Commonly Used CPT Codes for CT (Computed Tomography)
Harrison Imaging Centers
Procedure CPT Code Indications
CT Abdomen Pelvis with and 74178 IVP, Hematuria-Kidneys, Ureter, Bladder without IV Contrast
CT Abdomen Pelvis with IV 74177 Emergent Appendicitis Contrast
CT Abdomen Pelvis without 74176 KUB Renal Colic - Kidney Stones, Ureters, Bladder IV Contrast
CT Abdomen with and 74170 Pancreas, Liver, Adrenal without IV Contrast
CT Angiogram Abdomen CT Angiography - Aorta, Bifurcation, Mesenteric, Pelvis with and or without IV 74174 Internal/Ext Iliac Arteries, Aneurysm, Dissection Contrast
CT Angiogram Abdomen CT Angiography- Visualization of Abdominal Aorta, with and or without IV 74175 Splenic, Celiac and Renal Arteries Contrast
CT Angiogram Abdominal Aorta and Iliofemoral Runoff CT Angiography. Visualization Abdominal , Pelvic 75635 with and or without IV and Bilateral Lower Extremity Arteries Contrast
CT Angiogram Chest 71275 Abdomen Pelvis with and Combined CT Angiogram Chest/Abdomen/Pelvis 72174 without IV Contrast
CT Chest Angiography- Visualization Chest Great CT Angiogram Chest with Vessels, Pulmonary Arteries, Thoracic Aorta. 71275 and without IV Contrast Pulmonary Embolism, Aneurysm, Dissection, Widen Mediastinum
Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
CT Cervical Spine with IV 72126 Abscess , Infection, Discitis Contrast
CT Cervical Spine without IV Trauma, Fracture, Neck Pain, Degenerative Disc 72125 Contrast Disease , HNP
CT Chest High Resolution 71250 Follow up on Pulmonary Nodule
Most common, Lung, Chest Mass, Nodule, Tumor, CT Chest with IV Contrast 71260 Pneumonia, Abscess, abnormal Chest X-ray, SOB, Chest Pain
CT Chest without IV Contrast 71250 Follow up on Pulmonary Nodule
CT Enterography Abdomen 74177 Bowel Disease, Crohn’s Disease and Pelvis with IV Contrast
Tumor or Mass, Metastatic Disease, Abscess, CT Head with IV Contrast 70460 Infection, Follow-up
Most common, Acute Headaches , Trauma Bony CT Head without IV Contrast 70450 Abnormality, Fracture, Dizziness, CVA, TIA, Dementia, Altered Mental Status (AMS)
CT Heart Calcium Score 75571 Calcium Score Quantification without IV Contrast
CT Landmark Sinus without 70486 Pre-Surgical Scan- Sinus IV Contrast
Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Procedure Name CPT Code Indications
Soft Tissue, Mass, Tumor, Cellulites, Abscess. CT Lower Extremity with IV 73701 Infection, Osteomyelitis. Limit scan area to area of Contrast interest *Not CT Angiogram
Trauma, Fracture, Bone Detail, Erosion, Post Op CT Lower Extremity without 73700 Fracture Status, Non-Union Limit scan area to area IV Contrast of interest
CT Lumbar Spine with IV 72132 After myelogram, Abscess, Infection, Discitis Contrast
CT Lumbar Spine without IV Trauma, Fracture, Low Back Pain, Degenerative 72131 Contrast Disc Disease , HNP
CT Maxillofacial without IV 70486 Trauma, Fracture Contrast Evaluate organs of the Pelvis- Bladder, Ovaries, Uterus, Prostate. LLQ or RLQ Pain, Mass, Pelvic CT Pelvis with IV Contrast 72193 Tumor, Inguinal Hernia, Abscess *Not usually ordered without CT Abdomen.
Evaluate Bony structures of the Pelvis-Trauma, CT Pelvis without IV Contrast 72192 Fracture, Lesions
Soft Tissue Structures, Thyroid, Lymph Nodes, CT Soft Tissue Neck with IV Larynx, Salivary Glands- Tumor or Mass, Difficulty 70491 Contrast Swallowing, Enlarged Lymph Nodes, Lymphoma, Abscess Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Epic Procedure Name CPT Code Indications
CT Thoracic Spine with IV 72129 After myelogram, Abscess, Infection, Discitis Contrast
CT Thoracic Spine without IV Trauma, Fracture, Mid Back Pain, Degenerative 72128 Contrast Disc Disease , HNP
Soft Tissue, Mass, Tumor, Cellulites, Abscess, CT Upper Extremity with IV 73201 Infection, Osteomyelitis. Limit scan area to area of Contrast interest only *Not CT Angiogram
Trauma, Fracture, Bone Detail, Erosion. Post Op CT Upper Extremity without 73200 Fracture status, Non-Union Limit scan area to area IV Contrast of interest only
Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria®.
ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx
For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes.
Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Commonly Used CPT Codes for MRI
Harrison Imaging Centers
Procedure CPT Code Indications
MRI Abdomen with and Liver, Spleen, Kidneys, Adrenal glands, Pancreas, 74183 without IV Contrast Tumor, Mass, Cysts
MRI Abdomen without IV Evaluate Gallbladder, Common Bile Duct, 74181 Contrast Pancreatic Duct, Stones
MR Angiogram-Abdominal Aorta to include MRI Angiogram Abdomen with 74185 bifurcation-Renal, Celiac, Super/Inferior and without IV Contrast Mesenteric Arteries MRI Angiogram Chest with and 71555 MR Angiogram- Great Vessels without IV Contrast MRI Angiogram Head with and 70546 MR Angiogram- Brain, Aneurysm, Stroke without IV Contrast MR Angiogram -Carotid, Subclavian and MRI Angiogram Neck with and 70549 Vertebral Arteries-Include Aortic Arch to Circle without IV Contrast of Willis
MRI Ankle with and without IV Inflammation, Infection, Osteomyelitis, Tumor, 73723 Contrast Mass
Most Common. Ligament/Tendon Tears, MRI Ankle without IV Contrast 73721 Avascular Necrosis, Trauma, FX
MRI Brachial Plexus 71552 Chest Mass, Tumor
MRI Brain with and without IV 70553 MS, Cancer History, IAC Contrast
MRI Brain without IV Contrast 70551 Routine, Headache
MRI Breast with and without 77059 New Cancer Diagnosis, History IV Contrast
Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
MRI Cervical Spine with and 72156 MS, Cancer History, Cord lesion, Discitis without IV Contrast
MRI Cervical Spine without IV Most Common - Neck Pain, Suspected HNP, 72141 Contrast Trauma
MRI Elbow with and without IV Inflammation, Infection, Osteomyelitis, 73223 Contrast Tumor, Mass
MRI Elbow with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery
Most Common - Ligament or Tendon Tear, MRI Elbow without IV Contrast 73221 Trauma, FX, Avascular Necrosis
MRI Foot with and without IV Inflammation, Infection, Osteomyelitis, 73720 Contrast Tumor, Mass
Most Common - Ligament or tendon Tear, MRI Foot without IV Contrast 73718 Trauma, FX
MRI Hip with and without IV Inflammation, Infection, Osteomyelitis, 73723 Contrast Tumor, Mass
MRI Hip with IV Contrast 73722 Arthrogram – Tear, Ligament Injury, Surgery
MRI Knee with and without IV Inflammation, Infection, Osteomyelitis, 73723 Contrast Tumor, Mass
MRI Knee with IV Contrast 73722 Arthrogram – Tear, Ligament Injury, Surgery
Most Common - Ligament/Tendon Tears, MRI Knee without IV Contrast 73721 Meniscal Tears, Avascular Necrosis, Trauma, FX
Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
MRI Lumbar Spine with and MS, Cancer History, Cord Lesion, Discitis, Tumor, 72158 without IV Contrast Post-operative
MRI Lumbar Spine without IV Most Common - Back Pain, Suspected HNP, 72148 Contrast Trauma
Evaluate Gallbladder, Common Bile duct, MRI MRCP without IV Contrast 74181 Pancreatic Duct, Stones
MRI Orbit Face and or Neck Inflammation, Infection, Osteomyelitis, 70543 with and without IV Contrast Tumor, Mass
MRI Orbit Face and or Neck 70540 Larynx, Lymph Nodes without IV Contrast
MRI Pelvis with and without IV Inflammation, Infection, Osteomyelitis, 72197 Contrast Pelvic organs- Uterus, Bladder, Prostate, Ovaries
MRI Pelvis without IV Contrast 72195 Bony Pelvis, Uterus, Defecogram
MRI Prostate with and without Prostate Specific Protocol 72197 IV Contrast *Schedule at Bremerton Prostate Coil only
MRI Shoulder with and Inflammation, Infection, Osteomyelitis, 73223 without IV Contrast Tumor, Mass
MRI Shoulder with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery
MRI Shoulder without IV Most Common - Rotator cuff Tear, Ligament or 73221 Contrast Tendon Tear, Trauma, FX, Avascular Necrosis
MRI Temporomandibular 70336 TMJ, Dental Joints
Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Commonly Used CPT Codes for MRI
Harrison Imaging Centers
Procedure CPT Code Indications
MRI Thoracic Spine with and MS, Cancer History, Spinal Surgery History, 72157 without IV Contrast Discitis
MRI Thoracic Spine without IV Most Common - Mid Back Pain, Suspected HNP, 72146 Contrast Trauma
MRI Wrist with and without IV Inflammation, Infection, Osteomyelitis, 73223 Contrast tumor, Mass
MRI Wrist with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery
Most Common - Ligament or Tendon Tear, MRI Wrist without IV Contrast 73221 Trauma, FX, Avascular Necrosis
Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria®.
ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx
For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes.
Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555 Commonly Used CPT Codes for Ultrasound
Harrison Imaging Centers
Procedure CPT Code Indications
Abdominal Pain, Nausea and/or Vomiting, US Abdomen Complete 76700 Abnormal Liver Function Test
Specific Organ or Region - Hernia, Pyloric Stenosis, US Abdomen Limited 76705 Appendix, RUQ, Abdominal Wall Evaluation , Gallstones, Hepatitis
US Abdominal Aorta Limited 76775 Diagnostic Aorta Evaluation
US Breast Biopsy Initial 19083 Mass, Lesion Lesion
US Breast Complete 76641 Screening - Complete Breast and Axilla
US Breast Limited 76642 Diagnostic - Specific Targeted Area
US Chest 76604 Pleural Effusion, Mass
US Extremity Non Vascular Joint Pain, Tendon/Ligament Pain, Fluid Collection, 76882 Limited Mass
US Fetal Biophysical Profile Biophysical Profile Only. Add OB Limited if 76819 without Non Stress Testing Additional Needed
Uterine Abnormalities, Infertility, Multiple US Hysterosonogram 76831 Miscarriage
US Infant Hips with Dysplasia, Breech Birth, Hip Click, Family History of 76885 Manipulation DDH
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
US Medicare AAA Screen G0389 Medicare Abdominal Aorta Screening
US OB Detail Fetal Anatomy 76811 Fetal Survey Only, Gestational Age of 18-20 Weeks Single or First Gestation
Cervical Length, Pre-Term Labor, Cramping, US OB Greater than 14 76805 Spotting, History of Cervical Incompetence, Weeks and OB Transvaginal Placenta Previa or Placenta Location
US OB Less than 14 Weeks Early OB study with Transvaginal to Visualize Single or First Gestation and 76801 Anatomy OB Transvaginal US OB Less than 14 Weeks Transabdominal Single 76801 Early OB study, no TV Gestation
US OB Limited 76815 AFI, HR, Placenta or Position
AFI, HR, Placenta or Position with Transvaginal US OB Transvaginal 76817 Imaging to Visualize Anatomy
US Pelvis Complete Pain, Ovarian Cyst, Ovarian Torsion 76856 (Transabdominal Only) Fibroid Uterus, Post-Menopausal Bleeding
Pain, Ovarian Cyst, Ovarian Torsion US Pelvis Complete and US 76856 Fibroid Uterus, Post-Menopausal Bleeding, with TV Non-OB Transvaginal to Visualize Anatomy
Urinary Retention, Post Void Residual, Enlarged US Pelvis Limited 76857 Prostate, Bladder Outlet Obstruction
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
US Retroperitoneal Kidney Stone, Hematuria, ARF, CRI, Follow-up 76770 Complete Hydronephrosis
Flank Pain, Renal Failure, Trauma, Hydronephrosis, US Retroperitoneal Limited 76775 Renal Stone
US Scrotum and Testicles 76870 Pain, Mass, Torsion
US Thyroid Parathyroid Mass, Enlarged Thyroid or Parathyroid, Hyper- or 76536 Neck Hypothyroidism, History of Thyroid Cancer
Vascular AAA Duplex 93979 Diagnostic Aorta Evaluation Limited
Vascular Arterial Lower 93925 Aneurysm, Arterial Embolus, Graft Evaluation Extremity Duplex Bilateral
Vascular Arterial Lower 93926 Aneurysm, Arterial Embolus, Graft Evaluation Extremity Duplex
Vascular Carotid Duplex Syncope, Hemiplegia, Difference in Arm Blood 93880 Bilateral Pressure, Aphasia, Ataxia
Vascular Inferior Vena Cava 93979 Duplex Limited
Vascular Portal Hepatic Cirrhosis or Hepatic Disease, Ascites, Varices, Portal 93976 Venous Duplex Limited Vein Thrombosis
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
Vascular Renal Duplex Renal Artery Stenosis, Uncontrolled Hypertension, 93975 Bilateral Renal Bruit, Stent Follow-Up
Vascular Veins Lower 93970 DVT, Postphlebetic Ulcer, Varicose Veins with Pain Extremity Duplex Bilateral
Vascular Veins Lower 93971 DVT, Postphlebetic Ulcer, Varicose Veins with Pain Extremity Duplex
Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria®.
ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500 Bremerton/Poulsbo: (360) 479-6555