ADI ACCREDITATION CPT CODES MAY 2012 MRI *New 2012 codes are highlighted in yellow with an asterisk 77084 magnetic image, bone marrow 77058 MRI, one breast 77059 MRI, both breasts 76390 Spectroscopy, magnetic resonance Magnetic resonance (eg, proton) imaging, abdomen; without contrast 74181 material(s) 74182 MRI abdomen w/contrast 74183 MRI abdomen w/o cntrst flwd cntrst 74185 MRA of abdomen 75557 Cardiac MRI for morph 75559 Cardiac MRI w/stress img 75561 Cardiac MRI for morph w/dye 75563 Card MRI w/stress img & dye 75565 Cardiac MRI for velocity flow mapping* 73718 Lower w/o contrast - MRI/ Extremities 73719 MRI lwr extrm no jnt w/contrast 73720 MRI, lower extremity other than joint; w 73721 Lower Joint w/o contrast - MRI/ Extremities 73722 MRI lwr extrm joint, with contrast 73723 MRI lwr extr jnt w/o cntrst fwd cnt 73725 MRI of lower extremity 73218 Upper w/o contrast - MRI/ Extremities 73219 MRI upr extrm no joint w/contrast 73220 MRI, upper extremity, other than joint; 73221 Upper Joint w/o contrast - MRI/ Extremities 73222 MRI upr extr joint, w/contrast 73223 MRI upr ext jnt w/o cntrst flwd cnt 73225 MRI of upper extremity 72195 w/o contrast - MRI/ Spine/ Pelvis 72196 Sacrum w/o contrast - MRI/ Spine/ Pelvis 72197 Pelvis w/o & w/ contrast - MRI/ Spine/ Pelvis 72198 MRI of pelvis 72141 Cervical w/o contrast - MRI/ Spine/ Pelvis ADI ACCREDITATION CPT CODES MAY 2012 72142 Contrast MRI of cervical spine 72146 Thoracic w/o contrast - MRI/ Spine/ Pelvis 72147 Contrast MRI of thoracic spine 72148 Lumbar w/o contrast - MRI/ Spine/Pelvis 72149 Contrast MRI of lumbar spine 72156 Cervical w/o & w/ contrast - MRI/ Spine/ Pelvis 72157 Thoracic w/o & w/ contrast - MRI/ Spine/ Pelvis 72158 Lumbar w/o & w/ contrast - MRI/ Spine/Pelvis 72159 MRI of spinal canal/contents 71550 Thorax w/o contrast - MRI/ Chest 71551 MRI of chest w/contrast 71552 Thorax w/o & w/ contrast - MRI/ Chest 71555 MRI of chest (exclude myocardium) 70540 Orbits/Face/Neck w/o contrast- MRI/ Head/Neck Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with 70542 contrast material(s) 70543 Orbits/Face/Neck w/ contrast - MRI/ Head/Neck 70544 Circle of Wills w/o contrast - MRI/ Head/Neck 70545 Magnetic resonance , head; with contrast material(s) Magnetic resonance angiography, head; without contrast material(s), 70546 followed by contrast material(s) and further sequences 70547 Neck (Carotids) w/o contrast - MRI/ Head/Neck 70548 neck, w/contrast 70549 neck, w/o cntrst flwd by cntrst 70551 Head/Brain w/o contrast - MRI/ Head/Neck 70552 Contrast MRI of brain 70553 Head/ Brain w/o & w/ contrast - MRI/ Head/ Neck 70559 MRI brain w/dye and w/o dye 70336 TMJ's (Temporomandibular Joints) - MRI /Head/Neck CT 70450 Head/Brain w/o contrast - Cat Scans/ Head/Neck 70460 Computed , head or brain; with contrast material(s) 70470 Head/Brain w/o & w/ contrast - Cat Scans/ Head/Neck 70480 Mid/Inner Ear w/o contrast - Cat Scans/ Head/ Neck ADI ACCREDITATION CPT CODES MAY 2012 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or 70481 inner ear; with contrast material(s) 70482 Mid/Inner Ear w/o & w/ contrast - Cat Scans/ Head/ Neck 70486 Sinuses w/o contrast - Cat Scans/ Head/ Neck 70487 Contrast CAT scan of face, jaw, sinus 70488 CAT scans face, jaw, sinus wo/w contrast 70490 Soft Tissue Neck w/o contrast - Cat Scans/Head/ Neck 70491 Contrast CAT scan of neck tissue 70492 Soft Tissue Neck w/o & w/ contrast - Cat Scans/Head/ Neck 70496 CTA, head, w/o cntrst flwd by cntrst 70498 CTA, neck, w/o cntrst flwd by cntrst 71250 Chest/ Thorax w/o contrast- Cat/ Scans/ Chest/ Thorax 71260 Computed tomography, thorax; with contrast material(s) 71270 Chest/ Thorax w/ contrast- Cat/ Scans/ Chest/ Thorax Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image 71275 postprocessing 72125 Cervical w/o contrast 72126 Cervical w/ contrast 72127 Cervical with or without contract 72128 Thoracic spine w/o contrast - Cat Scans/ Spine/Pelvis 72129 Computed tomography, thoracic spine; with contrast material 72130 Thoracic spine w/o & w/contrast - Cat Scans/ Spine/Pelvis 72131 Lumbar w/o contrast - Cat Scans/ Spine/Pelvis 72132 Contrast CAT scan of lumbar spine 72133 Lumbar w/o & w/ contrast - Cat Scans/ Spine/Pelvis 72191 CTA, pelvis w/o cntrst flwd cntrst 72192 Pelvis w/o contrast - Cat Scans/ Spine/ Pelvis 72193 Pelvis w/ contrast - Cat Scans/ Spine/ Pelvis 72194 Pelvis w/o & w/ contrast - Cat Scans/ Spine/ Pelvis 73200 Upper w/o contrast - Cat Scans/ Extremities 73201 Computed tomography, upper extremity; with contrast material(s) 73202 Upper w/o & w/ contrast - Cat Scans/ Extremities ADI ACCREDITATION CPT CODES MAY 2012 Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image 73206 postprocessing 73700 Lower w/o contrast - Cat Scans/ Extremities 73701 Contrast CAT scan of leg 73702 Lower w/o & w/ contrast - Cat Scans/ Extremities 73706 CTA lwr extrm w/o cntrst flwd cntrst 74150 Abdomen w/o contrast - Cat Scans/ Abdomen 74160 Abdomen w/ contrast - Cat Scans/ Abdomen 74170 Abdomen w/o & w/ contrast - Cat Scans/ Abdomen 74174 Abdomen & pelvis w/contrast*

Computed tomographic angiography, abdomen, with contrast material(s), 74175 including noncontrast images, if performed, and image postprocessing 76380 CAT scan follow-up study 77078 Ct bone density, axial 77079 Ct bone density, peripheral NM/PET 78000 Thyroid rai uptake 78001 Thyroid, multiple uptakes 78003 Thyroid, suppress/stimul 78006 Thyroid, imaging with uptake 78007 Thyroid, image, mult uptakes 78010 Thyroid imaging; only - / Endocrine 78011 Thyroid imaging with flow 78015 Thyroid met imaging 78016 Thyroid met imagning/ studies 78018 Thyroid CA Imaging Whole Body - Nuclear Medicine/ Endocrine 78020 Thyroid met uptake 78070 Parathyroid Imaging - Nuclear Medicine/ Endocrine 78075 Adrenal nuclear imaging 78099 Endocrine nuclear procedure 78103 Bone marrow imaging, mult 78104 Bone marrow imaging, body ADI ACCREDITATION CPT CODES MAY 2012 78185 Spleen imaging 78190 Platelet survival, kinetics 78195 Lymph system imaging 78199 Blood/lymph nuclear exam 78202 imaging with flow 78205 Liver imaging (3D) 78206 Liver imaging (3D) with flow 78215 Liver/ Spleen Imaging - Nuclear Medicine/ Gastrointestinal 78216 Liver & spleen image/flow 78220 Liver function study 78223 Hepatobiliary (HIDA) Scan - Nuclear Medicine/ Gastrointestinal* 78226 Hepatobiliary system* 78227 Hepatobiliary with pharmacologic intervention 78230 Salivary gland imaging 78231 Serial salivary imaging 78232 Salivary gland function exam 78258 Esophageal motility study 78261 Gastric mucosa imaging 78299 GI nuclear procedure 78305 Bone Scan, Multiple - Nuclear Medicine/ Bone Imaging 78306 Bone Scan, Whole Body - Nuclear Medicine/ Bone Imaging 78315 Bone Scan, 3 Phase - Nuclear Medicine/ Bone Imaging 78320 Bone Scan, SPECT - Nuclear Medicine/ Bone Imaging 78350 Bone mineral, single photon 78351 Bone mineral, dual photon 78399 Musculoskeletal nuclear exam 78451 Myocardial perf imaging, spect, sing 78452 Myocardial perf imaging, spect, mult 78453 Myocardial perf imaging, planar,sing 78454 Myocardial perf imaging, planar, mult 78456 Acute venous thrombus image 78457 Venous thrombosis imaging 78458 Ven thrombosis images, bilat 78459 Myocardial PET metabolic evaluation ADI ACCREDITATION CPT CODES MAY 2012 78466 Nuclear scan of heart muscle 78468 Nuclear scan of heart muscle 78469 Nuclear scan of heart muscle (3D) 78472 MUGA Rest - Nuclear Medicine/ Cardiovascular/ Heart 78473 Nuclear scan, cardiac MUGA 78481 Heart first pass, single 78483 Nuclear scans, cardiac blood pool 78491 Myocardial PET, single 78492 Myocardial PET, multiple 78494 Nuclear blood pool imaging 78496 Heart first pass add-on 78499 Cardiovascular nuclear exam 78579 Pulmonary ventilation* 78580 Pulmonary perfusion* 78582 Pulmonary perfusion & ventilation* 78584 V/Q image single breath 78585 Lung V/Q imaging 78586 Aerosol lung image, single 78587 Aerosol lung image, multiple 78588 Perfusion lung image 78591 Vent image, 1 breath, 1 proj 78593 Vent image, 1 proj, gas 78594 Vent image, mult proj, gas 78596 Lung differential function 78597 Quantitative differential pulmonary perfusion* 78598 Quantitative differential pulmonary perfusion & ventilation* 78599 Respiratory nuclear exam 78601 Brain imaging, less than 4 static views; with vascular flow 78605 Brain imaging, minimum 4 static views 78606 Brain imaging, minimum 4 static views; with vascular flow 78607 Brain imaging, tomographic (SPECT) 78608 Brain imaging, PET, metabolic eval 78609 Brain imaging, PET, perfusion eval 78610 Brain flow imaging only ADI ACCREDITATION CPT CODES MAY 2012 78630 Cisternogram (cerebrospinal fluid flow) 78635 Cerebrospinal ventriculography 78645 CSF Shunt evaluation 78647 Cerebrospinal fluid scan 78650 CSF Leakage detection and localization 78699 Nervous system nuclear exam

78701 Kidney Imaging w/ Vascular Flow - Nuclear Medicine/ Genitourinary 78707 K flow/funct image w/o drug 78708 K flow/funct image w/ drug 78709 K flow/funct image, multiple 78710 Kidney imaging (3D) 78730 Urinary bladder residual study* 78761 Testicular imaging w/flow 78799 Genitourinary nuclear exam

78801 Scan (for tumor), multiple - Nuclear Medicine/ Tumor/ Infection (for tumor), whole body - Nuclear Medicine/ Tumor/ 78802 Inflammation Gallium Scan (for tumor), SPECT - Nuclear Medicine/ Tumor/ 78803 Inflammation Gallium Scan, Tumor Localization - Nuclear Medicine/ Tumor/ 78804 Inflammation Gallium or Indium- For Infection/ Inflammation, Limited - Nuclear 78805 Medicine/ Tumor/ Inflammation / Infection- Whole Body or Gallium or Indium- For Infection/ Inflammation, Whole Body - Nuclear Medicine/ Tumor/ 78806 Inflammation (this code applies to both items listed herein) Gallium or Indium- For Infection/ Inflammation, SPECT - Nuclear 78807 Medicine/ Tumor/ Inflammation 78808 Iv inj ra drug dx study 78811 Imaging (PET), limited 78812 Imaging (PET)/skul‐thigh 78813 Imaging (PET) full body 78814 Imaging PET/CT, limited ADI ACCREDITATION CPT CODES MAY 2012 78815 Imaging PET/CT skul‐thigh 78816 Imaging PET/CT full body 78999 Nuclear diagnostic exam