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AMERICAN IMAGING MANAGEMENT 2013 CPT Codes Computerized Tomography (CT) Abdomen Lower Extremity 73700 73701 73702 Description CT abdomen; w/o contrast CT abdomen; with contrast CT abdomen; w/o contrast followed by contrast CT thorax; w/o contrast CT thorax; with contrast CT thorax; w/o contrast followed by contrast CT upper extremity; w/o contrast CT upper extremity; with contrast CT upper extremity; w/o contrast followed by contrast CT lower extremity; w/o contrast CT lower extremity; with contrast CT lower extremity; w/o contrast followed by contrast Head 70450 70460 70470 CT head or brain; w/o contrast CT head or brain; with contrast CT head or brain; w/o contrast followed by contrast Orbit 70480 70481 70482 Sinus 70486 70487 70488 Neck 70490 70491 70492 Pelvis 72192 72193 72194 72125 72126 72127 CT orbit, sella or posterior fossa; w/o contrast CT orbit, sella or posterior fossa; with contrast CT orbit, sella or posterior fossa; w/o contrast followed by contrast CT maxillofacial area; w/o contrast CT maxillofacial area; with contrast CT maxillofacial area; w/o contrast followed by contrast CT soft tissue neck; w/o contrast CT soft tissue neck; with contrast CT soft tissue neck; w/o contrast followed by contrast CT pelvis; w/o contrast CT pelvis; with contrast CT pelvis w/o contrast followed by contrast CT cervical spine; w/o contrast CT cervical spine; with contrast CT cervical spine; w/o contrast followed by contrast Thoracic Spine 72128 72129 72130 CT thoracic spine; w/o contrast CT thoracic spine; with contrast CT thoracic spine; w/o contrast followed by contrast Lumbar Spine 72131 72132 72133 CT lumbar spine; w/o contrast CT lumbar spine; with contrast CT lumbar spine; w/o contrast followed by contrast Chest Upper Extremity Cervical Spine CPT 74150 74160 74170 71250 71260 71270 73200 73201 73202 Abdomen and Pelvis 74176 CT abdomen and pelvis; w/o contrast 74177 74178 CT abdomen and pelvis; with contrast CT abdomen and pelvis; w/o contrast followed by contrast Computerized Tomography Angiography (CTA) Abdomen CPT 74175 Description CTA abdomen Abdominal Arteries 75635 Chest 74174 71275 CTA abdominal aorta & bilateral iliofemoral lower extremity runoff CTA abdomen & pelvis CTA chest 73206 CTA upper extremity 73706 CTA lower extremity Upper Extremity Lower Extremity HIM DEPT VERSION 9.0 AIM code list 5.13.xls 1 AMERICAN IMAGING MANAGEMENT Head 70496 CTA head Neck 70498 CTA neck Pelvis 72191 CTA pelvis HIM DEPT VERSION 9.0 AIM code list 5.13.xls 2 AMERICAN IMAGING MANAGEMENT Magnetic Resonance Imaging (MRI) CPT 74181 Abdomen 74182 74183 Bone Marrow Breast Chest Cardiac 77084 77058 77059 71550 71551 71552 75557 75559 75561 Description MRI abdomen; w/o contrast MRI abdomen; with contrast MRI abdomen; w/o contrast followed by contrast MRI bone marrow blood supply MRI breast; unilateral MRI breast; bilateral MRI chest; w/o contrast MRI chest; with contrast MRI chest; w/o contrast followed by contrast MRI Cardiac for morphology and function without contrast material; MRI Cardiac for morphology and function without contrast material; with stress imaging MRI Cardiac for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; 75563 Upper Extremity Non-joint 73218 73219 73220 Upper Extremity Any Joint 73221 73222 73223 Lower Extremity 73718 73719 73720 73721 73722 73723 MRI Cardiac for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging MRI upper extremity, other than joint w/o contrast MRI upper extremity, other than joint with contrast MRI upper extremity, other than joint w/o contrast followed by contrast MRI upper extremity, any joint w/o contrast MRI upper extremity, any joint with contrast MRI upper extremity, any joint w/o contrast followed by contrast MRI lower extremity, other than joint w/o contrast MRI lower extremity, other than joint w contrast MRI lower extremity, other than joint w/o contrast followed by contrast MRI lower extremity, any joint w/o contrast MRI lower extremity, any joint w contrast MRI lower extremity, any joint w/o contrast followed by contrast MRI temporomandibular joint(s) TMJ 70336 Orbit 70540 70542 70543 Brain 70551 70552 70553 72195 72196 72197 72141 72142 MRI orbit, face and neck; w/o contrast MRI orbit, face and neck; with contrast MRI orbit, face and neck; w/o contrast followed by contrast MRI brain; w/o contrast MRI brain; with contrast MRI brain; w/o contrast followed by contrast MRI pelvis; w/o contrast MRI pelvis; with contrast MRI pelvis; w/o contrast followed by contrast MRI cervical spine; w/o contrast MRI cervical spine; with contrast 72156 72146 72147 72157 MRI cervical spine; w/o contrast followed by contrast MRI thoracic spine; w/o contrast MRI thoracic spine; with contrast MRI thoracic spine; w/o contrast followed by contrast 72148 72149 72158 MRI lumbar spine; w/o contrast MRI lumbar spine; with contrast MRI lumbar spine; w/o contrast followed by contrast Pelvis Cervical Spine Thoracic Spine Lumbar Spine HIM DEPT VERSION 9.0 AIM code list 5.13.xls 3 AMERICAN IMAGING MANAGEMENT Magnetic Resonance Angiography (MRA) Abdomen Chest Upper Extremity Lower Extremity Head Neck Pelvis Spinal Canal Magnetic Resonance Spectroscopy (MRS) QCT Bone Densitometry CPT 74185 71555 73225 73725 70544 70545 70546 70547 70548 70549 72198 72159 Description MRA abdomen; with or w/o contrast MRA chest; with or w/o contrast MRA upper extremity; with or w/o contrast MRA lower extremity; with or w/o contrast MRA head; w/o contrast MRA head; with contrast MRA head; w/o contrast followed by contrast MRA neck; w/o contrast MRA neck; with contrast MRA neck; w/o contrast followed by contrast MRA pelvis; with or w/o contrast MRA spinal canal and contents with or w/o contrast CPT 76390 Description MR Spectroscopy CPT 77078 Description CT bone mineral density study; axial skeleton HIM DEPT VERSION 9.0 AIM code list 5.13.xls 4 AMERICAN IMAGING MANAGEMENT Nuclear Cardiology Myocardial Perfusion Imaging CPT 78451 78452 78453 78454 Infarct Imaging Cardiac Blood Pool Imaging 78466 78468 78469 78472 78473 78481 78483 78494 Positron Emission Tomography (PET) CPT 78608 Brain 78609 Imaging Myocardial Imaging PET and PET/CT Fusion Description Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress reinjection Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) Planar, infarct avid; qualitative or quantitative Planar, infarct avid; with ejection fraction by first pass technique SPECT, infarct avid; with or w/o quantification Gated equilibrium; planar, single study, wall motion plus ejection fraction Gated equilibrium; planar, multiple studies, wall motion study plus ejection fraction First pass tech; single study, wall motion study plus ejection fraction First pass tech; multiple studies, wall motion study plus ejection fraction Gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction Description PET brain, metabolic evaluation PET brain, perfusion evaluation 78459 78491 78492 PET myocardial, metabolic evaluation PET myocardial, perfusion, single study PET myocardial, perfusion, multiple studies CPT 78811 78812 78813 78814 78815 Description PET imaging, limited PET imaging, skull to mid-thigh PET imaging, whole body PET imaging with concurrent CT, limited PET imaging with concurrent CT, skull to mid-thigh 78816 PET imaging with concurrent CT, whole body HIM DEPT VERSION 9.0 AIM code list 5.13.xls 5 AMERICAN IMAGING MANAGEMENT Screening CT Colonoscopy CPT 74263 Diagnostic CT Colonography CPT 74261 74262 Functional MRI Brain CPT 70554 70555 CT Heart for Calcium Scoring CT Heart for Structure & Morph Description Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed Description Functional MRI brain not requiring physician administration Functional MRI brain requiring physician administration CPT 75571 Description Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium CPT 75572 Description 75573 CTA Heart Incl Structure & Morph Description Computed tomographic (CT) colonography, screening, including image postprocessing Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed) Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, if performed) CPT Description 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures if performed) Add-on Procedures CPT CT or MRI Grouping 76376 & 76377 Cardiac MRI Grouping 75565 Cardiac Blood Pool Grouping Group 82 valid with code 78472 only 78496 Description 3 D Reconstruction of CT or MRI images Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (Add-on to 78472 only) HIM DEPT VERSION 9.0 AIM code list 5.13.xls 6 AMERICAN IMAGING MANAGEMENT Echocardiogram Stress Echo (SE) Resting Trans Echo (TTE) CPT Description 93350 Transthoracic Stress Echo, complete 93351 Transthoracic Stress Echo, complete w cont EKG 93303 Transthoracic Echo cardiac anomalies 93304 Transthoracic Echo cardiac anomalies, limited 93306 Transthoracic Echo complete w color & spectral 93307 Transthoracic Echo complete wo color & spectral Transesophageal Echo (TEE) 93308 Transthoracic Echo limited 93312 Transesophageal Echo 93313 93314 93315 93316 93317 Echo Add-On Codes CPT 93320 93321 93325 93352 Transesophageal Echo probe only Transesophageal Echo interpretation Transesophageal Echo congenital Transesophageal Echo congenital, probe only Transesophageal Echo congenital interpretation Description Doppler Echo complete Doppler Echo limited Doppler Echo flow velocity Echo contrast agent (SE only) HIM DEPT VERSION 9.0 AIM code list 5.13.xls 7