1 V Chest 74022 2459 Abscess

Home , Skeletal survey

SIM Orderable Notes CPT 63 ABDOMEN 1 V 74018 572 ABDOMEN COMPLETE 2 V 74019 812 ABDOMEN COMPLETE W/ 1 V CHEST 74022 2459 ABSCESS DRAIN PERITONEAL/RETROP 49406 2458 ABSCESS DRAINAGE ORGAN 49405 2460 ABSCESS DRAINAGE SOFT TISSUE 10030 1213 ABSCESSOGRAM THRU EXISTING CATHETER Panel/Multiple 76080 49424 2544 ABSCESSOGRAM W/SCLEROSING AGNT 49185 36 AC JOINTS BILAT 73050 8528 ALIGNMENT STUDY/BONE LENGTH 7355150 182 ANGIO CEREBRAL CAROTID BIL COMP 36223 253 ANGIO CEREBRAL CAROTID LT COMP 36223 254 ANGIO CEREBRAL CAROTID RT COMP 36223 181 ANGIO CERVICAL CAROTID BIL COMP 36222 219 ANGIO CERVICAL CAROTID LT COMP 36222 220 ANGIO CERVICAL CAROTID RT COMP 36222 7143 ANGIO FLUOROSCOPY Ordered and performed in Angio Suite None, no charge 2196 ANGIO SELECTED COMP 36226 2545 ANGIO US GUIDED BIOPSY 76942 184 ANGIO VERT NON-SELECTED COMP 36225 236 ANGIOGRAM ARCH COMPLETE 36221 19 ANGIOGRAM BRACHIAL ART S&I 75658 189 ANGIOGRAM EXTERNAL CAROTID BILAT ADDL 36227 194 ANGIOGRAM EXTERNAL CAROTID LT ADDL 36227 196 ANGIOGRAM EXTERNAL CAROTID RT ADDL 36227 694 ANGIOGRAM EXTREMITY BILAT 75716 276 ANGIOGRAM EXTREMITY UNI LT 75710 278 ANGIOGRAM EXTREMITY UNI RT 75710 213 ANGIOGRAM INTERNAL CAROTID RT COMP 36224 207 ANGIOGRAM PELVIC SELECTIVE 75736 211 ANGIOGRAM PULMONARY BILAT 75743 214 ANGIOGRAM PULMONARY NON SELECTIVE CATH 75746 6207 ANGIOGRAM PULMONARY UNI LT 75741 6272 ANGIOGRAM PULMONARY UNI RT 75741 159 ANGIOGRAM SPINAL SELECTIVE 75705 570 ANGIOGRAM THRU EXIST CATHETER F/U STUDY 75898 261 ANGIOGRAM VISCERAL SELECTIVE 75726 5333 ANKLE 2 V LT 73600 5334 ANKLE 2 V RT 73600 5339 ANKLE COMPLETE MIN 3 V LT 73610 5340 ANKLE COMPLETE MIN 3 V RT 73610 8543 ANKLES MIN 3 V EA BILAT 7361050 239 AORTOGRAM ABD + BIL ILIOFEMORAL EXTREM 75630 20 AORTOGRAM ABDOMINAL 75625 21 AORTOGRAM THORACIC 75605 872 ARTERIAL CATH/CANNULATION FOR MONITORING 36620 2631 ARTERIAL PTA 37246 2632 ARTERIAL PTA ADDITIONAL SITE 37247 2450 ARTERIAL STENT ABOVE ILIACS 37236 6109 ARTHROCENTESIS MAJOR JOINT Panel/Multiple 20610 77002 5131 ARTHROGRAM ELBOW LT Panel/Multiple 24220 73085 5133 ARTHROGRAM ELBOW RT Panel/Multiple 24220 73085 5288 ARTHROGRAM HIP LT Panel/Multiple 27093 73525 5290 ARTHROGRAM HIP RT Panel/Multiple 27093 73525 5323 ARTHROGRAM KNEE LT Panel/Multiple 27370 73580 5325 ARTHROGRAM KNEE RT Panel/Multiple 27370 73580 5107 ARTHROGRAM SHOULDER LT Panel/Multiple 23350 73040 5109 ARTHROGRAM SHOULDER RT Panel/Multiple 23350 73040 5159 ARTHROGRAM WRIST LT Panel/Multiple 25246 73115 5161 ARTHROGRAM WRIST RT Panel/Multiple 25246 73115 2628 AV CENTRAL DIALYSIS + PTA 36907 2629 AV CENTRAL DIALYSIS + STENT/PTA 36908 2627 AV DIALYSIS + DECLOT/PTA/STENT 36906 2630 AV DIALYSIS EMBOLIZATION 36909 2625 AV DIALYSIS PLUS DECLOT 36904 2626 AV DIALYSIS PLUS DECLOT/PTA 36905 2623 AV DIALYSIS PLUS PTA 36902 2624 AV DIALYSIS PLUS PTA/STENT 36903 2622 AV DIALYSIS SHUNT 36901 74 BARIUM ENEMA ADULT 74270 417 BARIUM ENEMA PEDS 0-6 YRS 74270 435 BARIUM ENEMA PEDS 6-16 YRS 74270 139 BARIUM ENEMA W/ AIR COLON 74280 607 BARIUM ENEMA W/ AIR PEDS 74280 2382 BD NO CHARGE None, no charge 2522 BILI STNT PLC S/P PTC W EXT TUBE 47538 2524 BILI STNT PLCMNT NEW PTC W EX TUB 47540 2527 BILIARY BRUSH BIOPSY ADDL 47543 1577 BILIARY ENDOSCOPY W/ DILATION + STENT 47556 2523 BILIARY STENT PLCMNT NEW PTC 47539 2518 BILIARY STONE REMOVAL ADDL 47544 6 BONE AGE STUDY 77072 887 BONE DENSITY AXIAL SKELETON 77080 2305 BONE DENSITY AXIAL W/VERTEBRAL FX ASSESS 77085 7909 BONE DENSITY PERIPHERAL SKELETON 77081 2112 BONE DENSITY VERTEBRAL FX ASSESS 77086 891 BONE LENGTH STUDY 77073 226 BONE SURVEY METABOLIC 77075 413 BONE SURVEY METASTATIC 77075 287 C ARM OR FLUORO None, no charge 1876 C ARM/FLUORO NEURO Physician offices would not order None, no charge 7694 C ARM/FLUORO VASCULAR Physician offices would not order None, no charge 149 CHAIN CYSTOURTHROGRAM Panel/Multiple 74430 51605 2536 CHANGE NEPHROSTOMY TUBE LT COMP 50435 2537 CHANGE NEPHROSTOMY TUBE RT COMP 50435 2520 CHANGE OF INT/EXT BILIARY TUBE 47536 2902 CHANGE URETEROSTOMY STENT/ILEAL CONDUIT Panel/Multiple 50688 75784 8510 CHEMOEMBOLIZATION 96549 6231 CHEMOTHERAPY ADMIN INTRA-ARTERIAL 96420 80 CHEST 1 V 71045 7703 CHEST 1 V W/ABDOMEN (INFANT ONLY) 71045 82 CHEST 2 V 71020 440 CHEST 2 V W/ABDOMEN (INFANT ONLY) 71046 3125 CHEST 3 V 71047 83 CHEST 4 V 71048 6204 CHEST DECUBITUS LT 71045 6269 CHEST DECUBITUS RT 71045 736 CHEST TUBE INSERTION W/O FLUORO 32556 84 CHEST W/ FLUORO 71023 2521 CHOLANGI POST BILIARY STNT PLCMNT 47537 2514 CHOLANGIOGRAPHY INTRAOPERATIVE 47531 5085 CLAVICLE COMPLETE LT 73000 5086 CLAVICLE COMPLETE RT 73000 859 COLON STUDY W/ GASTROGRAFIN 74270 6430 CONTRAST INJECTION FOR FEEDING TUBE 49465 2519 CONV EXT BILIARY TUBE TO INT EXT 47535 6432 CONVERSION G TUBE TO GJ TUBE 49446 3062 CT ABD + PELVIS W/+W/O CONTR (ORAL+IV) 74178 3060 CT ABD + PELVIS W/IV CONT (NO ORAL) 74177 3063 CT ABD + PELVIS W/O CONT (NO ORAL-NO IV) 74176 3064 CT ABD + PELVIS W/O IV CONT (ORAL ONLY) 74176 3061 CT ABDOMEN + PELVIS W/CONTRAST (ORAL+IV) 74177 2512 CT ABDOMEN LIMITED W/+W/O CONT Physician offices would not order, but may get a report/result 7417052 2513 CT ABDOMEN LIMITED W/IV CONT Physician offices would not order, but may get a report/result 7416052 2511 CT ABDOMEN LIMITED W/O CONTRAST Physician offices would not order, but may get a report/result 7415052 2275 CT ABDOMEN W/ + W/O CONT (NO ORAL CONT) 74170 3054 CT ABDOMEN W/ + W/O CONTRAST (ORAL + IV) 74170 2304 CT ABDOMEN W/ CONTRAST PANCREAS PROTOCOL 74160 3050 CT ABDOMEN W/ CONTRAST (ORAL + IV) 74160 3051 CT ABDOMEN W/IV CONTRAST (NO ORAL CONT) 74160 3052 CT ABDOMEN W/O CONTRAST (NO ORAL-NO IV) 74150 3053 CT ABDOMEN W/O IV CONTRAST (ORAL ONLY) 74150 819 CT ABSCESS DRAINAGE 75989 2298 CT ABSCESS DRAINAGE (US) 76942 2298 CT ABSCESS DRAINAGE (US) 76942 2132 CT ADDITIONAL VIEWS None, no charge 2402 CT BIOPSY/US GUIDED Physician offices would not order, but may get a report/result 76942 2366 CT BONE CRYOABLATION 20983 2554 CT BRACHYTHERAPY Radiology use only None, no charge 7608 CT CALCIUM SCORING 75571 7859 CT CERVICAL SPINE W + W/O 72127 136 CT CERVICAL SPINE W/ CONTRAST 72126 135 CT CERVICAL SPINE W/O CONTRAST 72125 3065 CT CHEST + ABD W/O CONT (NO ORAL-NO IV) Panel/Multiple 71250 74150 3069 CT CHEST + ABDOMEN W/ CONT (ORAL + IV) Panel/Multiple 71260 74160 3071 CT CHEST + ABDOMEN W/ IV CONT (NO ORAL) Panel/Multiple 71260 74160 3067 CT CHEST + ABDOMEN W/O IV (ORAL ONLY) Panel/Multiple 71250 74150 3077 CT CHEST ABD PELVIS W/IV CONT (NO ORAL) Panel/Multiple 74177 71260 3073 CT CHEST ABD PELVIS W/O (NO ORAL-NO IV) Panel/Multiple 71250 74176 3075 CT CHEST ABD PELVIS W/O IV (ORAL ONLY) Panel/Multiple 71250 74176 3079 CT CHEST ABDOMEN PELVIS W/CONT (ORAL+IV) Panel/Multiple 74177 71260 2509 CT CHEST LIMITED W/ CONTRAST Physician offices would not order, but may get a report/result 7126052 2510 CT CHEST LIMITED W/O CONTRAST Physician offices would not order, but may get a report/result 7125052 2939 CT CHEST PE PROTOCOL 71260 123 CT CHEST W/ + W/O CONTRAST 71270 122 CT CHEST W/ CONTRAST 71260 121 CT CHEST W/O CONTRAST 71250 398 CT CYST ASP 77012 7240 CT FACIAL BONES W/ + W/O CONTRAST 70488 562 CT FACIAL BONES W/ CONTRAST 70487 129 CT FACIAL BONES W/O CONTRAST 70486 7839 CT FOREIGN IMAGES None, no charge 399 CT GUIDANCE BIOPSY/NEEDLE PLACEMENT 77012 6482 CT GUIDANCE FOR RF BONE ABLATION 20982 7906 CT GUIDANCE FOR TISSUE ABLATION Panel/Multiple 47383 77013 6205 CT GUIDANCE THORACENTESIS 32555 7907 CT GUIDED CHEST TUBE PLACEMENT 32551 71 CT HEAD W/ + W/O CONTRAST 70470 70 CT HEAD W/ CONTRAST 70460 69 CT HEAD W/O CONTRAST 70450 2949 CT HEMATURIA PROTOCOL 74178 2399 CT HYDRATION charges/CPT manually entered based on time. based on time 711 CT LIMITED F/U LUNG 7125052 5192 CT LOWER EXTREM W/ + W/O CONTRAST LT 73702 5193 CT LOWER EXTREM W/ + W/O CONTRAST RT 73702 5190 CT LOWER EXTREM W/ CONTRAST LT 73701 5191 CT LOWER EXTREM W/ CONTRAST RT 73701 6297 CT LOWER EXTREM W/O CONTRAST LIMITED LT 7370052 6298 CT LOWER EXTREM W/O CONTRAST LIMITED RT 7370052 5186 CT LOWER EXTREM W/O CONTRAST LT 73700 5187 CT LOWER EXTREM W/O CONTRAST RT 73700 120 CT LUMBAR SPINE W/ + W/O CONTRAST 72133 119 CT LUMBAR SPINE W/ CONTRAST 72132 118 CT LUMBAR SPINE W/O CONTRAST 72131 7695 CT LUNG CANCER SCREENING ANNUAL EXAM G0297 2562 CT LUNG CANCER SCREENING INTERVAL F/U Billed at facilitiy's charge for CT Chest w/o to Medicare, Medicaid, Private Insurance, etc. 71250 854 CT LUNGS HIGH RESOLUTION 71250 134 CT NECK SOFT TISSUE W/ + W/O CONTRAST 70492 133 CT NECK SOFT TISSUE W/ CONTRAST 70491 132 CT NECK SOFT TISSUE W/O CONTRAST 70490 2385 CT NO CHARGE None, no charge 1742 CT ORBITS W/ + W/O CONTRAST 70482 110 CT ORBITS w/ CONTRAST 70481 73 CT ORBITS W/O CONTRAST 70480 7818 CT OUTSIDE IMAGES FOR COMPARISON None, no charge 7649 CT OUTSIDE IMAGES FOR CONSULTATION None, no charge 3059 CT PELVIS W/ + W/O CONTRAST (ORAL + IV) 72194 3057 CT PELVIS W/ CONTRAST (ORAL + IV) 72193 3058 CT PELVIS W/IV CONTRAST (NO ORAL CONT) 72193 3055 CT PELVIS W/O CONTRAST (NO ORAL-NO IV) 72192 3056 CT PELVIS W/O IV CONTRAST (ORAL ONLY) 72192 5060 CT PELVIS/KIDNEY STONE W/O CONTRAST 74176 402 CT PITUITARY W/ + W/O CONTRAST 70482 395 CT PITUITARY W/ CONTRAST 70481 401 CT PITUITARY W/O CONTRAST 70480 4873 CT ROTATION STUDY Panel/Multiple 73700RT5273700LT52 407 CT SCANOGRAM 77073 1151 CT SINUSES W/ + W/O CONTRAST 70488 1581 CT SINUSES W/ CONTRAST 70487 561 CT SINUSES W/O CONTRAST 70486 2435 CT STEALTH HEAD W + W/O CONTRAST 70470 2434 CT STEALTH HEAD W/CONTRAST 70460 2433 CT STEALTH SPINE C SPINE W/O 72125 406 CT STEREOTATIC LOC 77011 404 CT TEMPORAL BONES W/ + W/O CONTRAST 70482 403 CT TEMPORAL BONES W/ CONTRAST 70481 396 CT TEMPORAL BONES W/O CONTRAST 70480 137 CT THORACIC SPINE W/ CONTRAST 72129 138 CT THORACIC SPINE W/O CONTRAST 72128 7251 CT UPPER EXTREM W/ + W/O CONTRAST LT 73202 7252 CT UPPER EXTREM W/ + W/O CONTRAST RT 73202 5274 CT UPPER EXTREM W/ CONTRAST LT 73201 5275 CT UPPER EXTREM W/ CONTRAST RT 73201 5270 CT UPPER EXTREM W/O CONTRAST LT 73200 5271 CT UPPER EXTREM W/O CONTRAST RT 73200 2549 CT VENOGRAM/HEAD W/ CONTRAST 70460 2550 CT VENOGRAM/HEAD W/ + W/O CONTRAST 70470 5394 CTA ABD AORTA/RUNOFF 75635 2406 CTA ABDOMEN + PELVIS W/ IMAGE POST PROC 74174 2358 CTA ABDOMEN DISSECTION PROTOCOL 74175 5393 CTA ABDOMEN W/ IMAGE POST PROCESSING 74175 3046 CTA CARDIAC PULMONARY VEIN MAPPING 75572 2438 CTA CARDIAC TAVI W/ CONTRAST 75572 2439 CTA CARDIAC TAVI W/O CONTRAST 7557252 2429 CTA CHEST ABD PELV TAVI W/CON Panel/Multiple 71275 74174 2431 CTA CHEST ABD PELV TAVI W/O CONTRAST Panel/Multiple 71275 74174 2929 CTA CHEST DISSECTION PROTOCOL 71275 2401 CTA CHEST THORACIC AORTA 71275 2200 CTA CHEST/ABD DISSECTION PROTOCOL Panel/Multiple 71275 74175 8452 CTA CORONARY ARTERIES 75574 7617 CTA CORONARY ARTERIES W/ CALCIUM SCORING 75574 5385 CTA HEAD W/ IMAGE POST PROCESSING 70496 2484 CTA LOWER EXT BIL W/IMAGE POST 7370650 5392 CTA LOWER EXTREM LT W/IMAGE POST PROCESS 73706 5391 CTA LOWER EXTREM RT W/IMAGE POST PROCESS 73706 2437 CTA MESENTERIC 74174 5386 CTA NECK W/ IMAGE POST PROCESSING 70498 5388 CTA PELVIS W/ IMAGE POST PROCESSING 72191 5389 CTA UPPER EXTREM RT W/IMAGE POST PROCESS 73206 5390 CTA UPPER EXTREM LT W/IMAGE POST PROCESS 73206 2829 CTA VENOGRAM LOWER EXT LT 73706 2828 CTA VENOGRAM LOWER EXT RT 73706 2827 CTA VENOGRAM UPPER EXT LT 73206 2826 CTA VENOGRAM UPPER EXT RT 73206 6333 CV CATH CNTEL INS NON TUNN W/O 36556 1502 CV CATH CNTRL INSERTION NON TUNNEL FLUO Panel/Multiple 36556 77001 1506 CV CATH CNTRL INSERTION TUNNELED FLUORO Panel/Multiple 36558 77001 1510 CV CATH CNTRL INSERTION TUNNELED W/PORT Panel/Multiple 36561 77001 1514 CV CATH PERIPHERALLY INSERT < 5 Y/O FLUO Panel/Multiple 36568 77001 1518 CV CATH PERIPHERALLY INSERT > 5 Y/O FLUO Panel/Multiple 36569 77001 1534 CV CATH REMOVAL W/ PORT FLUORO Panel/Multiple 36590 77001 7891 CV CATH REMOVAL W/ PORT W/O FL 36590 1532 CV CATH REMOVAL W/O PORT FLUORO Panel/Multiple 36589 77001 7890 CV CATH REMOVAL W/O PORT W/O FL 36589 1520 CV CATH REPAIR W/O PORT FLUORO Panel/Multiple 36575 77001 1522 CV CATH REPAIR W/ PORT FLUORO Panel/Multiple 36576 77001 1530 CV CATH REPLACEMENT PICC FLUORO Panel/Multiple 36584 77001 1528 CV CATH REPLACEMENT TUNNELED W/ PORT FL Panel/Multiple 36582 77001 1526 CV CATH REPLACEMENT TUNNELED W/O PORT FL Panel/Multiple 36581 77001 1524 CV CATH REPLACEMENT W/O PORT FLUORO Panel/Multiple 36580 77001 1536 CV CATH REPOSITION/PREVIOUSLY PLACED FL 36597 161 CYSTOGRAM Panel/Multiple 51600 74430 7878 CYSTOSTOMY TUBE CHANGE Panel/Multiple 75984 51705 7089 CYSTOURETHROSCOPY INSER URETERAL STEN LT 52332 7087 CYSTOURETHROSCOPY INSER URETERAL STEN RT 52332 2722 CYSTOURETHROSCOPY INSERT URETERAL WIRE 52334 6230 CYSTOURETHROSCOPY URETERAL BRUSH BX LT 52354 6295 CYSTOURETHROSCOPY URETERAL BRUSH BX RT 52354 7097 CYSTOURETHROSCOPY URETERAL STENT REM LT 52310 7095 CYSTOURETHROSCOPY URETERAL STENT REM RT 52310 1452 DECLOTTING IMPLANTED VASC DEVICE 36593 894 DEFECOGRAPHY 74270 2526 DILATATION OF BILIARY TREE ADDL 47542 2542 DILATATION OF URETER LT ADDL 50706 2543 DILATATION OF URETER RT ADDL 50706 373 DILATION OF BILIARY TRACT 74360 375 DILATION OF NEPHROSTOMY Panel/Multiple 74485 50395 7117 DILATION OF URETER LT Panel/Multiple 74485 50553 7115 DILATION OF URETER RT Panel/Multiple 74485 50553 564 DISCOGRAPHY LUMBAR EACH LEVEL Panel/Multiple 72295 62290 5121 ELBOW 2 V LT 73070 5122 ELBOW 2 V RT 73070 5127 ELBOW COMP MIN 3 V LT 73080 5128 ELBOW COMP MIN 3 V RT 73080 2455 EMBOLIZATION ARTERIAL 37242 2457 EMBOLIZATION HEMORRHAGE 37244 2456 EMBOLIZATION TUMOR/ORGAN 37243 2454 EMBOLIZATION VENOUS 37241 168 ERCP BILIARY + PANCREATIC DUCTAL SYS 74330 5487 ERCP BILIARY DUCTAL SYSTEM 74328 65 ESOPHAGRAM 74220 3126 ESOPHAGRAM W/ AIR CONTRAST 74246 2296 EVALUATION OF GASTRIC TUBE Physician offices would not order, but may get a report/result 49465 1217 EXCHANGE OF ABSCESS OR CYST DRAIN CATH 49423 5063 FACIAL BONES < 3 V 70140 8442 FACIAL BONES COMPLETE MIN 3 V 70150 8738 FEM/POP ATHERECTOMY COMPLETE 37225 8737 FEM/POP PTA COMPLETE 37224 8739 FEM/POP STENT COMPLETE 37726 5298 FEMUR 2 V LT 73552 5299 FEMUR 2 V RT 73552 2004 FINGER MIN 2 V LT 73140 2011 FINGER MIN 2 V RT 73140 571 FISTULA OR SINUS TRACT STUDY W/INJECTION Panel/Multiple 20501 76080 2819 FIXED OR FLUORO None, no charge 7690 FLUOR GU NEEDLE PLACEMENT W/BONE BIOPSY Panel/Multiple 77002 20225 7900 FLUORO EVALUATION OF GASTRIC TUBE 49465 7740 FLUORO FOR INJECTION PAIN CLINIC 77003 7705 FLUORO GU TRIGGER POINT/NERVE BLOCK 77002 6384 FLUORO GUIDANCE FOR INJECTION Panel/Multiple 61070 77003 695 FLUORO GUIDANCE FOR NEEDLE PLACEMENT 77002 5345 FOOT 2 V LT 73620 5169 FOOT 2 V RT 73620 8531 FOOT COMPLETE MIN 3 V EA BILAT 7363050 5174 FOOT COMPLETE MIN 3 V LT 73630 5175 FOOT COMPLETE MIN 3 V RT 73630 5135 FOREARM 2 V LT 73090 5136 FOREARM 2 V RT 73090 584 FOREIGN BODY SCAN CHILD 76010 2184 GD ADDITIONAL VIEWS None, no charge 7838 GD FOREIGN IMAGES None, no charge 2381 GD NO CHARGE None, no charge 7817 GD OUTSIDE IMAGES FOR COMPARISON None, no charge 7626 GD OUTSIDE IMAGES FOR CONSULTATION None, no charge 178 GUIDANCE FOR PERCUTANEOUS DRAINAGE 75989 7956 HAND 2 V EACH BIL Panel/Multiple73120LT 73120RT 5164 HAND 2 V LT 73120 5165 HAND 2 V RT 73120 8533 HAND MIN 3 V BILAT 7313050 5264 HAND MIN 3 V LT 73130 5265 HAND MIN 3 V RT 73130 5180 HEEL MIN 2 V LT 73650 5181 HEEL MIN 2 V RT 73650 5276 HIP 1 V UNI LT 73501 5277 HIP 1 V UNI RT 73501 2220 HIP 1V LT W/PELVIS 1 V 73501 2222 HIP 1V RT W/PELVIS 1 V 73501 5282 HIP COMPLETE MIN 2 V LT 73502 5283 HIP COMPLETE MIN 2 V RT 73502 51 HIPS MIN 2 V BILAT 73521 5115 HUMERUS MIN 2 V LT 73060 5116 HUMERUS MIN 2 V RT 73060 163 HYSTEROSALPINGOGRAPHY Panel/Multiple 58340 74740 8746 ILIAC 2ND KISSING STENT COMPLETE 3722159 8735 ILIAC ADDL PTA ISPILATERAL COMPLETE 37222 8736 ILIAC ADDL STENT ISPLATERAL COMPLETE 37223 3083 ILIAC ANEURYSM ENDOGRAFT Panel/Multiple 34900 75954 8733 ILIAC PTA COMPLETE 37220 8734 ILIAC STENT COMPLETE 37221 7449 INJECTION OF CONTRAST PERITONEAL CAVITY 49400 7641 INJECTION W/ FLUORO EVAL CV DEVICE 36598 8423 INS INDWELL TUNNEL PERITONEAL CATH W/CUF 49418 1800 INSERT INDWELL TUNNEL PLEURAL CATH W/CUF Panel/Multiple 32550 75989 7904 INSERT PERCUTANEOUS DUODENOSTOMRY/J TUBE 49441 1799 INSERTION OF TIPS 37182 920 IR CLINIC CONSULTATION based on time 2393 IR CLINIC FOLLOW UP based on time 2415 IVC FILTER INSERT COMPLETE 37191 2416 IVC FILTER REMOVAL COMPLETE 37193 146 IVP 74400 3127 JOINT ASPIRATION LT Note joint 77002 + Joint CPT 3128 JOINT ASPIRATION RT Note joint 77002 + Joint CPT 3129 JOINT INJECTION LT Note joint 77002 + Joint CPT 3130 JOINT INJECTION RT Note joint 77002 + Joint CPT 5303 KNEE 1 - 2 V LT 73560 5304 KNEE 1 - 2 V RT 73560 5309 KNEE 3 V LT 73562 5310 KNEE 3 V RT 73562 5315 KNEE COMPLETE MIN 4 V LT 73564 5316 KNEE COMPLETE MIN 4 V RT 73564 8529 KNEES BILATERAL 2 V EACH 7356050 6227 KNEES BILATERAL 3 V EACH Panel/Multiple 73562LT 73562RT 8535 KNEES BILATERAL 4 V EACH 7356450 5321 KNEES STANDING AP ONLY BILAT 73565 2374 KYPHOPLASTY EA ADD THOR OR LUMB VERT 22515 2373 KYPHOPLASTY LUMBAR FIRST VERT 22514 2372 KYPHOPLASTY THORACIC FIRST VERT 22513 7701 LOOPOGRAM (GENERAL DX) Panel/Multiple 50690 74425 378 LOOPOGRAM (SPECIALS) Panel/Multiple 74425 50690 2039 LUMBAR PUNCTURE DIAGNOSTIC 62270 7902 LUMBAR PUNCTURE THERAPEUTIC 62272 1781 LUMBAR PUNCTURE W/ CHEMO 96450 2971 MA BREAST SPECIMEN UNI LT FROM OR 76098 2972 MA BREAST SPECIMEN UNI RT FROM OR 76098

7921 MA DIAGNOSTIC CONSULTATION LETTER None, no charge 2477 MA FFD DX FOLLOW PROCEDURE BIL G0204 2478 MA FFD DX FOLLOW PROCEDURE LT G0206 2479 MA FFD DX FOLLOW PROCEDURE RT G0206 8459 MA FFD MAMM DIAGNOSTIC BILAT G0204 2169 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN BIL G0204GG 2170 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN LT G0206GG 2171 MA FFD MAMM DIAGNOSTIC FOLLOW SCRN RT G0206GG 8469 MA FFD MAMM DIAGNOSTIC UNI LT G0206 8472 MA FFD MAMM DIAGNOSTIC UNI RT G0206 2593 MA FFD MAMM SCREEN BILATERAL G0202 2594 MA FFD MAMM SCREEN LT UNI G020252 2595 MA FFD MAMM SCREEN RT UNI G020252 7842 MA FOREIGN IMAGES None, no charge 7218 MA GUIDED BREAST CYST ASPIRATION LT 19000 7219 MA GUIDED BREAST CYST ASPIRATION RT 19000 2975 MA GUIDED BREAST DUCTOGRAM W/MULT LT Panel/Multiple 77054 19030 2976 MA GUIDED BREAST DUCTOGRAM W/MULT RT Panel/Multiple 77054 19030 2977 MA GUIDED BREAST DUCTOGRAM W/SINGLE LT Panel/Multiple 77053 19030 2978 MA GUIDED BREAST DUCTOGRAM W/SINGLE RT Panel/Multiple 77053 1930 2979 MA GUIDED BREAST NEEDLE LOC WIRE LT 19281 2980 MA GUIDED BREAST NEEDLE LOC WIRE RT 19281 2983 MA GUIDED BREAST STEREOTACTIC LT 19081 2984 MA GUIDED BREAST STEREOTACTIC RT 19081 2587 MA MAMM 3D DIAGNOSTIC BIL Copper Ridge only Panel/Multiple G0202 G0279 2588 MA MAMM 3D DIAGNOSTIC LT Copper Ridge only Panel/Multiple G0206 G0279 2589 MA MAMM 3D DIAGNOSTIC RT Copper Ridge only Panel/Multiple G0206 G0279 2584 MA MAMM 3D SCREENING BIL Copper Ridge only Panel/Multiple G0202 77063 2585 MA MAMM 3D SCREENING LT Copper Ridge only Panel/Multiple G020252 7706352 2586 MA MAMM 3D SCREENING RT Copper Ridge only Panel/Multiple G020252 7706352 7609 MA MAMMOGRAM MISCELLANEOUS Used to order for inpatient only, None, no charge 2383 MA NO CHARGE None, no charge 7829 MA OUTSIDE IMAGES FOR COMPARISON None, no charge 1248 MA OUTSIDE IMAGES FOR CONSULTATION None, no charge 7560 MA PRETREATMENT REVIEW None, no charge 2859 MA RADIOLOGY PATHOLOGY F/U REPORT None, no charge 3 MANDIBLE COMPLETE MIN 4 V 70110 7748 MANIPULATION OF PERITONEAL DIALYSIS CATH 49999 8524 MECH REMOVAL FIBRIN SHEATH VENOUS ACCESS Panel/Multiple 36595 75901 6118 MISC INTERVENTIONAL RADIOLOGY EXAM None, no charge 7844 MR FOREIGN IMAGES None, no charge 7837 MR OUTSIDE IMAGES FOR COMPARISON None, no charge 7648 MR OUTSIDE IMAGES FOR CONSULTATION None, no charge 6357 MRA ABDOMEN W/ + W/O CONTRAST C8902 6355 MRA ABDOMEN W/ CONTRAST C8900 6356 MRA ABDOMEN W/O CONTRAST C8901 6351 MRA CHEST W/ + W/O CONTRAST C8911 6349 MRA CHEST W/ CONTRAST C8909 6350 MRA CHEST W/O CONTRAST C8910 5365 MRA HEAD W/ + W/O CONTRAST 70546 5363 MRA HEAD W/ CONTRAST 70545 5361 MRA HEAD W/O CONTRAST 70544 7928 MRA INCOMPLETE ABDOMEN C890152 7931 MRA INCOMPLETE CHEST C891052 7929 MRA INCOMPLETE HEAD 7054452 7933 MRA INCOMPLETE LOWER EXTREMITY C891352 7932 MRA INCOMPLETE NECK 7054752 7930 MRA INCOMPLETE PELVIS C892052 7934 MRA INCOMPLETE UPPER EXTREMITY C893552 1357 MRA LOWER EXTREM W/ + W/O CONTRAST LT C8914 1358 MRA LOWER EXTREM W/ + W/O CONTRAST RT C8914 2921 MRA LOWER EXTREM W/ OUTFLOW C891250 5371 MRA NECK W/ + W/O CONTRAST 70549 5369 MRA NECK W/ CONTRAST 70548 5367 MRA NECK W/O CONTRAST 70547 865 MRA PELVIS W/ + W/O CONTRAST C8920 1367 MRA RENAL W/ + W/O CONTRAST C8902 1366 MRA RENAL W/ CONTRAST C8900 1365 MRA RENAL W/O CONTRAST C8901 7553 MRA UPPER EXTREM W/ + W/O CONTRAST LT C8936 7554 MRA UPPER EXTREM W/ + W/O CONTRAST RT C8936 1360 MRA UPPER EXTREM W/ CONTRAST LT C8934 1363 MRA UPPER EXTREM W/ CONTRAST RT C8934 1359 MRA UPPER EXTREM W/O CONTRAST LT C8935 1362 MRA UPPER EXTREM W/O CONTRAST RT C8935 4088 MRI ABDOMEN (MRCP) W/ + W/O CONTRAST 74183 4087 MRI ABDOMEN (MRCP) W/O CONTRAST 74181 5383 MRI ABDOMEN W/ + W/O CONTRAST 74183 5381 MRI ABDOMEN W/ CONTRAST 74182 527 MRI ABDOMEN W/O CONTRAST 74181 860 MRI ADDITION VIEWS None, no charge 7574 MRI ANKLE W/ + W/O CONTRAST LT 73723 7575 MRI ANKLE W/ + W/O CONTRAST RT 73723 7572 MRI ANKLE W/ CONTRAST LT 73722 7573 MRI ANKLE W/ CONTRAST RT 73722 7576 MRI ANKLE W/O CONTRAST LT 73721 7577 MRI ANKLE W/O CONTRAST RT 73721 6160 MRI BONE MARROW BLOOD STUDY 77084 2498 MRI BRACHIAL PLEXUS W + W/O CONTRAST 73220 667 MRI BRAIN W/ + W/O CONTRAST 70553 546 MRI BRAIN W/ CONTRAST 70552 519 MRI BRAIN W/O CONTRAST 70551 2556 MRI BRAIN W/O VENTRICLES MEASUREMENT 7055152 6348 MRI BREAST W/ + W/O CONTRAST BILAT C8908 6342 MRI BREAST W/ + W/O CONTRAST LT C8905 6345 MRI BREAST W/ + W/O CONTRAST RT C8905 6346 MRI BREAST W/ CONTRAST BILAT C8906 6340 MRI BREAST W/ CONTRAST LT C8903 6343 MRI BREAST W/ CONTRAST RT C8903 6347 MRI BREAST W/O CONTRAST BILAT C8907 6341 MRI BREAST W/O CONTRAST LT C8904 6344 MRI BREAST W/O CONTRAST RT C8904 668 MRI CERVICAL SPINE W/ + W/O CONTRAST 72156 545 MRI CERVICAL SPINE W/ CONTRAST 72142 521 MRI CERVICAL SPINE W/O CONTRAST 72141 5360 MRI CHEST W/ + W/O CONTRAST 71552 5358 MRI CHEST W/ CONTRAST 71551 520 MRI CHEST W/O CONTRAST 71550 7584 MRI ELBOW W/ CONTRAST LT 73222 7585 MRI ELBOW W/ CONTRAST RT 73222 7586 MRI ELBOW W/+W/O CONTRAST LT 73223 7587 MRI ELBOW W/+W/O CONTRAST RT 73223 7588 MRI ELBOW W/O CONTRAST LT 73221 7590 MRI ELBOW W/O CONTRAST RT 73221 2388 MRI ENTEROGRAPHY ABD/PEL W/O W/GLUCAGON Panel/Multiple 74181 72195 J1610 2387 MRI ENTEROGRAPHY ABD/PEL W+WO W/GLUCAGON Panel/Multiple 74183 72197 J1610 5413 MRI FACE W/ & W/O CONTRAST 70543 5410 MRI FACE W/ CONTRAST 70542 535 MRI FACE W/O CONTRAST 70540 2503 MRI FOOT W + W/O CONTRAST LT 73720 2504 MRI FOOT W + W/O CONTRAST RT 73720 2501 MRI FOOT W/ CONTRAST LT 73719 2502 MRI FOOT W/ CONTRAST RT 73719 2499 MRI FOOT W/O CONTRAST LT 73718 2500 MRI FOOT W/O CONTRAST RT 73718 2442 MRI GUIDED BREAST BIOPSY LT 19085 2443 MRI GUIDED BREAST BIOPSY RT 19085 2441 MRI GUIDED BREAST NEEDLE LOC LT 19287 2440 MRI GUIDED BREAST NEEDLE LOC RT 19287 2496 MRI HAND W + W/O CONTRAST LT 73220 2497 MRI HAND W + W/O CONTRAST RT 73220 2494 MRI HAND W/ CONTRAST LT 73219 2495 MRI HAND W/ CONTRAST RT 73219 2492 MRI HAND W/O CONTRAST LT 73218 2493 MRI HAND W/O CONTRAST RT 73218 6166 MRI HEART FOR VELOCITY FLOW MAPPING 75565 6415 MRI HEART W/ + W/O CONTRAST 75561 6163 MRI HEART W/ CONTRAST 7556152 528 MRI HEART W/O CONTRAST 75557 2952 MRI HIP LIMITED W/O CONTRAST LT 7372152 2953 MRI HIP LIMITED W/O CONTRAST RT 7372152 7568 MRI HIP W/ + W/O CONTRAST LT 73723 7569 MRI HIP W/ + W/O CONTRAST RT 73723 7564 MRI HIP W/ CONTRAST LT 73722 7567 MRI HIP W/ CONTRAST RT 73722 7570 MRI HIP W/O CONTRAST LT 73721 7571 MRI HIP W/O CONTRAST RT 73721 8537 MRI HIPS BIL W/ + W/O CONTRAST 7372350 8539 MRI HIPS BILATERAL W/ CONTRAST 7372250 8541 MRI HIPS BILATERAL W/O CONTRAST 7372150 7862 MRI INCOMPLETE ABDOMEN 7418152 7863 MRI INCOMPLETE BRAIN 7055152 7875 MRI INCOMPLETE BREAST C890452 7864 MRI INCOMPLETE CERVICAL SPINE 7214152 7865 MRI INCOMPLETE CHEST 7155052 7870 MRI INCOMPLETE FACE NECK ORBIT 7054052 7866 MRI INCOMPLETE JOINT LOWER EXTREM 7372152 7867 MRI INCOMPLETE JOINT UPPER EXTREM 7322152 7868 MRI INCOMPLETE LOWER EXTREMITY 7371852 7869 MRI INCOMPLETE LUMBAR SPINE 7214852 7871 MRI INCOMPLETE PELVIS 7219552 7872 MRI INCOMPLETE THORACIC SPINE 7214652 7873 MRI INCOMPLETE TMJ 7033652 7874 MRI INCOMPLETE UPPER EXTREMITY 7321852 2160 MRI KNEE W/ + W/O CONTRAST LT 73723 2161 MRI KNEE W/ + W/O CONTRAST RT 73723 2158 MRI KNEE W/ CONTRAST LT 73722 2159 MRI KNEE W/ CONTRAST RT 73722 2164 MRI KNEE W/O CONTR LT 73721 7563 MRI KNEE W/O CONTRAST RT 73721 6217 MRI LOWER EXTREM W/ + W/O CONTRAST LT 73720 6282 MRI LOWER EXTREM W/ + W/O CONTRAST RT 73720 6253 MRI LOWER EXTREM W/ CONTRAST LT 73719 6318 MRI LOWER EXTREM W/ CONTRAST RT 73719 6251 MRI LOWER EXTREM W/O CONTRAST LT 73718 6316 MRI LOWER EXTREM W/O CONTRAST RT 73718 670 MRI LUMBAR SPINE W/ + W/O CONTRAST 72158 544 MRI LUMBAR SPINE W/ CONTRAST 72149 523 MRI LUMBAR SPINE W/O CONTRAST 72148 5412 MRI NECK W/ + W/O CONTRAST 70543 5409 MRI NECK W/ CONTRAST 70542 534 MRI NECK W/O CONTRAST 70540 861 MRI NO CHARGE None, no charge 5411 MRI ORBITS W/ + W/O CONTRAST 70543 5408 MRI ORBITS W/ CONTRAST 70542 1368 MRI ORBITS W/O CONTRAST 70540 3487 MRI PELVIS - FIBROID PROTOCOL 72197 5398 MRI PELVIS W/ + W/O CONTRAST 72197 524 MRI PELVIS W/ CONTRAST 72196 5396 MRI PELVIS W/O CONTRAST 72195 2547 MRI PROSTATE W/ & W/O CONTRAST only done at MMC 72197 7578 MRI SHOULDER W/ CONTRAST LT 73222 7579 MRI SHOULDER W/ CONTRAST RT 73222 7580 MRI SHOULDER W/+W/O CONTRAST LT 73223 7581 MRI SHOULDER W/+W/O CONTRAST RT 73223 7583 MRI SHOULDER W/O CONRAST RT 73221 7582 MRI SHOULDER W/O CONTRAST LT 73221 2491 MRI STEALTH 70552 669 MRI THORACIC SPINE W/ + W/O CONTRAST 72157 543 MRI THORACIC SPINE W/ CONTRAST 72147 522 MRI THORACIC SPINE W/O CONTRAST 72146 585 MRI TMJ 70336 6216 MRI UPPER EXTREM W/ + W/O CONTRAST LT 73220 6281 MRI UPPER EXTREM W/ + W/O CONTRAST RT 73220 6261 MRI UPPER EXTREM W/ CONTRAST LT 73219 6326 MRI UPPER EXTREM W/ CONTRAST RT 73219 6259 MRI UPPER EXTREM W/O CONTRAST LT 73218 6324 MRI UPPER EXTREM W/O CONTRAST RT 73218 7591 MRI WRIST W/ CONTRAST LT 73222 7592 MRI WRIST W/ CONTRAST RT 73222 7593 MRI WRIST W/+W/O CONTRAST LT 73223 7594 MRI WRIST W/+W/O CONTRAST RT 73223 7595 MRI WRIST W/O CONTRAST LT 73221 7596 MRI WRIST W/O CONTRAST RT 73221 5363 MRV HEAD W/ +W/O CONTRAST 70546 2481 MRV HEAD W/ CONTRAST 70545 2490 MRV HEAD W/O CONTRAST 70544 2505 MRV LOWER EXTREM W/O CONTR LT C8913 2506 MRV LOWER EXTREM W/O CONTR RT C8913 2507 MRV UPPER EXTREM W/O CONTR LT C8935 2508 MRV UPPER EXTREM W/O CONTR RT C8935 2319 MYELOGRAM CERVICAL SPINE 62302 2321 MYELOGRAM LUMBAR SPINE 62304 2322 MYELOGRAM SPINE TWO OR MORE REGIONS 62305 2320 MYELOGRAM THORACIC SPINE 62303 8443 NASAL BONES COMPLETE MIN 3 V 70160 78 NECK SOFT TISSUE 70360 2535 NEPH TUBE CONVER TO NEPHROURETE 50434 2530 NEPHROSTOGRAM LT THRU CATHETER 50431 2528 NEPHROSTOGRAM LT THRU NEEDLE 50430 2531 NEPHROSTOGRAM RT THRU CATHETER 50431 2529 NEPHROSTOGRAM RT THRU NEEDLE 50430 6434 NG TUBE PLACEMENT/REPOSITION 43752 2183 NM ADDITIONAL VIEWS none, no charge 6386 NM BACLOFEN PUMP EVAL Panel/Multiple A9548 75809 358 NM BONE SCAN THREE PHASE Panel/Multiple 78315 A9503 1478 NM BONE WHOLE BODY Panel/Multiple A9503 78306 2198 NM BONE WHOLE BODY W SPECT/CT Panel/Multiple 78306 A9503 78320 834 NM BONE WHOLE BODY W/SPECT Panel/Multiple A9503 78320 7715 NM BONE/JOINT IMAGING Panel/Multiple A9503 78300 332 NM BOWEL IMAGING MECKELS Panel/Multiple 78290 A9512 1584 NM BRAIN SCAN W/ SPECT Panel/Multiple 78607 A9584 885 NM CARDIAC BLD POOL (1ST PASS/RT EF) Panel/Multiple A9560 78472 906 NM CARDIAC BLD POOL MUGA/REST Panel/Multiple A9560 78472 368 NM CEREBRAL VASCULAR FLOW Panel/Multiple A9539 78610 1788 NM CEREBROSPINAL FLUID FLOW FOR PATENCY Panel/Multiple 78630 A9539 62322 1784 NM CISTERNOGRAM Panel/Multiple A9548 78630 77003 7843 NM FOREIGN IMAGES None, no charge 334 NM GALLBLADDER IMAGING Panel/Multiple 78226 A9537 582 NM GALLBLADDER W/STIMULATION Panel/Multiple 78227 A9537 J2805 742 NM GASTRIC EMPTYING LIQUID Panel/Multiple 78264 A9572 743 NM GASTRIC EMPTYING LIQUID + SOLID Panel/Multiple 78264 A9572 A9540 367 NM GASTRIC EMPTYING SOLID Panel/Multiple 78264 A9541 874 NM GASTROESOPHAGEAL REFLUX STUDY Panel/Multiple A9541 78262 566 NM GI BLEED TAGGED RBC Panel/Multiple 78278 A9560 7711 NM I 131 TOTAL BODY POST THERAPY 78018 2597 NM I 131 TOTAL BODY SCAN W/O TREATMENT TC ONLY 78018 7860 NM I 131 TOTAL BODY SCAN W/RETEN + TX Panel/Multiple 78018 78020 7614 NM I 131 TOTAL BODY SCAN W/TREATMENT 78018 2600 NM I-131 THERAPY TC ONLY 79005 5421 NM LAVEEN SHUNT PATENCY Panel/Multiple A9512 49427 78291 338 NM LIVER + SPLEEN IMAGING Panel/Multiple 78215 A9541 337 NM LIVER IMAGING Panel/Multiple 78205 A9541 820 NM LIVER IMAGING W/ SPECT Panel/Multiple 78205 A9560 903 NM LIVER IMAGING W/ SPECT + VASC FLOW Panel/Multiple 78206 A9560 873 NM LYMPH GLAND IMAGING Panel/Multiple 78195 A9541 2551 NM MIBG SCAN Panel/Multiple 78804 A9516

Need to indicate Pharmacologic agent, 2602 NM MYO MULTI SPECT PERF W /PHARMACOLOGIC Adenosine, Dobutamin, Lexiscan, or Persantine Panel/Multiple 78452 A9500 1499 NM MYO MULTI SPECT W/ STRESS Panel/Multiple 78452 A9500

Need to indicate Pharmacologic agent, 2603 NM MYOC MLT SPECT THALLIUM STR/PHARMACOLOGIC Adenosine, Dobutamin, Lexiscan, or Persantine Panel/Multiple 78452 A9500 7174 NM MYOC PERF PLANAR MULTI SESTAMIBI Panel/Multiple 78454 A9500 1749 NM MYOC PERF PLANAR SINGLE SESTAMIBI Panel/Multiple A9500 78453 1747 NM MYOC PERF PLANAR SINGLE THALLIUM Panel/Multiple 78453 A9505 2646 NM MYOC PYP TC ONLY 78803 2601 NM MYOC SINGLE W/ SPECT SESTAMIBI REST Panel/Multiple 78451 A9500 7168 NM MYOC SINGLE W/ SPECT THALLIUM REST Panel/Multiple 78451 A9505 2386 NM NO CHARGE None, no charge 869 NM OCTREOSCAN WH BODY W/SPECT SINGLE Panel/Multiple A9572 78804 7833 NM OUTSIDE IMAGES FOR COMPARISON None, no charge 7853 NM OUTSIDE IMAGES FOR CONSULTATION None, no charge 1480 NM PARATHYROID IMAGING Panel/Multiple A9500 78070 2191 NM PARATHYROID PLANAR W/SPECT CT Panel/Multiple 78012 A9500 2135 NM PET MYOCARDIAL VIABILITY Panel/Multiple 78459 A9552 2911 NM PET/CT BRAIN PI Panel/Multiple 76808PI A9552 2912 NM PET/CT BRAIN PS Panel/Multiple 76808PS A9552 6243 NM PET/CT LIMITED AREA PI Panel/Multiple 78814PI A9552 6250 NM PET/CT LIMITED AREA PS Panel/Multiple 78814PS A9552 6420 NM PET/CT OUTSIDE IMAGES FOR CONS None, no charge 6267 NM PET/CT SKULL TO MID THIGH PI Panel/Multiple 78815PI A9552 6270 NM PET/CT SKULL TO MID THIGH PS Panel/Multiple 78815PS A9552 6274 NM PET/CT WHOLE BODY PI Panel/Multiple 78816PI A9552 6276 NM PET/CT WHOLE BODY PS Panel/Multiple 78816PS A9552 2808 NM PULM PERFUSION + AEROSOL LUNG SCAN Panel/Multiple 78582 A9567 A9540 7170 NM PULM PERFUSION W/VENTILATION IMAGING Panel/Multiple 78582 A9540 A9558 587 NM PULM PERFUSION/VENTILATION QUANTITATIVE Panel/Multiple 78598 A9558 A9540 345 NM PULM VENTILATION W/REBREAT+WASHOUT Panel/Multiple 78582 A9558 2413 NM PULMONARY PERFUSION (ONLY) IMAGING Panel/Multiple 78580 A9540 2411 NM PULMONARY VENTILATION (ONLY) IMAGING Panel/Multiple 78579 A9558 907 NM RENAL W/ FLOW + DIURETIC Panel/Multiple A9562 78708 429 NM RENAL W/ VASCULAR FLOW Panel/Multiple A9562 78701 909 NM RENAL W/FLOW MULTIPLEW/ ACE INHIBIT Panel/Multiple A9562 78709 908 NM RENAL W/FLOW SINGLE W/ACE INHIBIT Panel/Multiple A9562 78708 2599 NM THYROGEN I 131 TOTAL BODY SCAN W/O TREATMENT TC ONLY 78018 2598 NM THYROGEN I 131 TOTAL BODY SCAN W/TREATMENT TC ONLY 78018 340 NM THYROID + UPTAKE Panel/Multiple 78014 A9516 347 NM THYROID IMAGING Panel/Multiple 78013 A9512 359 NM THYROID UPTAKE ONLY Panel/Multiple 78012 A9516 A9512 A9541 78315 6169 NM TRIPLE TRACER BONE SCAN Panel/Multiple A9570 78805 78103 1495 NM TUMOR LOCALIZATION Panel/Multiple 78804 A9572 365 NM URETERAL REFLUX STUDY Panel/Multiple A9541 78740 78730 1330 NM WHITE BLOOD CELLS Panel/Multiple 78804 A9521 904 NM WHITE BLOOD CELLS W/ SPECT Panel/Multiple A9521 78807 2323 NM XOFIGO INJ THERAPY 79101 2444 NM Y90 LIVER/LUNG SCAN Panel/Multiple 78205 78580 A9540 2848 O ARM/FLUORO NEURO None, no charge 2199 OR CASE - PERCUTANEOUS NEPHROSTOGRAM None, no charge 8444 ORBITS COMPLETE MIN 4 V 70200 2363 PARACENTESIS W/ GUIDANCE 49083 2362 PARACENTESIS W/O GUIDANCE 49082 102 PELVIS 1 - 2 V 72170 802 PELVIS COMPLETE MIN 3 V 72190 2517 PERC BILIARY DRAIN INT/EXT COMPLETE 47534 2516 PERC BILIARY DRAINAGE EXT COMPLETE 47533 2532 PERC DRAINAGE KIDNEY LT COMP 50432 2533 PERC DRAINAGE KIDNEY RT COMP 50432 7708 PERC GASTROSTOMY TUBE EXCHANGE Panel/Multiple 43760 75984 293 PERC INTRODUCTION OF NEPHROSTOMY LT Panel/Multiple 50396 74425 294 PERC INTRODUCTION OF NEPHROSTOMY RT Panel/Multiple 50396 74425 155 PERC TRANSHEPATIC PORTOGRAM W/ HEMO EVAL Panel/Multiple 75885 36481 727 PERC TRANSHEPATIC PORTOGRAM W/O HEMO EV Panel/Multiple 75887 36481 884 PERCUT TRANSCATH PERMANENT EMBOLIZATION Panel/Multiple 75894 61626 828 PERCUTANEOUS ANTERGRADE PYELOGRAM Panel/Multiple 50390 74425 4875 PERCUTANEOUS CHOLECYSTOSTOMY Panel/Multiple 47490 75989 381 PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE Panel/Multiple 49440 43246 7132 PERCUTANEOUS STONE REMOVAL LT 50080 7131 PERCUTANEOUS STONE REMOVAL RT 50080 8521 PERITONEAL PERM DRAINAGE CATH REMOVAL 49422 7450 PERITONEOGRAM AFTER INJ AIR OR CONTRAST 74190 2189 PICC INSERTION W/ PORT >5Y 36571 2534 PLCMNT NEPHROURETERAL NEW ACC 50433 2540 PLCMNT URETER STNT NEW ACC - CATH 50695 2539 PLCMNT URETERAL STENT NEW ACCESS 50694 2538 PLCMNT URETERAL STENT OLD ACCESS 50693 2931 PLEURAL DRAINAGE CATH REMOVAL 35552 1336 PORTOCAVAL VENOUS ANASTOMOSIS OPEN 37140 879 POSTURAL STUDY 72100 7892 RADIOLOGY NURSE VISIT < 10 MIN 99211 2379 RADIOLOGY NURSE VISIT > 39 MIN 99215 2376 RADIOLOGY NURSE VISIT 10-14 MIN 99212 2377 RADIOLOGY NURSE VISIT 15-24 MIN 99213 2378 RADIOLOGY NURSE VISIT 25-39 MIN 99214 7658 REMOVAL NEPHROSTOMY TUBE - FLUORO 50389 7658 REMOVAL NEPHROSTOMY TUBE/INTERNAL STENT 50389 2541 REMOVAL/REPLACE NEPHROURETERAL CATH COMP 50387 7621 REMOVAL/URETERAL STENT/PERC 50384 6431 REMOVE OBSTRUCTIVE MATERIAL/FEEDING TUBE 49460 2419 RENAL ANGIO 1ST BILAT COMP 36252 2417 RENAL ANGIO 1ST UNILAT COMP 36251 2418 RENAL ANGIO 2ND UNILAT COMP 36253 6388 RENAL CYST CONTRAST STUDY W/ INJECTION Panel/Multiple 74470 50390 7662 REPLACE URETER STENT INDWELLING 50382 2896 REPLACMENT OF G TUBE PERCUTANEOUS 49450 27 REPLACMENT OF G-J TUBE PERCUTANEOUS 49452 3488 REPLACMENT OF J TUBE PERCUTANEOUS 49451 6203 REPOSITION GASTR FEEDING TUBE 43761 830 RESERVOIR SHUNT PUNCTURE Panel/Multiple 61070 75809 7618 REVISION OF TIPS 37183 5168 RIBS 2 V UNI LT 71100 5073 RIBS 2 V UNI RT 71100 5076 RIBS MIN 2V LT W/ 1 V CHEST 71101 5075 RIBS MIN 2V RT W/ 1 V CHEST 71101 809 RIBS MIN 3 V BILAT 71110 86 RIBS MIN 3 V BILAT W/ 1 V CHEST 71111 103 SACROILIAC JOINTS 3 OR MORE VIEWS 72202 104 SACRUM/COCCYX MIN 2 V 72220 5091 SCAPULA COMPLETE LT 73010 5092 SCAPULA COMPLETE RT 73010 101 SCOLIOSIS SURVEY 72082 2289 SHOULDER 1 V BILATERAL 7302050 5095 SHOULDER 1 V LT 73020 5096 SHOULDER 1 V RT 73020 2291 SHOULDER COMP MIN 2 V BILATERAL 7303050 5101 SHOULDER COMPLETE MIN 2 V LT 73030 5102 SHOULDER COMPLETE MIN 2 V RT 73030 153 SIALOGRAM Panel/Multiple 70390 42550 2032 SINUSES 1 V WATER VIEW 70210 15 SINUSES COMPLETE MIN 3 V 70220 227 SKELETAL SURVEY PEDIATRIC FOR TRAUMA 77076 730 SKELETAL SURVEY PEDS FOR CONGEN ANAM 77076 17 SKULL < 4 V 70250 18 SKULL COMPLETE MIN 4 V 70260 68 SMALL BOWEL 74250 84 SNIFF TEST 71046 2395 SP NO CHARGE None, no charge 90 SPINE CERVICAL 1 V 72020 91 SPINE CERVICAL 2 OR 3 V 72040 5488 SPINE CERVICAL 2 V W/ FLEX + EXT 72050 92 SPINE CERVICAL 4 OR 5 V 72050 93 SPINE CERVICAL COMP W/ FLEX + EXT 72052 8446 SPINE CERVICAL LAT W/ FLEX + EXT 72040 89 SPINE COMPLETE AP + LAT 72082 96 SPINE LUMBAR 1 V 72020 97 SPINE LUMBAR 2 V 72100 7543 SPINE LUMBAR AP + LAT W/ FLEX + EXT 72110 590 SPINE LUMBAR LAT W/ FLEX + EXT 72120 99 SPINE LUMBAR MIN 4 V 72110 5350 SPINE LUMBAR MIN 4 V W/ FLEX + EXT 72114 7266 SPINE THORACIC 1 V 72020 94 SPINE THORACIC 2 V 72070 7211 SPINE THORACIC 2 V W/ SWIMMERS 72072 2575 SPINE THORACIC 2 V W/FLEX + EXT 72074 95 SPINE THORACOLUMBAR 2 V 72080 6210 STERNOCLAVICULAR JOINTS BILAT MIN 3 V 71130 87 STERNUM MIN 2 V 71120 2303 THERASPHERE ADMINISTATION 79445 2720 THORACENTESIS W/ INSERTION OF TUBE 32557 2360 THORACENTESIS W/FLUORO GUIDANCE 32555 2359 THORACENTESIS W/O GUIDE 32554 2364 THORACENTESIS W/US GUIDANCE 32555 2193 THORACENTESIS WITH TUBE W/O IMAGE 32556 2726 THORACOSTOMY W/ RADIOLOGICAL GUIDANCE Panel/Multiple 32557 75989 1879 THROMBECTOMY MECH PERC ARTERIAL INIT 37184 1880 THROMBECTOMY MECH PERC ARTERIAL SUBSQU 37185 1878 THROMBECTOMY MECH PERC VEINS REPEAT 37188 7893 THROMBECTOMY MECH PERCUT VEIN 37187 5021 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT 36875 2194 THROMBOLYSIS ARTERIAL INI 37211 2192 THROMBOLYSIS FINAL DAY COMPLETE 37214 8522 THROMBOLYSIS SUBSEQUENT DAY COMP 37213 2195 THROMBOLYSIS VENOUS INI 37212 5327 TIBIA/FIBULA 2 V LT 73590 5328 TIBIA/FIBULA 2 V RT 73590 8745 TIBIAL/PERONEAL ADDL PTA COMPLETE 37232 8742 TIBIAL/PERONEAL ATHERECTOMY COMPLETE 37229 8741 TIBIAL/PERONEAL PTA COMPLETE 37228 8743 TIBIAL/PERONEAL STENT COMPLETE 37230 77 TMJ BILAT 70330 2002 TOE MIN 2 V LT 73660 2003 TOE MIN 2 V RT 73660 7612 TRANSCATH INS INTRAVASC STENT W/EMBOLIC 37215 2197 TRANSCATH RETRIEVAL PERCUTUTANEOUS 37197 6140 TRANSCATHETER BIOPSY Panel/Multiple 75970 37200 7105 TRANSCERVICAL INTRO FALLOPIAN TU CATH LT Panel/Multiple 74742 58345 7103 TRANSCERVICAL INTRO FALLOPIAN TU CATH RT Panel/Multiple 74742 58345 2525 TRANSHEP PERC PLCMNT FOR ERCP 47541 2515 TRANSHEPATIC PERC CHOLANGIOGRAM 47532 1449 UGI/ESOPHAGRAM/SM BOWEL/AIR CONSTR 74249 66 UPPER GI 74240 416 UPPER GI PEDS 0-2 YRS 74240 431 UPPER GI PEDS 2-16 YRS 74240 596 UPPER GI W/ AIR CONTRAST 74246 5465 UPPER GI W/ ESOPHAGRAM 74240 67 UPPER GI W/ SMALL BOWEL 74245 1447 UPPER GI/ESOPHAGRAM W/ SMALL BOWEL 74245 810 UPPER GI/SMALL BOWEL W/AIR CONTRAST 74249 735 URETERAL BRUSH BIOPSY 50606 150 URETHROCYSTOGRAM Panel/Multiple 74450 51610 7704 UROGRAPHY RETROGRADE 74420 2957 US ABDOMEN APPENDIX 76705 2958 US ABDOMEN ASCITES 76705 303 US ABDOMEN COMPLETE 76700 2961 US ABDOMEN HERNIA 76705 2909 US ABDOMEN INTUSSUSCEPTION 76705 2959 US ABDOMEN LUQ 76705 2400 US ABDOMEN PYLORIC STENOSIS 76705 2960 US ABDOMEN RUQ 76705 2182 US ADDITIONAL VIEWS None, no charge 6400 US AORTA ABDOMINAL 76775 7849 US AORTA SCREENING 76706 302 US AORTA/RENAL COMPLETE 76770 2962 US BLADDER 76857 2314 US BREAST AXILLA BIL 7688250 2312 US BREAST AXILLA LT 76882LT 2313 US BREAST AXILLA RT 76882RT 2309 US BREAST LIMITED BIL 7664250 2310 US BREAST LIMITED LT 76642LT 2311 US BREAST LIMITED RT 76642RT 2306 US BREAST WHOLE BIL 7664150 2307 US BREAST WHOLE LT 76641LT 2308 US BREAST WHOLE RT 76641RT 6208 US CHEST LT 76604 6273 US CHEST RT 76604 319 US CRANIAL NEONATAL 76506 5218 US EXT NON VASC LT 76882 5219 US EXT NON VASC RT 76882 2987 US EXT NON VASCULAR TENDON/MUSCLE LT 76881 2988 US EXT NON VASCULAR TENDON/MUSCLE RT 76881 313 US FOLLICULAR 76857 7854 US FOREIGN IMAGES None, no charge 1875 US GUIDANCE 76942 8527 US GUIDANCE FOR VASCULAR ACCESS 76937 328 US GUIDANCE INTRAOPERATIVE 76998 2375 US GUIDANCE VASC ACC NO CHARGE Physician offices would not order, but may get a report/result None, no charge 318 US GUIDED AMNIOCENTESIS Panel/Multiple 59000 76946 2727 US GUIDED ASPIRATION ABSCESS/CYST Panel/Multiple 76942 10160 2965 US GUIDED BREAST CORE BIOPSY LT 19083 2966 US GUIDED BREAST CORE BIOPSY RT 19083 2967 US GUIDED BREAST CYST ASPIRATION LT 19000 2968 US GUIDED BREAST CYST ASPIRATION RT 19000 2969 US GUIDED BREAST FINE NEEDLE ASP LT 10022 2970 US GUIDED BREAST FINE NEEDLE ASP RT 10022 2963 US GUIDED BREAST NEEDLE LOC LT 19285 2964 US GUIDED BREAST NEEDLE LOC RT 19285 5436 US GUIDED BX SOFT TISSUE NECK/THORAX Panel/Multiple 76942 20206 2325 US GUIDED ELBOW TENDON ASP – LAVAGE 20606 2128 US GUIDED FINE NEEDLE ASP Panel/Multiple 76942 10022 2156 US GUIDED GOLD SEED PROSTATE Panel/Multiple 55876 76942 7606 US GUIDED GOLD SEED RECTAL WALL Panel/Multiple 55876 76872 2326 US GUIDED HIP JOINT ASP/INJECTION 20611 2327 US GUIDED HIP TENDON INJECTION 20611 5061 US GUIDED HYSTEROSONOGRAM Panel/Multiple 76831 58340 2328 US GUIDED KNEE JOINT ASP/INJECTION 20611 5428 US GUIDED LIVER BX Panel/Multiple 76942 47000 2408 US GUIDED PARACENTESIS 49083 5470 US GUIDED PROSTATE BX Panel/Multiple 55700 76942 76872 3004 US GUIDED PROSTATE BX W/SEDATION Panel/Multiple 55700 76942 76872 1394 US GUIDED PSEUDO INJECTION 36002 5454 US GUIDED RENAL ASP Panel/Multiple 50390 76942 2329 US GUIDED SHOULDER TENDON ASP – LAVAGE 20611 23 US GUIDED SHOULDER TENDON INJECTION Panel/Multiple 76942 20550 5426 US GUIDED SPLEEN ASP Panel/Multiple 38999 76942 5460 US GUIDED THORACENTESIS 32555 1369 US GUIDED THORACENTESIS W/ TUBE INSERT 32557 5452 US GUIDED THYROID CYST ASP Panel/Multiple 60300 76942 3008 US GUIDED THYROID FNA Panel/Multiple 10022 76942 2955 US HEAD SOFT TISSUE 76536 7232 US HIPS INFANT 76885 2577 US INGUINAL HERNIA LT 76882 2578 US INGUINAL HERNIA RT 76882 2954 US NECK SOFT TISSUE 76536 2384 US NO CHARGE None, no charge 2076 US OB 1ST TRIMESTER 76801 76802 7677 US OB 1ST TRIMESTER QUADS Panel/Multiple 76801 76802 76802 7674 US OB 1ST TRIMESTER TRIPLETS Panel/Multiple 76802 76802 76801 7672 US OB 1ST TRIMESTER TWINS Panel/Multiple 76801 76802 2080 US OB COMPLETE 76805 7876 US OB COMPLETE - HIGH RISK 76811 76812 7668 US OB COMPLETE QUADS Panel/Multiple 76811 76812 76812 7665 US OB COMPLETE TRIPLETS Panel/Multiple 76811 76812 76812 7663 US OB COMPLETE TWINS Panel/Multiple 76811 76812 858 US OB CORD DOPPLER 76820 317 US OB FETAL BIOPHYSICAL PROFILE 76819 3012 US OB FETAL BIOPHYSICAL PROFILE TRIPLETS Panel/Multiple 76819 7681959 7681959 3010 US OB FETAL BIOPHYSICAL PROFILE TWINS Panel/Multiple 76819 7681959 7231 US OB FETAL BIOPHYSICAL WITH NON STRESS 76818 2422 US OB FETAL ECHO 76825 2423 US OB FETAL ECHO F/U 76826 2272 US OB FETAL ECHO F/U QUADS Panel/Multiple 76826 7682659 7682659 2270 US OB FETAL ECHO F/U TRIPLETS Panel/Multiple 76826 7682659 7682659 2268 US OB FETAL ECHO F/U TWINS Panel/Multiple 76826 7682659 2266 US OB FETAL ECHO QUADS Panel/Multiple 76825 7682559 7682559 2264 US OB FETAL ECHO TRIPLETS Panel/Multiple 76825 7682559 7682559 2262 US OB FETAL ECHO TWINS Panel/Multiple 76825 7682559 883 US OB FOLLOW UP 76816 7681659 7686 US OB FOLLOW UP QUADS Panel/Multiple 76816 7681659 7681659 7683 US OB FOLLOW UP TRIPLETS Panel/Multiple 76816 7681659 768159 7681 US OB FOLLOW UP TWINS Panel/Multiple 76816 768159 2426 US OB HIGH RISK TRIPLETS Panel/Multiple 76811 76812 76812 2424 US OB HIGH RISK TWINS Panel/Multiple 76811 76812 4097 US OB LIMITED 76815 2261 US OB MCA DOPPLER 76821 2086 US OB TRANSVAGINAL 76817 2410 US OUTSIDE IMAGES FOR COMPARISON None, no charge 2405 US OUTSIDE IMAGES FOR CONSULTATION None, no charge 304 US PELVIS 76856 2576 US PELVIS SOFT TISSUE 76857 2903 US RADIOLOGY PATHOLOGY F/U REPORT None, no charge 305 US RENAL 76775 7723 US RENAL/BLADDER 76770 5214 US SHOULDER LT 76881 5215 US SHOULDER RT 76881 888 US SPINE AND CONTENTS 76800 314 US TESTICULAR/SCROTUM 76870 2956 US THYROID 76536 330 US TRANSRECTAL 76872 329 US TRANSVAGINAL NON OB 76830 7855 US TRUNK/ABDOMEN SOFT TISSUE 76705 6226 USV AORTA FEM BYPASS LT 93979 6291 USV AORTA FEM BYPASS RT 93979 641 USV AORTA ILIAC BYPASS 93978 647 USV AORTA ILIAC BYPASS LIMITED 93979 640 USV AORTA-FEM BYPASS 93978 5220 USV BYPASS GRAFT LT 93926 5221 USV BYPASS GRAFT RT 93926 652 USV BYPASS GRAFTS BIL 93925 1372 USV CALF REFLUX STUDY BILAT 93970 5624 USV CALF REFLUX STUDY LT 93971 5625 USV CALF REFLUX STUDY RT 93971 311 USV CAROTID this is bilateral 93880 2031 USV CAROTID LT 93882 2029 USV CAROTID RT 93882 2989 USV DIALYSIS FISTULA 93990 4084 USV DIALYSIS GRAFT 93990 2990 USV GROIN BIL/PSEUDO 93925 2991 USV GROIN LT/PSEUDO 93926 2992 USV GROIN RT/PSEUDO 93926 6200 USV GUIDED PSEUDO INJECTION Panel/Multiple 76936 96373 638 USV ILIAC ARTERY BILAT 93978 6224 USV ILIAC ARTERY LT 93979 6289 USV ILIAC ARTERY RT 93979 6225 USV ILIAC VEIN LT 93979 6290 USV ILIAC VEIN RT 93979 639 USV ILIAC VEINS BILATERAL 93978 637 USV INFERIOR VENA CAVA 93978 2030 USV KIDNEY TRANSPLANT 76776 612 USV LIVER DOPPLER 93975 624 USV LIVER DOPPLER WITH TIPPS 93976 6199 USV LOWER ART NON EXERCISE UNI 93922 2218 USV LOWER ARTERIAL ABI ONLY 93922 7835 USV LOWER ARTERIAL EXERCISE UNI 93922 7830 USV LOWER ARTERIAL W/ ABI EXERCISE 93923 555 USV LOWER ARTERIAL W/ABI NON EXERCISE 93923 2993 USV LOWER EXT ARTERY BIL 93925 2994 USV LOWER EXT ARTERY LT 93926 2995 USV LOWER EXT ARTERY RT 93926 580 USV LOWER EXT VEIN BILAT 93970 5238 USV LOWER EXT VEIN LT 93971 5239 USV LOWER EXT VEIN RT 93971 614 USV MESENTERIC DOPPLER 93975 618 USV MESENTERIC VEIN 93975 2996 USV PALMAR ARCH 93930 613 USV RENAL ARTERY DOPPLER 93975 625 USV RENAL DOPPLER LIMITED 93976 617 USV RENAL VEIN 93975 615 USV SPLENIC ARTERY DOPPLER 93975 619 USV SPLENIC VEIN 93975 2997 USV SUBCLAVIAN ARTERIES BILAT 93930 2998 USV SUBCLAVIAN ARTERY LT 93931 2999 USV SUBCLAVIAN ARTERY RT 93931 2590 USV TEMPORAL ARTERY 93882 7834 USV UPPER ARTERIAL EXERCISE UNI 93922 7752 USV UPPER ARTERIAL NON-EXERCISE UNI 93923 7831 USV UPPER ARTERIAL W/ WBI EXERCISE 93923 556 USV UPPER ARTERIAL W/WBI NON EXERCISE 93923 660 USV UPPER EXT ARTERY BIL 93930 4158 USV UPPER EXT ARTERY LT 93931 4159 USV UPPER EXT ARTERY RT 93931 717 USV UPPER EXT VEIN BILAT 93970 5236 USV UPPER EXT VEIN LT 93971 5237 USV UPPER EXT VEIN RT 93971 3025 USV VEIN MAPPING BILAT ARMS 93970 2816 USV VEIN MAPPING BILAT LEGS 93970 2818 USV VEIN MAPPING HEMODIALYSIS ACCESS G0365 3023 USV VEIN MAPPING LT ARM 93971 3022 USV VEIN MAPPING LT LEG 93971 3024 USV VEIN MAPPING RT ARM 93971 3021 USV VEIN MAPPING RT LEG 93971 270 VENOGRAM CAVAL INFERIOR 75825 209 VENOGRAM EXTREMITY BILAT 75822 7128 VENOGRAM EXTREMITY UNI LT Panel/Multiple 36005 75820 7127 VENOGRAM EXTREMITY UNI RT Panel/Multiple 36005 75820 720 VENOGRAM HEPATIC W/ HEMODYNAMIC EVAL 75889 726 VENOGRAM HEPATIC W/O HEMODYNAMIC EVAL Panel/Multiple 75891 36011 197 VENOGRAM RENAL SELECTIVE BILAT 75833 274 VENOGRAM RENAL SELECTIVE UNI LT 75831 275 VENOGRAM RENAL SELECTIVE UNI RT 75831 216 VENOGRAM VENOUS SINUS OR JUGULAR LT 75860 218 VENOGRAM VENOUS SINUS OR JUGULAR RT 75860 271 VENOGRAPHY CAVAL SUPERIOR + SERIALOGRAM 75827 5490 VENOUS CATH FOR BLOOD SAMPLING Panel/Multiple 75893 36500 1572 VENOUS PORT CHECK FOR PATENCY 36598 2633 VENOUS PTA 37248 2634 VENOUS PTA ADDITIONAL SITE 37249 2452 VENOUS STENT 37238 2371 VERTEBROPALSTY EA ADD CERVTH OR LUMBSAC 22512 2369 VERTEBROPLASTY CERVICOTHORA 22510 2370 VERTEBROPLASTY LUMBOSACRAL 22511 878 VIDEO FLUOROSCOPY W/ SPEECH PATH 74230 162 VOIDING CYSTOURETHROGRAM Panel/Multiple 74455 51600 8078 WHITAKER TEST Panel/Multiple 50396 74425 5141 WRIST 2 V LT 73100 5142 WRIST 2 V RT 73100 5147 WRIST COMP MIN 3 V LT 73110 5148 WRIST COMP MIN 3 V RT 73110