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Coding Companion for RadiologyCorrect Coding Initiative Update 18.1v Indicates Mutually Exclusive Edit
11920-11921, 16000, 16020-16030, 36000, 36410,36425, 51701-51703, 76376-76377, 90804-90819,
0197T
90821-90822, 90846-90847, 90862, 96360-96368,97802-97804, 99143-99145, 99201-99223,99231-99239, 99281-99285, 99291-99292,99304-99310, 99315-99318, 99324-99328,99334-99337, 99341-99350, 99354, 99356, 99360,99455-99480, M0064
35201-35206, 35226-35236, 35256-35266, 35286,36500, 75893
0205T
No CCI edits apply to this code.0206T
01924-01926, 0213T, 0216T, 34812, 34820,34833-34834, 35201-35206, 35226, 35261-35266,
0234T
35286, 36000, 36002, 36400-36410, 36420-36430,36440, 36600, 36640, 37184, 37202, 43752,49000-49002, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75896, 76000-76001,76942, 76998, 77002, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01924-01926, 0213T, 0216T, 34812, 34820,34833-34834, 35201-35206, 35226, 35261-35266,
0235T
35286, 36000, 36002, 36400-36410, 36420-36430,36440, 36600, 36640, 37184, 37202, 43752,49000-49002, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75896, 76000-76001,76942, 76998, 77002, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01924-01926, 0213T, 0216T, 32422, 32551, 34812,34820, 34833-34834, 35201-35206, 35226,
0236T
35261-35266, 35286, 36000, 36002, 36400-36410,36420-36430, 36440, 36600, 36640, 37184, 37202,43752, 49000-49002, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75600, 75605, 75625,75630, 75896, 76000-76001, 76942, 76998, 77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01924-01926, 0213T, 0216T, 34834, 35201-35206,35226, 35261-35266, 35286, 36000, 36002,
0237T
36400-36410, 36420-36430, 36440, 36600, 36640,37184, 37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75605, 75660, 75662,75665, 75671, 75676, 75680, 75685, 75896,76000-76001, 76942, 76998, 77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
01924, 36000, 36400-36410, 36420-36430, 36440,36600, 36640, 37202, 43752, 51701-51703,
0238T
62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75630,75635, 75710, 75716, 76000-76001, 76942, 76998,77002, 93000-93010, 93040-93042, 93318, 94002,
94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 19290, 36000, 36410, 37202,62318-62319, 64415-64417, 64450, 64490, 64493,
10021
76000-76001, 76942, 77001-77002, 77012, 77021,96360, 96365, 96372, 96374-96376, J2001
0213T, 0216T, 10021, 19290, 36000, 36410, 37202,62318-62319, 64415-64417, 64450, 64490, 64493,96360, 96365, 96372, 96374-96376, J2001
10022
00400, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
19030
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
00400, 0213T, 0216T, 0228T, 0230T, 10021-10022,19100-19101v, 19103v, 36000, 36400-36410,
19102
36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 88172, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J2001
00400, 0213T, 0216T, 0228T, 0230T, 10021-10022,19100-19101v, 36000, 36400-36410, 36420-36430,
19103
36440, 36600, 36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 88172,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
00400, 0213T, 0216T, 0228T, 0230T, 19295v, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
19290
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J2001
No CCI edits apply to this code.19291
No CCI edits apply to this code.19295
0213T, 0216T, 0228T, 0230T, 19297v, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
19296
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,76965, 77001-77002, 77012, 77021, 77031-77032,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
76000-76001, 76942, 76965, 7700119297
0213T, 0216T, 0228T, 0230T, 19296-19297v, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
19298
37202, 43752, 51701-51703, 62310-62319,
CPT only © 2011 American Medical Association. All Rights Reserved.1© 2012 OptumInsight
64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,76965, 77001-77002, 77012, 77021, 77031-77032,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 21750, 24300, 25259,26340, 36000, 36400-36410, 36420-36430, 36440,
20220
36600, 36640, 37202, 38220, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,G0364, J0670, J2001
0213T, 0216T, 0228T, 0230T, 20220, 24300, 25259,26340, 36000, 36400-36410, 36420-36430, 36440,
20225
36600, 36640, 37202, 38220-38221, 43752, 49010,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,G0364, J0670, J2001
0213T, 0216T, 0228T, 0230T, 11010v, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
20501
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75710, 75820, 75822,76000-76001, 77001-77002, 87070, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
01991-01992, 10160, 11900-11901, 20500, 20526,29075, 29105-29125, 29130, 29260, 29405-29425,
20552
29450, 29515, 29530-29582, 29584-29590, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 51701-51703, 62310-62319,64408-64410, 64435, 64455, 64505-64508, 64517,64530, 69990, 76000-76001, 77001, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J2001
10160, 01991-01992, 11900-11901, 20500, 20526,20552, 29075, 29105-29125, 29130, 29260,
20553
29405-29425, 29450, 29515, 29530-29582,29584-29590, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 51701-51703,62310-62319, 64408-64410, 64435, 64455,64505-64508, 64517, 64530, 69990, 76000-76001,77001, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 19296v, 19298v, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
20555
37202, 43752, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
00400, 01380, 0228T, 0230T, 0232T, 10060-10061,10140, 10160, 11010v, 11719, 20500, 20526-20553,
20600
25259, 26340, 29065-29085, 29105-29125, 29130,29260-29280, 29365-29425, 29505-29515,29540-29590, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64505-64530, 64704-64708, 69990, 72240,72265, 76000-76001, 77001, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95900, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, G0127, J0670,J2001
00400, 01380, 0232T, 10060-10061, 10140, 10160,11010v, 11900, 12011, 15852, 20526-20553, 24300,
20605
25259, 26340, 29065-29085, 29105-29126,29240-29260, 29405-29425, 29445, 29505-29515,29540, 29580-29590, 29705, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 64400-64435, 64445-64450,64505-64530, 64704, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95900, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
00400, 01380, 0232T, 10060-10061, 10140, 10160,11010v, 11900, 12001-12002, 12020, 12031, 12044,
20610
15851, 20500-20501, 20527-20553, 24300, 25259,26340, 29065-29085, 29105-29125, 29130,29240-29260, 29345-29355, 29365-29425,29505-29515, 29530-29540, 29580-29584, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 51701-51703, 64400-64435,64445-64450, 64505-64530, 69990, 72255, 72265,72295, 76000-76001, 76080, 77001, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95900, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, G0168, J0670,J2001
0213T, 0216T, 0228T, 0230T, 11010-11012v, 21073,36000, 36400-36410, 36420-36430, 36440, 36600,
21116
36640, 37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644
01935-01936, 0213T, 0228T, 0230T, 20220-20225,20240, 20250, 22305-22315, 22505, 22521v, 36000,
22520
36005, 36400-36410, 36420-36430, 36440, 36600,36640, 37202, 43752, 51701-51703, 61781-61783,62292, 62310-62318, 64400-64435, 64445-64450,64479, 64483, 64490, 64493, 64505-64530, 69990,72128-72130, 75872, 76000-76001, 77001-77003,92585, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95860-95861, 95867-95868,95870, 95900, 95904, 95920, 95925-95934,95936-95939, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, J0670, J2001
0171Tv, 01935-01936, 0202T, 0216T, 0228T, 0230T,20220-20225, 20240, 20251, 22305-22315, 22505,
22521
36000, 36005, 36400-36410, 36420-36430, 36440,36600, 36640, 37202, 43752, 51701-51703,61781-61783, 62292, 62310-62311, 62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 72131-72133, 75872,76000-76001, 77001-77003, 92585, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight2
Coding Companion for RadiologyCCI Update Version 18.1
94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95860-95861, 95867-95868, 95870, 95900,95904, 95920, 95925-95934, 95936-95939, 95955,96360, 96365, 96372, 96374-96376, 99143-99149,99150, J0670, J2001
20220-20225, 22310, 92585, 95822, 95860-95861,95867-95868, 95900, 95904, 95920, 95925-95927,95930-95934, 95936-95938
22522
01610, 0213T, 0216T, 0228T, 0230T, 11010-11012v,20600-20605, 20610, 36000, 36400-36410,
23350
36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 72265, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01710, 0213T, 0216T, 0228T, 0230T, 11010v,20600-20605, 20610, 24300, 36000, 36400-36410,
24220
36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 77001, 76000-76001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644, J2001
01810, 0213T, 0216T, 0228T, 0230T, 11010v,20600-20605, 20610, 24300, 25248-25274v,
25246
25280-25316v, 25320v, 25332-25375v, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644, J2001
0228T, 0230T, 11011-11012v, 20600-20605, 20610,36000, 36400-36410, 36420-36430, 36440, 36600,
27093
36640, 37202, 43752, 51701-51703, 62310-62311,62319, 64400-64435, 64445-64450, 64479, 64483,64505-64530, 69990, 72265, 73530, 76000-76001,77001, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644, J2001
0213T, 0216T, 0228T, 0230T, 11011-11012v,20600-20605, 20610, 27093, 29863, 36000,
27095
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 64714, 69990, 72265, 73530,76000-76001, 77001, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J1644, J2001
0228T, 0230T, 20552-20553, 20600-20605, 20610,36000, 36400-36410, 36420-36430, 36440, 36600,
27096
36640, 37202, 43752, 51701-51703, 62311, 62319,64400-64435, 64445-64450, 64479, 64483,64505-64530, 69990, 73530, 76000-76001, 76942,77001-77003, 77012, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J1644, J2001
01250, 01320, 01400, 0213T, 0216T, 0228T, 0230T,11010-11012v, 20600-20605, 20610, 36000,
27370
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644, J2001
01470, 0213T, 0216T, 0228T, 0230T, 11010-11012v,20600-20605, 20610, 36000, 36400-36410,
27648
36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644, J2001
00520, 0213T, 0216T, 0228T, 0230T, 0251T, 31231,31525, 31535-31541, 31575, 31622, 31634, 31717,
31656
31720-31725, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 89220, 92511,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, J0670, J2001
00520, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
31715
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 10021-10022, 20101,32422, 32551, 32601, 32607-32609, 36000,
32400
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 88172, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 10021-10022, 20101,32420, 32551, 32601, 32607-32609, 36000,
32405
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 88172, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
0213T, 0216T, 0228T, 0230T, 20101, 32400, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
32421
37202, 43752, 49423-49424, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
CPT only © 2011 American Medical Association. All Rights Reserved.3© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
0213T, 0216T, 0228T, 0230T, 20101, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
32422
37202, 43752, 49424, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 71010, 71020, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 12001-12002,12020-12032, 13100-13101, 32422, 36000,
32551
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43752, 49423-49424, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 71010, 71020,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
32553
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000, 76998, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202,
33010
39000-39010, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202,
33011
39000-39010, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
01926, 0213T, 0216T, 0228T, 0230T, 33881v, 33886,35452, 35472, 35694, 36000, 36400-36410,
33880
36420-36430, 36440, 36600-36640, 37202, 37205,37207, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75600, 75605, 75957,75959, 76000-76001, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01926, 0213T, 0216T, 0228T, 0230T, 33886, 35452,35472, 35694, 36000, 36400-36410, 36420-36430,
33881
36440, 36600-36640, 37202, 37205, 37207, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75600, 75605, 75956, 75959,76000-76001, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01926, 0213T, 0216T, 0228T, 0230T, 35452, 35472,35694, 36000, 36400-36410, 36420-36430, 36440,
33883
36600-36640, 37202, 37205, 37207, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75600, 75605, 76000-76001,76942, 76998, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
No CCI edits apply to this code.33884
01926, 0213T, 0216T, 0228T, 0230T, 35452, 35472,35694, 36000, 36400-36410, 36420-36430, 36440,
33886
36600-36640, 37202, 37205, 37207, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75600, 75605, 76000-76001,76942, 76998, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
0075Tv, 01926, 0213T, 0216T, 0228T, 0230T, 34802v,34804v, 35081-35103v, 35226, 35452, 35472, 36000,
34800
36400-36410, 36420-36430, 36440, 36600-36640,37184, 37202, 37205v, 37207, 37209, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75625, 75630, 75635, 75896,75960, 76000-76001, 76942, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, G0275-G0278
0075T, 01926, 0213T, 0216T, 0228T, 0230T,12001-12002, 12020-12032, 13100-13101,
34802
13120-13121, 34804-34805v, 35081-35103v, 35132v,35226, 35452, 35472, 36000, 36400-36410,36420-36430, 36440, 36600-36640, 37184, 37202,37205, 37207, 37209, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75625,75630, 75635, 75896, 75960, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,G0275-G0278
01926, 0213T, 0216T, 0228T, 0230T, 34800-34802v,34804-34805v, 34900v, 35081, 35091, 35102, 35226,
34803
35452, 35472, 36000, 36400-36410, 36420-36430,36440, 36600-36640, 37184, 37202, 37205, 37207,37209, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75625, 75630, 75635,75896, 75960, 76000-76001, 76942, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, G0275-G0278
0075T, 01926, 0213T, 0216T, 0228T, 0230T, 34805v,35081-35103v, 35132v, 35226, 35452, 35472, 36000,
34804
36400-36410, 36420-36430, 36440, 36600-36640,37184, 37202, 37205, 37207, 37209, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75625, 75630, 75635, 75896,75960, 76000-76001, 76942, 77001-77002,
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight4
Coding Companion for RadiologyCCI Update Version 18.1
93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, G0275-G0278
0075T, 01926, 0213T, 0216T, 0228T, 0230T, 34800v,34900v, 35081, 35091, 35102, 35141v, 35226, 35452,
34805
35472, 36000, 36400-36410, 36420-36430, 36440,36600-36640, 37184, 37202, 37205, 37207, 37209,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75625, 75630, 75635, 75710,75716, 75896, 76000-76001, 76942, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, G0275-G0278
0213T, 0216T, 36000, 36410, 37202, 62318-62319,64415-64417, 64450, 64490, 64493, 69990,
34806
76000-76001, 76942, 76998, 77001-77002, 93982,96360, 96365, 96372, 96374-96376
0075T, 01926, 35226, 36000, 36410, 36620-36625,37202, 37205, 37207, 69990, 76000-76001, 76942,77001
34808
0075T, 01926, 0213T, 0216T, 0228T, 0230T,35081-35103v, 35111-35112v, 35121-35122v,
34825
35131-35132v, 35226, 35452v, 35472, 36000,36400-36410, 36420-36430, 36440, 36600-36640,37184, 37202, 37205, 37207, 37209, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75625, 75630, 75635, 75710,75716, 75896, 75960, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,G0275-G0278
0192634826
0075Tv, 0078Tv, 0080Tv, 01926, 0213T, 0216T,0228T, 0230T, 34802v, 34804v, 35102-35103v,
34900
35131-35132v, 35206, 35226, 36000, 36400-36410,36420-36430, 36440, 36600-36640, 37184, 37202,37205v, 37207, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75630, 75635, 75896,75952, 75960, 76000-76001, 76942, 76998,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01924, 0213T, 0216T, 0228T, 0230T, 34820, 36000,36002, 36400-36410, 36420-36430, 36440, 36600,
35450
36640, 37202, 43752, 49000-49002, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75896,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01926, 0213T, 0216T, 0228T, 0230T, 32422, 32551,34820, 34833-34834, 36000, 36002, 36400-36410,
35452
36420-36430, 36440, 36600, 36640, 37202, 43752,49000-49002, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75600, 75605, 75625,75630, 75896, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01924, 0213T, 0216T, 0228T, 0230T, 32100, 34834,35860, 36000, 36002, 36400-36410, 36420-36430,
35458
36440, 36600, 36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75605,75660, 75662, 75665, 75671, 75676, 75680, 75685,75896, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01930-01933, 0213T, 0216T, 0228T, 0230T, 36000,36002, 36400-36410, 36420-36430, 36440, 36600,
35460
36640, 37202, 43752, 49000-49002, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75820,75822, 75825, 75827, 75831, 75833, 75840, 75842,75860, 75870, 75872, 75880, 75889, 75891, 75896,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01916, 01924-01926, 01930-01933, 0213T, 0216T,0228T, 0230T, 35201-35206, 35226, 35236,
35476
35261-35266, 35286, 35460v, 36000, 36002-36005,36400-36410, 36420-36430, 36440, 36600, 36640,36860-36861, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75820,75822, 75825, 75827, 75831, 75833, 75840, 75842,75860, 75870, 75872, 75880, 75889, 75891, 75896,76000-76001, 76942, 76998, 77001-77002, 77012,77021, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150
69990, 77001-77002, 9652336000
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 37202, 43752, 51701-51703,
36002
62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75896,76000-76001, 76936v, 77001, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 35201-35206, 35226,35261-35266, 35286, 36000, 36400-36410,
36005
36420-36430, 36440, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 76942, 77002, 93000-93010,93040-93042, 94002, 94200, 94250, 94680-94690,94770, 95812-95816, 95819, 95822, 95829, 95955,96360, 96365, 96372, 96374-96376, 99148-99149,99150, J0670, J2001
35201-35206, 35226, 35261-35266, 35286, 36005,36568-36569v, 69990, 75893, 76000-76001,77001-77002, J0670, J1644, J2001
36010
35201-35206, 35226, 35261-35266, 35286,36005-36010, 36555-36556v, 36568-36569v, 69990,75893, 77001-77002, J0670, J1644, J2001
36011
35201-35206, 35226, 35261-35266, 35286,36002-36011, 36555-36556v, 36568-36569v, 69990,
36012
75893, 76000-76001, 77001-77002, J0670, J1644,J2001
35201-35206, 35226, 35261-35266, 35286, 35820,36010, 36556v, 36568-36569v, 69990, 75893,76000-76001, 77001-77002, J0670, J1644, J2001
36013
CPT only © 2011 American Medical Association. All Rights Reserved.5© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
35201-35206, 35226, 35261-35266, 35286, 36010,36013, 69990, 75893, 76000-76001, 77001-77002,J0670, J1644, J2001
36014
35201-35206, 35226, 35261-35266, 35286, 36010,36013-36014, 69990, 75893, 76000-76001,77001-77002, J0670, J1644, J2001
36015
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36002, 69990, 76000-76001,77001-77002, J0670, J1644, J2001
36100
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36002, 36500, 69990, 75893,76000-76001, 77001-77002, J0670, J2001
36120
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 35860, 36002, 36120v, 36500,
36140
69990, 75893, 76000-76001, 77001-77002, J0670,J2001
01916, 01924-01926, 01930, 35201-35206, 35226,35236, 35256, 35266, 35286, 36002-36010, 36140,
36147
36200, 36261, 36500, 69990, 75658, 75791, 75820,75822, 75825, 75827, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 77012, 77021,99143-99145, J0670, J1644, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
36148
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01916, 01924-01926, 35201-35206, 35226, 35266,35286, 36002, 36200v, 36261, 36500, 69990, 75893,76000-76001, 77001-77002, J0670, J2001
36160
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36002, 36500, 69990, 75893,
36200
76000-76001, 77001-77002, 99143-99145, J0670,J1644, J2001
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36002, 36100, 36120-36140,
36215
36200, 36500, 69990, 75893, 76000-76001,77001-77002, J0670, J1644, J2001
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36002, 36100, 36120-36140,
36216
36200, 36215, 36500, 69990, 75893, 76000-76001,77001-77002, J0670, J1644, J2001
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36002, 36100, 36120-36140,
36217
36200, 36215-36216, 36500, 69990, 75893,76000-76001, 77001-77002, J0670, J1644, J2001
01916, 3600236218
01916, 01924-01926, 34812-34813, 35201-35206,35226, 35261-35266, 35286, 36002, 36140,
36245
36160-36200, 36500, 69990, 75893, 76000-76001,77001-77002, 99143-99145, J0670, J1644, J2001
01916, 01924-01926, 34812-34813, 35201-35206,35226, 35261-35266, 35286, 36002, 36140,
36246
36160-36200, 36245, 36500, 69990, 75893,99143-99145, J0670, J1644, J2001
01916, 01924-01926, 34812-34813, 35201-35206,35226, 35261-35266, 35286, 35840, 36002, 36140,
36247
36160-36200, 36245-36246, 36500, 69990, 75893,99143-99145, J0670, J1644, J2001
36002, 36200, 99143-9914536248
01916, 01924-01926, 0213T, 0216T, 0228T, 0230T,35201-35206, 35226-35236, 35256-35266, 35286,
36251
36000, 36005, 36120-36140, 36160-36200,
36245-36247, 36400-36410, 36420-36430, 36440,36500, 36600, 36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75625,75831, 75833, 75893, 75896, 76000-76001, 76942,76998, 77001-77002, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,G0269
01916, 01924-01926, 0213T, 0216T, 0228T, 0230T,35201-35206, 35226-35236, 35256-35266, 35286,
36252
36000, 36005, 36120-36140, 36160-36200,36245-36247, 36251, 36400-36410, 36420-36430,36440, 36500, 36600, 36640, 37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75625, 75831, 75833, 75893,75896, 76000-76001, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, G0269
01916, 01924-01926, 0213T, 0216T, 0228T, 0230T,35201-35206, 35226-35236, 35256-35266, 35286,
36253
36000, 36005, 36120-36140, 36160-36200,36245-36247, 36251-36252v, 36400-36410,36420-36430, 36440, 36500, 36600, 36640, 37202,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75625, 75831, 75833, 75893,75896, 76000-76001, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, G0269
01916, 01924-01926, 0213T, 0216T, 0228T, 0230T,35201-35206, 35226-35236, 35256-35266, 35286,
36254
36000, 36005, 36120-36140, 36160-36200,36245-36247, 36251-36253, 36400-36410,36420-36430, 36440, 36500, 36600, 36640, 37202,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75625, 75831, 75833, 75893,75896, 76000-76001, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, G0269
0213T, 0216T, 0228T, 0230T, 36000, 36002,36400-36410, 36420-36430, 36440, 36600, 36640,
36481
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75896, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,J0670, J1644, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36002-36015,36400-36410, 36420-36430, 36440, 36600, 36640,
36500
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36005,36400-36410, 36420-36430, 36440, 36593,
36595
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight6
Coding Companion for RadiologyCCI Update Version 18.1
36596-36600, 36640, 37201-37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 71010, 71020, 75896,76000-76001, 76937, 76942, 76998, 77001-77002,77012, 77021, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36005,36400-36410, 36420-36430, 36440, 36593,
36596
36597-36600, 36640, 37201-37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 71010, 71020, 75896,76000-76001, 76937, 76942, 76998, 77001-77002,77012, 77021, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J1644, J2001
01916, 01924-01926, 01930, 01932, 0213T, 0216T,0228T, 0230T, 35201-35206, 35226-35236,
37191
35256-35266, 35286, 36000, 36005-36010,36400-36410, 36420-36430, 36440, 36500, 36600,36640, 37192, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75825,75827, 75893, 76000-76001, 76937, 76942, 76998,77001-77002, 93000-93010, 93040-93042, 93318,93975-93979, 94002, 94200, 94250, 94680-94690,94770, 95812-95816, 95819, 95822, 95829, 95955,96360, 96365, 96372, 96374-96376, 99143-99149,99150, G0269
01916, 01924-01926, 01930, 01932, 0213T, 0216T,0228T, 0230T, 35201-35206, 35226-35236,
37192
35256-35266, 35286, 36000, 36005-36010,36400-36410, 36420-36430, 36440, 36500, 36600,36640, 37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75825, 75827, 75893,76000-76001, 76937, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 93318, 93975-93979,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,G0269
01916, 01924-01926, 01930-01933, 0213T, 0216T,0228T, 0230T, 35201-35206, 35226-35236,
37193
35256-35266, 35286, 36000, 36005-36010, 36251,36253, 36400-36410, 36420-36430, 36440, 36500,36600, 36640, 37191, 37202-37203, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75600, 75605, 75625, 75630,75635-75650, 75658, 75660, 75662, 75665, 75671,75676, 75680, 75685, 75705, 75710, 75716, 75726,75731, 75733, 75736, 75741, 75743, 75746, 75756,75774, 75791, 75810, 75820, 75822, 75825, 75827,75831, 75833, 75840, 75842, 75860, 75870, 75872,75880, 75885, 75887, 75889, 75891, 75893,75960-75961, 76000-76001, 76937, 76942, 76998,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,G0269
0075Tv, 01924-01926, 0213T, 0216T, 0228T, 0230T,0254Tv, 34812-34820, 34833-34834, 35201-35206,
37205
35226, 35261-35266, 35286, 36000, 36005,
36400-36410, 36420-36430, 36440, 36500,36600-36640, 36831-36833, 36860-36861, 37184,37202, 37209, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75600, 75605, 75625,75630, 75635-75650, 75658, 75660, 75662, 75665,75671, 75676, 75680, 75685, 75705, 75710, 75716,75726, 75731, 75733, 75736, 75741, 75743, 75746,75756, 75774, 75810, 75820, 75822, 75825, 75827,75831, 75833, 75840, 75842, 75860, 75870, 75872,75880, 75885, 75887, 75889, 75891, 75893, 75896,76000-76001, 76942, 77001-77002, 77012, 77021,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644
34812-3481337206
0213T, 0216T, 0228T, 0230T, 35201-35206, 35226,35261-35266, 35286, 36000, 36400-36410,
37209
36420-36430, 36440, 36500, 36600-36640, 37202v,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75600, 75605, 75625, 75630,75635-75650, 75658, 75660, 75662, 75665, 75671,75676, 75680, 75685, 75705, 75710, 75716, 75726,75731, 75733, 75736, 75741, 75743, 75746, 75756,75774, 75791, 75810, 75820, 75822, 75825, 75827,75831, 75833, 75840, 75842, 75860, 75870, 75872,75880, 75885, 75887, 75889, 75891, 75893, 75896,76000-76001, 76942, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
0078T, 0080T, 01924, 35201-35206, 35226-35236,35256-35266, 35286, 36000, 36005, 36120-36140,
37220
36200, 36245-36247, 36400-36410, 36420-36430,36440, 36500, 36600-36640, 37202, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75630, 75710, 75716, 75736,75774, 75893, 75962, 76000-76001, 76942, 76998,77002, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, J0670, J1644,J2001
0078T, 0080T, 01924, 34812, 34820, 34833-34834,35201-35206, 35226-35236, 35256-35266, 35286,
37221
36000, 36005, 36120-36140, 36200, 36245-36247,36400-36410, 36420-36430, 36440, 36500,36600-36640, 37202, 37205, 37207, 37220, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75630, 75710, 75716, 75736,75774, 75893, 75960, 75962, 76000-76001, 76942,76998, 77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,J0670, J1644, J2001
99143-99145, J164437222
34812, 34820, 34833-34834, 37205, 37207, 75960,99143-99145, J1644
37223
01924, 35201-35206, 35226-35236, 35256-35266,35286, 36000, 36005, 36120-36140, 36200,
37224
36245-36247, 36400-36410, 36420-36430, 36440,36500, 36600-36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,
CPT only © 2011 American Medical Association. All Rights Reserved.7© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
64483, 64490, 64493, 64505-64530, 69990, 75630,75710, 75716, 75736, 75774, 75893, 75962,76000-76001, 76942, 76998, 77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J1644, J2001
01924, 35201-35206, 35226-35236, 35256-35266,35286, 35302-35303, 36000, 36005, 36120-36140,
37225
36200, 36245-36247, 36400-36410, 36420-36430,36440, 36500, 36600-36640, 37202, 37224, 37226,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75630, 75710, 75716, 75736,75774, 75893, 75962, 76000-76001, 76942, 76998,77002, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, J0670, J1644,J2001
01924, 34812, 34820, 34833-34834, 35201-35206,35226-35236, 35256-35266, 35286, 36000, 36005,
37226
36400-36410, 36420-36430, 36440, 36500,36600-36640, 37202, 37205, 37207, 37224, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75630, 75710, 75716, 75736,75774, 75893, 75960, 76000-76001, 76942, 76998,77002, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, J0670, J1644,J2001
01924, 34812, 34820, 34833-34834, 35201-35206,35226-35236, 35256-35266, 35286, 35302-35303,
37227
36000, 36005, 36120-36140, 36200, 36245-36247,36400-36410, 36420-36430, 36440, 36500,36600-36640, 37202, 37205, 37207, 37224-37226,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75630, 75710, 75716, 75736,75774, 75893, 75960, 75962, 76000-76001, 76942,76998, 77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,J0670, J1644, J2001
01924, 35201-35206, 35226-35236, 35256-35266,35286, 36000, 36005, 36120-36140, 36200,
37228
36245-36247, 36400-36410, 36420-36430, 36440,36500, 36600-36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75630,75710, 75716, 75736, 75774, 75893, 75962,76000-76001, 76942, 76998, 77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J1644, J2001
01924, 35201-35206, 35226-35236, 35256-35266,35286, 35304-35306, 36000, 36005, 36120-36140,
37229
36200, 36245-36247, 36400-36410, 36420-36430,36440, 36500, 36600-36640, 37202, 37228, 37230,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75630, 75710, 75716, 75736,75774, 75893, 75962, 76000-76001, 76942, 76998,77002, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,
96374-96376, 99143-99149, 99150, J0670, J1644,J2001
01924, 34812, 34820, 34833-34834, 35201-35206,35226-35236, 35256-35266, 35286, 36000, 36005,
37230
36120-36140, 36200, 36245-36247, 36400-36410,36420-36430, 36440, 36500, 36600-36640, 37202,37205, 37207, 37228, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75630,75710, 75716, 75736, 75774, 75893, 75960, 75962,76000-76001, 76942, 76998, 77002, 93000-93010,93318, 93040-93042, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J1644, J2001
01924, 34812, 34820, 34833-34834, 35201-35206,35226-35236, 35256-35266, 35286, 35304-35306,
37231
36000, 36005, 36120-36140, 36200, 36245-36247,36400-36410, 36420-36430, 36440, 36500,36600-36640, 37202, 37205, 37207, 37228-37230,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75630, 75710, 75716, 75736,75774, 75893, 75960, 75962, 76000-76001, 76942,76998, 77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,J0670, J1644, J2001
99143-99145, J164437232
35304-35306, 99143-99145, J164437233
34812, 34820, 34833-34834, 37205, 37207, 75960,99143-99145, J1644
37234
34812, 34820, 34833-34834, 35304-35306, 37205,37207, 75960, 99143-99145, J1644
37235
0213T, 0216T, 0228T, 0230T, 10021-10022,12001-12007, 12020-12047, 13100-13101,
38500
13120-13121, 13131-13132, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 38505v,43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 0228T, 0230T, 10021-10022, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
38505
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 38792v,
38790
43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J1644, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
38792
51701-51703, 62310-62319, 64400-64435,
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight8
Coding Companion for RadiologyCCI Update Version 18.1
64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 78808v, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
42550
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J1644, J2001
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43215
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43227, 43234, 43752-43753, 44360,44376, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,92511, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43220
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43227, 43234, 43450, 43453,43752-43753, 44360, 44376, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 91040, 92511,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43226
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43220, 43227, 43234, 43450, 43453,43752-43753, 44360, 44376, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 91040, 92511,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36400-36410,
43231
36420-36430, 36440, 36600, 36640, 37202, 43200,43227, 43234, 43752-43753, 44360, 44376,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942, 76975,76998, 77001-77002, 92511, 93000-93010,93040-93042, 93318, 93976, 94002, 94200, 94250,94680-94690, 94760-94761, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43246
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200-43205, 43215-43228, 43231-43236,43241, 43247, 43255, 43752-43754, 43760-43761,44360, 44376, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,
64493, 64505-64530, 69990, 76000-76001,77001-77002, 92511, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690,94760-94761, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43247
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200-43205, 43215-43228, 43231-43236,43255, 43752-43754, 43760, 44360, 44376,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,92511, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43260
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43202, 43234-43235, 43239, 43752,51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,92511, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43261
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43202, 43234-43235, 43239, 43260,43752, 44360, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 92511, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690,94760-94761, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43262
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43234-43235, 43260, 43752, 44360,44376, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,92511, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43263
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43234-43235, 43260, 43752, 44360,44376, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,92511, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43264
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43215, 43234-43235, 43260, 43752,44360, 44376, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,
CPT only © 2011 American Medical Association. All Rights Reserved.9© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
77001-77002, 92511, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690,94760-94761, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43265
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43234-43235, 43260, 43752, 44360,44376, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,92511, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43267
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43219, 43234-43235, 43260, 43752,44360, 44376, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 92511, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690,94760-94761, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43268
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43234-43235, 43260, 43267v, 43752,44360, 44376, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 92511, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690,94760-94761, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43269
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43215, 43234-43235, 43260, 43268v,43752, 44360, 44376, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 92511, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690,94760-94761, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43271
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43234-43235, 43260, 43752, 44360,44376, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,92511, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94760-94761, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
00520, 00740, 00810, 0213T, 0216T, 0228T, 0230T,31505, 31525, 31575, 36000, 36005-36015,
43272
36400-36410, 36420-36430, 36440, 36600, 36640,37202, 43200, 43228, 43234-43235, 43258, 43260,43752, 44360, 44376, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,
77001-77002, 92511, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690,94760-94761, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43456v,
43458
43752, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 91040, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
36000, 36400-36410, 36420-36430, 36440, 36600,36640, 43754v, 51701-51703, 62310-62319,
43752
64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752v,
43753
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43753v, 51701-51703,
43754
62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752-43754,
43755
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
36000, 36400-36410, 36420-36430, 36440, 36600,36640, 37202, 43752, 51701-51703, 62310-62319,
43756
64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 74340, 76000-76001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
36000, 36400-36410, 36420-36430, 36440, 36600,36640, 37202, 43752, 43756, 51701-51703,
43757
62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 74340,76000-76001, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
43760
43830v, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight10
Coding Companion for RadiologyCCI Update Version 18.1
64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
44500
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43653,
47370
43752, 44005, 44180, 44602-44605, 44950, 44970,49203v, 49320, 50715, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,76998, 77001-77002, 77012-77013, 77021-77022,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43653,
47371
43752, 44005, 44180, 44950, 44970, 47370v, 49203v,49320, 50715, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,76998, 77001-77002, 77012-77013, 77021-77022,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47380
44005, 44180, 44602-44605, 44820-44850, 44950,44970, 47370-47371, 47382, 49000-49010, 49203v,49255, 49320, 49570, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,76998, 77001-77002, 77012-77013, 77021-77022,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47381
44005, 44180, 44820-44850, 44950, 44970,47370-47371, 47380v, 47382, 49000-49010, 49203v,49255, 49320, 49570, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,76998, 77001-77002, 77012-77013, 77021-77022,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47382
44950, 44970, 47370-47371, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 76000-76001,76998, 77001-77002, 77012, 77021, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47490
47505-47510, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 74305, 75989,76000-76001, 76942, 76998, 77001-77002, 77012,77021, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47500
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47510
47500, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47511
47500, 47510v, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75980, 76000-76001,76942, 77001-77002, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47525
47510v, 49423-49424, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47530
47510-47511v, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47555
47552, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47556
47552, 51701-51703, 62310-62319, 64400-64435,
CPT only © 2011 American Medical Association. All Rights Reserved.11© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
47630
44950, 47525, 47552, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 10021-10022, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
48102
37202, 43752, 44950, 44970, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J1642,J2001
43752, 49255, 76000-76001, 77001-7700248400
0213T, 0216T, 0228T, 0230T, 10021-10022, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
49180
37202, 43752, 44950, 44970, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J1642,J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 38500,
49203
38770, 38780, 43752, 43832, 44005, 44180,44602-44605, 44820-44850, 44950, 44970, 47382v,49000-49010, 49040, 49255, 49320, 49322-49323,49560-49566, 49570-49572, 49580, 49582-49587,50010, 50205, 50220, 50280-50290, 50592-50593,58700-58720, 58805, 58900-58940, 58950, 58960,60540-60545, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 38500,
49204
38770, 38780, 43752, 43832, 44005, 44160-44180,44602-44605, 44820-44850, 44950, 44970,47370-47371v, 47380-47382v, 49000-49010, 49040,49203, 49255, 49320, 49322-49323, 49560-49566,49570-49572, 49580, 49582-49587, 50010, 50205,50220-50234, 50250-50290, 50542, 50592-50593,50715, 58200, 58700-58720, 58805, 58900-58940,58943, 58950-58951, 58956, 58960, 60540-60545,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 38500,
49205
38770, 38780, 43752, 43832, 44005, 44160-44180,
44602-44605, 44820-44850, 44950, 44970,47370-47371v, 47380-47382v, 49000-49020, 49040,49203-49204, 49255, 49320, 49322-49323,49560-49566, 49570-49572, 49580, 49582-49587,50010, 50205, 50220-50236, 50250-50290, 50542,50592-50593, 50715, 58200, 58700-58720, 58805,58900-58940, 58943, 58950-58952, 58956-58960,60540-60545, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
49411
44602-44605, 49320, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76998,77001, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99143-99149, 99150, J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 44602-44605,
49424
49320, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43200, 43234-43235,
49440
43246v, 43752, 43760-43761, 49450, 49452-49465,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75984,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43200, 43234-43235,
49441
43752, 43760-43761, 44015, 49451, 49460-49465,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75984,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J2001
0213T, 0216T, 0226T, 0288T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
49442
44388, 45300, 45330, 45378, 45900-45990, 46600,49450, 49460-49465, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75984, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99143-99149, 99150,J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 49452-49460,
49446
62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75984,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight12
Coding Companion for RadiologyCCI Update Version 18.1
95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150, J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 43760,
49450
49460-49465, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75984, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 43760,
49451
49460-49465, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75984, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 43760,
49452
49460-49465, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 75984, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 49465,
49460
62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 75984,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J2001
0213T, 0216T, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 62310-62319,
49465
64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75984, 76000-76001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
50080
50081v, 50382, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
50081
50382, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
50390
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95819, 95812-95816,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
50393
49424, 50390, 50392, 50395, 50398, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
50394
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
50395
50390, 50392, 50398, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
50398
49424, 51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 77012, 77021, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J2001
00910, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
50684
37202, 43752, 50715, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J1644, J2001
00910, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
50688
37202, 43752, 50715, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 74425, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
00910, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
50690
37202, 43752, 50715, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,
CPT only © 2011 American Medical Association. All Rights Reserved.13© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J1644, J2001
00910, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
51600
37202, 43752, 50715, 51700-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 77001,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001,P9612
00910, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
51605
37202, 43752, 50715, 51700-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J1644, J2001, P9612
00910, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
51610
37202, 43752, 50715, 51600, 51700-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J2001, P9612
00910, 00916-00918, 0213T, 0216T, 0228T, 0230T,20102, 36000, 36400-36410, 36420-36430, 36440,
52310
36600, 36640, 37202, 43752, 50715, 51700-51703,52000-52001, 53000-53025, 53600-53621,53660-53665, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J2001, P9612
00910, 00916-00918, 0213T, 0216T, 0228T, 0230T,20102, 36000, 36400-36410, 36420-36430, 36440,
52315
36600, 36640, 37202, 43752, 50385-50386v, 50715,51701-51703, 52000-52001, 52281, 52310,53000-53025, 53600-53621, 53660-53665, 57410,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J2001, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52332
37202, 43752, 50387, 50394, 50684, 50715,51700-51703, 52000-52007, 52204, 52281,52310-52315, 53000-53025, 53600-53621,53660-53665, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J2001, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52334
37202, 43752, 50715, 51701-51703, 52000-52007,52281, 52310-52315, 53000-53025, 53600-53621,53660-53665, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52341
37202, 43752, 50715, 50953v, 50972v, 51701-51703,52000-52007, 52204, 52281, 52310-52315, 52351,53000-53025, 53600-53621, 53660-53665, 57410,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52342
37202, 43752, 50715, 50953v, 50972v, 51701-51703,52000-52007, 52204, 52281, 52310-52315, 52351,53000-53025, 53600-53621, 53660-53665, 57410,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52343
37202, 43752, 50715, 50953v, 50972v, 51701-51703,52000-52007, 52204, 52281, 52310-52315, 52351,53000-53025, 53600-53621, 53660-53665, 57410,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52344
37202, 43752, 50715, 50953v, 50972v, 51701-51703,52000-52007, 52204, 52281, 52310-52315, 52341,52351, 53000-53025, 53600-53621, 53660-53665,57410, 62310-62319, 64400-64435, 64445-64450,64479, 64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52345
37202, 43752, 50715, 50953v, 50972v, 51701-51703,52000-52007, 52204, 52281, 52310-52315, 52342,52351, 53000-53025, 53600-53621, 53660-53665,57410, 62310-62319, 64400-64435, 64445-64450,64479, 64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, P9612
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight14
Coding Companion for RadiologyCCI Update Version 18.1
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52346
37202, 43752, 50715, 50953v, 50972v, 51701-51703,52000-52007, 52204, 52281, 52310-52315, 52343,52351, 53000-53025, 53600-53621, 53660-53665,57410, 62310-62319, 64400-64435, 64445-64450,64479, 64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, P9612
00910, 00916, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
52351
37202, 43752, 51701-51703, 52000-52007, 52204,52281, 52310-52315, 53000-53025, 53600-53621,53660-53665, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, P9612
00910, 00916-00918, 0213T, 0216T, 0228T, 0230T,36000, 36400-36410, 36420-36430, 36440, 36600,
52352
36640, 37202, 43752, 50945, 51700-51703,52000-52007, 52235, 52281, 52310-52315,52341-52345, 52351, 53000-53025, 53600-53621,53660-53665, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, P9612
00910, 00916-00918, 0213T, 0216T, 0228T, 0230T,36000, 36400-36410, 36420-36430, 36440, 36600,
52353
36640, 37202, 43752, 50945, 51700-51703,52000-52007, 52235, 52281, 52310-52318,52341-52345, 52351-52352, 53000-53025,53600-53621, 53660-53665, 57410, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,P9612
00910-00912, 00916, 0213T, 0216T, 0228T, 0230T,36000, 36400-36410, 36420-36430, 36440, 36600,
52354
36640, 37202, 43752, 51701-51703, 52000-52007,52204, 52234-52240, 52281, 52301, 52310-52315,52341-52345, 52351, 53000-53025, 53600-53621,53660-53665, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, P9612
00910-00912, 00916, 0213T, 0216T, 0228T, 0230T,36000, 36400-36410, 36420-36430, 36440, 36600,
52355
36640, 37202, 43752, 51701-51703, 52000-52007,52204, 52224, 52281, 52310-52315, 52341-52345,52351, 52354, 53000-53025, 53600-53621,53660-53665, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,
95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, P9612
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
53600
51701-51703, 53000-53025, 53601v, 53660-53665,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001,P9612
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
53601
51701-51703, 53000-53025, 53660-53665,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001,P9612
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
53605
51701-51703, 53000-53025, 53600-53601v,53660-53665, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
53620
51701-51703, 53000-53025, 53600-53605v, 53621v,53660-53665, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
53621
51701-51703, 53000-53025, 53600-53605v,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
54230
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
55300
51701-51703, 55200-55250, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
CPT only © 2011 American Medical Association. All Rights Reserved.15© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
00940, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
57155
37202, 43752, 50715, 51701-51703, 57150,57400-57410, 57420, 57452, 57800, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99143-99149, 99150
00952, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
58340
37202, 43752, 51701-51703, 57410, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J1644, J2001
00952, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
58345
37202, 43752, 51701-51703, 57410, 58340,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 76942, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
59000
51701-51703, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
59001
51701-51703, 57410, 59000, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76941-76942,76945-76946, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
59012
51701-51703, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
59015
51701-51703, 57410, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 10021-10022, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
60100
37202, 43752, 51701-51703, 62310-62319,
64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 88172, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J2001
0213T, 0216T, 0228T, 0230T, 10021-10022, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
60300
37202, 43752, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77002,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, J0670, J2001
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
61026
51701-51703, 61000-61001, 61020, 61070,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990, 92585,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95860-95861, 95867-95868, 95870,95900, 95904, 95920, 95925-95934, 95936-95939,95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J2001
01935-01936, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
61055
37202, 43752, 51701-51703, 61050, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 92585, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95860-95861, 95867-95868, 95870, 95900,95904, 95920, 95925-95934, 95936-95939, 95955,96360, 96365, 96372, 96374-96376, 99148-99149,99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
61070
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76942,77001-77002, 92585, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94770, 94680-94690,95812-95816, 95819, 95822, 95829, 95860-95861,95867-95868, 95870, 95900, 95904, 95920,95925-95934, 95936-95939, 95955, 96360, 96365,96372, 96374-96376, 99148-99149, 99150, J2001
01924-01926, 0213T, 0216T, 0228T, 0230T, 36000,36100, 36120-36140, 36215-36217, 36400-36410,
61623
36420-36430, 36440, 36600, 36640, 37202,37606-37609v, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 75650, 75660, 75662,75665, 75671, 75676, 75680, 75685, 92585,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95860-95861, 95867-95868, 95870,95900, 95904, 95920, 95925-95934, 95936-95939,95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
01924, 01926, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
61624
37202, 37205, 37600-37609v, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 75960, 92585,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95860-95861, 95867-95868, 95870,95900, 95904, 95920, 95925-95934, 95936-95939,
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight16
Coding Companion for RadiologyCCI Update Version 18.1
95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
01924, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
61626
37202, 37205, 37600-37609v, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 75960, 92585,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95860-95861, 95867-95868, 95870,95900, 95904, 95920, 95925-95934, 95936-95939,95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 20660-20661, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
61751
37202, 43752, 51701-51703, 61140, 61156, 61531,61533-61545, 61566-61567, 61750, 61781-61783,61796, 61798, 61863v, 62310-62319, 63620,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 77011, 77371-77373,92585, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95860-95861, 95867-95868,95870, 95900, 95904, 95920, 95925-95934,95936-95939, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150, G0173,G0339-G0340
00600-00604, 00620, 00625-00626, 00630, 00670,01935-01936, 0230T, 36000, 36400-36410,
62263
36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 62264, 62282-62284, 62311, 62319,64400-64435, 64445-64450, 64483, 64505-64530,64722, 69990, 72265, 72275, 76000-76001,77001-77003, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J2001
00600-00604, 00620, 00625-00626, 00630, 00670,01935-01936, 0230T, 36000, 36400-36410,
62264
36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 62282-62284, 62311, 62319,64400-64435, 64445-64450, 64483, 64505-64530,64722, 69990, 72265, 72275, 76000-76001,77001-77003, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01935-01936, 0213T, 0216T, 0228T, 0230T,10021-10022, 20220-20225, 20240-20245,
62267
20250-20251, 36000, 36400-36410, 36420-36430,36440, 36600, 36640, 37202, 43752, 51701-51703,62291, 62311-62319, 64415-64417, 64450, 64479,64483, 64490, 64493, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01935-01936, 0213T, 0216T, 0228T, 0230T,10021-10022, 36000, 36400-36410, 36420-36430,
62268
36440, 36600, 36640, 37202, 43752, 51701-51703,62270-62272, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 76800,77001-77003, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01935-01936, 0213T, 0216T, 0228T, 0230T,10021-10022, 36000, 36400-36410, 36420-36430,
62269
36440, 36600, 36640, 37202, 43752, 51701-51703,62268, 62270-62272, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 69990, 76000-76001, 77001-77003,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
00635, 01935-01936, 0213T, 0216T, 0228T, 0230T,36000, 36400-36410, 36420-36430, 36440, 36600,
62270
36640, 37202, 43752, 51701-51703, 62273,62310-62311, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
00635, 01935-01936, 0213T, 0216T, 0228T, 0230T,36000, 36400-36410, 36420-36430, 36440, 36600,
62272
36640, 37202, 43752, 51701-51703, 62270, 62273,62310-62311, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
01935-01936, 0213T, 0216T, 0228T, 0230T, 36000,36140, 36400-36410, 36420-36430, 36440, 36600,
62273
36640, 37202, 43752, 51701-51703, 62310-62311,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77002, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J0670, J2001
01935-01936, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
62280
37202, 43752, 51701-51703, 62270-62273, 62284,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 69990,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
01935-01936, 0213T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
62281
37202, 43752, 51701-51703, 62270-62273, 62284,62310-62318, 64400-64435, 64445-64450, 64479,64483, 64490, 64505-64530, 69990, 72275,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J2001
01935-01936, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
62282
37202, 43752, 51701-51703, 62270-62273,62310-62311, 62319, 64400-64435, 64445-64450,64479, 64483, 64493, 64505-64530, 69990, 72275,76000-76001, 77001-77002, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J2001
CPT only © 2011 American Medical Association. All Rights Reserved.17© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
01935-01936, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
62284
37202, 43752, 51701-51703, 62270-62273, 62282,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77003, 93318, 93000-93010, 93040-93042,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01935-01936, 0195Tv, 0202Tv, 0216T, 0228T, 0230T,0275Tv, 22224v, 22558v, 36000, 36400-36410,
62287
36420-36430, 36440, 36600, 36640, 37202, 43752,51701-51703, 62267, 62290, 62311, 62319, 63005v,63017v, 63030v, 63042v, 63056v, 64400-64435,64445-64450, 64479, 64483, 64493, 64505-64530,69990, 72295, 76000-76001, 76942, 76998,77001-77003, 77012, 77021, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150
01935-01936, 0228T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
62290
51701-51703, 62267, 62310-62319, 64400-64435,64445-64450, 64479, 64505-64530, 69990,76000-76001, 76800, 76942, 77001-77003,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
01935-01936, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
62291
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001, 76800,76942, 77001-77003, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
01935-01936, 0213T, 0216T, 0228T, 0230T, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
62292
37202, 43752, 51701-51703, 62290, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64490,64493, 64505-64530, 69990, 76000-76001,77001-77003, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150
0178T-0179T, 0180T, 01991-01992, 0228Tv, 20605,20610, 36000, 36140, 36400-36410, 36420-36430,
62310
36440, 36600, 37202, 51701-51703, 62284, 64479v,69990, 72275, 76000-76001, 76800, 76998,77001-77002, 90862, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J2001
0178T-0179T, 0180T, 01991-01992, 0230Tv, 20605,20610, 36000, 36140, 36400-36410, 36420-36430,
62311
36440, 36600, 37202, 51701-51703, 62284, 64483v,69990, 72275, 76000-76001, 76800, 76998,77001-77002, 90862, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J2001
0178T, 0180T, 01991-01992, 01996, 0228Tv, 20605,20610, 36000, 36140, 36410, 51701-51702,
62318
62270-62273v, 62284, 62310, 64479v, 69990, 72275,
76000-76001, 76800, 76998, 77001-77002, 90862,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 96522, 99148-99149, 99150, J2001
0178T-0179T, 0180T, 01991-01992, 01996, 0230Tv,20605, 20610, 36000, 36140, 36410, 51701-51702,
62319
62270-62273v, 62284, 62311, 64483v, 69990, 72275,76000-76001, 76800, 76998, 77001-77002, 90862,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95955, 96360, 96365, 96372,96374-96376, 96522, 99148-99149, 99150, J2001
0178T-0179T, 0180T, 01991-01992, 01996,20550-20553, 36000, 36400-36410, 36420-36430,
64449
36440, 36600, 51701-51703, 69990, 76000-76001,76800, 76998, 77001-77002, 90862, 92585,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95860-95861, 95867-95868, 95870,95900, 95904, 95920, 95925-95934, 95936-95939,95955, 96360, 96365, 96372, 96374-96376, 97033v,99148-99149, 99150, J2001
0178T-0179T, 0180T, 01991-01992, 0228T-0229T,0282T-0285T, 20550-20553, 20605, 20610, 36000,
64479
36140, 36400-36410, 36420-36430, 36440, 36600,51701-51703, 69990, 72275, 76000-76001, 76800,76942, 76998, 77001-77003, 77012, 90862, 92585,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95860-95861, 95870, 95900, 95904,95920, 95925-95934, 95936-95939, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J2001
01991-01992, 0229T, 0282T-0285T, 69990, 76800,76942, 76998, 90862, 92585, 93000-93010,
64480
93040-93042, 95822, 95860-95861, 95900, 95904,95920, 95925-95927, 95930-95934, 95936-95938
0178T-0179T, 0180T, 01991-01992, 0230T-0231T,0282T-0285T, 20550-20553, 20605, 20610, 36000,
64483
36140, 36400-36410, 36420-36430, 36440, 36600,51701-51703, 72275, 76000-76001, 76800, 76942,76998, 77001-77003, 77012, 90862, 92585,93000-93010, 93040-93042, 93318, 94002, 94200,94250, 94680-94690, 94770, 95812-95816, 95819,95822, 95829, 95860-95861, 95870, 95900, 95904,95920, 95925-95934, 95936-95939, 95955, 96360,96365, 96372, 96374-96376, 99148-99149, 99150,J2001
01991-01992, 0231T, 0282T-0285T, 76800, 76942,76998, 90862, 92585, 93000-93010, 93040-93042,
64484
95822, 95860-95861, 95900, 95904, 95920,95925-95927, 95930-95934, 95936-95938
0178T-0179T, 0180T, 01991-01992, 0213T-0218Tv,0282T-0285T, 20550-20553, 20600-20605, 20610,
64490
36140, 36410, 51701-51703, 69990, 72275,76000-76001, 76800, 76942, 76998, 77001-77003,77012, 77021, 90862, 92585, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95860-95861, 95867-95868, 95870, 95900,95904, 95920, 95925-95934, 95936-95939, 95955,96360, 96365, 96372, 96374-96376, 99148-99149,99150, J0670, J2001
0213T-0218Tv, 0282T-0285T, 51701-51703, 69990,76000-76001, 76800, 76942, 76998, 77001-77003,
64491
77012, 77021, 92585, 95822, 95860-95861,95867-95868, 95870, 95900, 95904, 95920,95925-95934, 95936-95939, J0670, J2001
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight18
Coding Companion for RadiologyCCI Update Version 18.1
0213T-0218Tv, 0282T-0285T, 51701-51703, 69990,76000-76001, 76800, 76942, 76998, 77001-77003,
64492
77012, 77021, 92585, 95822, 95860-95861,95867-95868, 95870, 95900, 95904, 95920,95925-95934, 95936-95939, J0670, J2001
0178T-0179T, 0180T, 01991-01992, 0213T-0218Tv,0282T-0285T, 20550-20553, 20600-20605, 20610,
64493
36140, 51701-51703, 69990, 72275, 76000-76001,76800, 76942, 76998, 77001-77003, 77012, 77021,90862, 92585, 93000-93010, 93040-93042, 93318,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95860-95861,95867-95868, 95870, 95900, 95904, 95920,95925-95934, 95936-95939, 95955, 96360, 96365,96372, 96374-96376, 99148-99149, 99150, J0670,J2001
0213T-0218Tv, 0282T-0285T, 51701-51703, 69990,76000-76001, 76800, 76942, 76998, 77001-77003,
64494
77012, 77021, 92585, 95822, 95860-95861,95867-95868, 95870, 95900, 95904, 95920,95925-95934, 95936-95939, J0670, J2001
0213T-0218Tv, 0282T-0285T, 51701-51703, 69990,76000-76001, 76800, 76942, 76998, 77001-77003,
64495
77012, 77021, 92585, 95822, 95860-95861,95867-95868, 95870, 95900, 95904, 95920,95925-95934, 95936-95939, J0670, J2001
0178T-0179T, 0180T, 01991-01992, 0282T-0285T,36000, 36400-36410, 36420-36430, 36440, 36600,
64530
51701-51703, 69990, 76000-76001, 76998,77001-77003, 90862, 92585, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95860-95861, 95867-95868, 95870, 95900,95904, 95920, 95925-95934, 95936-95939, 95955,96360, 96365, 96372, 96374-96376, 99150,99148-99149, J0670, J2001
0213T, 0228T, 0230T, 20550-20553, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
64680
37202, 43752, 51701-51703, 62311, 62319,64400-64413, 64418-64435, 64445-64450, 64479,64483, 64490, 64505-64530, 69990, 76000-76001,77001-77003, 92585, 93000-93010, 93040-93042,93318, 94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95860-95861,95867-95868, 95870, 95900, 95904, 95920,95925-95934, 95936-95939, 95955, 96360, 96365,96372, 96374-96376, 99148-99149, 99150, J2001
0216T, 0228T, 0230T, 20550-20553, 36000,36400-36410, 36420-36430, 36440, 36600, 36640,
64681
37202, 43752, 51701-51703, 62310-62319,64400-64435, 64445-64450, 64479, 64483, 64493,64505-64530, 69990, 76000-76001, 77001-77003,92585, 93000-93010, 93040-93042, 93318, 94002,94200, 94250, 94680-94690, 94770, 95812-95816,95819, 95822, 95829, 95860-95861, 95867-95868,95870, 95900, 95904, 95920, 95925-95934,95936-95939, 95955, 96360, 96365, 96372,96374-96376, 99148-99149, 99150
0213T, 0216T, 0228T, 0230T, 36000, 36400-36410,36420-36430, 36440, 36600, 36640, 37202, 43752,
68850
51701-51703, 62310-62319, 64400-64435,64445-64450, 64479, 64483, 64490, 64493,64505-64530, 67500, 69990, 76000-76001,77001-77002, 92018-92019, 93000-93010,93040-93042, 93318, 94002, 94200, 94250,94680-94690, 94770, 95812-95816, 95819, 95822,95829, 95955, 96360, 96365, 96372, 96374-96376,99148-99149, 99150, J0670, J1644, J2001
36000, 36406-36410, 76000-76001, 77001-77003,96372, 96374-96376
70010
36000, 36011, 36406-36410, 76000-76001,77001-77003, 96372, 96374-96376
70015
No CCI edits apply to this code.70030
No CCI edits apply to this code.70100
7010070110
No CCI edits apply to this code.70120
7012070130
No CCI edits apply to this code.70134
No CCI edits apply to this code.70140
7014070150
No CCI edits apply to this code.70160
76000-76001, 77001-77002, 78660v70170
No CCI edits apply to this code.70190
No CCI edits apply to this code.70200
No CCI edits apply to this code.70210
7021070220
No CCI edits apply to this code.70240
No CCI edits apply to this code.70250
7025070260
No CCI edits apply to this code.70300
7030070310
70300-7031070320
No CCI edits apply to this code.70328
7032870330
76000-76001, 77001-7700270332
0192270336
No CCI edits apply to this code.70350
70300-7032070355
No CCI edits apply to this code.70360
70360, 74210v, 74230v, 76000-76001, 77001, 92520v70370
70370v, 74210, 74230, 76000-76001, 7700170371
36000, 36011, 36406-36410, 76000-76001, 77001,92520v
70373
No CCI edits apply to this code.70380
76000-76001, 77001-7700270390
01922, 70480-70482v, 7638070450
01922, 36000, 36005, 36011, 36406-36410, 70450,70480-70482v, 76000-76001, 76380, 76942, 76998,
70460
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 36000, 36005, 36011, 36406-36410,70450-70460, 70480-70482v, 76000-76001, 76380,
70470
76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01922, 7638070480
01922, 36000, 36005, 36011, 36406-36410, 70480,76000-76001, 76380, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
70481
01922, 36000, 36005, 36011, 36406-36410,70480-70481, 76000-76001, 76380, 76942, 76998,
70482
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 7638070486
01922, 36000, 36005, 36011, 36406-36410, 70486,76000-76001, 76380, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
70487
CPT only © 2011 American Medical Association. All Rights Reserved.19© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
01922, 36000, 36005, 36011, 36406-36410,70486-70487, 76000-76001, 76380, 76942, 76998,
70488
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 7638070490
01922, 36000, 36005, 36011, 36406-36410, 70490,76000-76001, 76380, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
70491
01922, 36000, 36005, 36011, 36406-36410,70490-70491, 76000-76001, 76380, 76942, 76998,
70492
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 70450-70470, 76000-76001,
70496
76376-76380, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 70490-70492, 76000-76001,
70498
76376-76380, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376
01922, 70547-7054870540
01922, 36000, 36005, 36011, 36406-36410, 70540,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
70542
01922, 36000, 36005, 36011, 36406-36410, 70540,70542, 76000-76001, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
70543
01916, 01922-01926, 76376-7637770544
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 70544, 76000-76001, 76376-76377,
70545
76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 70544-70545, 70551-70552,
70546
76000-76001, 76376-76377, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 01922-01926, 36000, 36011, 36406-36410,76000-76001, 76376-76377, 76942, 76998,77001-77002
70547
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 70547, 76000-76001, 76376-76377,
70548
76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 70547-70548, 76000-76001,
70549
76376-76377, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
01922, 70544-70545, 70555-70557v70551
01922, 36000, 36005, 36011, 36406-36410,70544-70545, 70551, 70554-70555, 76000-76001,
70552
76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01922, 36000, 36005, 36011, 36406-36410,70544-70546, 70551-70552, 70554-70555,
70553
76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
01922, 70551, 70557-70559, 9602070554
01922, 70554v, 70557-7055970555
01922, 70544-70546, 70552-70553v, 7702170557
01922, 36000, 36005, 36406-36410, 70544-70546,70551-70553v, 70557, 76000-76001, 76942,
70558
77001-77002, 77021, 96360, 96365, 96372,96374-96376
01922, 36000, 36005, 36406-36410, 70544-70546,70551-70553v, 70557-70558, 76000-76001, 76942,
70559
77001-77002, 77021, 96360, 96365, 96372,96374-96376
0175T, 71022-71034v71010
71010, 71020v, 71023v71015
0175T, 71010, 71021-71034v, 71101v, 71111v71020
0175T, 71010, 71022-71034v, 71111v71021
0175T, 71023v, 71034v, 71111v71022
71034v, 76000-76001, 7700171023
0175T, 71022-71023v, 71111v71030
71030, 76000-76001, 7700171034
No CCI edits apply to this code.71035
76000-76001, 7700171040
71040, 76000-76001, 7700171060
7101071100
71010, 71021-71034v, 7110071101
71010, 71100-7110171110
71010, 71100-7111071111
01922, 75571, 7638071250
01922, 36000, 36005, 36011, 36406-36410, 71250,75571, 76000-76001, 76380, 76942, 76998,
71260
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 36000, 36005, 36011, 36406-36410,71250-71260, 75571, 76000-76001, 76380, 76942,
71270
76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 71250-71270, 76000-76001,
71275
76376-76380, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376
0192271550
01922, 36000, 36005, 36011, 36406-36410, 71550,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
71551
01922, 36000, 36005, 36011, 36406-36410,71550-71551, 71555, 76000-76001, 76942, 76998,
71552
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 01922-01926, 36000, 36005, 36410,71550-71551, 76000-76001, 76376-76377, 76942,
71555
76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
72020-7212072010
No CCI edits apply to this code.72020
No CCI edits apply to this code.72040
72020-7204072050
72020-7205072052
72090v72069
72090v72070
72070, 72090v72072
72069-72072, 72090v72074
72069-72074v72080
7208072090
No CCI edits apply to this code.72100
72020, 72100, 72114v72110
72100, 7212072114
72110v72120
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight20
Coding Companion for RadiologyCCI Update Version 18.1
01922, 7638072125
01922, 36000, 36005, 36011, 36406-36410, 72125,76000-76001, 76380, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
72126
01922, 36000, 36005, 36011, 36406-36410,72125-72126, 76000-76001, 76380, 76942, 76998,
72127
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 72292v, 7638072128
01922, 36000, 36005, 36011, 36406-36410, 72128,72292v, 76000-76001, 76380, 76942, 76998,
72129
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 36000, 36005, 36011, 36406-36410,72128-72129, 72292v, 76000-76001, 76380, 76942,
72130
76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01922, 72292v, 7638072131
01922, 36000, 36005, 36011, 36406-36410, 72131,72292v, 76000-76001, 76380, 76942, 76998,
72132
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 36000, 36005, 36011, 36406-36410,72131-72132, 72292v, 76000-76001, 76380, 76942,
72133
76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
0192272141
01922, 36000, 36005, 36011, 36406-36410, 72141,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
72142
0192272146
01922, 36000, 36005, 36011, 36406-36410, 72146,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
72147
0192272148
01922, 36000, 36005, 36011, 36406-36410, 72148,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
72149
01922, 36000, 36005, 36011, 36406-36410,72141-72142, 76000-76001, 76942, 76998,
72156
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 36000, 36005, 36011, 36406-36410,72146-72147, 76000-76001, 76942, 76998,
72157
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01922, 36000, 36005, 36011, 36406-36410,72148-72149, 76000-76001, 76942, 76998,
72158
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 36000, 36005, 36410, 72141-72142,72146-72158, 76000-76001, 76376-76377, 76942,
72159
76998, 77002, 96360, 96365, 96372, 96374-96376,J1642
No CCI edits apply to this code.72170
7217072190
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 72192-72194, 74176-74178,
72191
76000-76001, 76376-76380, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
01922, 7638072192
01922, 36000, 36005, 36011, 36406-36410, 72192,76000-76001, 76380, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
72193
01922, 36000, 36005, 36011, 36406-36410,72192-72193, 76000-76001, 76380, 76942, 76998,
72194
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
0192272195
01922, 36000, 36005, 36011, 36406-36410, 72195,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
72196
01922, 36000, 36005, 36011, 36406-36410,72195-72196, 72198, 76000-76001, 76942, 76998,
72197
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 01922-01924, 36000, 36005, 36410,72195-72196, 76000-76001, 76376-76377, 76942,
72198
76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
No CCI edits apply to this code.72200
7220072202
No CCI edits apply to this code.72220
00600, 01935-01936, 20551-20553, 72255, 72265,76000-76001, 77001-77003
72240
00620, 00625-00626, 01935-01936, 72265,76000-76001, 77001-77003
72255
00630, 01935-01936, 20551-20553, 76000-76001,77001-77003
72265
00600, 00620, 00625-00626, 00630, 01935-01936,72240, 72255, 72265, 76000-76001, 77001-77003
72270
00600, 00620, 00625-00626, 00630, 01935-01936,76000-76001, 77001-77003
72275
01935-01936, 75872, 76000-76001v, 77001-77003v72291
01935-01936, 72291v, 75872, 76380, 77011-7701272292
No CCI edits apply to this code.73000
No CCI edits apply to this code.73010
No CCI edits apply to this code.73020
7302073030
01922, 73020-73030, 76000-76001, 77001-7700273040
No CCI edits apply to this code.73050
No CCI edits apply to this code.73060
No CCI edits apply to this code.73070
7307073080
01922, 73070-73080, 76000-76001, 77001-7700273085
No CCI edits apply to this code.73090
73090v73092
No CCI edits apply to this code.73100
7310073110
01922, 73100-73110, 76000-76001, 77001-7700273115
7314073120
73120, 7314073130
No CCI edits apply to this code.73140
01922, 7638073200
01922, 36000, 36005, 36011, 36406-36410, 73200,76000-76001, 76380, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
73201
01922, 36000, 36005, 36011, 36406-36410,73200-73201, 76000-76001, 76380, 76942, 76998,
73202
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 73200-73202, 76000-76001,
73206
CPT only © 2011 American Medical Association. All Rights Reserved.21© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
76376-76380, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376
0192273218
01922, 36000, 36005, 36011, 36406-36410, 73218,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
73219
01922, 36000, 36005, 36011, 36406-36410,73218-73219, 76000-76001, 76942, 76998,
73220
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
0192273221
01922, 36000, 36005, 36011, 36406-36410, 73221,96360, 96365, 96372, 96374-96376, J1642
73222
01922, 36000, 36005, 36011, 36406-36410,73221-73222, 96360, 96365, 96372, 96374-96376,J1642
73223
01916, 36000, 36005, 36410, 73218-73223,76000-76001, 76376-76377, 76942, 76998, 77002,96360, 96365, 96372, 96374-96376, J1642
73225
No CCI edits apply to this code.73500
7350073510
72170, 73500-7351073520
73500-73520, 76000-76001, 77001-7700273525
No CCI edits apply to this code.73550
0138073560
01380, 7356073562
01380, 73560-73562, 7356573564
01380, 7356273565
01380, 01922, 73560, 76000-76001, 77001-7700273580
7359273590
73610v73592
73592v73600
7360073610
01922, 73600-73610, 76000-76001, 77001-7700273615
7366073620
7362073630
No CCI edits apply to this code.73650
No CCI edits apply to this code.73660
01922, 7638073700
01922, 36000, 36005, 36011, 36406-36410, 73700,76000-76001, 76380, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376, J1642
73701
01922, 36000, 36005, 36011, 36406-36410,73700-73701, 76000-76001, 76380, 76942, 76998,
73702
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 72191, 73700-73702, 76000-76001,
73706
76376-76380, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376
0192273718
01922, 36000, 36005, 36011, 36406-36410, 73718,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
73719
01922, 36000, 36005, 36011, 36406-36410,73718-73719, 73725, 76000-76001, 76942, 76998,
73720
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
0192273721
01922, 36000, 36005, 36011, 36406-36410, 73721,96360, 96365, 96372, 96374-96376, J1642
73722
01922, 36000, 36005, 36011, 36406-36410,73721-73722, 73725, 96360, 96365, 96372,96374-96376, J1642
73723
01916, 01922-01926, 36000, 36005, 36410,73718-73719, 73721-73722, 76000-76001,
73725
76376-76377, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
No CCI edits apply to this code.74000
7400074010
74000-7401074020
71010, 74000-7402074022
01922, 72192-72194, 7638074150
01922, 36000, 36005, 36011, 36406-36410,72192-72194, 74150, 76000-76001, 76380, 76942,
74160
76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01922, 36000, 36005, 36011, 36406-36410,72192-72194, 74150-74160, 76000-76001, 76380,
74170
76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 72191-72194, 73706, 74150-74170,
74174
74175-74178, 76000-76001, 76376-76380, 76942,76998, 77001-77002, 96360, 96365, 96372,96374-96376
01916, 01922-01926, 36000, 36005, 36011,36406-36410, 72191, 73706, 74150-74170,
74175
74176-74178, 76000-76001, 76376-76380, 76942,76998, 77001-77002, 96360, 96365, 96372,96374-96376
01922, 72192-72194, 74150-7417074176
01922, 72192-72194, 74150-74170, 74176, J164274177
01922, 72192-72194, 74150-74170, 74176-74177,J1642
74178
0192274181
01922, 36000, 36005, 36011, 36406-36410, 74181,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376, J1642
74182
01922, 36000, 36005, 36011, 36406-36410,74181-74182, 74185, 76000-76001, 76942, 76998,
74183
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
01916, 01922-01926, 36000, 36005, 36410,74181-74182, 76000-76001, 76376-76377, 76942,
74185
76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
76000-76001, 77001-7700274190
76000-76001, 7700174210
74210, 76000-76001, 7700174220
74210-74220, 76000-76001, 7700174230
76000-76001, 77001-7700274235
74000, 74210-74220, 74245v, 74249v, 76000-76001,77001
74240
74000-74010, 74210-74220, 74240, 74245v, 74249v,76000-76001, 77001
74241
74000-74020, 74210-74220, 74250, 76000-76001,77001
74245
74000-74010, 74210-74220, 74240-74245, 74249v,76000-76001, 77001
74246
74000-74010, 74210-74220, 74240-74246, 74249v,76000-76001, 77001
74247
74000, 74210-74220, 74245v, 74250, 76000-76001,77001
74249
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight22
Coding Companion for RadiologyCCI Update Version 18.1
74000, 76000-76001, 7700174250
43752, 74000, 74250, 76000-76001, 7700174251
74246-74249v, 76000-76001, 7700174260
01922, 72192-72194, 74150-74170, 74176-74178,74263, 76000-76001, 76376-76377, 77001-77002
74261
01922, 36000, 36005, 36410, 72192-72194,74150-74170, 74176-74178, 74261, 74263,
74262
76000-76001, 76376-76377, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
01922, 72192-72194, 74150-74170, 76000,76376-76377
74263
74000-74010, 74280-74283, 76000-76001, 76942,76998, 77001
74270
74000-74010, 74283, 76000-76001, 7700174280
76000-76001, 7700174283
76000-76001, 7700174290
76000-76001, 7700174291
74290-74291, 74305v, 76000-76001, 77001-7700274300
74290-74291, 74305v74301
74290-74291, 76000-76001, 77001-7700274305
76000-76001, 77001-7700274327
76000-76001, 77001-7700274328
76000-76001, 77001-7700274329
74328-74329, 76000-76001, 77001-7700274330
43752, 74000, 76000-76001, 77001-7700274340
74000, 76000-76001, 77001-7700274355
74000, 76000-76001, 77001-7700274360
74000, 76000-76001, 77001-7700274363
36000, 36011, 36406-36410, 36425, 74000-74010,74022, 74410, 74420, 76000-76001, 76101-76102v,
74400
76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376
36000, 36011, 36406-36410, 36425, 74000-74020,74420-74425, 76101-76102v, 96360, 96365, 96372,96374-96376
74410
36000, 36011, 36406-36410, 36425, 74000-74020,74400v, 74410, 74420-74425, 76101-76102v, 96360,96365, 96372, 96374-96376
74415
36000, 36011, 36410, 36425, 51701-51703, 57410,74000-74020, 74425, 74430, 74450, 74455,
74420
76000-76001, 76101-76102v, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376,P9612
36000, 36011, 36410, 36425, 74000-74020, 74400v,76000-76001, 76101-76102v, 77001-77002, 96360,96365, 96372, 96374-96376
74425
36000, 36011, 36410, 36425, 51701-51703, 74000,74455, 76000-76001, 77001, P9612
74430
36000, 36410, 36425, 74000, 74450, 76000-76001,76942, 76998, 77001-77002
74440
36000, 36410, 74000, 76000-76001, 76942, 76998,77001-77002
74445
36000, 36011, 36410, 36425, 51600, 51701-51703,74000, 76000-76001, 77001-77002, P9612
74450
36000, 36011, 36410, 36425, 51701-51703, 74000,74450v, 76000-76001, 77001, P9612
74455
36000, 36011, 36410, 36425, 76000-76001,77001-77002, 96372, 96374-96376
74470
36000, 36011, 36410, 36425, 76000-76001, 76942,77001-77002, 96372, 96374-96376
74475
36000, 36011, 36410, 36425, 74475v, 76000-76001,76942, 77001-77002, 96372, 96374-96376
74480
36000, 36011, 36410, 36425, 51701-51703,76000-76001, 76942, 77001-77002, 96372,96374-96376, P9612
74485
No CCI edits apply to this code.74710
00952, 76000-76001, 7700174740
74740, 76000-76001, 77001-7700274742
76000-76001, 77001-7700274775
76376-7637775557
75557, 76376-7637775559
36000, 36410, 75557, 75559, 76000-76001,76376-76377, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374
75561
36000, 36410, 75557, 75559, 75561, 76000-76001,76376-76377, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374
75563
76376-7637775565
01922, 76000-76001, 76120-76125, 76376-76377,77001-77002, 93000-93010, 93040-93042
75571
01922, 36000, 36005, 36410, 71250-71270, 75571,76000-76001, 76120-76125, 76376-76377, 76942,
75572
76998, 77001-77002, 93000-93010, 93040-93042,96360, 96365, 96372, 96374-96376
01922, 36000, 36005, 36410, 71250-71270,75571-75572, 75574, 76000-76001, 76120-76125,
75573
76376-76377, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 96360, 96365, 96372,96374-96376
01922, 36000, 36005, 36410, 71250-71270,75571-75572, 76000-76001, 76120-76125,
75574
76376-76377, 76942, 76998, 77001-77002,93000-93010, 93040-93042, 96360, 96365, 96372,96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75600
75827, 75893, 75896, 76000-76001, 76942, 76998,77001-77002, 93567, 96372, 96376, J1642
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75605
75600, 75827, 75893, 75896, 76000-76001, 76942,76998, 77001-77002, 93567, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75625
75825, 75893, 75896, 76000-76001, 76942, 76998,77001-77002, 93567, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75630
75625, 75716, 75820, 75822, 75825, 75893, 75896,76000-76001, 76942, 76998, 77001-77002, 93567,96372, 96376
01916, 01924-01926, 36000, 36005, 36011,36406-36410, 36500, 72191, 73700-73706,
75635
74150-74175, 75893, 75896, 76000-76001,76376-76377, 76942, 76998, 77001-77002, 93567,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75650
75860, 75870, 75872, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75660
75860, 75880, 75893, 75896, 76000-76001, 76942,76998, 77001-77002, 96372, 96376
CPT only © 2011 American Medical Association. All Rights Reserved.23© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75662
75660, 75860, 75880, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75665
75860, 75870, 75872, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75671
75665, 75860, 75870, 75872, 75893, 75896,76000-76001, 76942, 76998, 77001-77002, 96372,96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75676
75860, 75870, 75872, 75880, 75893, 75896,76000-76001, 76942, 76998, 77001-77002, 96372,96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75680
75676, 75860, 75870, 75872, 75880, 75893, 75896,76000-76001, 76942, 76998, 77001-77002, 96372,96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75685
75860, 75870, 75872, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 96372, 96376
01916, 01924-01926, 01935-01936, 35201-35206,35226, 35261-35266, 35286, 36000, 36005, 36410,
75705
36500, 75893, 75896, 76000-76001, 76942, 76998,77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75710
75630v, 75820, 75822, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75716
75710, 75820, 75822, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75731
75840, 75842, 75893, 75896, 76000-76001, 76942,76998, 77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75733
75731, 75840, 75842, 75893, 75896, 76000-76001,76942, 76998, 77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75736
75825, 75893, 75896, 76000-76001, 76942, 76998,77001-77002, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75741
75746, 75893, 75896, 76000-76001, 76942, 76998,77001-77002, 93568, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75743
75741, 75746, 75893, 75896, 76000-76001, 76942,76998, 77001-77002, 93568, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75746
75893, 75896, 76000-76001, 76942, 76998,77001-77002, 93568, 96372, 96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75756
75893, 75896, 76000-76001, 76942, 76998,77001-77002, 96372, 96376
01916, 01924, 01930, 35206, 35226, 35236, 35256,35266, 35286, 36000, 36005, 36410, 75658, 75820,
75791
75822, 75825, 75827, 75896, 76000-76001, 76937,76942, 76998, 77001-77002, 77012, 77021, 96360,96365, 96372, 96374-96376
01916, 01924-01926, 36005, 76000-76001, 76942,76998, 77001-77002, 96372
75801
01916, 01924-01926, 36005, 75801, 76000-76001,76942, 76998, 77001-77002, 96372
75803
01916, 01924-01926, 36005, 76000-76001, 76810v,76942, 76998, 77001-77002, 96372
75805
01916, 01924-01926, 36005, 75805, 76000-76001,76942, 76998, 77001-77002, 96372
75807
01916, 01924-01926, 36005, 76000-76001, 76942,76998, 77001-77002
75809
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75810
75896, 76000-76001, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36410, 36500, 75896,
75820
76000-76001, 76942, 76998, 77002, 78456-78458v,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36410, 36500, 75820,
75822
75896, 76000-76001, 76942, 76998, 77002, 96360,96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75825
36598, 75896, 76000-76001, 76942, 76998, 77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75827
36598, 75896, 76000-76001, 76942, 76998, 77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75831
75896, 76000-76001, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75833
75831, 75896, 76000-76001, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75840
75896, 76000-76001, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75842
75840, 75896, 76000-76001, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75860
75896, 76000-76001, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75870
75860v, 75896, 76000-76001, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75872
75896, 76942, 76000-76001, 76998, 77001-77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75880
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight24
Coding Companion for RadiologyCCI Update Version 18.1
75896, 76000-76001, 76942, 76998, 77001-77002,78456-78458v, 96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75885
75887, 75896, 76000-76001, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75887
75896, 76000-76001, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75889
75891, 75896, 76000-76001, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75891
75896, 76000-76001, 76942, 76998, 77001-77002,96360, 96365, 96372, 96374-96376
01916, 01924-01926, 01930-01933, 35201-35206,35226, 35261-35266, 35286, 36000, 36005, 36410,
75894
36500, 36600-36640, 75600, 75605, 75625, 75630,75635-75650, 75658, 75660, 75662, 75665, 75671,75676, 75680, 75685, 75705, 75710, 75716, 75726,75731, 75733, 75736, 75741, 75743, 75746, 75756,75774, 75810, 75820, 75822, 75825, 75827, 75831,75833, 75840, 75842, 75860, 75870, 75872, 75880,75885, 75887, 75889, 75891, 75893, 75960,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376
01916, 01924-01926, 01930-01933, 35201-35206,35226, 35261-35266, 35286, 36000, 36005, 36410,
75896
36500, 36600-36640, 75893-75894v, 76000-76001,76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376
01916, 35201-35206, 35226, 35261-35266, 35286,36000, 36005, 36410, 36500, 75600, 75605, 75625,
75898
75630, 75635-75650, 75658, 75660, 75662, 75665,75671, 75676, 75680, 75685, 75705, 75710, 75716,75726, 75731, 75733, 75736, 75741, 75743, 75746,75756, 75774, 75791, 75810, 75820, 75822, 75825,75827, 75831, 75833, 75840, 75842, 75860, 75870,75872, 75880, 75885, 75887, 75889, 75891, 75893,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96374-96376
01916, 01924-01926, 01930-01933, 35201-35206,35226, 35261-35266, 35286, 36000, 36005, 36410,
75900
36500, 75600, 75605, 75625, 75630, 75635-75650,75658, 75660, 75662, 75665, 75671, 75676, 75680,75685, 75705, 75710, 75716, 75726, 75731, 75733,75736, 75741, 75743, 75746, 75756, 75774, 75810,75820, 75822, 75825, 75827, 75831, 75833, 75840,75842, 75860, 75870, 75872, 75880, 75885, 75887,75889, 75891, 75893, 75896, 75898, 76000-76001,76942, 76998, 77001-77002, 96360, 96365, 96372,96375-96376
01930, 01932, 36000, 36005, 36410, 36500, 36598,75741, 75743, 75746, 75791, 75825, 75827, 75893,
75901
76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96375-96376
01930, 01932, 36000, 36005, 36410, 36500, 36598,75741, 75743, 75746, 75827, 75891, 75893,
75902
76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96375-96376
01916, 01924-01926, 01930-01933, 35201-35206,35226, 35261-35266, 35286, 36000, 36005, 36410,
75945
36500, 75893, 76000-76001, 76376-76377, 76942,76998, 77001-77002, 96360, 96365, 96372,96375-96376
01924, 01930-01933, 35201-35206, 35226,35261-35266, 35286, 36005, 36500, 75893,
75946
76000-76001, 76376-76377, 76942, 76998,77001-77002
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75952
75600, 75605, 75625, 75630, 75635, 75710, 75716,75726, 75731, 75733, 75736, 75774, 75893, 75960,76000-76001, 76120-76125, 76942, 76998,77001-77003, 96360, 96365, 96372, 96375-96376,G0275-G0278
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75953
75600, 75605, 75625, 75630, 75635, 75710, 75716,75726, 75731, 75733, 75736, 75774, 75893, 75960,76000-76001, 76120-76125, 76942, 76998,77001-77003, 96360, 96365, 96372, 96375-96376,G0275-G0278
01916, 01924-01926, 35201-35206, 35226, 35261,36000, 36005, 36410, 36500, 75600, 75605, 75625,
75954
75635, 75710, 75716, 75726, 75736, 75774, 75893,75960, 76000-76001, 76120-76125, 76942, 76998,77001-77002, 96360, 96365, 96372, 96375-96376
01916, 01924, 01926, 36000, 36005, 36410, 36500,75600, 75605, 75650, 75893, 75957v, 75959-75960,
75956
76000-76001, 76120-76125, 76942, 76998,77001-77002, 96360, 96365, 96372, 96375-96376
01916, 01924, 01926, 36000, 36005, 36410, 36500,75600, 75605, 75650, 75893, 75959-75960,
75957
76000-76001, 76120-76125, 76942, 76998,77001-77002, 96360, 96365, 96372, 96375-96376
01916, 01924, 01926, 36000, 36005, 36410, 36500,75600, 75605, 75650, 75893, 75960, 76000-76001,
75958
76120-76125, 76942, 76998, 77001-77002, 96360,96365, 96372, 96375-96376
01916, 01924, 01926, 36000, 36005, 36410, 36500,75600, 75605, 75650, 75893, 75960, 76000-76001,
75959
76120-76125, 76942, 76998, 77001-77002, 96360,96365, 96372, 96375-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75960
37202, 75600, 75605, 75625, 75630, 75635-75650,75658, 75660, 75662, 75665, 75671, 75676, 75680,75685, 75705, 75710, 75716, 75726, 75731, 75733,75736, 75741, 75743, 75746, 75756, 75774, 75791,75810, 75820, 75822, 75825, 75827, 75831, 75833,75840, 75842, 75860, 75870, 75872, 75880, 75885,75887, 75889, 75891, 75893, 76000-76001, 76942,76998, 77001-77002, 96360, 96365, 96372,96375-96376
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75962
37202, 75600, 75605, 75625, 75630, 75635-75650,75658, 75660, 75662, 75665, 75671, 75676, 75680,75685, 75705, 75710, 75716, 75756, 75791, 75893,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96375-96376
01924-01926, 35201-35206, 35226, 35261-35266,35286, 36005, 36500, 37202, 75893, 76000-76001,76942, 76998, 77001-77002
75964
01916, 01924-01926, 35201-35206, 35226,35261-35266, 35286, 36000, 36005, 36410, 36500,
75966
37202, 75726, 75731, 75733, 75736, 75893,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96375-96376
01924, 35201-35206, 35226, 35261-35266, 35286,36005, 36500, 37202, 75893, 76000-76001, 76942,76998, 77001-77002
75968
CPT only © 2011 American Medical Association. All Rights Reserved.25© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
01916, 01924-01926, 01930-01933, 35201-35206,35226, 35261-35266, 35286, 36000, 36005, 36410,
75970
36500, 75600, 75605, 75625, 75630, 75635-75650,75658, 75660, 75662, 75665, 75671, 75676, 75680,75685, 75705, 75710, 75716, 75726, 75731, 75733,75736, 75741, 75743, 75746, 75756, 75774, 75791,75810, 75820, 75822, 75825, 75827, 75831, 75833,75840, 75842, 75860, 75870, 75872, 75880, 75885,75887, 75889, 75891, 75893, 76000-76001, 76942,76998, 77001-77002, 96360, 96365, 96372,96375-96376
01916, 01924-01926, 01930-01933, 35201-35206,35226, 35261-35266, 35286, 36000, 36005, 36410,
75978
36500, 37202, 75810, 75820, 75822, 75825, 75827,75831, 75833, 75840, 75842, 75860, 75870, 75872,75880, 75885, 75887, 75889, 75891, 75893,76000-76001, 76942, 76998, 77001-77002, 96360,96365, 96372, 96375-96376
01916, 01924-01926, 36000, 36005, 36406-36410,36500, 74320, 75893, 75982, 75989, 76000-76001,76942, 77001-77002, 96372, 96374-96376
75980
01916, 01924-01926, 36005, 36500, 74320, 75893,75989, 76000-76001, 76942, 77001-77002
75982
01916, 01924-01926, 36005, 36500, 75893, 75982v,76000-76001, 77001-77002, 96372, 96374-96376,J1644
75984
36005, 36500, 75893, 76000-76001, 76376-76377,76942, 76998, 77001-77003, 77012, 77021
75989
36000, 36011, 36410, 36425, 76125v, 7694276000
36000, 36011, 36410, 36425, 7600076001
76000-76001, 77001-7700276080
74400, 74410-74425, 76000-76001, 7700176100
76000-76001, 7700176101
76000-76001, 76101, 7700176102
76000-76001v, 77001-77003v76120
76001v, 76120v76125
0159T76376
0159T, 7637676377
No CCI edits apply to this code.76380
No CCI edits apply to this code.76390
76511-76513v, 7699876506
76511-76512, 76516-76519v76510
76519, 76998, J200176511
76511, 76529, 76998, J200176512
69990, 76512v, 76529, 76998, 92504, J200176513
No CCI edits apply to this code.76514
76511-76513v, 7699876516
76513v, 76516, 76998, 9921176519
76998, J200176529
76998, 93880v76536
7699876604
7699876645
51701-51702, 76705, 7699876700
51701-51702, 7699876705
51701-51702, 51798, 76775, 76998, G038976770
51701-51702, 76857, 76998, G0389v76775
76775, 7699876776
76805-76810, 76812, 76815-76816, 76830v, 7699876801
7699876802
51701-51702, 76802, 76812, 76815-76816,76830-76831v, 76856-76857v, 76998
76805
51701-51702, 76815, 7699876810
51701-51702, 76801, 76805, 76815-76816,76830-76831v, 76856-76857v, 76941, 76998
76811
51701-51702, 7699876812
51701-51702, 76830v, 76857v, 7699876813
No CCI edits apply to this code.76814
51701-51702, 76857v, 7699876815
51701-51702, 76810v, 76815v, 76857v, 7699876816
51701-51702, 76830-76831v, 76856-76857v, 76941v,76998
76817
51701-51702, 59025, 76376-76377, 76819, 7699876818
51701-51702, 59020-59025, 76376-76377, 7699876819
76828v76820
76376-76377, 76828v76821
51701-51702, 7699876825
51701-51702, 76376-76377, 7699876827
51701-51702, 76376-76377, 76827v, 7699876828
51701-51702, 76815-76816v, 7699876830
51701-51702, 76801v, 76813v, 76815-76816v, 76830,76998
76831
51701-51702, 51798, 76801v, 76813v, 76815-76816v,76857, 76941v, 76998, 93976v, 93980v
76856
51701-51702, 51798, 76801v, 76810v, 76941v,76998, 93975-93981v
76857
7699876870
0226T, 0288T, 46600, 51701-51702, 51798, 76873,76998
76872
0226T, 0288T, 46600, 51701-51702, 51798, 55873v,76942, 76998
76873
76882, 7699876881
7699876882
76376-76377, 76886, 7699876885
76376-76377, 7699876886
76000-76001, 76376-76377, 76942, 76998,77001-77002, 77012, 77021
76930
76000-76001, 76376-76377, 76942, 76998,77001-77002, 77012, 77021
76932
76000-76001, 76942, 76998, 7700276937
76942, 7699876940
76000-76001, 76801, 76805-76810, 76815-76816v,76825-76830, 76942, 76998, 77001-77002, 77012,77021
76941
01922, 51798, 76001v, 76998, 77002-77003v, 77012,77021, 77031-77032v
76942
76000-76001, 76942, 76946, 76998, 77001-77002,77012, 77021
76945
76000-76001, 76942, 76998, 77001-77002, 77012,77021
76946
76000-76001, 76942, 76945v, 76998, 77001-77002,77012, 77021
76948
76965v, 7699876970
76376-76377, 7699876977
No CCI edits apply to this code.76998
36005, 36598, 71010, 75820, 75822, 75825, 75827,76000-76001, 76942, 76998, 77002
77001
76000-76001v, 76125v, 77003v, 77032v77002
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight26
Coding Companion for RadiologyCCI Update Version 18.1
01922, 01935-01936, 76000-76001v, 76125v, 77032v77003
76380, 77012v, 77031v77011
01922, 76000-76001, 76380, 77001-77003v,77031-77032v
77012
76380, 76940v, 7701277013
0197Tv, 76380, 76950v, 77421v77014
01922, 76000-76001, 77001-77003v, 77012v,77031-77032v
77021
70557-70559, 76940v, 77013v, 7702177022
61781-61783, 76000-76001, 77001-77003v, 77032v77031
76000-76001, 7700177032
No CCI edits apply to this code.77051
No CCI edits apply to this code.77052
No CCI edits apply to this code.77053
7705377054
No CCI edits apply to this code.77055
77055, G020677056
No CCI edits apply to this code.77057
36000, 36005, 36410, 76000-76001, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376,J1642
77058
36000, 36005, 36410, 76000-76001, 76942, 76998,77001-77002, 77058, 96360, 96365, 96372,96374-96376, J1642
77059
No CCI edits apply to this code.77071
No CCI edits apply to this code.77072
72170, 73500-73520, 73540, 73550-73565,73590-73610
77073
No CCI edits apply to this code.77074
70260, 70355, 71010, 71020, 71100, 71110, 73030,73510, 73590, 73620, 77074, 77076v
77075
77074v77076
76000-76001, 77001-7700277077
76380, 76977v, 77080-77082v, G0130v77078
76977v77080
36410, 76977v, 77080v, G0130v77081
No CCI edits apply to this code.77082
76000-76001, 76942, 76998, 77001-7700277084
0182T, 11920-11921, 16000, 16020-16030, 36000,36410, 36425, 51701-51703, 76000-76001, 76645,
77785
76873, 76942, 77001-77002, 77012, 77021,77031-77032, 77336, 77427, 77431, 77790,78000-78016v, 78018v, 78070-78075v,78102-78140v, 78185v, 78190-78191v, 78195v,78201-78205v, 78215-78216v, 78226v,78230-78264v, 78270-78272v, 78278v,78282-78291v, 78300-78306v, 78315-78320v,78414v, 78428v, 78445v, 78457-78458v, 78466v,78468-78469v, 78472-78473v, 78481-78483v,78579-78580v, 78582v, 78597-78598v,78600-78607v, 78610v, 78630-78635v,78645-78650v, 78660v, 78700-78701v, 78707v,78710v, 78725v, 78740v, 78761v, 78800-78803v,78805-78807v, 79200-79300v, 79440v, 90804-90819,90821-90822, 90846-90847, 90862, 96360-96368,97802-97804, 99143-99145, M0064
0182T, 11920-11921, 16000, 16020-16030, 36000,36410, 36425, 51701-51703, 76000-76001, 76645,
77786
76873, 76942, 77001-77002, 77012, 77021,77031-77032, 77336, 77427, 77431, 77785, 77790,78000-78016v, 78018v, 78070-78075v, 78102v,
78104-78140v, 78185v, 78190-78191v, 78195v,78201-78205v, 78215-78216v, 78226v,78230-78264v, 78270-78272v, 78278v,78282-78291v, 78300-78306v, 78315-78320v,78414v, 78428v, 78445v, 78457-78458v, 78466v,78468-78469v, 78472-78473v, 78481-78483v,78579-78580v, 78582v, 78597-78598v,78600-78607v, 78610v, 78630-78635v,78645-78650v, 78660v, 78700-78701v, 78707v,78710v, 78725v, 78740v, 78761v, 78800-78803v,78805-78807v, 79200-79300v, 79440v, 90804-90819,90821-90822, 90846-90847, 90862, 96360-96368,97802-97804, 99143-99145, M0064
0182T, 11920-11921, 16000, 16020-16030, 36000,36410, 36425, 51701-51703, 76000-76001, 76645,
77787
76873, 76942, 77001-77002, 77012, 77021,77031-77032, 77336, 77427, 77431, 77785-77786,77790, 78000-78016v, 78018v, 78070-78075v,78102v, 78104-78140v, 78185v, 78190-78191v,78195v, 78201-78205v, 78215-78216v, 78226v,78230-78264v, 78270-78272v, 78278v,78282-78291v, 78300-78306v, 78315-78320v,78414v, 78428v, 78445v, 78457-78458v, 78466v,78468-78469v, 78472-78473v, 78481-78483v,78579-78580v, 78582v, 78597-78598v,78600-78607v, 78610v, 78630-78635v,78645-78650v, 78660v, 78700-78701v, 78707v,78710v, 78725v, 78740v, 78761v, 78800-78803v,78805-78807v, 79200-79300v, 79440v, 90804-90819,90821-90822, 90846-90847, 90862, 96360-96368,97802-97804, 99143-99145, M0064
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78000
77789-77790v, 78015v, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78001
77789-77790v, 78000, 78015v, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78003
77789-77790v, 78015v, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78006
77789-77790v, 78000, 78010, 78015v, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78007
77789-77790v, 78000-78001, 78006, 78010, 78015v,96360, 96365, 96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78010
77789-77790v, 78015v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78011
77789-77790v, 78015v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78015
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78016
77789-77790v, 78015, 96360, 96365, 96372,96374-96376, J1642
CPT only © 2011 American Medical Association. All Rights Reserved.27© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78018
77789-77790v, 78015, 96360, 96365, 96372,96374-96376, J1642
36005, 3641078020
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78070
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78075
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78102
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78103
77789-77790v, 78102, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78104
77789-77790v, 78102-78103, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78110
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78111
77789-77790v, 78110, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78120
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78121
77789-77790v, 78120, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78122
77789-77790v, 78110-78121, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78130
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78135
77789-77790v, 78130, 78140, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78140
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78185
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78191
36000, 36005, 36410, 38792v, 76000-76001,76376-76377, 76942, 76998, 77001-77002,
78195
77750-77778v, 77789-77790v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78201
77789-77790v, 78205-78206v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78205
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78205, 96360, 96365,96372, 96374-96376
78206
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78215
77789-77790v, 78185, 78201-78206v, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78216
77789-77790v, 78185, 78201-78215, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
78226
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77785-77787v, 78226,96360, 96365, 96372, 96374-96376, J1642
78227
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78230
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78231
77789-77790v, 78230, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78232
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78258
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78261
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78262
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78264
36005, 76376-76377, 8301378267
36005, 76376-76377, 83013-83014, 83519-8352078268
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78270
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77761-77778v,
78271
77789-77790v, 78270, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77761-77778v,
78272
77789-77790v, 78270-78271, 96360, 96365, 96372,96374-96376
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight28
Coding Companion for RadiologyCCI Update Version 18.1
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78278
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78282
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78290
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78300
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78305
77789-77790v, 78300, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78306
77789-77790v, 78300-78305, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78315
77789-77790v, 78300-78306, 78445, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78320
77789-77790v, 78300-78305, 78315, 96360, 96365,96372, 96374-96376, J1642
No CCI edits apply to this code.78350
No CCI edits apply to this code.78351
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78428
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 75820v, 75822v, 75825v,75827v, 75831v, 75833v, 75840v, 75842v, 75860v,
78445
75870v, 75872v, 75880v, 75885v, 75887v, 75889v,75891v, 76000-76001, 76376-76377, 76942, 76998,77001-77002, 77750-77778v, 77789-77790v, 78456v,96360, 96365, 96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78453-78454,
78451
78472-78473, 78481-78483, 78494-78496, 78580,78582, 78597-78598, 78635, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78451, 78453-78454,
78452
78472-78473, 78481-78483, 78494-78496, 78580,78582, 78597-78598, 78635, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78472-78473,
78453
78481-78483, 78496, 78580, 78582, 78597-78598,78635, 96360, 96365, 96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78453, 78472-78473,
78454
78481-78483, 78496, 78580, 78582, 78597-78598,78635, 96360, 96365, 96372, 96374-96376, J1642
36000, 36005, 36410, 75822v, 75825v, 75827v,75831v, 75833v, 75840v, 75842v, 75860v, 75870v,
78456
75872v, 75885v, 75887v, 75889v, 75891v,76000-76001, 76376-76377, 76942, 76998,
77001-77002, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 75822v, 75825v, 75827v,75831v, 75833v, 75840v, 75842v, 75860v, 75870v,
78457
75872v, 75885v, 75887v, 75889v, 75891v,76000-76001, 76376-76377, 76942, 76998,77001-77002, 77750-77778v, 77789-77790v, 78445,78456v, 96360, 96365, 96372, 96374-96376, J1642
36000, 36005, 36410, 75822v, 75825v, 75827v,75831v, 75833v, 75840v, 75842v, 75860v, 75870v,
78458
75872v, 75885v, 75887v, 75889v, 75891v,76000-76001, 76376-76377, 76942, 76998,77001-77002, 77750-77778v, 77789-77790v, 78445,78456-78457, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76376-76377, 96360, 96365,96372, 96374-96376, A4641
78459
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78466
77789-77790v, 78468-78469v, 78635, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78468
77789-77790v, 78635, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78469
77789-77790v, 78468, 78635, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78472
77789-77790v, 78481, 78635, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78473
77789-77790v, 78472, 78481-78483, 78494-78496,78635, 96360, 96365, 96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78481
77789-77790v, 78496, 78635, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78483
77789-77790v, 78472, 78481, 78494-78496, 78635,96360, 96365, 96372, 96374-96376, J1642
36000, 36005, 36410, 76376-76377, 96360, 96365,96372, 96374-96376, A4641
78491
36000, 36005, 36410, 76376-76377, 78491, 96360,96365, 96372, 96374-96376, A4641
78492
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78472, 78481v, 78496,78635, 96360, 96365, 96372, 96374-96376, J1642
78494
36000, 36005, 3641078496
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 96360, 96365, 96372,96374-96376, J1642
78579
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78580
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78579-78580, 78598,96360, 96365, 96372, 96374-96376, J1642
78582
CPT only © 2011 American Medical Association. All Rights Reserved.29© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78579-78580, 78582,96360, 96365, 96372, 96374-96376, J1642
78597
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78579-78580, 78597,96360, 96365, 96372, 96374-96376, J1642
78598
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78600
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78601
77789-77790v, 78600, 78610, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750v, 77762-77778v,
78605
77789-77790v, 78600, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78606
77789-77790v, 78600-78605, 78610, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78607
77789-77790v, 78600-78606, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76376-76377, 96360, 96365,96372, 96374-96376, A4641, A9526, A9555
78608
No CCI edits apply to this code.78609
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78610
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76800, 76942, 76998, 77001-77003, 77750-77778v,
78630
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76800, 76942, 76998, 77001-77003, 77750-77778v,
78635
77789-77790v, 78630v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76800, 76942, 76998, 77001-77002, 77750-77778v,
78645
77789-77790v, 78630-78635v, 78650v, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76800, 76942, 76998, 77001-77003, 77750-77778v,77789-77790v, 96360, 96365, 96372, 96374-96376
78647
36000, 36005, 36410, 76000-76001, 76376-76377,76800, 76942, 76998, 77001-77003, 77750-77778v,
78650
77789-77790v, 78630-78635v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78660
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78700
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78701
77789-77790v, 78700, 78710v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78707
77789-77790v, 78700-78701, 78725, 96360, 96365,96372, 96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78700-78701, 78707,78725, 96360, 96365, 96372, 96374-96376, J1642
78708
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78700-78701,
78709
78707-78708, 78725, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78710
77789-77790v, 78700, 78707-78709v, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78725
77789-77790v, 78700-78701v, 96360, 96365, 96372,96374-96376
No CCI edits apply to this code.78730
36000, 36005, 36011, 36406-36410, 76000-76001,76376-76377, 76942, 76998, 77001-77002,
78740
77750-77778v, 77789-77790v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78761
77789-77790v, 96360, 96365, 96372, 96374-96376,J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78800
77789-77790v, 78808v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78801
77789-77790v, 78800, 78808v, 96360, 96365, 96372,96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78802
77789-77790v, 78800-78801, 78808v, 96360, 96365,96372, 96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 77750-77778v,
78803
77789-77790v, 78800-78801, 78808v, 96360, 96365,96372, 96374-96376
36000, 36005, 36410, 76000-76001, 76376-76377,76942, 76998, 77001-77002, 78185, 78195, 78201,
78804
78215, 78800-78802, 78808v, 96360, 96365, 96372,96374-96376, J1642
36000, 36005, 36011, 36406-36410, 76000-76001,76376-76377, 76942, 76998, 77001-77002,
78805
77750-77778v, 77789-77790v, 78808v, 96360, 96365,96372, 96374-96376, J1642
36000, 36005, 36011, 36406-36410, 76000-76001,76376-76377, 76942, 76998, 77001-77002,
78806
77750-77778v, 77789-77790v, 78805, 78808v, 96360,96365, 96372, 96374-96376
36000, 36005, 36011, 36406-36410, 76000-76001,76376-76377, 76942, 76998, 77001-77002,
78807
77750-77778v, 77789-77790v, 78805, 78808v, 96360,96365, 96372, 96374-96376
36000, 36005, 36410, 76000-76001, 76942, 76998,77001-77002, 96360, 96365, 96372, 96374-96376
78808
36000, 36005, 36410, 70450, 70480, 70486, 70490,71250, 72125, 72128, 72131, 72192, 73200, 73700,
78811
74150, 76376-76377, 96360, 96365, 96372,96374-96376, A4641, A9526, A9555, J1642
CPT only © 2011 American Medical Association. All Rights Reserved.© 2012 OptumInsight30
Coding Companion for RadiologyCCI Update Version 18.1
36000, 36005, 36410, 70450, 70480, 70486, 70490,71250, 72125, 72128, 72131, 72192, 73200, 73700,
78812
74150, 76376-76377, 78811, 96360, 96365, 96372,96374-96376, A4641, A9526, A9555, J1642
36000, 36005, 36410, 70450, 70480, 70486, 70490,71250, 72125, 72128, 72131, 72192, 73200, 73700,
78813
74150, 76376-76377, 78811-78812, 96360, 96365,96372, 96374-96376, A4641, A9526, A9555, J1642
36000, 36005, 36410, 70450, 70480, 70486, 70490,71250, 72125, 72128, 72131, 72192, 73200, 73700,
78814
74150, 74176, 76376-76377, 78811-78813, 96360,96365, 96372, 96374-96376, A4641, A9526, A9555,J1642
36000, 36005, 36410, 70450, 70480, 70486, 70490,71250, 72125, 72128, 72131, 72192, 73200, 73700,
78815
74150, 74176, 76376-76377, 78811-78814, 96360,96365, 96372, 96374-96376, A4641, A9526, A9555,J1642
36000, 36005, 36410, 70450, 70480, 70486, 70490,71250, 72125, 72128, 72131, 72192, 73200, 73700,
78816
74150, 74176, 76376-76377, 78811-78815, 96360,96365, 96372, 96374-96376, A4641, A9526, A9555,J1642
78000-78016, 78018, 78070-78075, 78232-78258,78262-78272, 78600-78606
79005
36000, 36400, 36410, 78006-78011, 78070-78075,78102-78140, 78185, 78190-78191, 78195,
79101
78201-78216, 78226-78231, 78261, 78278,78282-78290, 78300-78306, 78315-78320, 78428,78445-78454, 78456-78459, 78466, 78468-78469,78472-78473, 78481-78483, 78491-78494, 78580,78582, 78597-78598, 78600-78608, 78610,78700-78701, 78707-78710, 78725, 78740, 78761,78800-78808, 78811-78816, 96360, 96365, 96372,96374-96376, 96409, 96413v, J1642
36000, 36410, 77750, 78803-78804, 96372-96373,96420-96422v
79445
36000, 36200, 36215-36218, 36245-36248, 36410,76000-76001, 77001-77002, 92230, 93000-93010,
92235
93040-93042, 96360, 96365, 96372, 96374-96376,99211
34812-34813, 35201-35206, 35226, 35261-35266,35286, 36000, 36005-36010, 36013, 36400-36410,
93503
36420-36430, 36440, 36500, 36555-36556v,36568-36569v, 36600, 36640, 37202, 43752,51701-51703, 64490, 64493, 71010, 71020, 75600,75605, 75741, 75743, 75746, 75756, 75893, 75896,93000-93010, 93040-93042, 93318, 93561-93562,94002, 94200, 94250, 94680-94690, 94770,95812-95816, 95819, 95822, 95829, 95955, 96360,96365, 96372-96376, 99148-99149, 99150
01920, 0213T, 0216T, 0228T, 0230T, 34812-34813,35201-35206, 35226, 35261-35266, 35286, 36000,
93505
36005-36015, 36400-36410, 36420-36430, 36440,36500, 36600, 36640, 37202, 43752, 51701-51703,62310-62319, 64400-64435, 64445-64450, 64479,64483, 64490, 64493, 64505-64530, 71034, 75600,75605, 75741, 75743, 75746, 75756, 75893, 75896,76000-76001, 77001-77002, 92961, 93000-93010,93040-93042, 93318, 93451, 93456-93457, 93503,93561-93562, 94002, 94200, 94250, 94680-94690,94770, 95812-95816, 95819, 95822, 95829, 95955,96360, 96365, 96372-96376, 99143-99149, 99150,J0670, J2001
76998, 9388293880
7699893882
76998, 9388893886
7699893888
9388893890
9388893892
93888, 9389293893
76376-76377, 76881-76882, 76998, 9399093922
76376-76377, 76881-76882, 76998, 93922, 93990,G0365
93923
76376-76377, 76881-76882, 93922-9392393924
76881-76882, 76998, 9392693925
76881-76882, 7699893926
76881-76882, 76998, 93931, G036593930
76881-76882, 7699893931
76376-76377, 76881-76882, 76937, 76998, 9399093965
76881-76882, 76937, 76998, 93971, G0365v93970
76881-76882, 76937, 7699893971
76700-76776, 76856, 76998, 93976-93979, G038993975
76700-76776, 76998, 93978-93979, G038993976
37250v, 76770-76775, 76998, 93979, G038993978
37250v, 76770-76775, 76856v, 76998, G038993979
76998, 9398193980
76856v, 7699893981
No CCI edits apply to this code.93982
76970, 76998, 90940, 93925-93931, 93970-93971,G0365v
93990
CPT only © 2011 American Medical Association. All Rights Reserved.31© 2012 OptumInsight
CCI Update Version 18.1Coding Companion for Radiology