Radiology CPT Code RESOURCE GUIDE

COMPLIMENTS OF PREMIER RADIOLOGY

www.PremierRadiology.com PREMIER RADIOLOGY {TOP 20} FAST FACTS

DID YOU KNOW? 1. Premier offers an Online Portal for easy patient scheduling. 2. We have Same-Day Scheduling available at all centers. 3. Premier provides Same-Day Breast Biopsies. 4. We offer Sedation MRIs at our Belle Meade location. 5. our Upright MRI is located on Charlotte Avenue [convenient for patients to stand or sit]. 6. We have Open MRIs at Belle Meade, Hermitage, Cool Springs and Smyrna. 7. Premier offers Breast MRIs at Midtown and Murfreesboro. 8. as a service to you, we will retrieve patient records for comparison studies. 9. Premier offers 3D Breast Tomosynthesis at multiple centers with ongoing expansion. 10. We have the PET [Positron Emission Tomography] Scanner at Midtown. 11. at Briarville, we perform Kyphoplasty and Atherectomy procedures. 12. Briarville also provides complimentary evaluation of pain management patients. 13. our Belle Meade location has an accredited Pain Management and Interventional Radiology Surgery Center. 14. Saturday MRIs are available by appointment at Belle Meade, Brentwood, Clarksville, Cool Springs, Hendersonville, Hermitage, Murfreesboro and Smyrna. 15. MammoNOW: Mammograms while you wait or schedule any time at any center. 16. Mammograms are available every Saturday in Hendersonville and Murfreesboro and also by appointment once a month in Hermitage. 17. Patients may schedule their own Screening Mammogram—no physician order required. 18. insurance estimates are provided before patient appointments. 19. Premier offers Wellness Imaging Studies at all centers. 20. Outpatient Imaging Centers are 60-70% cheaper than a hospital. RADIOLOGY Procedure Aid (CPT) MRI MRA-MRV CPT DESCRIPTION CPT DESCRIPTION 74181 Abdomen Without Contrast 74185 Magnetic Resonance Angiography, Abdomen, With or Without Contrast 74182 Abdomen With Contrast 71555 Magnetic Resonance Angiography, Chest (excluding 74183 Abdomen W/Without Contrast Myocardium), With or Without Contrast 70551 Brain Without Contrast 70544 Head Without Contrast 70552 Brain With Contrast 70545 Head With Contrast 70553 Brain W/Without Contrast 70546 Head W/Without Contrast 77047 Breast Bilateral Without Contrast 73725 Magnetic resonance Angiography, Lower Extremity, 77048 Breast Unilateral With and Without Contrast With or Without Contrast 77049 Breast Bilateral With and Without Contrast 70547 Neck Without Contrast 72141 Cervical Spine Without Contrast 70548 Neck With Contrast 72142 Cervical Spine With Contrast 70549 Neck W/Without Contrast 72156 Cervical Spine W/Without Contrast 72198 Magnetic Resonance Angiography, Pelvis, With or Without Contrast 71550 Chest Without Contrast 73225 Magnetic Resonance Angiography, Upper Extremity, 71551 Chest With Contrast With or Without Contrast 71552 Chest W/Without Contrast ARTHROGRAMS 73721 Lower Extremity Joint Without Contrast 77002 Fluoro Guidance for Needle Placement/ 73722 Lower Extremity Joint With Contrast MR Arthrogram 73723 Lower Extremity Joint W/Without Contrast 27648 Injection - 73722 MR - Arthrogram Ankle 73718 Lower Extremity Other Than Joint Without Contrast 24220 Injection - 73722 MR - Arthrogram Elbow 73719 Lower Extremity Other Than Joint With Contrast 27093 Injection - 73722 MR - Arthrogram Hip 73720 Lower Extremity Other Than Joint W/Without Contrast Without Anesthesia 72148 Lumbar Spine Without Contrast 27369 Injection - 73722 MR - Arthrogram Knee 72149 Lumbar Spine With Contrast 23350 Injection - 73722 MR - Arthrogram Shoulder 72158 Lumbar Spine W/Without Contrast 27095 Injection - Arthrogram Hip With Anesthesia 70540 Orbit, Face and/or Neck Without Contrast 27096 Injection Procedure for Sacroiliac Joint, Anesthetic/ Steroid, with Image Guidance (Fluoroscopy or CT) 70542 Orbit, Face and/or Neck With Contrast including Arthrography when performed 70543 Orbit, Face and/or Neck W/Without Contrast 25246 Injection - 73722 MR - Arthrogram Wrist 72195 Pelvis Without Contrast 73615 Non-MR Arthrogram Ankle 72196 Pelvis With Contrast 73085 Non-MR Arthrogram Elbow 72197 Pelvis W/Without Contrast 73525 Non-MR Arthrogram Hip 72146 Thoracic Spine Without Contrast 73580 Non-MR Arthrogram Knee 72147 Thoracic Spine With Contrast 73040 Non-MR Arthrogram Shoulder 72157 Thoracic Spine W/Without Contrast MYELOGRAMS 70336 TMJ, Unilateral or Bilateral 72240 Cervical Myelogram 73221 Upper Extremity Joint Without Contrast 62284 Injection Cervical 73222 Upper Extremity Joint With Contrast 72255 Thoracic Myelogram 73223 Upper Extremity Joint W/Without Contrast 62284 Injection Thoracic 73218 Upper Extremity Other Than Joint Without Contrast 72265 Myelogram Lumbrosacral 73219 Upper Extremity Other Than Joint With Contrast 62284 Injection Lumbar 73220 Upper Extremity Other Than Joint With or Without Contrast

www.PremierRadiology.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 22510 Thoracic Vertebroplasty 71260 Chest With Contrast 22511 Lumbar Vertebroplasty 71275 Chest- PE Protocol (Note: see CTA) 22512 Thoracic Kyphoplasty 71250 Chest Without Contrast 22514 Lumbar Kyphoplasty 70470 Head or Brain W/Without Contrast 62320 Cervical ESI w/o imaging 62321 W/imaging 70460 Head or Brain With Contrast 62320 Thoracic ESI w/o imaging 62321 W/imaging 70450 Head or Brain Without Contrast 62322 Lumbar ESI w/o imaging 62323 W/imaging 73702 Lower Extremity W/Without Contrast 62270 Lumbar Puncture 73701 Lower Extremity With Contrast 62291 Cervical/Thoracic Discography 73700 Lower Extremity Without Contrast 62290 Lumbar Discography 72133 Lumbar Spine W/Without Contrast 64479 Cervical/Thoracic Nerve Block 72132 Lumbar Spine With Contrast 64483 Lumbar Nerve Block, Lumbar or Sacral 72131 Lumbar Spine Without Contrast 64490 Cervical/ Thoracic Facet Block 70482 Orbits, lAC’s or Pituitary W/Without Contrast 64493 Lumbar Facet Block 70481 Orbits, lAC ‘s or Pituitary With Contrast 20552 Trigger Point Injection (one or two Muscles) 70480 Orbits, lAC’s or Pituitary Without Contrast 20553 Trigger Point Injection (three or more Muscles) 72194 Pelvis W/Without Contrast 72193 Pelvis With Contrast 37224 Angioplasty Femoral/Popliteal 72192 Pelvis Without Contrast 37227 Atherectomy Stent 70488 Sinus or Facial Bones W/Without Contrast 75820 Extremity Venogram Unilateral 70487 Sinus or Facial Bones With Contrast 75822 Extremity Venogram Bilateral 70486 Sinus or Facial Bones Without Contrast 36478 Vein Ablation (First Vein Treatment) 70492 Soft Tissue Neck W/Without Contrast 36479 Vein Ablation (Second Vein Treatment) 70491 Soft Tissue Neck With Contrast 70490 Soft Tissue Neck Without Contrast 72130 Thoracic Spine W/Without Contrast 72129 Thoracic Spine With Contrast 72128 Thoracic Spine Without Contrast 73202 Upper Extremity W/Without Contrast 73201 Upper Extremity With Contrast 73200 Upper Extremity Without Contrast 76376/7 3D Reconstruction 74176 CT Abd/Pelvic (combo) Without Contrast 74177 CT Abd/Pelvic (combo) With Contrast 74178 CT Abd/Pelvic (combo) W/Without Contrast www.PremierRadiology.com 2 4 RADIOLOGY Procedure Aid (CPT) ULTRASOUND FLUOROSCOPY CPT DESCRIPTION CPT DESCRIPTION 76700 Abdominal Complete 74220 Barium Swallow/Esophogram 76705 Abdominal Limited 74230 Barium Swallow Modified 93978 Aorta, IVC, Iliac; Duplex. Complete Bilateral 74270 Colon, Barium Enema- with or without KUB 93976 Arterial, Mesenteric, Visceral Duplex 74280 Colon, Barium Enema With Air 93922 Arterial ABI (Ankle Brachial/Arm Brachial) 76000 Fluoroscopy 93923 Arterial Physiologic Bilateral (Extremity) 74400 IVP- with or without KUB 93925 Arterial Duplex Doppler Lower Extremity 74290 OCG- Oral Cholecystography Complete 74250 Small Bowel 93926 Arterial Duplex Doppler Lower Extremity Limited 74247 UGI/Double Contrast- with KUB 93930 Arterial Duplex Doppler Upper Extremity 74249 UGI/Small Bowel Follow Through (Double Contrast) Complete 74241 UGI- Single Contrast- with KUB 93931 Arterial Duplex Doppler Upper Extremity Limited 74245 UGI/Small Bowel Follow Through (Single Contrast) 93979 Aorta, IVC, Iliac; Duplex, Limited or Unilateral 74455 VCUG (Voiding Cystogram) 76641 Breast (Unilateral) 93880 Carotids- Doppler Duplex Complete WOMEN’S SERVICES 93882 Carotids- Doppler Duplex Limited 77066 Bilateral Diagnostic Mammogram 93015 Cardiovascular Stress Test (Murfreesboro Only) 77067 Screening Mammogram 93306 Echocardiogram- 2D 77065 Unilateral Diagnostic Mammogram 76881 Extremity Non-Vascular Complete 77080 Bone Density (DEXA) Scan 76882 Extremity Non-Vascular Limited NUCLEAR MEDICINE 76770 (Kidneys) Retroperitoneal Duplex Complete 78300 Bone Scan Limited Views 76775 (Kidney) Retroperitoneal, Limited 78305 Bone Scan Multiple Views 76856 Pelvic Non-Obstetric Complete 78315 Bone Scan Three Phase 76857 Pelvic Non-Obstetric Limited or Follow-up 78306 Bone Scan Whole Body 76830 Pelvic Transvaginal Non-Obstetric 78226 Hepatobilary w/wo contrast, With Ejection Fraction 76801 OB Ultrasound (less than 14 weeks) (HIDA) 76805 OB Ultrasound (greater than 14 weeks) 78708 Kidney Image With Flow & Function, Single W/Pharm 93970 Venous Duplex Doppler- Extremity Complete 78468 MUGA First Pass Technique (Murfreesboro Only) 93971 Venous Duplex Doppler- Extremity Limited 78472 Rest MUGA Gated Cardiac (Murfreesboro Only) 76870 Scrotum 78012 Thyroid Imaging With Uptake, Multi-Determ 76536 Soft Tissue Head/Neck/Thyroid Single or Multiple 76770 Retroperitoneal Duplex Complete 76775 Retroperitoneal, Limited 93930 Upper Extremity Arteries Complete 93931 Upper Extremity Arteries, Duplex, Limited or Unilateral

www.PremierRadiology.com 3 5 1 BELLE MEADE 2 BELLEVUE 3 BRENTWOOD 4 BRIARVILLE 5 CLARKSVILLE 6 COOL SPRINGS 28 White Bridge Pike 5700 Temple Road 789 Old Hickory Boulevard 1210 Briarville Road 980 Professional Park Drive 3310 Aspen Grove Drive Suite 111 Suite 102 Brentwood, TN 37027 Suite 602F Suite E Suite 201 Nashville, TN 37205 Nashville, TN 37221 615.832.9551 Madison, TN 37115 Clarksville, TN 37040 Franklin, TN 37067 615.356.3999 615.986.5993 (f): 615.234.1509 615.986.6411 931.436.9307 615.771.0171 (f): 615.353.0462 (f): 615.234.1522 41 TAX ID # 01-0570490 (f): 615.234.1506 (f): 931.436.9308 (f): 615.234.1501 TAX ID # 01-0570490 TAX ID # 01-0570490 TAX ID # 62-1751220 TAX ID # 01-0570490 TAX ID # 01-0570490

7 GALLATIN 110 St. Blaise Road | Suite 102 Gallatin, TN 37066 Gallatin 615.467.4640 (f): 615.467.4641 431 65 TAX ID # 01-0570490

8 HENDERSONVILLE 24 262 New Shackle Island Road 8 Suite 206 Goodlettsville Hendersonville, TN 37075 615.986.6050 (f): 615.234.1529 TAX ID # 62-1751220 e ik P Hendersonville in t a 9 l HERMITAGE l a

G 5045 Old Hickory Boulevard O Suite 100 ld H 109 Hermitage, TN 37076 24 Madison ic ko ry 615.884.7674 (f): 615.234.1507 B l TAX ID # 01-0570490 y v Briley P kw d n Pike Lebano 10 LENOX VILLAGE 155 6130 Nolensville Pike | Suite 102 9 Mt. Juliet Nashville, TN 37211 13 19 Hermitage 615.986.7026 (f): 615.234.1510 11 TAX ID # 01-0570490 15 NASHVILLE 40 11 MT. JULIET 5002 Crossings Circle 16 Suite 140 Mt. Juliet, TN 37122 615.773.7237 (f): 615.773.1250 Belle Meade 440 TAX ID # 01-0570490 70 Mu rfr ee k s 70 P b 12 g o MURFREESBORO | in e r d k o r i Center for Breast Health a P 24 P H i o k r e 1840 Medical Center Pkwy. 40 o b 171 ls Antioch SETON BUILDING | Suite 101 il H 18 Murfreesboro, TN 37129 d Bellevue R ll 615.896.1234 (f): 615.896.7171 Be Old efax: 615.234.1504 Hicko 10 ry Blvd TAX ID # 01-0570490 00 wy 1 H d R 13 n NASHVILLE | Charlotte i l N k o n 1800 Charlotte Avenue a le r n F sv Nashville, TN 37203 i Brentwood ll e 17 615.329.4840 (f): 615.846.0859

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14 NEW SALEM 2723 New Salem Highway Suite 103 Murfreesboro, TN 37128 Franklin 24 840 65 615.986.6055 (f): 615.234.1505 TAX ID # 01-0570490

15 SAINT THOMAS | MIDTOWN 300 20th Avenue North 12 Suite 202 Nashville, TN 37203 615.986.6047 (f): 615.986.6048 View for specific directions 840 Murfreesboro TAX ID # 01-0570490 to any of our locations or visit www.PremierRadiology.com/locations 840 14 16 SAINT THOMAS | WEST PremierRadiology.com 4230 Harding Pike | Suite 220 Nashville, TN 37205 615.467.1050 (f): 615.234.1533 TAX ID # 01-0570490

17 SMYRNA 741 President Place | Suite 100 Smyrna, TN 37167 615.220.0674 (f): 615.355.4348 TAX ID # 01-0570490

18 SOUTH NASHVILLE | Antioch 3754 Murfreesboro Pike Suite 102 Antioch, TN 37013 615.467.4642 (f): 615.467.4643 TAX ID # 01-0570490

19 UPRIGHT MRI 1718 Charlotte Avenue | Suite B Nashville, TN 37203 615.620.5480 (f): 615.321.8409 TAX ID # 01-0570490

Revised 11.26.2019