 | PET IMAGING WHOLE BODY; DIAGNOSIS; LUNG CANCER, NON-SMALL CELL | |
| G0211 | PET IMAGING WHOLE BODY; INITIAL STAGING; LUNG CANCER; NON-SMALL CELL (REPLACES G0126) | |
| G0212 | PET IMAGING WHOLE BODY; RESTAGING; LUNG CANCER; NON-SMALL | |
| G0213 | PET IMAGING WHOLE BODY; DIAGNOSIS; COLORECTAL | |
| G0214 | PET IMAGING WHOLE BODY; INITIAL STAGING; COLORECTAL | |
| G0215 | PET IMAGING WHOLE BODY; RESTAGING; COLORECTAL CANCER (REPLACES G0163) | |
| G0216 | PET IMAGING WHOLE BODY; DIAGNOSIS; MELANOMA | |
| G0217 | PET IMAGING WHOLE BODY; INITIAL STAGING; MELANOMA | |
| G0218 | PET IMAGING WHOLE BODY; RESTAGING; MELANOMA (REPLACES G0165) | |
| G0219 | Pet imaging whole body; melanoma for non-covered indications | |
| G0220 | PET IMAGING WHOLE BODY; DIAGNOSIS; LYMPHOMA | |
| G0221 | PET IMAGING WHOLE BODY; INITIAL STAGING; LYMPHOMA (REPLACES G0164) | |
| G0222 | PET IMAGING WHOLE BODY; RESTAGING; LYMPHOMA (REPLACES G0164) | |
| G0223 | PET IMAGING WHOLE BODY OR REGIONAL; DIAGNOSIS; HEAD AND NECK CANCER; EXCLUDING THYROID AND CNS CANCERS | |
| G0224 | PET IMAGING WHOLE BODY OR REGIONAL; INITIAL STAGING; HEAD AND NECK CANCER; EXCLUDING THYROID AND CNS CANCERS | |
| G0225 | PET IMAGING WHOLE BODY OR REGIONAL; RESTAGING; HEAD AND NECK CANCER, EXCLUDING THYROID AND CNS CANCERS | |
| G0226 | PET IMAGING WHOLE BODY; DIAGNOSIS; ESOPHAGEAL CANCER | |
| G0227 | PET IMAGING WHOLE BODY; INITIAL STAGING; ESOPHAGEAL CANCER | |
| G0228 | PET IMAGING WHOLE BODY; RESTAGING; ESOPHAGEAL CANCER | |
| G0229 | PET IMAGING; METABOLIC BRAIN IMAGING FOR PRE-SURGICAL EVALUATION OF REFRACTORY SEIZURES | |
| G0230 | PET IMAGING; METABOLIC ASSESSMENT FOR MYOCARDIAL VIABILITY FOLLOWING INCONCLUSIVE SPECT STUDY | |
| G0231 | PET, WHOLE BODY, FOR RECURRENCE OF COLORECTAL OR COLORECTAL METASTATIC CANCER; GAMMA CAMERAS ONLY | |
| G0232 | PET, WHOLE BODY, FOR STAGING AND CHARACTERIZATION OF LYMPHOMA; GAMMA CAMERAS ONLY | |
| G0233 | PET, WHOLE BODY, FOR RECURRENCE OF MELANOMA OR MELANOMA METASTATIC CANCER; GAMMA CAMERAS ONLY | |
| G0234 | PET, REGIONAL OR WHOLE BODY, FOR SOLITARY PULMONARY NODULE FOLLOWING CT OR FOR INITIAL STAGING OF PATHOLOGICALLY DIAGNOSED NONSMALL CELL LUNG CANCER; GAMMA CAMERAS ONLY | |
| G0251 | Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment | |
| G0252 | Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes) | |
| G0253 | PET IMAGING FOR BREAST CANCER, FULL AND PARTIAL-RING PET SCANNERS ONLY, STAGING/RESTAGING OF LOCAL REGIONAL RECURRENCE OR DISTANT METASTASES (I.E., STAGING/RESTAGING AFTER OR PRIOR TO COURSE OF TREATMENT) | |
| G0254 | PET IMAGING FOR BREAST CANCER, FULL AND PARTIAL- RING PET SCANNERS ONLY, EVALUATION OF RESPONSE TO TREATMENT, PERFORMED DURING COURSE OF TREATMENT | |
| G0255 | Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve | |
| G0288 | Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | |
| G0336 | PET IMAGING, BRAIN IMAGING FOR THE DIFFERENTIAL DIAGNOSIS OF ALZHEIMER'S DISEASE WITH ABERRANT FEATURES VS FRONTO-TEMPORAL DEMENTIA | |
| G0389 | Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening | |
| Q0092 | Set-up portable x-ray equipment | |
| Q9945 | LOW OSMOLAR CONTRAST MATERIAL, UP TO 149 MG/ML IODINE CONCENTRATION, PER ML | |
| Q9946 | LOW OSMOLAR CONTRAST MATERIAL, 150-199 MG/ML IODINE CONCENTRATION, PER ML | |
| Q9947 | LOW OSMOLAR CONTRAST MATERIAL, 200-249 MG/ML IODINE CONCENTRATION, PER ML | |
| Q9948 | LOW OSMOLAR CONTRAST MATERIAL, 250-299 MG/ML IODINE CONCENTRATION, PER ML | |
| Q9949 | LOW OSMOLAR CONTRAST MATERIAL, 300-349 MG/ML IODINE CONCENTRATION, PER ML | |
| Q9950 | Injection, sulfur hexafluoride lipid microspheres, per ml | |
| Q9951 | Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml | |
| Q9952 | INJECTION, GADOLINIUM-BASED MAGNETIC RESONANCE CONTRAST AGENT, PER ML | |
| Q9953 | Injection, iron-based magnetic resonance contrast agent, per ml | |
| Q9954 | Oral magnetic resonance contrast agent, per 100 ml | |
| Q9955 | Injection, perflexane lipid microspheres, per ml | |
| Q9956 | Injection, octafluoropropane microspheres, per ml | |
| Q9957 | Injection, perflutren lipid microspheres, per ml | |
| Q9958 | High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml | |
| Q9959 | High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml | |
| Q9960 | High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml | |
| Q9961 | High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml | |
| Q9962 | High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml | |
| Q9963 | High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml | |
| Q9964 | High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml | |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | |
| Q9968 | Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg | |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | |
| R0075 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen | |
| S8037 | Magnetic resonance cholangiopancreatography (mrcp) | |
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