Commonly Used CPT Codes for CT (Computed Tomography)...Abdomen Pelvis with and without IV Contrast 71275 72174 Combined CT Angiogram Chest/Abdomen/Pelvis CT Angiogram Chest with and

Commonly Used CPT Codes for CT | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500

Bremerton/Poulsbo: (360) 479-6555

Procedure CPT Code Indications

CT Abdomen Pelvis with and without IV Contrast

74178 IVP, Hematuria-Kidneys, Ureter, Bladder

CT Abdomen Pelvis with IV Contrast

74177 Emergent Appendicitis

CT Abdomen Pelvis without IV Contrast

74176 KUB Renal Colic - Kidney Stones, Ureters, Bladder

CT Abdomen with and without IV Contrast

74170 Pancreas, Liver, Adrenal

CT Angiogram Abdomen Pelvis with and or without IV Contrast

74174 CT Angiography - Aorta, Bifurcation, Mesenteric, Internal/Ext Iliac Arteries, Aneurysm, Dissection

CT Angiogram Abdomen with and or without IV Contrast

74175 CT Angiography- Visualization of Abdominal Aorta, Splenic, Celiac and Renal Arteries

CT Angiogram Abdominal Aorta and Iliofemoral Runoff with and or without IV Contrast

75635 CT Angiography. Visualization Abdominal , Pelvic and Bilateral Lower Extremity Arteries

CT Angiogram Chest Abdomen Pelvis with and without IV Contrast

71275 72174

Combined CT Angiogram Chest/Abdomen/Pelvis

CT Angiogram Chest with and without IV Contrast

71275

CT Chest Angiography- Visualization Chest Great Vessels, Pulmonary Arteries, Thoracic Aorta. Pulmonary Embolism, Aneurysm, Dissection, Widen Mediastinum

Commonly Used CPT Codes for CT (Computed Tomography)

Harrison Imaging Centers




CT Cervical Spine with IV Contrast

72126 Abscess , Infection, Discitis

CT Cervical Spine without IV Contrast

72125 Trauma, Fracture, Neck Pain, Degenerative Disc Disease , HNP

CT Chest High Resolution 71250 Follow up on Pulmonary Nodule

CT Chest with IV Contrast 71260 Most common, Lung, Chest Mass, Nodule, Tumor, Pneumonia, Abscess, abnormal Chest X-ray, SOB, Chest Pain

CT Chest without IV Contrast 71250 Follow up on Pulmonary Nodule

CT Enterography Abdomen and Pelvis with IV Contrast

74177 Bowel Disease, Crohn’s Disease

CT Head with IV Contrast 70460 Tumor or Mass, Metastatic Disease, Abscess, Infection, Follow-up

CT Head without IV Contrast 70450 Most common, Acute Headaches , Trauma Bony Abnormality, Fracture, Dizziness, CVA, TIA, Dementia, Altered Mental Status (AMS)

CT Heart Calcium Score without IV Contrast

75571 Calcium Score Quantification

CT Landmark Sinus without IV Contrast

70486 Pre-Surgical Scan- Sinus



Procedure Name CPT Code Indications

CT Lower Extremity with IV Contrast

73701 Soft Tissue, Mass, Tumor, Cellulites, Abscess. Infection, Osteomyelitis. Limit scan area to area of interest *Not CT Angiogram

CT Lower Extremity without IV Contrast

73700 Trauma, Fracture, Bone Detail, Erosion, Post Op Fracture Status, Non-Union Limit scan area to area of interest

CT Lumbar Spine with IV Contrast

72132 After myelogram, Abscess, Infection, Discitis

CT Lumbar Spine without IV Contrast

72131 Trauma, Fracture, Low Back Pain, Degenerative Disc Disease , HNP

CT Maxillofacial without IV Contrast

70486 Trauma, Fracture

CT Pelvis with IV Contrast 72193

Evaluate organs of the Pelvis- Bladder, Ovaries, Uterus, Prostate. LLQ or RLQ Pain, Mass, Pelvic Tumor, Inguinal Hernia, Abscess *Not usually ordered without CT Abdomen.

CT Pelvis without IV Contrast 72192 Evaluate Bony structures of the Pelvis-Trauma, Fracture, Lesions

CT Soft Tissue Neck with IV Contrast

70491

Soft Tissue Structures, Thyroid, Lymph Nodes, Larynx, Salivary Glands- Tumor or Mass, Difficulty Swallowing, Enlarged Lymph Nodes, Lymphoma, Abscess



Epic Procedure Name CPT Code Indications

CT Thoracic Spine with IV Contrast

72129 After myelogram, Abscess, Infection, Discitis

CT Thoracic Spine without IV Contrast

72128 Trauma, Fracture, Mid Back Pain, Degenerative Disc Disease , HNP

CT Upper Extremity with IV Contrast

73201 Soft Tissue, Mass, Tumor, Cellulites, Abscess, Infection, Osteomyelitis. Limit scan area to area of interest only *Not CT Angiogram

CT Upper Extremity without IV Contrast

73200 Trauma, Fracture, Bone Detail, Erosion. Post Op Fracture status, Non-Union Limit scan area to area of interest only

Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria®. ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes.

Commonly Used CPT Codes for MRI | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500



MRI Abdomen with and without IV Contrast

74183 Liver, Spleen, Kidneys, Adrenal glands, Pancreas, Tumor, Mass, Cysts

MRI Abdomen without IV Contrast

74181 Evaluate Gallbladder, Common Bile Duct, Pancreatic Duct, Stones

MRI Angiogram Abdomen with and without IV Contrast

74185 MR Angiogram-Abdominal Aorta to include bifurcation-Renal, Celiac, Super/Inferior Mesenteric Arteries

MRI Angiogram Chest with and without IV Contrast

71555 MR Angiogram- Great Vessels

MRI Angiogram Head with and without IV Contrast

70546 MR Angiogram- Brain, Aneurysm, Stroke

MRI Angiogram Neck with and without IV Contrast

70549 MR Angiogram -Carotid, Subclavian and Vertebral Arteries-Include Aortic Arch to Circle of Willis

MRI Ankle with and without IV Contrast

73723 Inflammation, Infection, Osteomyelitis, Tumor, Mass

MRI Ankle without IV Contrast 73721 Most Common. Ligament/Tendon Tears, Avascular Necrosis, Trauma, FX

MRI Brachial Plexus 71552 Chest Mass, Tumor

MRI Brain with and without IV Contrast

70553 MS, Cancer History, IAC

MRI Brain without IV Contrast 70551 Routine, Headache

MRI Breast with and without IV Contrast

77059 New Cancer Diagnosis, History

Commonly Used CPT Codes for MRI





MRI Cervical Spine with and without IV Contrast

72156 MS, Cancer History, Cord lesion, Discitis

MRI Cervical Spine without IV Contrast

72141 Most Common - Neck Pain, Suspected HNP, Trauma

MRI Elbow with and without IV Contrast


MRI Elbow with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery

MRI Elbow without IV Contrast 73221 Most Common - Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis

MRI Foot with and without IV Contrast


MRI Foot without IV Contrast 73718 Most Common - Ligament or tendon Tear, Trauma, FX

MRI Hip with and without IV Contrast


MRI Hip with IV Contrast 73722 Arthrogram – Tear, Ligament Injury, Surgery

MRI Knee with and without IV Contrast


MRI Knee with IV Contrast 73722 Arthrogram – Tear, Ligament Injury, Surgery

MRI Knee without IV Contrast 73721 Most Common - Ligament/Tendon Tears, Meniscal Tears, Avascular Necrosis, Trauma, FX




MRI Lumbar Spine with and without IV Contrast

72158 MS, Cancer History, Cord Lesion, Discitis, Tumor, Post-operative

MRI Lumbar Spine without IV Contrast

72148 Most Common - Back Pain, Suspected HNP, Trauma

MRI MRCP without IV Contrast 74181 Evaluate Gallbladder, Common Bile duct, Pancreatic Duct, Stones

MRI Orbit Face and or Neck with and without IV Contrast


MRI Orbit Face and or Neck without IV Contrast

70540 Larynx, Lymph Nodes

MRI Pelvis with and without IV Contrast

72197 Inflammation, Infection, Osteomyelitis, Pelvic organs- Uterus, Bladder, Prostate, Ovaries

MRI Pelvis without IV Contrast 72195 Bony Pelvis, Uterus, Defecogram

MRI Prostate with and without IV Contrast

72197 Prostate Specific Protocol *Schedule at Bremerton Prostate Coil only

MRI Shoulder with and without IV Contrast


MRI Shoulder with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery

MRI Shoulder without IV Contrast

73221 Most Common - Rotator cuff Tear, Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis

MRI Temporomandibular Joints

70336 TMJ, Dental




MRI Thoracic Spine with and without IV Contrast

72157 MS, Cancer History, Spinal Surgery History, Discitis

MRI Thoracic Spine without IV Contrast

72146 Most Common - Mid Back Pain, Suspected HNP, Trauma

MRI Wrist with and without IV Contrast

73223 Inflammation, Infection, Osteomyelitis, tumor, Mass

MRI Wrist with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery

MRI Wrist without IV Contrast 73221 Most Common - Ligament or Tendon Tear, Trauma, FX, Avascular Necrosis

Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria®. ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes.

Commonly Used CPT Codes for MRI


Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers Silverdale/Port Orchard/Breast Imaging: (360) 377-6500



US Abdomen Complete 76700 Abdominal Pain, Nausea and/or Vomiting, Abnormal Liver Function Test

US Abdomen Limited 76705 Specific Organ or Region - Hernia, Pyloric Stenosis, Appendix, RUQ, Abdominal Wall Evaluation , Gallstones, Hepatitis

US Abdominal Aorta Limited 76775 Diagnostic Aorta Evaluation

US Breast Biopsy Initial Lesion

19083 Mass, Lesion

US Breast Complete 76641 Screening - Complete Breast and Axilla

US Breast Limited 76642 Diagnostic - Specific Targeted Area

US Chest 76604 Pleural Effusion, Mass

US Extremity Non Vascular Limited

76882 Joint Pain, Tendon/Ligament Pain, Fluid Collection, Mass

US Fetal Biophysical Profile without Non Stress Testing

76819 Biophysical Profile Only. Add OB Limited if Additional Needed

US Hysterosonogram 76831 Uterine Abnormalities, Infertility, Multiple Miscarriage

US Infant Hips with Manipulation

76885 Dysplasia, Breech Birth, Hip Click, Family History of DDH

Commonly Used CPT Codes for Ultrasound





US Medicare AAA Screen G0389 Medicare Abdominal Aorta Screening

US OB Detail Fetal Anatomy Single or First Gestation

76811 Fetal Survey Only, Gestational Age of 18-20 Weeks

US OB Greater than 14 Weeks and OB Transvaginal

76805 Cervical Length, Pre-Term Labor, Cramping, Spotting, History of Cervical Incompetence, Placenta Previa or Placenta Location

US OB Less than 14 Weeks Single or First Gestation and OB Transvaginal

76801 Early OB study with Transvaginal to Visualize Anatomy

US OB Less than 14 Weeks Transabdominal Single Gestation

76801 Early OB study, no TV

US OB Limited 76815 AFI, HR, Placenta or Position

US OB Transvaginal 76817 AFI, HR, Placenta or Position with Transvaginal Imaging to Visualize Anatomy

US Pelvis Complete (Transabdominal Only)

76856 Pain, Ovarian Cyst, Ovarian Torsion Fibroid Uterus, Post-Menopausal Bleeding

US Pelvis Complete and US Non-OB Transvaginal

76856 Pain, Ovarian Cyst, Ovarian Torsion Fibroid Uterus, Post-Menopausal Bleeding, with TV to Visualize Anatomy

US Pelvis Limited 76857 Urinary Retention, Post Void Residual, Enlarged Prostate, Bladder Outlet Obstruction




US Retroperitoneal Complete

76770 Kidney Stone, Hematuria, ARF, CRI, Follow-up Hydronephrosis

US Retroperitoneal Limited 76775 Flank Pain, Renal Failure, Trauma, Hydronephrosis, Renal Stone

US Scrotum and Testicles 76870 Pain, Mass, Torsion

US Thyroid Parathyroid Neck

76536 Mass, Enlarged Thyroid or Parathyroid, Hyper- or Hypothyroidism, History of Thyroid Cancer

Vascular AAA Duplex Limited

93979 Diagnostic Aorta Evaluation

Vascular Arterial Lower Extremity Duplex Bilateral

93925 Aneurysm, Arterial Embolus, Graft Evaluation

Vascular Arterial Lower Extremity Duplex

93926 Aneurysm, Arterial Embolus, Graft Evaluation

Vascular Carotid Duplex Bilateral

93880 Syncope, Hemiplegia, Difference in Arm Blood Pressure, Aphasia, Ataxia

Vascular Inferior Vena Cava Duplex Limited

93979

Vascular Portal Hepatic Venous Duplex Limited

93976 Cirrhosis or Hepatic Disease, Ascites, Varices, Portal Vein Thrombosis




Vascular Renal Duplex Bilateral

93975 Renal Artery Stenosis, Uncontrolled Hypertension, Renal Bruit, Stent Follow-Up

Vascular Veins Lower Extremity Duplex Bilateral

93970 DVT, Postphlebetic Ulcer, Varicose Veins with Pain

Vascular Veins Lower Extremity Duplex

93971 DVT, Postphlebetic Ulcer, Varicose Veins with Pain

Indications and exams provided as a general guideline. Should you have questions about exam appropriateness, consult a radiologist or the ACR Appropriateness Criteria®. ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx

Documents

Commonly Used CPT Codes for CT (Computed Tomography)...Abdomen Pelvis with and without IV Contrast 71275 72174 Combined CT Angiogram Chest/Abdomen/Pelvis CT Angiogram Chest with and