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Radiology CPT Code RESOURCE GUIDE

COMPLIMENTS OF OPTIMAL IMAGING

www.jaxoptimalimaging.com The OPTIMAL DIFFERENCE

2-Hour Turnaround Time

Sub-specialty Radiologists

Jacksonville’s Leading Outpatient Imaging Network with (3) 3T MRIs

Complimentary iSTAT Services

Pre-Authorization Services

Same-Day Appointments Available

Evening and Saturday Hours

Convenient Locations with Surface Parking

Transportation Services Available Procedure Aid (CPT) MRI MRA-MRV CPT DESCRIPTION CPT DESCRIPTION 74181 Abdomen Without Contrast 74185 Magnetic Resonance , Abdomen, 74182 Abdomen With Contrast With or Without Contrast 74183 Abdomen W/Without Contrast 70544 Head Without Contrast 70551 Brain Without Contrast 70546 Head W/Without Contrast 70552 Brain With Contrast 73725 Magnetic Resonance Angiography, Lower Extremity, 70553 Brain W/Without Contrast With or Without Contrast 77048 Breast Unilateral With and Without Contrast 70547 Neck Without Contrast 77049 Breast Bilateral With and Without Contrast 70548 Neck With Contrast 72141 Cervical Spine Without Contrast 70549 Neck W/Without Contrast 72142 Cervical Spine With Contrast ARTHROGRAMS 72156 Cervical Spine W/Without Contrast 77002 Fluoro Guidance for Needle Placement/ 71550 Chest Without Contrast MR Arthrogram 71551 Chest With Contrast 27648 Injection - 73722 MR - Arthrogram Ankle 71552 Chest W/Without Contrast 24220 Injection - 73722 MR - Arthrogram Elbow 73721 Lower Extremity Without Contrast 27093 Injection - 73722 MR - Arthrogram Hip 73722 Lower Extremity Joint With Contrast Without Anesthesia 73723 Lower Extremity Joint W/Without Contrast 27369 Injection - 73722 MR - Arthrogram Knee 73718 Lower Extremity Other Than Joint Without Contrast 23350 Injection - 73722 MR - Arthrogram Shoulder 73719 Lower Extremity Other Than Joint With Contrast 27096 Injection Procedure for Sacroiliac Joint, Anesthetic/ 73720 Lower Extremity Other Than Joint W/Without Contrast Steroid, with Image Guidance ( or CT) 72148 Lumbar Spine Without Contrast including Arthrography when performed 72149 Lumbar Spine With Contrast 25246 Injection - 73722 MR - Arthrogram Wrist 72158 Lumbar Spine W/Without Contrast 73615 Non-MR Arthrogram Ankle 70540 Orbit, Face and/or Neck Without Contrast 73085 Non-MR Arthrogram Elbow 70542 Orbit, Face and/or Neck With Contrast 73525 Non-MR Arthrogram Hip 70543 Orbit, Face and/or Neck W/Without Contrast 73580 Non-MR Arthrogram Knee 72195 Pelvis Without Contrast 73040 Non-MR Arthrogram Shoulder 72196 Pelvis With Contrast MYELOGRAMS 72197 Pelvis W/Without Contrast 72240 Cervical Myelogram 72146 Thoracic Spine Without Contrast 62284 Injection Cervical 72147 Thoracic Spine With Contrast 72255 Thoracic Myelogram 72157 Thoracic Spine W/Without Contrast 62284 Injection Thoracic 70336 TMJ, Unilateral or Bilateral 72265 Myelogram Lumbrosacral 73221 Upper Extremity Joint Without Contrast 62284 Injection Lumbar 73222 Upper Extremity Joint With Contrast 73223 Upper Extremity Joint W/Without Contrast WOMEN’S SERVICES 73218 Upper Extremity Other Than Joint Without Contrast 77066 Bilateral Diagnostic Mammogram 73219 Upper Extremity Other Than Joint With Contrast 77067 Screening Mammogram 73220 Upper Extremity Other Than Joint With or 77065 Unilateral Diagnostic Mammogram Without Contrast 77080 Density (DEXA) Scan

www.jaxoptimalimaging.com 1 3 RADIOLOGY Procedure Aid (CPT) CT CTA CPT DESCRIPTION CPT DESCRIPTION 74150 Abdomen Without Contrast 74175 Abdomen W/Without Contrast 74160 Abdomen With Contrast 75635 Abdomen Aorta & Ext Runoff W/Without Contrast 74170 Abdomen W/Without Contrast 71275 Chest W/Without Contrast 75571 Cardiac Score/Calcium Screening 70496 Head W/Without Contrast 72127 Cervical Spine W/Without Contrast 70498 Neck W/Without Contrast 72126 Cervical Spine With Contrast 72191 Pelvis W/Without Contrast 72125 Cervical Spine Without Contrast SPECIAL PROCEDURES 71270 Chest W/Without Contrast 62320 Cervical ESI Without imaging 62321 W/imaging 71260 Chest With Contrast 62320 Thoracic ESI Without imaging 62321 W/imaging 71275 Chest- PE Protocol (Note: see CTA) 62322 Lumbar ESI Without imaging 62323 W/imaging 71250 Chest Without Contrast 62270 Lumbar Puncture 70470 Head or Brain W/Without Contrast 62291 Cervical/Thoracic Discography 70460 Head or Brain With Contrast 62290 Lumbar Discography 70450 Head or Brain Without Contrast 64479 Cervical/Thoracic Nerve Block 73702 Lower Extremity W/Without Contrast 64483 Lumbar Nerve Block, Lumbar or Sacral 73701 Lower Extremity With Contrast 64490 Cervical/ Thoracic Facet Block 73700 Lower Extremity Without Contrast 64493 Lumbar Facet Block 72133 Lumbar Spine W/Without Contrast 72132 Lumbar Spine With Contrast ULTRASOUND 72131 Lumbar Spine Without Contrast 76700 Abdominal Complete 70482 Orbits, lAC’s or Pituitary W/Without Contrast 76705 Abdominal Limited 70481 Orbits, lAC ‘s or Pituitary With Contrast 93978 Aorta, IVC, Iliac; Duplex. Complete Bilateral 70480 Orbits, lAC’s or Pituitary Without Contrast 93976 Arterial, Mesenteric, Visceral Duplex 72194 Pelvis W/Without Contrast 93922 Arterial ABI (Ankle Brachial/Arm Brachial) 72193 Pelvis With Contrast 93925 Arterial Duplex Doppler Lower Extremity Complete 72192 Pelvis Without Contrast 93926 Arterial Duplex Doppler Lower Extremity Limited 70488 Sinus or Facial W/Without Contrast 93930 Arterial Duplex Doppler Upper Extremity Complete 70487 Sinus or Facial Bones With Contrast 93931 Arterial Duplex Doppler Upper Extremity Limited 70486 Sinus or Facial Bones Without Contrast 93979 Aorta, IVC, Iliac; Duplex, Limited or Unilateral 70492 Soft Tissue Neck W/Without Contrast 76641 Breast (Unilateral) 70491 Soft Tissue Neck With Contrast 93880 Carotids- Doppler Duplex Complete 70490 Soft Tissue Neck Without Contrast 93306 Echocardiogram- 2D 72130 Thoracic Spine W/Without Contrast 76881 Extremity Non-Vascular Complete 72129 Thoracic Spine With Contrast 76882 Extremity Non-Vascular Limited 72128 Thoracic Spine Without Contrast 76770 (Kidneys) Retroperitoneal Duplex Complete 73202 Upper Extremity W/Without Contrast 76775 (Kidney) Retroperitoneal, Limited 73201 Upper Extremity With Contrast 76856 Pelvic Non-Obstetric Complete 73200 Upper Extremity Without Contrast 76857 Pelvic Non-Obstetric Limited or Follow-up 76376/7 3D Reconstruction 76830 Pelvic Transvaginal Non-Obstetric 74176 CT Abd/Pelvic (combo) Without Contrast 76801 OB Ultrasound (less than 14 weeks) 74177 CT Abd/Pelvic (combo) With Contrast 76805 OB Ultrasound (greater than 14 weeks) 74178 CT Abd/Pelvic (combo) W/Without Contrast 93970 Venous Duplex Doppler- Extremity Complete 93971 Venous Duplex Doppler- Extremity Limited 76870 Scrotum 76536 Soft Tissue Head/Neck/Thyroid 93930 Upper Extremity Arteries Complete 93931 Upper Extremity Arteries, Duplex, Limited or Unilateral www.jaxoptimalimaging.com 2 4 ➊ SOUTHSIDE ➋ RIVERSIDE ➌ MANDARIN ➍ MIDDLEBURG 6138 Kennerly Road | Suite 101 2345 Forbes Street 10503 San Jose Boulevard | Suite 100 1786 Blanding Boulevard | Suite 11 Jacksonville, FL 32216 Jacksonville, FL 32204 Jacksonville, FL 32257 Middleburg, FL 32068 904.733.7770 (P) | 904.733.7778 (F) 904.381.9994 (P) | 904.389.6866 (F) 904.450.6680 (P) | 904.450.6694 (F) 904.450.6940 (P) | 904.291.3268 (F) Tax ID# 59-0624449 Tax ID# 59-0624449 Tax ID# 59-0624449 Tax ID# 46-1523194 ➎ ST. JOHNS COUNTY ➏ TOWN CENTER ➐ WESTSIDE ➑ ORANGE PARK 2001 CR 210 | Suite 100 6699 Gate Parkway | Suite C 6488 103rd Street | Suite C 2300 Park Avenue | Suite 104 St. Johns, FL 32259 Jacksonville, FL 32256 Jacksonville, FL 32210 Orange Park, FL 32073 904.450.6270 (P) | 904.450.6279 (F) 904.450.8180 (P) | 904.450.8806 (F) 904.450.6980 (P) | 904.450.8829 (F) 904.215.2580 (P) | 904.215.2589 (F) Tax ID# 59-0624449 Tax ID# 59-0624449 Tax ID# 59-0624449 Tax ID# 59-0624449 jaxoptimalimaging.com/locations NPI # 1134117575