Computerized Tomographys (CT)
|
70450
|
Brain /Head wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70460
|
Brain/Head w/contrast
|
Y
|
Computerized Tomographys (CT)
|
70470
|
Brain/Head w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70480
|
Orbits wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70481
|
Orbits w/contrast
|
Y
|
Computerized Tomographys (CT)
|
70482
|
Orbits w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70486
|
Sinus wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70487
|
Sinus w/ contrast
|
Y
|
Computerized Tomographys (CT)
|
70488
|
Sinus w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70490
|
Neck, Soft Tissue w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70491
|
Neck, Soft Tissue w/contrast
|
Y
|
Computerized Tomographys (CT)
|
70492
|
Neck, Soft Tissue w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
70496
|
Angiogram Head
|
Y
|
Computerized Tomographys (CT)
|
70498
|
Angiogram Neck
|
Y
|
Computerized Tomographys (CT)
|
71250
|
Chest wo contrast
|
Y
|
Computerized Tomographys (CT)
|
71260
|
Chest w/contrast
|
Y
|
Computerized Tomographys (CT)
|
71270
|
Chest w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
71275
|
Angiogram, Chest w/contrast
|
Y
|
Computerized Tomographys (CT)
|
72125
|
Spine Cervical wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72126
|
Spine Cervical w/contrast
|
Y
|
Computerized Tomographys (CT)
|
72127
|
Spine Cervical w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72128
|
Spine, Thoracic wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72129
|
Spine, Thoracic w/contrast
|
Y
|
Computerized Tomographys (CT)
|
72130
|
Spine, Thoracic w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72131
|
Spine, Lumbar wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72132
|
Spine, Lumbar w/contrast
|
Y
|
Computerized Tomographys (CT)
|
72133
|
Spine, Lumbar w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72191
|
Pelvis Angiogram w/contrast
|
Y
|
Computerized Tomographys (CT)
|
72192
|
Pelvis wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72193
|
Pelvis w/contrast
|
Y
|
Computerized Tomographys (CT)
|
72194
|
Pelvis w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
72292
|
Sacroplasty
|
Y
|
Computerized Tomographys (CT)
|
73200
|
Upper Extremity wo contrast
|
Y
|
Computerized Tomographys (CT)
|
73201
|
Upper Extremity w/contrast
|
Y
|
Computerized Tomographys (CT)
|
73202
|
Upper Extremity w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
73206
|
Upper Extremity Angiogram w/contrast
|
Y
|
Computerized Tomographys (CT)
|
73700
|
Lower Extremity wo contrast
|
Y
|
Computerized Tomographys (CT)
|
73701
|
Lower Extremity w/contrast
|
Y
|
Computerized Tomographys (CT)
|
73702
|
Lower Extremity w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
73706
|
Lower Extremity Angiogram
|
Y
|
Computerized Tomographys (CT)
|
74150
|
Abdomen wo contrast
|
Y
|
Computerized Tomographys (CT)
|
74160
|
Abdomen w/contrast
|
Y
|
Computerized Tomographys (CT)
|
74170
|
Abdomen w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
74174
|
Abdomen & Pelvis, Angiogram w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
74175
|
Abdomen, Angiogram/AAA w/contrast
|
Y
|
Computerized Tomographys (CT)
|
74176
|
Abdomen & Pelvis, Renal Stone wo contrast
|
Y
|
Computerized Tomographys (CT)
|
74177
|
Abdomen & Pelvis, Enterography
|
Y
|
Computerized Tomographys (CT)
|
74178
|
Abdomen & Pelvis, Urogram w/wo contrast
|
Y
|
Computerized Tomographys (CT)
|
74261
|
Diagnostic Virtual Colonoscopy w/o contrast
|
Y
|
Computerized Tomographys (CT)
|
74262
|
Diagnostic Virtual Colonoscopy w/contrast
|
Y
|
Computerized Tomographys (CT)
|
74263
|
CT Colonoscopy is not reimbursable when used for screening
|
Y
|
Computerized Tomographys (CT)
|
75571
|
Heart, CACA wo contrast
|
Y
|
Computerized Tomographys (CT)
|
75572
|
Cardiac CT w/3d image
|
Y
|
Computerized Tomographys (CT)
|
75573
|
Cardiac CT w/3d image, congen
|
Y
|
Computerized Tomographys (CT)
|
75574
|
Cardiac CT angio heart, w/3d image
|
Y
|
Computerized Tomographys (CT)
|
75635
|
Abdomen, Angio Aorta Runoff w/contrast
|
Y
|
Computerized Tomographys (CT)
|
76380
|
CT limited/localized follow-up study
|
Y
|
Computerized Tomographys (CT)
|
77078
|
Bone Mineral Density Study one or more sites
|
Y
|
Computerized Tomographys (CT)
|
92025
|
Corneal Topography, unilateral or bilateral
|
Y
|
Positron Emission Tomography (PET)
|
78459
|
Myocardial Imaging, metabolic evaluation
|
Y
|
Positron Emission Tomography (PET)
|
78491
|
Myocardial imaging, positron emission tomography (PET), perfusion, single study at rest or stress
|
Y
|
Positron Emission Tomography (PET)
|
78492
|
Myocardial Imaging, perfusion, multiple studies at rest and/or stress
|
Y
|
Positron Emission Tomography (PET)
|
78608
|
Brain Imaging, metabolic evaluation
|
Y
|
Positron Emission Tomography (PET)
|
78609
|
Brain Imaging, perfusion
|
Y
|
Positron Emission Tomography (PET)
|
78811
|
Tumor imaging, positron emission tomography (PET); limited area (eg, chest, head/neck)
|
Y
|
Positron Emission Tomography (PET)
|
78812
|
Tumor imaging, positron emission tomography (PET); skull base to mid-thigh
|
Y
|
Positron Emission Tomography (PET)
|
78813
|
Tumor imaging, whole body
|
Y
|
Positron Emission Tomography (PET)
|
78814
|
Tumor imaging, w/CT, limited area (e.g., chest, head/neck)
|
Y
|
Positron Emission Tomography (PET)
|
78815
|
Tumor imaging, w/CT, skull base to mid-thigh
|
Y
|
Positron Emission Tomography (PET)
|
78816
|
Tumor imaging, w/CT, whole body
|
Y
|