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ORDERING GUIDE WHY THIS GUIDE IS IMPORTANT TO YOU AND YOUR PATIENTS This ordering guide is meant to assist you when ordering a study with Radiology Ltd. The guide includes common indications as well as recommendations for the most appropriate examination. It is our goal to provide you and your patients with the most appropriate and complete imaging examination. After the correct order is placed, examinations are further tailored to each patient’s specific condition. Thus, it is very important for the radiologist to be aware of the clinical question or specific condition in question so that the appropriate imaging can be performed. When ordering an examination please include pertinent history as well as signs or symptoms. Please refrain from ordering “r/o” exams such as “rule out tumor” or “rule out anomaly” unless history and signs/symptoms are included as well. Feel free to specify a particular entity or condition you would like the Radiologist to comment upon in the report. We have also included a list of most commonly used ICD-9 codes. Please note that this is not a complete list so you may need to refer to your most current ICD-9-CM and ICD-10CM code book for the most appropriate code. The note section at the end of the ICD-9 codes list allows you to add additional codes that are commonly used in your practice. In the back of the guide, you will find a list of our contracted insurance and network plans as well as our imaging centers, addresses and phone numbers. Radiology Ltd. also has a Professional Relations Department with field representatives dedicated to serving your needs. If you have any questions or concerns, please contact the Professional Relations Department at (520) 901-6614 or at [email protected]. Thank you, The Physicians and Staff of Radiology Ltd. 1 IMPORTANT CONTACT INFORMATION CENTRALIZED SCHEDULING Tel: (520) 733-7226 Fax: (520) 290-8377 STAT Hotline: (520) 545-1919 Toll Free: (866) 565-2220 Toll Free Fax: (866) 707-0750 NEED HELP OR HAVE QUESTIONS ABOUT WHAT TO ORDER? CLINICAL REVIEW Tel: (520) 545-1819 Fax: (520) 545-1844 SPECIALTY SCHEDULING BREAST BIOPSY Tel: (520) 901-6792 Fax: (520) 545-1848 INTERVENTIONAL COORDINATION Tel: (520) 545-1906 Fax: (520) 545-1898 BREAST MRI Tel: (520) 901-6631 Fax: (520) 901-6746 PET / CT Tel: (520) 545-1906, opt. 3 Fax: (520) 545-1898 OTHER IMPORTANT NUMBERS AUTHORIZATION VERIFICATION Tel: (520) 901-6767 Fax: (520) 545-1981 CODING & PRICING HOTLINE Tel: (520) 545-1818 Online Requests: radltd.com/request-exam-pricing HIPAA HOTLINE Tel: (520) 545-1969 Toll Free Tel: (866) 683-2199 MEDICAL RECORDS Tel: (520) 545-1822 Fax: (520) 326-7989 Online Requests: radltd.com/medical-record-request PATIENT BILLING Tel: (520) 296-0278 Secure Online Bill Pay: radltd.com/online-bill-pay PROFESSIONAL RELATIONS Tel: (520) 901-6614 Fax: (520) 545-1726 Email: [email protected] For Supplies: Tel: (520) 733-4104 Email: [email protected] RADVISION Tel: (520) 901-6747 Fax: (520) 901-6634 Toll Free Tel: (866) 386-9459 Website: radltd.com/for-providers After Hours Tech Support: Tel: (520) 545-1720 2 REFERENCE CONTENTS DIGITAL X-RAY General....................................................................... 4 DEXA Bone Densitometry................................................ 7 BREAST IMAGING CPT Codes for Women’s Imaging...................... 8 Mammography Ordering Decision Tree......... 9 Screening & Diagnostic Mammography........ 11 Additional Imaging & Procedures..................... 12 Breast MRI.................................................................. 13 PET / CT General....................................................................... 14 Bone Scan................................................................. 14 ULTRASOUND INTERVENTIONAL Minimally Invasive Diagnostic Procedures........ 35 Pain Management........................................................ 37 Vascular Services........................................................... 39 Drainage Tube / Stent Placement.......................... 40 ICD-9 CODES Neoplasms................................................................ 41 Benign Neoplasms.................................................. 41 Endocrine, Nutritional & Metabolic.................. 41 Disorders................................................................... 41 Blood Diseases......................................................... 42 Mental Disorders..................................................... 43 Nervous System & Sense Organ Disorders...................................................... 43 Circulatory System.................................................. 45 Respiratory System................................................. 46 General....................................................................... 15 Digestive System..................................................... 47 Vascular...................................................................... 17 Genitourinary System........................................... 48 MSK/Extremity.......................................................... 18 Musculoskeletal & Connective Tissue............ 50 Signs & Symptoms.................................................. 51 CT / CTA CPT Codes for CT Scans........................................ 19 Injuries & Adverse Effects..................................... 54 ICD-9 Codes Notes................................................. 56 General....................................................................... 20 Head & Spine............................................................ 23 ICD-10 CODES Musculoskeletal...................................................... 25 ICD-10 Codes Notes................................................. 57 Specialty.................................................................... 26 MRI / MRA CPT Codes for MRI Scans...................................... 27 Breast........................................................................... 28 General....................................................................... 28 3 PREFERRED PROVIDER INFORMATION Major Insurance Plans............................................. 59 Major Network Plans................................................ 59 IMAGING CENTERS Head & Spine............................................................ 31 Locations..................................................................... 60 Musculoskeletal (including Arthrography)..................................... 33 TECHNOLOGY RadVision..................................................................... 62 Digital X-rays are done on a walk-in basis. The digital X-ray CPT codes are for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PROCEDURE DESCRIPTION CPT CODE 71010 •Chest 2 Views 71020 •Chest Minimum 4 Views 71030 •Chest Special Views 71035 •Ribs Unilateral 2 Views 71100 •Ribs Unilateral 2 Views with PA CXR 71101 •Ribs Bilateral 3 Views 71110 •Sternum Minimum 2 Views 71120 •Sternoclavicular Joints 3 Views 71130 •Abdomen 1 View 74000 •Abdomen AP, Additional Oblique + Cone Views 74010 •Abdomen Complete 74020 •Abdomen Complete + PA CXR 74022 •Hip Unilateral 1 View 73500 •Hip Unilateral Minimum 2 View 73510 •Hips Bilateral 2 Views + AP Pelvis 73520 •Pelvis 1 or 2 Views 72170 •Pelvis Minimum 3 Views 72190 •Pelvis & Hips Infant / Child up to 11 years old 73540 •Sacrum & Coccyx Minimum 2 Views 72220 •Sacroiliac Joints 3+ Views 72202 •Finger(s) Minimum 2 Views 73140 •Hand 2 Views 73120 •Hand Minimum 3 Views 73130 •Wrist 2 Views 73100 •Wrist Minimum 3 Views 73110 •Forearm 2 Views 73090 Digital X-rays are done on a walk-in basis. www.radltd.com •Chest 1 View DIGITAL X-RAY DIGITAL X-RAY: General 4 DIGITAL X-RAY 5 DIGITAL X-RAY: General Digital X-rays are done on a walk-in basis. The digital X-ray CPT codes are for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PROCEDURE DESCRIPTION CPT CODE •Upper Extremity Infant (up to 364 days old) Minimum 2 Views 73092 •Elbow 2 Views 73070 •Elbow Minimum 3 Views 73080 •Humerus Minimum 2 Views 73060 •Shoulder 1 View 73020 •Shoulder Minimum 2 Views 73030 •Acromioclavicular Joints Bilateral 73050 •Clavicle Complete 73000 •Scapula Complete 73010 •Toe(s) Minimum 2 Views 73660 •Foot 2 Views 73620 •Foot Minimum 3 Views 73630 •Calcaneus Minimum 2 Views 73650 •Ankle 2 Views 73600 •Ankle Minimum 3 Views 73610 •Tibia & Fibula 2 Views 73590 •Lower Extremity Infant (up to 364 days old) 2+ Views 73592 •Knee 1 or 2 Views 73560 •Knee 3 Views 73562 •Knee 4 or More Views 73564 •Both Knees Standing AP 73565 •Femur 2 Views 73550 •Bone Age Studies 77072 •Bone Length Studies 77073 •Osseous Complete (Bone Survey) 77075 •Mandible < 4 Views 70100 •Mandible 4 Views 70110 Digital X-rays are done on a walk-in basis. Digital X-rays are done on a walk-in basis. The digital X-ray CPT codes are for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PROCEDURE DESCRIPTION CPT CODE 70030 •Facial Bones < 3 Views 70140 •Facial Bones Minimum 3 Views 70150 •Nasal Bones Minimum 3 Views 70160 •Orbits Minimum 4 Views 70200 •Sinuses Paranasal < 3 Views 70210 •Sinuses Paranasal Minimum 3 Views 70220 •Skull < 4 Views 70250 •Skull Minimum 4 Views 70260 •Neck Soft Tissue 70360 •C-Spine 2 or 3 Views 72040 •C-Spine Minimum 4-5 72050 •C-Spine Complete 6 or more 72052 •T-Spine 2 Views 72070 •T-Spine 3 Views 72072 •L/S Spine 2 or 3 Views 72100 •L/S Spine Minimum 4 Views 72110 •L/S Spine Complete With Bending Views (Minimum 6 Views) 72114 •L/S Spine Bending Views (Only 2-3 Views) 72120 •Spine, Entire, AP & Lateral 72010 •Thoracolumbar Spine Standing (Scoliosis) 72069 •Scoliosis Study Including Supine and Erect 72090 •Thoracolumbar AP & Lateral 72080 www.radltd.com •Screening Orbit (Pre MRI) DIGITAL X-RAY DIGITAL X-RAY: General Our care is unsurpassed, with physicians available 24 hours a day, 7 days a week, 365 days a year. Digital X-rays are done on a walk-in basis. 6 DEXA DEXA: Bone Densitometry This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. CLINICAL INDICATIONS PROCEDURE CODE • Post Menopause • Early Surgical Menopause • Long-Term Current Use of Other Medication • Long-Term Current Use of Steroid Treatment • Vertebral Abnormalities • Follow-Up Treatment for Prevention / Monitoring of Osteoporosis DEXA 77080—Hips, Spine (axial skeleton) • DEXA with Vertebral Fracture Assessment DEXA 77085 • Vertebral Fracture Assessment DEXA 77086 • DEXA Body Composition Study DEXA 76499 Radiology Ltd. is committed to the health of southern Arizona by providing the most comprehensive imaging and interventional services. 7 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BREAST MRI 77059 & 0159T - BILATERAL BREAST MRI STEROTACTIC LOCALIZATION GUIDANCE FOR BREAST BIOPSY CODING VARIES DEPENDING ON THE PROCEDURE. PLEASE CONTACT OUR CODING DEPARTMENT FOR A DETAILED EXPLANATION. BIOPSY CODING VARIES DEPENDING ON THE PROCEDURE. PLEASE CONTACT OUR CODING DEPARTMENT FOR A DETAILED EXPLANATION. SCREENING MAMMOGRAPHY G0202 - DIGITAL SCREENING 77052 - CAD FOR SCREENING 77063 - SCREENING BREAST 3D TOMOSYNTHESIS DIAGNOSTIC MAMMOGRAPHY UNILATERAL G0206 - UNILATERAL DIGITAL DIAGNOSTIC 77051 - CAD FOR DIAGNOSTIC 77061 - UNILATERAL BREAST 3D TOMOSYNTHESIS BONE DENSITY SCAN 77080 - DEXA SCAN 77086 - DEXA WITH VERTEBRAL FRACTURE ASSESSMENT DIAGNOSTIC MAMMOGRAPHY BILATERAL G0204 - BILATERAL DIGITAL DIAGNOSTIC 77051 - CAD FOR DIAGNOSTIC 77062 - BILATERAL BREAST 3D TOMOSYNTHESIS www.radltd.com ULTRASOUND GUIDED NEEDLE CORE BREAST BIOPSY CODING VARIES DEPENDING ON THE PROCEDURE. PLEASE CONTACT OUR CODING DEPARTMENT FOR A DETAILED EXPLANATION. UTERINE FIBROID EMBOLIZATION (UFE) CODING VARIES DEPENDING ON THE PROCEDURE. PLEASE CONTACT OUR CODING DEPARTMENT FOR A DETAILED EXPLANATION. BREAST IMAGING CPT CODES for WOMEN’S IMAGING ULTRASOUND 76641 - UNILATERAL COMPLETE 76642 - UNILATERAL LIMITED 76882 - AXILA ALONE For more information on exam codes and pricing, please contact the Radiology Ltd. Coding and Pricing Hotline at (520) 545-1818. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 8 BREAST IMAGING MAMMOGRAPHY ORDERING DECISION TREE Does the patient have a problem? YES NO DIAGNOSTIC MAMMOGRAPHY ± 3D Tomosynthesis SCREENING MAMMOGRAPHY (beginning at age 40) ± 3D Tomosynthesis Palpable lesion / focal pain <30 years old breast ultrasound only ≥30 years old Order diagnostic mammogram w/ breast ultrasound 9 Nipple discharge (reproducible, single duct, bloody or serous) Order diagnostic mammogram w/breast ultrasound NEGATIVE: Surgical consultation to consider need for ductography SUSPICIOUS: Order breast biopsy Extra views needed (call back) per radiologist recommendation: Diagnostic order required Negative Annual screening mammogram Diagnostic mammogram w/breast ultrasound, if clinically indicated SUSPICIOUS: Order breast biopsy Cyst aspiration (can be performed at time of exam w/ referring provider approval) PROBABLY BENIGN: Order 6 month follow-up diagnostic mammogram To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. NEGATIVE: Return to annual screening mammogram Annual breast MRI in addition to screening mammograms (± 3D Tomosynthesis) •Screening mammography should start 10 years before the age of a breast cancer diagnosis in a 1st degree relative (though not before age 25) SPECIAL CIRCUMSTANCES Order diagnostic mammogram (± 3D Tomosynthesis) w/ultrasound, if clinically indicated • ≤ 3 years lumpectomy •Suspected leakage implant •Skin thickening or retraction •Six month follow-up WHAT IS THE ARIZONA DENSE BREAST LAW? The law requires that a health care institution or facility that categorizes a patient as having heterogeneously dense or extremely dense breasts based on breast image reporting and the data system (BIRADS) established by the American College of Radiology, must include the following in the summary of the mammography report sent to the patient: www.radltd.com HIGH RISK PATIENT High risk patients including those who: • Have a known BRCA1 or BRCA2 gene mutation • Have a first-degree relative (parent, brother, sister, or child) with a BRCA1 or BRCA2 gene mutation, and have not had genetic testing themselves • Have a lifetime risk of breast cancer of 20% to 25% or greater. The Tyrer-Cuzick breast cancer risk assessment model is performed on all our screening patients • Had radiation therapy to the chest when they were between the ages of 10 and 30 years • Have Li-Fraumeni syndrome, Cowden syndrome, or BannayanRiley-Ruvalcaba syndrome, or have one of these syndromes in first-degree relatives BREAST IMAGING MAMMOGRAPHY ORDERING DECISION TREE Your mammogram indicates that you have dense breast tissue. Dense breast tissue is common and is found in fifty percent of women. However, dense breast tissue can make it more difficult to detect cancers in the breast by mammography and may also be associated with an increased risk of breast cancer. This information is being provided to raise your awareness and to encourage you to discuss with your health care providers your dense breast tissue and other breast cancer risk factors. Together, you and your physician can decide if additional screening options are right for you. A report of your results was sent to your physician. This law went into effect October 1, 2014. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 10 BREAST IMAGING BREAST IMAGING: Screening and Diagnostic Mammography This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PATIENT SYMPTOMS & CODES PARAMETERS SUGGESTED TEXT FOR ORDER • Asymptomatic Annual Screening (G0202) • CAD for Screening (77052) • Screening Breast 3D Tomosynthesis (77063) • Annual after age 40 (12 months and 1 day since last screening exam) • Screening Mammogram • Screening Mammogram (specify baseline or annual exam) • Implants (G0202) • CAD for Screening (77052) • Annual after age 40 (12 months and 1 day since last screening exam) • Screening Mammogram • Screening Mammogram (specify patient has implants and is NOT symptomatic but needs extra time for exam) • Mastectomy Annual Screening (G020252) • CAD for Screening (77052) • Annual Screening of • Screening untreated breast (12 Mammogram months and 1 day since last exam) • Unilateral Screening Mammogram • History of Breast Cancer (G0204 / Bilateral) (G0206 / Unilateral) • CAD for Diagnostic (77051) • Unilateral Breast 3D Tomosynthesis (77061) • Bilateral Breast 3D Tomosynthesis (77062) • Lumpectomy • 6 months post surgery • Annual ≤ 3 years • Diagnostic Mammogram • Diagnostic Mammogram: Personal History of Breast Cancer— Lumpectomy • Clinical Findings— Symptoms (G0204 / Bilateral) (G0206 / Unilateral) • CAD (77051) • Mass • Diagnostic Mammogram • Diagnostic Mammogram: With Ultrasound (identify area of mass) • Pain—Localized • Diagnostic Mammogram • Diagnostic Mammogram: Pain (identify area of pain) With Ultrasound (localized pain) • Diagnostic Ultrasound • Diagnostic Breast Ultrasound With Mammogram (if needed) • Under 30 Years of Age— • Mass Discharge— Order Ultrasound Localized pain (76641 / Unilateral, Complete) (76642 / Unilateral, Limited) 11 ORDER / PERFORM 3D mammography may be ordered as an adjunct to screening or diagnostic mammography, if the patient has dense breasts or it is appropriate otherorreasons. To scheduledeemed an appointment, call (520)for 733-7226 fax (520) 290-8377. This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PATIENT SYMPTOMS PARAMETERS • Recommendation •Short Term Follow-Up Exam of Previous Exam •Recommendation of (3-6 months) Additional Imaging (Callback or Recall Exam) • Post Biopsy Exam (1-11 months after previous mammogram) • Mammography •Indeterminate Lesion • Diagnostic Mammogram • Diagnostic Mammogram • Mammogram Additional Exam • Ultrasound • Ultrasound • Unilateral • Reproducible • Single Duct Discharge (patient must be able to express discharge at time of ductogram) • Diagnostic Mammogram First • Found on Ultrasound • Ultrasound Visualizing Solid Lesion • Left / Right Ductogram • Ultrasound Guided Core Biopsy SUGGESTED TEXT FOR ORDER • Diagnostic Mammogram: Short-Term Follow-Up • Diagnostic Mammogram: Post Biopsy • Radiology Ltd. will contact the patient to schedule this exam. A report with the final recommendation will be sent to the referring provider. • Ultrasound (as specified in call back indicated on mammography report) • Diagnostic Mammogram: Discharge (identify breast and describe discharge) • Ductogram for Nipple Discharge • Left / Right Indeterminate Lesion / Mass To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. www.radltd.com •Nipple Discharge ORDER / PERFORM BREAST IMAGING BREAST IMAGING: Additional Imaging and Procedures 12 BREAST IMAGING BREAST IMAGING: Breast MRI This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PATIENT SYMPTOMS •Cystic Mass / Lesion Found on Previous Breast Ultrasound •High Risk Patient •Pre-Operative Staging •Silicone Implants and Palpable Lump, Pain or Abnormal Mammogram PARAMETERS SUGGESTED TEXT FOR ORDER • Previous • Left / Right • Left / Right Cystic Ultrasound Report Cystic Aspiration Indicating Need for Aspiration Aspiration • See high risk • Bilateral Breast • Bilateral Breast MRI patient parameters MRI on page 10 • Recent Diagnosis • Bilateral Breast • Bilateral Breast MRI of Breast Cancer MRI (and (and Chest MRI, if Chest MRI, if necessary) necessary) • Suspected Silicone • Bilateral Breast • Bilateral Breast MRI Implant Leak MRI “Implant Protocol” • Further Evaluation of Indeterminate Clinical or Imaging Results (“radiologist recommendation”) • Follow-Up for •Follow-Up for Chemotherapy Treatment Neo-Adjuvant Chemotherapy •Indeterminate Clinical or Imaging Results ORDER / PERFORM • Bilateral Breast • Bilateral Breast MRI MRI • Bilateral Breast • Bilateral Breast MRI MRI Radiology Ltd. provides a Patient Education Specialist for Women’s Imaging, who will be solely dedicated to support you and your patients. The Patient Education Specialist brings a wealth of knowledge to both patients and the referring physician community. If you have questions and would like to speak with our Patient Education Specialist, she can be reached at (520) 901-6668. 13 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. PET/CT PET / CT: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REQUESTED TEXT CODE • Skull Base to Mid-Thigh • Whole Body • PET / CT Skull Base to Mid-Thigh (all other diagnoses) • Brain • PET / CT Brain 78608 • Myocardium • PET / CT Myocardium (Cannot be done if patient is diabetic) 78459 78815 • PET / CT Whole Body (Diagnosis: Melanoma, Myeloma, 78816 Sarcoma, & Merkel Cell Carcinoma, Cutaneous Lymphoma) This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART • Breast • Lung • Prostate • Thyroid REQUESTED TEXT CODE • PET / CT Bone Scan With Sodium Fluoride 78816 (This is covered only if the patient is entered into the National Pet Registry and is only open to Medicare eligible patients. ) www.radltd.com PET / CT: Bone Scan Our PET services are centrally located at our Camp Lowell site. To schedule a PET exam, please call (520) 545-1906, opt. 3. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 14 ULTRASOUND ULTRASOUND: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART •Abdomen •Pelvic Area (Non-OB) •Aorta (Seen to Iliacs) 15 REASON FOR EXAM • Abdominal Pain Above Umbilicus • Abnormal LFT’s • Cirrhosis • Hepatitis C • Hepatomegaly • Polycystic Disease • Splenomegaly • Endometriosis • Fibroids / Enlarged Uterus • Inguinal Hernia • IUD • Menstrual Disorders • Ovarian Cysts • PCOS • Pelvic Pain Below—Umbilicus (relating specifically to uterus or ovaries; ultrasound is not the exam of choice for intestinal disorders) • AAA • Abd Bruit / Pulsatile Mass • Aortic Dissection • AAA Screening for Medicare –Must be referred from Initial Preventative Physical Exam (IPPE) –Patient must have at least one of the following risks: • Family Hx of AAA • 65-75 year old male who has smoked “at least 100 cigarettes” • Additional risk factors include coronary heart disease, hypertension, cerebrovascular disease PROCEDURE CODE • Abdominal Ultrasound 76700 • Pelvic Ultrasound 76856 Trans Abdominal 76830 Trans Vaginal • Abdominal Aorta Ultrasound 76775 • Abdominal Aorta Ultrasound –Medicare screening G0389 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM PROCEDURE CODE • Flank / Back Pain • Hematuria • Incomplete Bladder Emptying • Neurogenic Bladder • Polycystic Kidneys • Renal Cyst / Mass • Renal Disease (CKD) • UTI • Renal Ultrasound 76770 •Bladder • Bladder Mass / Stone • Check Post Void Residual • Hematuria • Bladder Ultrasound 76857 •Thyroid or Soft Tissue Neck • Enlarged Lymph Node • Enlarged Thyroid / Fullness • Goiter • Hypo- / Hyper-Thyroid • Nodules • Palpable Mass on Neck • Thyroiditis • Thyroid Ultrasound 76536 •Testicles • Epididymitis • Hydrocele • Orchalgia • Pain / Swelling • Torsion • Varicocele • Testicular Ultrasound 76870 www.radltd.com •Kidneys ULTRASOUND ULTRASOUND: General Locally owned and operated, Radiology Ltd. offers seven imaging centers to patients across southern Arizona. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 16 ULTRASOUND ULTRASOUND: Vascular This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM • Amaurosis Fugax • Arterial Vascular Disease • Ataxia • HTN • Hyperlipidemia • Stenosis • Stroke • TIA • DVT •Venous • Redness •Upper • Reflux and Lower • Upper and Lower Extremity Extremity Swelling / Pain • Valvular Incompetency •Abdominal • Portal HTN • Portal Venous Thrombosis • Liver Transplant • TIPS •Renal Artery • Abd Bruit • Renal Artery Stenosis • Uncontrolled HTN •Carotid PROCEDURE CODE • Carotid Duplex / Doppler 93880 • Venous Duplex / Doppler 93971 Unilat • Abdominal Duplex / Doppler 93975 • Renal Artery Duplex / Doppler 93975 Dup Scan Complete (Abdominal, Pelvic, Scrotal contents and/or retroperitoneal organs) 93970 Bilat 93976 Duplex Scan Limited Radiology Ltd. – the best care, the best technology, and the best expertise, right in your own backyard. 17 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM PROCEDURE CODE • Lymphadenopathy • Palpable Abnormality • Soft Tissue Ultrasound Neck 76536 / Head •Hands / Wrists • Foreign Body • Ganglion Cyst • Pain / Swelling • Palpable Abnormality • Radial / Ulnar Nerve • Rheumatoid Arthritis / Arthritis • Foreign Body • Ganglion Cyst • Morton’s Neuroma • Pain • Palpable Abnormality • Plantar Fasciitis • Plantar Plate Tear • Achilles Tendon • Ganglion Cysts • Foreign Body • Pain / Swelling • Palpable Abnormality • Tendonitis (Anterior Tibialis, Posterior Tibialis, Peroneals) • Baker’s Cyst • Pain / Swelling • Palpable Abnormality • Patellar Tendon • Quadriceps Tendon • Biceps Rupture • Bursitis • Pain / Swelling • Palpable Abnormality • Ulnar Nerve • Inguinal Hernia • Lymphadenopathy • Palpable Abnormality • Palpable Abnormality on the Back or Torso • Soft Tissue Hands / Wrists Ultrasound 76881 • Soft Tissue Foot Ultrasound 76881 • Soft Tissue Ankle Ultrasound 76881 •Foot •Ankle •Knee •Elbow •Groin •Unlisted www.radltd.com •Neck / Head ULTRASOUND ULTRASOUND: MSK/Extremity • Soft Tissue Knee Ultrasound 76881 • Soft Tissue Elbow Ultrasound 76881 • Soft Tissue Groin Ultrasound 76881 • Chest Wall • Upper Back • Lower Back 76604 76604 76705 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 18 CT / CTA CPT CODES for CT SCANS This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. ORBIT / FACE 70480 - W/O CONTRAST 70481 - W/ CONTRAST 70482 - W/O & W/ CONTRAST BRAIN 70450 - W/O CONTRAST 70460 - W/ CONTRAST 70470 - W/O & W/CONTRAST MAXILLOFACIAL 70486 - W/O CONTRAST 70487 - W/ CONTRAST 70488 - W/O & W/ CONTRAST CERVICAL SPINE 72125 - W/O CONTRAST 72126 - W/ CONTRAST 72127 - W/O & W/ CONTRAST SOFT TISSUE NECK 70491 - W/ CONTRAST CHEST 71250 - W/O CONTRAST 71260 - W/ CONTRAST 71270 - W/O & W/ CONTRAST UPPER EXTREMITY 73200 - W/O CONTRAST 73201 - W/ CONTRAST 73202 - W/O & W/ CONTRAST LOWER EXTREMITY 73700 - W/O CONTRAST 73701 - W/ CONTRAST 73702 - W/O & W/ CONTRAST THORACIC SPINE 72128 - W/O CONTRAST 72129 - W/ CONTRAST 72130 - W/O & W/ CONTRAST ABDOMEN PELVIS COMBINATION 74176 - W/O CONTRAST 74177 - W/ CONTRAST 74178 - W/O & W/ CONTRAST LUMBAR SPINE 72131 - W/O CONTRAST 72132 - W/ CONTRAST 72133 - W/O & W/ CONTRAST 19 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. CT / CTA CT / CTA: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM • Lung Nodules (1st exam) •Chest 71270 • Abnormal Chest X-ray • COPD • Cough • Esophageal CA • Hemoptysis • Lung CA • Lymphoma • Mass • Pneumonia • Shortness of Breath • Tracheal Stenosis • Asbestosis • Bronchiectasis • Fibrosis • Interstitial Lung Disease • Pleural Plaques • Sarcoidosis • Pulmonary Embolism • Shortness of Breath • Vascular Evaluation • Aortic Dissection • Thoracic Aortic Aneurysm • CT Chest With Contrast 71260 • CT Chest Without Contrast, High-Resolution 71250 • CTA Chest 71275 •CTA Chest & Abdomen • CTA Chest and Abdomen 71275 74175 •Neck • Cancer Workups • Dysphagia • Infection • Infection of Parotid Gland • Infection of Submandibular Gland • Lymphadenopathy • Mass • Parotid Mass • Parotid Stone • Submandibular Stone • CT Neck With Contrast 70491 71250 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. www.radltd.com •CTA Chest (PE Study) CODE • CT Chest Without and With Contrast • CT Chest Without Contrast • Lung Nodules (follow-up) •Chest, High Resolution PROCEDURE 20 CT / CTA CT / CTA: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM CODE •Pelvis (Soft Tissue) • Cancer Staging • Cysts • Hernia • Infection • Mass • Pain • CT Pelvis With Contrast 72193 •Pelvis (Bone) • Fracture, Non-Arthritis Union • CT Pelvis Without Contrast 72192 • Bone Infection • Cancer / Mass / Mets / Tumor • CT Pelvis With Contrast 72193 •Abdomen / Pelvis • Stone (Stone protocol) • CT Abdomen and Pelvis Without Contrast (Stone protocol) Area of Concern: 74176 • Abdominal Pain • Abscess • Hernia (ie, ventral, umbilical, inguinal) • Mass •Adrenal •Liver 21 PROCEDURE • Any Cancer Staging • Appendicitis • Crohns / Ulcerative Colitis • Diarrhea • Diverticulitis • IBD • Adrenal Mass • Hepatoma, Hepatitis, Cirrhosis • Liver Hemangioma (MR preferred) Above Iliac Crest (hip bone) • CT Abdomen With Contrast 74160 Below Iliac Crest (hip bone) • CT Pelvis With Contrast 72193 Location unknown or both areas apply 74177 • CT Abdomen and Pelvis With Contrast • CT Abdomen and Pelvis With 74177 Contrast • CT Abdomen With and Without Contrast • CT Abdomen With and Without Contrast (Liver protocol) To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 74170 74170 CT / CTA CT / CTA: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART •Pancreas REASON FOR EXAM • Pancreatic Mass • Pancreatitis • Pseudocyst PROCEDURE CODE • CT Abdomen Without and With Contrast (Pancreatic protocol 1st time) • CT Abdomen With Contrast 74170 • CT Abdomen Without and With Contrast (Kidney protocol) • CT IVP or CT Urogram 74170 74160 •Kidney • Any Renal Pathology •CT Urogram / CT IVP • Transitional Cell Carcinoma of Kidney and/or Bladder • Hematuria • Claudication • CTA Abdomen and Run Off • Peripheral Artery Disease (PAD) 74178 • Mesenteric Ischemia • Renal Artery Stenosis • CTA Abdomen 74175 • AAA • Crossing Vessels • Stent Obstruction / Leak / Malfunction • CTA Abdomen and Pelvis 74174 •Abdominal Aorta •Mesenteric Vessels •Renal Arteries •Stent 75635 www.radltd.com •CTA Abdomen & Run Off Radiology Ltd. is one of the largest physician-owned group practices in Tucson and has been providing diagnostic imaging services for more than eighty years. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 22 CT / CTA CT / CTA: Head and Spine This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART •Head / Brain •CTA Brain •CTA Neck, Carotid Artery 23 REASON FOR EXAM • Alzheimer’s • CVA • Headache Less Than 7 Days • Hydrocephalus • Memory Loss, Confusion • Shunt Check • Stroke / Bleed • Trauma • Headache More Than 7 Days • HIV • Infection • Mass / Tumor • Meningioma • Meningitis • Metastatic Staging • Seizures • Toxoplasmosis • Vertigo / Dizziness / Mastoiditis • Aneurysm • AVM (Arterio / Venous Malformation) • Bruit • CVA • Stroke • TIA • Vascular Tumor • Bruit • Carotid Stenosis • CVA • TIA • AVM (Arterio / Vascular Malformation) • Vascular Tumor • Stroke • Vertebrobasilar Insufficiency PROCEDURE CODE • CT Head / Brain Without Contrast 70450 • CT Head / Brain With Contrast 70460 • CTA Head / Brain (Reconstruction) 70496 and/or (If both ordered, please authorize both codes) • CTA Neck 70498 • CTA Head, Neck (Please authorize with both) 70498, 70496 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. CT / CTA CT / CTA: Head and Spine This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART •Orbit REASON FOR EXAM PROCEDURE CODE • CT Orbit Without Contrast 70480 • Cellulitis • Exophthalmos • Graves Disease • Mass • Pain • Pseudo Tumor • CT Orbit With Contrast 70481 • CT Sinus Without Contrast 70486 • CT Cervical Spine Without Contrast 72125 • CT Thoracic Spine Without Contrast 72128 • CT Lumbar Spine Without Contrast 72131 • CT Inner Ears, Temporal Bones Without Contrast • CT Brain Without and With Contrast 70480 •Sinus / Face • Functional Endoscopic Sinus Surgery • Ostiomeatal Complex • Sinusitis • MR Recommended for Disc •Spine: Cervical Herniation, Mets, Infection • Trauma, Fracture, Fusion • Assess Bony Degenerative •Spine: Thoracic Changes • MR Recommended for Disc Herniation, Mets, Infection • •Spine: MR Recommended for Disc Lumbar / Herniation, Mets, Infection • Trauma, Fracture, Fusion, Sacral Pars Defect • •Temporal Cholesteotoma Bone / IAC’s • Trauma • MRI Unless Contraindicated •Pituitary www.radltd.com • Foreign Body • Fracture • Trauma 70470 For more information on exam codes and pricing, please contact the Radiology Ltd. Coding and Pricing Hotline at (520) 545-1818. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 24 CT / CTA CT / CTA: Musculoskeletal This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART 25 REASON FOR EXAM PROCEDURE CODE • Upper Extremity –Arm –Finger –Forearm –Hand –Wrist –Humerus • Lower Extremity –Ankle –Calf –Foot –Hip –Knee –Thigh • Extremities • All Bone Exams Ordered Without Contrast Except for Tumor Evaluations • CT Without Contrast Upper Extremity (mention part) 73200 • All Bone Exams Ordered Without Contrast Except for Tumor Evaluations • CT Without Contrast Lower Extremity (mention part) 73700 • Tumor / Mass / Cancer / Mets • CT With Contrast—Upper • CT With Contrast—Lower 73201 73701 • Ischemia (Lower Extremity) • Arterial Stenosis (Lower Extremity) • Peripheral Artery Disease 73706 • CTA Lower Extremity To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. CT / CTA CT / CTA: Specialty This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART •Colon •Renal Artery (or Mesenteric Artery) •Urinary Bladder •CT Heart •CTA Heart •CT Low Dose Lung Cancer Screening PROCEDURE CODE • Failed Colonoscopy • Patients Taking Blood Thinners Who Are Not Candidates for Routine Colonoscopy • Screening • Hypertension • Renal Artery Stenosis • CT Colonography With 3D Rendering (Virtual Colonoscopy) NOTE: Cleansing prep to be given at facility 74263 Screening • CTA Abdomen For Renal Arteries 74175 • Crohn’s Disease • Small Bowel Related Issues –Abscess –Bleeding Sources –Bowel Obstruction –Fistula –Inflammation –Tumor • Bladder Cancer • Bladder Polyps • Bleeding • Hydronephrosis • Vesicoureteral Reflux • Screening, Hyperlipidemia • CT Enterography 74177 • CT Cystogram (Please authorize BOTH codes) 72192 51600 • CT Calcium Score Without Contrast 75571 • Abnormal Echo • Chest Pain, Sub Tachycardia • Screening • CTA Coronary Artery Without and With Contrast 75574 • CT Low Dose Lung Cancer Screening Must Meet Criteria 71250 74261 Diagnostic To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. www.radltd.com •Small Intestine (Bowel) REASON FOR EXAM 26 MRI / MRA CPT CODES for MRI SCANS This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. ORBIT, FACE & NECK 70540 - W/O CONTRAST 70542 - W/ CONTRAST 70543 - W/O & W/ CONTRAST TMJ 70336 SHOULDER, ELBOW OR WRIST (UPPER EXTREMITY, JOINT) 73221 - W/O CONTRAST 73222 - W/ CONTRAST 73223 - W/O & W/ CONTRAST HUMERUS, FOREARM OR NON-JOINT (UPPER EXTREMITY, JOINT) 73218 - W/O CONTRAST 73219 - W/ CONTRAST 73220 - W/O & W/ CONTRAST HIP, KNEE OR ANKLE (LOWER EXTREMITY, JOINT) 73721 - W/O CONTRAST 73722 - W/ CONTRAST 73723 - W/O & W/ CONTRAST THIGH, LOWER LEG OR FOOT (LOWER EXTREMITY, NON-JOINT) 73718 - W/O CONTRAST 73719 - W/ CONTRAST 73720 - W/O & W/ CONTRAST 27 BRAIN 70551 - W/O CONTRAST 70552 - W/ CONTRAST 70553 - W/O & W/ CONTRAST CERVICAL SPINE 72141 - W/O CONTRAST 72142 - W/ CONTRAST 72156 - W/O & W/ CONTRAST CHEST (CLAVICLE) 71550 - W/O CONTRAST 71551 - W/ CONTRAST 71552 - W/O & W/ CONTRAST BREAST 77059 - W/O & W/ CONTRAST THORACIC SPINE 72146 - W/O CONTRAST 72147 - W/ CONTRAST 72157 - W/O & W/ CONTRAST ABDOMEN 74181 - W/O CONTRAST 74182 - W/ CONTRAST 74183 - W/O & W/ CONTRAST LUMBAR SPINE 72148 - W/O CONTRAST 72149 - W/ CONTRAST 72158 - W/O & W/ CONTRAST PELVIS 72195 - W/O CONTRAST 72196 - W/ CONTRAST 72197 - W/O & W/ CONTRAST To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. MRI / MRA MRI: Breast This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM PROCEDURE CODE • Bilateral Breast MRI (and Chest MRI, if necessary) 77059 (71552) • Breast (Pre-Operative Staging) • Breast (Silicone Implants) • Recent Diagnosis of Breast • Suspected Silicone Implant Leak • Bilateral Breast MRI in • Palpable Lump Addition to “Implant • Pain Protocol” 77059 • Breast (Indeterminate Clinical or Imaging Results) • Follow-Up for Chemotherapy Treatment • Further Evaluation of • Bilateral Breast MRI 77059 • Bilateral Breast MRI 77059 Cancer Indeterminate Clinical or Imaging Results (Radiologist recommendation) • Follow-Up for Neo-Adjuvant Please note: Breast MRI does not replace screening mammography. MRI / MRA: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART • Heart REASON FOR EXAM PROCEDURE • Congenital Defect & Heart Valve • MRI Heart Issues • Past MI - Other Cardiac Issues CODE 75557 & 75561 • TMJ • Internal Derangement • Joint Dysfunction • MRI TMJ 70336 • Urogram • Hematuria - Congenital • MRI Urogram 74183 & 72197 • Hearing Loss • MRI Brain 70553 • Crohn’s Disease • Inflammatory Bowel Disease • MRI Enterography 74183 72197 Abnormalities • Urinary Tract Obstruction • Ear Brain (IAC) • Enterography To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. www.radltd.com Chemotherapy 28 MRI / MRA MRI / MRA: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART • Abdomen REASON FOR EXAM • Adrenal • MRCP (Biliary / Pancreatic Ducts) • Liver Eval • Pancreas Eval • All Other Reasons CODE 74181 74183 • Brachial Plexus • Brachial Plexus Injury • Nerve Avulsion • Tumor / Mass / Cancer / Mets • MRI Chest / Mediastinum Without and With Contrast (Specify Brachial Plexus) 71552 • Chest Mediastinum • Tumor / Mass / Cancer / Mets • MRI Chest Without and With Contrast 71552 • Neck (Soft Tissue) • Infection • Pain • Tumor / Mass / Cancer / Mets • Vocal Cord Paralysis • Adenomyosis • Fracture • Muscle / Tendon Tear • Pelvic Organ Prolapse • Pelvic Floor Dysfunction • Outlet Obstruction • Incontinence • Abscess • Fibroid • Osteomyelitis • Pre / Post Fibroid Embolization • Septic Arthritis • Tumor / Mass / Cancer / Mets • Urethral Diverticulum • Benign Prostatic Hyperplasia (BPH) • Enlarged Prostate • Evaluation of Prostate Cancer • Infection (Prostatitis) • Prostate Abscess • Bells Palsy • Trigeminal Neuralgia • MRI Neck Without and With Contrast 70543 • MRI Pelvis Without Contrast 72195 • MRI Dynamic Pelvis 72195 • MRI Pelvis Without and With Contrast 72197 • MRI Prostate 72197 • MRI Brain Att: Cranial Nerves 70553 • Pelvis • Prostate • Cranial Nerve Series 29 PROCEDURE • MRI Abdomen Without Contrast (MRCP) • MRI Abdomen Without and With Contrast To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. MRI / MRA MRI / MRA: General This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART • Abdomen • Subclavian Vessels • Thoracic Aorta (other than dissection) • Vascular Anomalies • Aortic Dissection PROCEDURE CODE • MRA Abdomen 74185 • Order 2 Exams: –MRA Abdomen AND –MRI Abdomen Without and With Contrast (Please authorize BOTH codes) 74185 • MRA Chest 71555 • Order 2 Exams: –MRA Chest AND –MRA Abdomen (Please authorize BOTH codes) • Pelvis • AVM • May Thurner • MRA Pelvis •MRA Abd/Pel w/Run Off • Peripheral Vascular Insufficiency • MRA Abdomen, Pelvis and Lower Extremities • Peripheral Run-Off • Claudication • Cold Foot Pain • Order 4 Exams: –MRA Abdomen AND –MRA Lower LEFT Extremity AND –MRA Lower RIGHT Extremity AND MRA Pelvis (Please authorize ALL codes) To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 74183 71555 74185 www.radltd.com • Chest REASON FOR EXAM • AAA (Abdominal Aortic Aneurysm) • Abdominal Aorta Dissection • Mesenteric Ischemia • Renal Artery Stenosis • Pre Liver Transplant • Pre Kidney Transplant • Renal Mass-Evaluation / Pre-Op 72198 74185, 72198, 73725 (x2) 74185 73725 73725 72198 30 MRI / MRA MRI / MRA: Head and Spine This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART •Pituitary Protocol • Spine: Cervical • Spine: Thoracic 31 REASON FOR EXAM PROCEDURE CODE • Elevated Prolactin • MRI Brain Att: Pituitary 70553 • Arm / Shoulder Pain and/or Weakness • Chiari Malformation • Degenerative Disease • Disc Herniation • Neck Pain • Post-Op Fusion Radiculopathy • MRI Cervical Spine Without Contrast 72141 • Discitis • Multiple Sclerosis • Myelopathy • Osteomyelitis • Syrinx • Tumor / Mass / Cancer / Mets • Vascular Lesions, AVM • MRI Cervical Spine Without and with Contrast 72156 • Back Pain • Compression Fx (no hx malig / mets) • Degenerative Disease • Disc Herniation • Radiculopathy • Trauma • Vertebroplasty Planning (with no hx malig) • AVM • Compression Fx (with hx malig / mets) • Discitis • Multiple Sclerosis • Myelopathy • Osteomyelitis • Syrinx • Tumor / Mass / Cancer / Mets • Vascular Lesions • Vertebroplasty Planning (with hx malig) • MRI Thoracic Spine Without Contrast 72146 • MRI Thoracic Spine Without and With Contrast 72157 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. MRI / MRA MRI / MRA: Head and Spine This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM PROCEDURE CODE • Spine: Lumbar • Back Pain • Compression Fx (no hx malig / mets) • Degenerative Disease • Disc Herniation • Radiculopathy • Sacrum / SI Joints • Sciatica • Spondylolisthesis • Stenosis • Trauma • Vertebroplasty Planning (with no hx malig) • Compression Fx (hx malig / mets) • Discitis • Osteomyelitis • Post-Op • Tumor / Mass / Cancer / Mets • Vertebroplasty (with hx malig) • Brain • Alzheimer’s, Confusion, Dementia, Hydrocephalis, Memory Loss, Mental Status Changes • Headache • Pseudotumor • Seizures • Tumor / Mass / Cancer / Mets • Vascular Lesions • All other reasons • MRI Lumbar Spine Without Contrast • MRI Head NeuroQuant • MRI Brain with NeuroQuant 70551, 76377 72195 • MRI Lumbar Spine Without and With Contrast 72158 • MRI Brain Without Contrast 70551 • MRI Brain Without and With Contrast 70553 www.radltd.com • Dementia • Memory Loss • Seizures 72148 Radiology Ltd. offers a better choice in open MRI called Espree X-Large MRI. The open design of the Magnetom Espree accommodates patients of all sizes and helps eliminate anxiety and claustrophobia. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 32 MRI / MRA MRI / MRA: Head and Spine This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART REASON FOR EXAM • Brain / Orbits / Face • Exophthalmos, Proptosis • Graves Disease PROCEDURE CODE • MRI Brain and Orbits 70553 Without and With Contrast 70543 (If patient has not had recent MRI Brain, please add MRI Brain Without and With Contrast) (Please authorize BOTH codes) • MRA –Arch & Great Vessels –Brain –Neck • MRV –Brain • Stroke / CVA • MRA Brain Without • TIA Contrast • Vertebrobasilar Insufficiency • MRA Neck With Contrast 70544 70548 (Please authorize BOTH codes) • Venous Thrombosis • MRV Without Contrast 70544 MRI: Musculoskeletal (including Arthrography) This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART • Arm • Hand • Leg • Foot 33 REASON FOR EXAM PROCEDURE CODE • Fracture • Muscle / Tendon Tear • Stress Fracture • MRI—Non Joint Without Contrast –Upper Extremity –Lower Extremity 73218 73718 • Abscess • Arthritis (special protocol—please specify) • Bone Tumor / Mass / Cancer / Mets • Cellulitis • Faciitis • Myositis • Morton’s Neuroma • Osteomyelitis • Soft Tissue Tumor / Mass / Cancer / Mets • Ulcer • MRI—Non Joint Without and With Contrast –Upper Extremity –Lower Extremity 73220 73720 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. BODY PART • Shoulder • Elbow • Wrist • Finger • Hip • Knee • Ankle • Toe REASON FOR EXAM PROCEDURE MRI / MRA MRI: Musculoskeletal (including Arthrography) CODE • MRI—Joint Without Contrast –Upper Extremity 73221 –Lower Extremity 73721 • Abscess • Arthritis • Cellulitis • Fasciitis • Inflammatory Arthritis (pannus eval) • Myositis • Osteomyelitis • Septic Arthritis • Tumor / Mass / Cancer / Mets • Ulcer • MRI Lower Extremity—Joint Without and With contrast –Upper Extremity –Lower Extremity • Scapula (Not Included In Shoulder) • Pain • Sprain / Strain • Tear • MRI Chest Without and With Contrast • MRI Arthrography –Elbow –Wrist –Hip –Knee –Ankle –Shoulder • Labral Tear • Loose Bodies • OCD Stability • Post-Op Meniscus Evaluation • MRI Joint With Contrast— Order with 3 codes: 1–Lower Extremity With Contrast OR Upper Extremity With Contrast 2–Fluoro Guided Arthrogram 3–Choose body part: –Shoulder –Elbow –Wrist –Hip –Knee –Ankle 73223 73723 www.radltd.com • Avascular Necrosis (AVN) • Cartilage Tear • Fracture • Internal Derangement • Joint Pain (specify joint) • Labral Tear • Ligament Tear • Meniscal Tear • Muscle Tear • Osteochondritis Dissecans (OCD) • Plantar Fascitis • Stress Fracture • Tendon Tear 71552 73722 73222 77002 23350 & 73040 24220 & 73085 25246 & 73115 27093 & 73525 27370 & 73580 27648 & 73615 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 34 Arthrocentesis (Joint Fluid Aspiration, Joint Tap, Synovial Fluid Aspiration) A needle is placed into a joint space and fluid is removed for diagnostic analysis or to help relieve pain and pressure on the joint. Myelogram (Thoracic, Lumbar) Fluoroscopy is used to place a thin needle into the spinal canal. Dye is injected and images are obtained. In most cases additional images are then obtained using CT. Arthrogram (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle) Fluoroscopy is used to place a thin needle into the symptomatic joint. Dye is injected and images are obtained. In most cases additional images are then obtained using MRI or CT. Interventional Service CT or Fluoroscopy Fluoroscopy; then CT CT or Fluoroscopy; then MRI Modality Small Joint or Bursa (fingers, toes): 20600, 77012 Intermediate Joint or Bursa (TMJ, acromioclavicular, wrist, elbow, ankle, olecranon bursa): 20605, 77012 Major Joint or Bursa (shoulder, hip, knee, subacromial bursa): 20610, 77012 Small Joint or Bursa (fingers, toes): 20600, 77002 Intermediate Joint or Bursa (TMJ, acromioclavicular, wrist, elbow, ankle, olecranon bursa): 20605, 77002 Major Joint or Bursa (shoulder, hip, knee, subacromial bursa): 20610, 77002 T-Spine: 62303, 72129 L-Spine: 62304, 72132 Use 62305 for 2 or 3 levels Upper Joints Replace code 73222 with 73201 Lower Joints Replace code 73722 with 73701 Upper Joints Shoulder: 73222, 23350, 73040, 77002 Elbow: 73222, 24220, 73085, 77002 Wrist: 73222, 25246, 73115, 77002 Lower Joints Hip: 73722, 27093, 73525, 77002, 27095 Knee: 73722, 27370, 73580, 77002 Ankle: 73722, 27648, 73615, 77002 CPT Code(s) Minimally Invasive Diagnostic Procedures Interventional or Body Radiologist Neuroradiologist Interventional, Body, or Musculoskeletal Radiologist Performed By No No No Evaluation Required No Only if patient is taking Coumadin Only if patient is taking Coumadin Labs Required Local anesthetic No No Sedation Required INTERVENTIONAL 3635 This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. INTERVENTIONAL RADIOLOGY SERVICES To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. Certain biopsies may need to be performed at the hospital due to their risk of complications. Image-Guided Percutaneous Biopsy A needle is placed in a desired location using imaging guidance in order to obtain a small piece of tissue so that it can be examined by a pathologist. Thoracentesis A thin needle or tube is placed into the chest in order to remove fluid for diagnosis and/or to reduce discomfort. Paracentesis A thin needle or tube is placed into the abdomen in order to remove fluid for diagnosis and/or reduce discomfort. Fluoroscopy or Ultrasound CT, CT or Ultrasound CT or Ultrasound Modality Thyroid: 60100, 77002 Lung/Mediastinum: 32405, 77002 Liver: 47000, 77002 Renal: 50200, 77002 Abdominal/Retroperitoneal Mass: 49180, 77002 Thyroid: 60100, 76942 Lung/Mediastinum: 32405, 76942 Liver: 47000, 76942 Renal: 50200, 76942 Abdominal/Retroperitoneal Mass: 49180, 76942 Thyroid: 60100, 77012 Lung/Mediastinum: 32405, 77012 Liver: 47000, 77012 Renal: 50200, 77012 Abdominal/Retroperitoneal Mass: 49180, 77012 32555 32555 49083 49083 CPT Code(s) www.radltd.com Interventional Service Minimally Invasive Diagnostic Procedures Evaluation Required No Yes Yes Performed By Interventional or Body Radiologist Interventional or Body Radiologist Interventional or Body Radiologist Yes, call for specifics Yes, call for specifics Yes, call for specifics Labs Required Yes Yes No Sedation Required INTERVENTIONAL RADIOLOGY SERVICES INTERVENTIONAL This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. 3637 Fluoroscopy CT or Fluoroscopy CT or Fluoroscopy Modality 62270, 77003 Sacroiliac (SI): 64493 (1st), 64494 (2nd), 64495 (3rd) Lumbar Facet: 64493 (1st), 64494 (2nd), 64495 (3rd) Epidural: L-Spine: 77012, 62311 SI: 77012, 62311 Nerve Root/Block (per level/per side) L-Spine: 64483, 64484 Epidural: L-Spine: 62311, 77003 Nerve Root/Block (per level/per side) L-Spine: 64483, 64484 CPT Code(s) Neuroradiologist Interventional, Body, or Musculoskeletal Radiologist Neuroradiologist Performed By Yes, may require a consult. Must have either MRI or CT. Yes Yes Evaluation Required Only if patient is taking Coumadin Only if patient is taking Coumadin Only if patient is taking Coumadin Labs Required • Angiogram • Angioplasty • Aortagram • Arteriogram • Biliary Tube Change • Biliary Dilation w/o or w/Stent • Biliary Drain • Biopsy (Renal / Lung) • Catheter Placement (Renal / Pelvis) • Catheter Stripping • Cholangiogram (T-Tube) • Fistulogram (dialysis or other than dialysis) • Gastric Emptying Study • IVC Filter Placement No No No Sedation Required • Loopogram • Shuntogram • Stent • Ureteral Catheter or Stent • Venogram Due to the sensitive nature of some interventional procedures, the following services are usually performed by Radiology Ltd. staff in a hospital setting: Lumbar Puncture (Spinal Tap, Spinal Puncture, Thecal Puncture, Rachiocentesis) Local anesthesia is injected into the lumbar region of the back, and a needle is inserted into the spinal canal. Cerebrospinal fluid (CSF) can then be removed for testing. Joint Injection (Lumbar Facet and Sacroiliac) Steroid medication is injected into the symptomatic joint to decrease pain and swelling. Spinal Injection (Epidural, Nerve Root, Facet, and Sacroiliac) Anesthetics and/ or steroid medications are injected in the spine to reduce back and/or leg pain. These can be both diagnostic and therapeutic and include epidural, nerve root, facet and sacroiliac joint injections. Interventional Service Pain Management INTERVENTIONAL 3837 This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. INTERVENTIONAL RADIOLOGY SERVICES To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. Fluoroscopy Vertebroplasty (Thoracic, Lumbar) Fluoroscopy or CT guidance is used to place a needle into a fractured vertebra. Bone cement is then injected to stabilize the fracture. Fluoroscopy CT Sacroplasty CT is used to guide two needles into a fractured sacrum. A mixture of bone cement and contrast is then injected into the sacrum through the needles to stabilize the fracture. Epidural Blood Patch Epidural Blood Patch (EBP) is used to treat spinal headaches that are most commonly encountered after dural puncture. The blood patch acts as a gelatinous glue which prevents cerebrospinal fluid (CSF) leakage and allows the dural hole to heal. CT Kyphoplasty (Thoracic, Lumbar) Fluoroscopy or CT guidance is used to place a needle into a fractured vertebra. Bone cement is then injected to stabilize the fracture. or Modality 62273, 77003 Bilateral: 0201T, 72292 Unilateral: 0200T, 72292 T-Spine: 22513, each add’l level use 22515 (if biopsy is performed on separate vertebrae, use 20225) L-Spine: 22514, each add’l level use 22515 (if biopsy is performed on separate vertebrae, use 20225) T-Spine: 22510, each add’l level use 22512 (if biopsy is performed on separate vertebrae, use 20225) L-Spine: 22511, each add’l level use 22512 (if biopsy is performed on separate vertebrae, use 20225) CPT Code(s) www.radltd.com Interventional Service Pain Management Yes No Yes, call for specifics Only if patient is taking Coumadin Yes, may require a consult. Must have either MRI or CT+ Bone Scan prior to evaluation. Sometimes Interventional Radiologist or Neuroradiologist Interventional Radiologist or Neuroradiologist Neuroradiologist Yes Yes, call for specifics Yes, may require a consult. Must have either MRI or CT+ Bone Scan prior to evaluation. Sedation Required Labs Required Evaluation Required Performed By INTERVENTIONAL RADIOLOGY SERVICES To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. INTERVENTIONAL This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. 3839 Fluoroscopy & Ultrasound Fluoroscopy Modality 36569, 77001, 76937 (Foot and lower leg Venograms are performed on site. All other venograms are performed in a hospital setting.) Bilateral: 75822, 36005 (x2) Unilateral: 75820, 36005 CPT Code(s) Interventional Radiologist Interventional Radiologist Performed By Yes Yes Evaluation Required Only if patient is taking Coumadin Only if patient is taking Coumadin Labs Required Radiology Ltd. offers two interventional out-patient facilities in Tucson. Our Radiology Ltd. La Cholla Center for Diagnostic Imaging and Treatment located at 5960 N. La Cholla Blvd. and Radiology Ltd. Wilmot Center for Diagnositc Imaging and Treatment located at 677 N. Wilmot Rd. PICC Lines Placement Fluoroscopy and ultrasound are used to guide a catheter through a vein in the arm and then into the upper chest. The catheter is used for long term IV therapy and eliminates the necessity for multiple needle punctures. Venogram A catheter is placed in a vein, and images are taken while dye is injected in order to detect narrowing or clotting of the vein. Interventional Service Vascular Services No Yes Sedation Required INTERVENTIONAL 4039 This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. INTERVENTIONAL RADIOLOGY SERVICES To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. Fluoroscopy Nephrostomy / Ureteral Tube Placement & Exchange Fluoroscopy is used to guide a catheter into the kidney. This is performed to relieve the buildup of urine caused by an obstruction. Tube placements are performed in a hospital setting. Percutaneous Abscess Aspiration A needle or catheter is placed through the skin to drain an infected collection in the body. Fluoroscopy or Ultrasound CT, Modality not specified for these procedures Fluoroscopy Biliary Tube Injection / Stent Exchange Fluoroscopy is used to guide a catheter and/or stent into the biliary ducts of the liver. This is performed to relieve the buildup of bile caused by an obstruction. Percutaneous Abscess Drainage A needle or catheter is placed through the skin to drain an infected collection in the body. Modality 77002, 10160 (subcutaneous, deep tissue, location site not specified) 76942, 10160 (subcutaneous, deep tissue, location site not specified) 77012, 10160 (subcutaneous, deep tissue, location site not specified) Visceral (e.g. kidney, liver, spleen, lung / mediastinum): 49405 Peritoneal / Retroperitoneal Abscess: 49406 Check and Change: 50394, 74425 50398, 75984 Placement (performed in a hospital setting): 74425, 50390, 74475, 50392 47505, 74305 / 47525, 75894 CPT Code(s) www.radltd.com Interventional Service Drainage Tube / Stent Placement Evaluation Required Yes Yes Yes Performed By Interventional Radiologist Interventional Radiologist Interventional Radiologist Sedation Required Yes Yes Yes Labs Required Yes, call for specifics Yes, call for specifics Yes, call for specifics INTERVENTIONAL RADIOLOGY SERVICES INTERVENTIONAL This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. 4041 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE CODE Benign Neoplasms (cont’d) Neoplasms • Skin, Uncertain Behavior 238.2 • Lipoma, Any Site 214.9 • Bladder, Unspecified 188.9 • Neoplasm, Unspecified 239.9 • Breast, Female, Unspecified 174.9 • Skin, Soft Tissue Neoplasm, Unspecified 239.2 • Colon, Unspecified 153.9 • Skin, Unspecified 216.9 • Female Genital, Unspecified, CIS Excluded 184.9 • Unspecified 229.9 • Gastrointestinal Tract, Unspecified 159.0 • Uterus (leiomyoma, unspecified) 218.9 • Hodgkin’s, NOS 201.90 • Leukemia, Without Remission, NOS 208.90 •B12 Deficiency Without Anemia 266.2 • Lung, Unspecified 162.9 •BMI < 5th Percentile, Pediatric V85.51 • Male Genital, Unspecified 187.9 •BMI ≥ 95th Percentile, Pediatric V85.54 • Prostate 185 •Dehydration 276.51 • Respiratory Tract, NOS 165.9 •Diabetes I, Uncomplicated 250.01 • Malignant Neoplasm Skin, Unspecified 173.99 •Diabetes I, With Unspecified Complications 250.91 • Unspecified 199.1 •Diabetes II, Uncomplicated 250.00 • Urinary, Unspecified 189.9 •Diabetes II, With Unspecified Complications 250.90 •Diabetic Ketoacidosis 250.13 •Glucose Intolerance 271.9 Benign Neoplasms • Colon 4241 REQUESTED TEXT 211.3 Endocrine, Nutritional & Metabolic Disorders To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Endocrine, Nutritional & Metabolic Disorders (cont’d) REQUESTED TEXT CODE Endocrine, Nutritional & Metabolic Disorders (cont’d) •Goiter, Unspecified 240.9 •Obesity, NOS 278.00 •Gout, Unspecified 274.9 •Overweight 278.02 •Hypercalcemia 275.42 •Thyroid Nodule 241.0 •Hypercholesterolemia, Pure 272.0 •Hyperkalemia 276.7 • Abnormal White Blood Cells, Unspecified 288.9 •Hyperlipidemia, Mixed 272.2 • Anemia, Acute Blood Loss 285.1 •Hyperlipidemia, Unspecified 272.4 • Anemia, Chronic Disease, Other 285.29 •Hypernatremia 276.0 • Anemia, Chronic Kidney Disease 285.21 •Hyperparathyroidism, Unspecified 252.00 • Anemia, Chronic Neoplastic Disease 285.22 •Hyperthyroidism, NOS 242.90 • Anemia, Iron Deficiency, Unspecified 280.9 •Hypocalcemia 275.41 • Anemia, Other, Unspecified 285.9 •Hypoglycemia, DM, Uncontrolled 250.80 • Anemia, Pernicious 281.0 •Hypoglycemia, Nondiabetic, Unspecified 251.2 • Blood Disease, Unspecified 289.9 •Hypokalemia 276.8 • Hemorrhagic Conditions, Unspecified 287.9 •Hyponatremia 276.1 • Hypercoagulable State, Primary 289.81 •Hypothyroidism, Unspecified 244.9 • Leukocytopenia, Unspecified 288.50 •Nutritional Deficiencies, Unspecified • Lymphadenitis, Chronic 289.1 Blood Diseases To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. www.radltd.com 269.9 INTERVENTIONAL ICD-9 CODES ICD-9 CODES 4243 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Blood Diseases (cont’d) CODE Mental Disorders (cont’d) • Pancytopenia 284.1 • Dementia, Vascular, Uncomplicated 290.40 • Polycythemia Vera 238.4 • Depressive Disorder, NOS 311.0 • Sickle-Cell Disease, Unspecified 282.60 • Drug Abuse, Unspecified 305.90 • Sickle-Cell Trait 282.5 • Insomnia, Sleep Disorder, Unspecified 307.40 • Learning Disability / Development Delay, NOS 315.9 Mental Disorders 4443 REQUESTED TEXT • Adjustment Reaction, Unspecified 309.9 • Mental Retardation, Unspecified 319.0 • Alcohol Abuse, Unspecified 305.00 • Neurosis, NOS 300.9 • Alcoholism, Unspecified 303.90 • Panic Disorder, No Agoraphobia 300.01 • Alzheimer’s 331.0 • Personality Disorder, Unspecified 301.9 • Anorexia Nervosa 307.1 • Psychosis, Unspecified 298.9 • Anxiety State, Unspecified 300.00 • Schizophrenia, Unspecified 295.90 • Attention Deficit, With Hyperactivity 314.01 • Sexual Dysfunction, Unspecified 302.70 • Attention Deficit, Without Hyperactivity 314.00 • Situational Disturbance, Acute 308.3 • Bulimia Nervosa 307.51 • Tension Headache 307.81 • Conduct Disorder, Unspecified 312.9 • Tobacco Abuse 305.1 • Delirium, Acute 293.0 • Dementia, Senile, Uncomplicated 290.0 Nervous System & Sense Organ Disorders—Nervous System Diseases •Bell’s Palsy To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 351.0 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE REQUESTED TEXT CODE Nervous System & Sense Organ Disorders— Nervous System Diseases (cont’d) Nervous System & Sense Organ Disorders— Nervous System Diseases (cont’d) •Carpal Tunnel 354.0 •Tremor / Spasms, NOS 781.0 •Cerebral Artery Occlusion, With Infarction, Unspecified 434.91 •Trigeminal Neuralgia 350.1 •Cognitive Impairment, Mild 331.83 •CVA, Late Effect, Unspecified 438.9 • Blepharitis, Unspecified 373.00 •Epilepsy, Unspecified, Not Intractable 345.90 • Cataract, Unspecified 366.9 •Intracranial Hemorrhage, NOS 432.9 • Chalazion 373.2 •Meningitis, Unspecified 322.9 • Conjunctivitis, Unspecified 372.30 •Migraine, Unspecified, Not Intractable 346.90 • Corneal Abrasion 918.1 •Movement Disorder, Unspecified 333.90 • Corneal Ulcer, Unspecified 370.00 •Multiple Sclerosis 340 • Eye Disorder, Unspecified 379.90 •Myopathy, Unspecified 359.9 • Eye Foreign Body, External, Unspecified 930.9 •Nervous System, NOS 349.9 • Eye Movement Disorder, Unspecified 378.9 •Neuropathy, Unspecified 357.9 • Glaucoma, Unspecified 365.9 •Parkinsonism, Primary 332.0 • Hordeolum (stye) 373.11 •Restless Legs Syndrome 333.94 • Refractive Errors, Unspecified 367.9 •Sleep Apnea, Obstructive 327.23 • Retinal Disorder, Unspecified 362.9 •Tremor, Essential / Familial 333.1 • Visual Disturbance, Unspecified INTERVENTIONAL ICD-9 CODES ICD-9 CODES Nervous System & Sense Organ Disorders—Eye Diseases www.radltd.com To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 368.10 4445 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Nervous System & Sense Organ Disorders—Eye Diseases (cont’d) • Visual Loss, Unspecified 369.9 Nervous System & Sense Organ Disorders—Ear Diseases CODE Circulatory System (cont’d) • Angina, Unstable 411.1 • Aortic Aneurysm, Unspecified 441.9 • Cerumen Impaction 380.4 • Arterial Disorder, Other, Unspecified 447.9 • Ear Disorder, Unspecified 388.9 • Atherosclerosis, NOS (not heart / brain) 440.9 • Eustachian Salpingitis, Unspecified 381.50 • Atrial Fibrillation 427.31 • Hearing Loss, Unspecified 389.9 • Cardiac Contusion 861.01 • Otitis Externa, Unspecified 380.10 • Chronic Ischemic Heart Disease, Unspecified 414.9 • Otitis Media, Acute 382.00 • Circulatory Disorder, Unspecified 459.9 • Otitis Media, Acute With Rupture of TM 382.01 • Conduction Disorder, Unspecified 426.9 • Otitis Media, Chronic Serous 381.10 • Elevated BP Without Hypertension 796.2 • Vertigo, Central 386.2 • Heart Disease, Other, Unspecified 429.9 • Vertigo, Peripheral, Unspecified 386.10 • Heart Failure, Combined, Unspecified 428.40 • Heart Failure, Congestive, Unspecified 428.0 • Abnormal Electrocardiogram 794.31 • Heart Failure, Diastolic, Unspecified 428.30 • Left Heart Failure With Acute Pulmonary Edema 428.1 • Heart Failure, Systolic, Unspecified 428.20 • Acute Pulmonary Edema, Unspecified 518.4 • Heart Valve, Aortic, Not Rheumatic 424.1 • Angina Pectoris, NOS 413.9 • Heart Valve, Mitral, Not Rheumatic 424.0 Circulatory System 4645 REQUESTED TEXT To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Circulatory System (cont’d) REQUESTED TEXT CODE Circulatory System (cont’d) 424.3 • Premature Beats, Unspecified 427.60 • Heart Valve, Tricuspid, Not Rheum. 424.2 • Pulmonary Embolism, Not Iatrogenic 415.19 • Hypertension, Benign 401.1 • Pulmonary Heart disease, Chronic, Unspecified 416.9 • Hypertension, Malignant 401.0 • Rheumatic Heart Disease, Unspecified 398.90 • Hypertension, Unspecified 401.9 • Sick Sinus Syndrome 427.81 • Hypertensive Chronic Kidney Disease, With Chronic Kidney Disease, Unspecified 403.90 • Thrombophlebitis, Unspecified 451.9 • Transient Ischemic Attack, Unspecified 435.9 • Hypertensive Heart Disease, 402.91 Unspecified, With Heart Failure • Varicose Veins, Asymptomatic 454.9 • Long QT Syndrome 426.82 • Venous Insufficiency, Unspecified 459.81 • Myocardial Infarction, NOS (to 8 weeks) 410.90 • Myocardial Infarction, NSTEMI (to 8 weeks) 410.70 • Abscess / Ulcer of Nose 478.19 • Myocardial Infarction, Old 412 • Asthma, Extrinsic, Acute Exacerbation 493.02 • Orthostatic Hypotension 458.0 • Asthma, Intrinsic, Acute Exacerbation 493.12 • Paroxysmal Supraventricular 427.0 Tachycardia • Asthma, Unspecified 493.90 • Pericarditis, Acute, Nonspecific 420.91 • Bronchiolitis, Acute, Due to RSV 466.11 • Peripheral Vascular Disease, Unspecified 443.9 • Bronchitis, Acute 466.0 • Phlebitis, Deep, Lower Extremity, Other 451.19 • Bronchitis, Chronic, Unspecified 491.9 www.radltd.com • Heart Valve, Pulmonary, Not Rheum. INTERVENTIONAL ICD-9 CODES ICD-9 CODES Respiratory System To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 4647 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Respiratory System (cont’d) 4847 REQUESTED TEXT CODE Respiratory System (cont’d) • Bronchospasm, Acute 519.11 • Sinusitis, Acute, NOS 461.9 • Bronchospasm, Exercise Induced 493.81 • Sinusitis, Chronic, Frontal 473.1 • COPD, NOS 496 • Sinusitis, Chronic, Maxillary 473.0 • Croup 464.4 • Sinusitis, Chronic, NOS 473.9 • Emphysema 492.8 • Tonsil / Adenoid Disease, Chronic, Unspecified 474.9 • Laryngitis, Acute, No Obstruction 464.00 • Tonsillitis, acute 463 • Peritonsillar Abscess 475 • Upper Respiratory Infection, Acute, NOS 465.9 • Pharyngitis, Acute 462 • Pleural Effusion, NOS 511.9 • Anal Fissure, Nontraumatic 565.0 • Pleurisy, NOS 511.0 • Appendicitis, Unspecified 540.9 • Pneumonia, Unspecified 486 • Cholecystitis, Acute 575.0 • Pneumothorax, Unspecified 512.89 • Cholelithiasis, NOS 574.20 • Respiratory Disease, Other, NOS 519.9 • Chronic Liver Disease, Unspecified 571.9 • Rhinitis, Allergic, Cause Unspecified 477.9 • Cirrhosis, NOS 571.5 • Rhinitis, Chronic 472.0 • Constipation, Unspecified 564.00 • Sinusitis, Acute, Frontal 461.1 • Crohn’s Disease, NOS 555.9 • Sinusitis, Acute, Maxillary 461.0 • Dental Abscess 522.5 Digestive System To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Digestive System (cont’d) REQUESTED TEXT CODE Digestive System (cont’d) 521.00 • Intestinal Obstruction, Unspecified 560.9 • Dental, Unspecified 525.9 • Irritable Bowel Syndrome 564.1 • Diverticulitis of Colon, NOS 562.11 • Mucositis, Stomatitis, Unspecified, NOS 528.00 • Diverticulosis of Colon 562.10 • Oral, Soft Tissue Diseases, Unspecified 528.9 • Dyspepsia 536.8 • Oral, Tongue Diseases, Unspecified 529.9 • Esophageal Disease, Unspecified 530.9 • Pancreatitis, Acute 577.0 • Esophagitis, Unspecified 530.10 533.90 • Functional Disorder Intestine, Unspecified 564.9 • Peptic Ulcer Disease, Unspecified, Without Obstruction • Gallbladder Disease, Unspecified 575.9 • TMJ Disorder, Unspecified 524.60 • Gastritis, Unspecified, Without Hemorrhage 535.50 • Ulcerative Colitis, Unspecified 556.9 • Gastroenteritis, Noninfectious, Unspecified 558.9 • Gastroesophageal Reflux, No Esophagitis 530.81 • Cystitis, Acute 595.0 • Hemorrhoids, NOS 455.6 • Cystitis, Interstitial, Chronic 595.1 • Hernia, Hiatal, Noncongenital 553.3 • Glomerulonephritis, Acute, Unspecified 580.9 • Hernia, Inguinal, NOS 550.90 • Glomerulonephritis, Chronic, Unspecified 582.9 • Hernia, Other, NOS 553.9 • Hematuria, Unspecified 599.7 • Ileus 560.1 • Proteinuria, Nonpostural, Nonobstetric 791.0 www.radltd.com • Dental Caries, Unspecified INTERVENTIONAL ICD-9 CODES ICD-9 CODES Genitourinary System— Urinary System Diseases To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 4849 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Genitourinary System— Urinary System Diseases (cont’d) CODE Genitourinary System— Male Genital Organ Diseases (cont’d) • Pyelonephritis, Acute, No Necrosis 590.10 •Orchitis / Epididymitis, Unspecified 604.90 • Renal Failure, Acute, Unspecified 584.9 •Phimosis 605 • Renal Failure / Insufficiency, Chronic, Unspecified 585.9 •Prostatitis, NOS 601.9 • Renal Insufficiency, Acute 593.9 •PSA, Elevated 790.93 • Urethral Syndrome, Non-VD, NOS 597.81 •Urethritis, Nongonococcal, Unspecified 099.40 • Urinary Calculus, Unspecified 592.9 •Varicocele 456.4 • Urinary Obstruction, Unspecified 599.60 • Urinary Tract Infection, Unspecified / Pyuria 599.0 Genitourinary System— Male Genital Organ Diseases 5049 REQUESTED TEXT Genitourinary System— Breast Diseases • Breast Disease, Unspecified 611.9 • Breast Lump 611.72 •Balanitis 607.1 • Dense Breasts 793.82 •BPH / LUTS With Obstruction 600.01 • Fibroadenosis 610.2 •BPH / LUTS Without Obstruction 600.00 • Fibrocystic Disease 610.1 •Hematospermia 608.82 • Galactorrhea 611.6 •Hydrocele, Unspecified 603.9 • Mammogram, Abnormal, Unspecified 793.80 •Impotence, Organic 607.84 • Mastitis, Lactating, Unspecified 675.90 •Impotence, Psychosexual Dysfunction 302.72 •Male Genital Disease, Other, Unspecified 608.9 Visit us online at radltd.com To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT • Mastitis, NOS CODE 611.0 Genitourinary System— Female Genital Organ Diseases REQUESTED TEXT • Painful Menstruation CODE 625.3 Genitourinary System— Disorders of Menstruation (cont’d) • Bartholin Cyst 616.2 • Pelvic Pain 625.9 • Cervical Polyp, NOS 622.7 • Premenstrual Tension Syndrome 625.4 • Cervicitis 616.0 • Cystocele / Rectocele / Prolapse, Unspecified 618.9 • Infertility, Female, Unspecified 628.9 • Cyst of Ovary, Follicular 620.0 • Infertility, Male, Unspecified 606.9 • Dyspareunia 625.0 Musculoskeletal & Connective Tissue • Endometriosis, Unspecified 617.9 • Acquired Deformity, Limb, Unspecified 736.9 • Female Genital Disease, Unspecified 629.9 • Arthropathy, Unspecified 716.90 • Pelvic Onflammatory Disease, Unspecified 614.9 • Back Pain With Radiation, Unspecified 724.4 • Stress Incontinence, Female 625.6 • Cervical Disorder, NOS 723.9 • Vaginitis / Vulvitis, Unspecified 616.10 • Connective Tissue Disease, Unspecified 710.9 • Disc Syndrome, No Myelopathy, NOS 722.2 Genitourinary System— Fertility Problems • Amenorrhea 626.0 • Ganglion, Unspecified 727.43 • Menopausal Disorders, Unspecified 627.9 • Internal Derangement, Knee, Unspecified 717.9 • Menstruation, Excessive / Frequent 626.2 • Kyphosis / Scoliosis, Unspecified 737.9 • Metrorrhagia 626.6 • Muscle Weakness, Generalized 728.87 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. www.radltd.com Genitourinary System— Disorders of Menstruation INTERVENTIONAL ICD-9 CODES ICD-9 CODES 5051 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT • Myalgia / Myositis, Unspecified CODE 729.1 Musculoskeletal & Connective Tissue (cont’d) • Abnormal Glucose, Other CODE 790.29 Signs & Symptoms (cont’d) • Osteoarthritis of Spine, NOS 721.90 • Abnormal Loss of Weight 783.21 • Osteoarthrosis, Unspecified 715.90 • Abnormal Pap, ASC-US 795.01 • Osteomyelitis, Acute, Unspecified 730.00 • Abnormal Pap, ASC, Possible HGSIL 795.02 • Osteomyelitis, Chronic, Unspecified 730.10 • Abnormal Pap, Other and HPV 795.09 • Osteoporosis, Unspecified 733.00 • Abnormal Pap, Unspecified 795.00 • Pain, Limb 729.5 • Abnormal Transaminase / LDH 790.4 • Pain, Knee 719.46 • Solitary Pulmonary Nodule 793.11 • Pain, Low Back 724.2 • Other Abnormal Lung Findings, Unspecified 793.19 • Polymyalgia Rheumatica 725 • Abnormalities of RBCs 790.09 • Rheumatoid Aarthritis (not JRA) 714.0 • Anaphylaxis, NOS 995.0 • Shoulder Syndrome, Unspecified 726.10 • Anorexia 783.0 • Synovitis / Tenosynovitis, Unspecified 727.00 • Arthralgia, Unspecified 719.40 • Traumatic Arthropathy, Unspecified 716.10 • Ascites, Malignant 789.51 • Ascites, Other 789.59 • Abdominal Pain, Unspecified 789.00 • Bleeding, Rectal 569.3 • Abnormal Blood Chemistry, Other • Blood in Stool, Melena 578.1 Signs & Symptoms 5251 REQUESTED TEXT 790.6 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT • Blood in Stool, Occult CODE 792.1 Signs & Symptoms (cont’d) REQUESTED TEXT • Effusion / Swelling of Joint, Unspecified CODE 719.00 INTERVENTIONAL ICD-9 CODES ICD-9 CODES Signs & Symptoms (cont’d) 427.5 • Encopresis, NOS, Fecal Incontinence 787.6 • Chest Pain, Unspecified 786.50 • Epistaxis 784.7 • Chronic Fatigue Syndrome 780.71 • Failure to Thrive 783.41 • Chronic Pain, Other 338.29 • Fatigue and Malaise, Other 780.79 • Chronic Pain, Other Post-Op 338.28 • Feeding Problem, Infant /Elderly 783.3 • Chronic Pain, PostThoracotomy 338.22 • Fever, Unspecified 780.60 • Chronic Pain, Trauma 338.21 • Gas / Bloating 787.3 • Chronic Pain Syndrome, With 338.4 Psychosocial Dysfunction • Glucose Intolerance 271.9 • Colic, Infantile 789.7 • Glycosuria 791.5 • Coma, Nondiabetic / Nonhepatic 780.01 • Headache, Unspecified 784.0 • Cough 786.2 • Heartburn 787.1 • Diarrhea, NOS 787.91 • Hematemesis 578.0 • Dizziness / Vertigo, NOS 780.4 • Hemoptysis 786.30 • Dysphagia, Unspecified 787.20 • Hepatomegaly 789.1 • Dysuria 788.1 • Hiccups 786.8 • Edema, Localized, NOS 782.3 • Hoarseness 784.49 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. www.radltd.com • Cardiac Arrest 5253 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT • Hyperventilation CODE 306.1 Signs & Symptoms (cont’d) • Hypoxemia 5453 REQUESTED TEXT • Other Ill-Defined Conditions CODE 799.89 Signs & Symptoms (cont’d) • Pain, Neoplasm Related 338.3 • Incontinence / Enuresis, NOS 788.30 • Palpitations 785.1 • Infant Excessive Crying • Polyuria 788.42 • Lack of Normal Physiological 783.40 Development, Unspecified • Rash, Nonvesicular, Unspecified 782.1 • Libido, Decreased 799.81 • Seizures, Convulsions, Other 780.39 • Localized Swelling / Mass, Superficial 782.2 • Seizures, Simple, Febrile, Unspecified 780.31 • Lymph Nodes, Enlarged 785.6 • Semicoma, Stupor 780.09 • Memory Loss 780.93 • Sensory Disturbance Skin 782.0 • Transient Alteration of Awareness 780.02 • Shock, Unspecified 785.50 • Change in Mental Status 780.97 • Shortness of Breath 786.05 • Movement Disorder 781.0 • Skin, Other Symptoms 782.9 • Murmur of Heart, Undiagnosed 785.2 • Splenomegaly 789.2 • Nausea With Vomiting 787.01 • Sweating Excess 780.8 • Nausea, Alone 787.02 • Syncope 780.2 • Nocturia 788.43 • Urinary Frequency 788.41 • Other Abnormal Blood Chemistry 790.6 • Urinary Urgency 788.63 799.02 780.92 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT • Vomiting, Alone CODE 787.03 Signs & Symptoms (cont’d) REQUESTED TEXT • Fracture: Pelvic, Closed, Unspecified CODE 808.8 Injuries & Adverse Effects— Fracture (cont’d) • Walking Difficulty 719.7 • Fracture: Phalanges, Foot, Closed 826.0 • Wheezing 786.07 • Fracture: Phalanges, Hand, Closed, Unspecified 816.00 • Fracture: Ribs, Closed, Unspecified 807.00 Injuries & Adverse Effects— Fracture (cont’d) INTERVENTIONAL ICD-9 CODES ICD-9 CODES 824.8 • Fracture: Skull, Closed, Unspecified 803.00 • Fracture: Carpal, Closed, Unspecified 814.00 • Fracture: Tibia, Closed, Unspecified 823.80 • Fracture: Clavicle, Closed, Unspecified 810.00 • Fracture: Tibia / Fibula, Closed, Unspecified 823.82 • Fracture: Femur / Hip, Closed, Unspecified 820.8 • Fracture: Vertebral, Closed, Unspecified 805.8 • Fracture: Femur / Shaft, Closed 821.01 • Fracture, Stress: Metatarsals 733.94 • Fracture: Fibula, Closed, Unspecified 823.81 • Fracture, Stress: Other bone 733.95 • Fracture: Foot, Closed, Unspecified (not toes) 825.20 • Fracture, Stress: Tibia or Fibula 733.93 • Fracture: Forearm, Closed, Unspecified 813.80 • Healed Fracture, Follow-Up Exam V67.4 • Fracture: Humerus, Closed, Unspecified 812.20 • Fracture: Mandible, Closed, Unspecified 802.20 • Dislocation: Other, Closed, Unspecified 839.8 • Fracture: Metacarpal, Closed, Unspecified 815.00 • Dislocation: Shoulder, Closed, Unspecified 831.00 • Fracture: Nose, Closed 802.0 • Knee Meniscus Injury, Unspecified 836.2 • Fracture: Other Sites, Closed, Unspecified 829.0 • Sprain / Strain: Ankle, Unspecified 845.00 www.radltd.com • Fracture: Ankle, Closed, Unspecified Injuries & Adverse Effects— Dislocations, Sprains & Strains To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5455 ICD-9 CODES ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT • Sprain / Strain: Foot, Unspecified CODE 845.10 Injuries & Adverse Effects— Dislocations, Sprains & Strains (cont’d) • Crushing Injury, Unspecified CODE 929.9 Injuries & Adverse Effects— Other Trauma, Adverse Effects (cont’d) • Sprain / Strain: Hand, Unspecified 842.10 • Exhaustion Due to Exposure 994.4 • Sprain / Strain: Knee / Leg, Unspecified 844.9 • Foreign Body, Digestive System, Unspecified 938 • Sprain / Strain: Neck, Unspecified 847.0 • Foreign Body, Ear 931 • Sprain / Strain: Other Site, Unspecified 848.9 • Foreign Body, Nose 932 • Sprain / Strain: Shoulder / Arm, Unspecified 840.9 • Foreign Body, Skin, Superficial, Unspecified 919.6 • Sprain / Strain: Vertebral, Unspecified 847.9 • Head Injury, NOS 959.01 • Sprain / Strain: Wrist, Unspecified 842.00 • Heat Injury, Unspecified 992.9 • Insect Bite 919.4 Injuries & Adverse Effects— Other Trauma, Adverse Effects 5655 REQUESTED TEXT • Abrasion, Unspecified 919.0 • Late Effects of Injury, Unspecified 908.9 • Adult Physical Abuse 995.81 • Medication, Adverse Effects, Unspecified 995.20 • Burn, Degree Unspecified 949.0 • Open Wound, Head / Neck / Trunk, Unspecified 879.8 • Child Abuse, Unspecified 995.50 • Open Wound, Lower Limb, Unspecified 894.0 • Cold Injury, Unspecified 991.9 • Open Wound, Upper Limb, Unspecified 884.0 • Concussion, LOC Less Than 30 Minutes 850.11 • Other Trauma, Unspecified 959.9 • Concussion, Unspecified 850.9 • Poisoning, Medicine Overdose, Unspecified 977.9 • Contusion, Unspecified 924.9 • Poisoning, Unspecified 989.9 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes. REQUESTED TEXT CODE Please use the spaces below for notes or additional codes common in your practice. REQUESTED TEXT CODE Please use the spaces below for notes or additional codes common in your practice. INTERVENTIONAL ICD-9 CODES ICD-9 CODES www.radltd.com To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5657 ICD-10 CODES ICD-10 CODES NOTES REQUESTED TEXT CODE Please use the spaces below for notes or additional codes common in your practice. 57 REQUESTED TEXT CODE Please use the spaces below for notes or additional codes common in your practice. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. REQUESTED TEXT CODE Please use the spaces below for notes or additional codes common in your practice. REQUESTED TEXT CODE Please use the spaces below for notes or additional codes common in your practice. INTERVENTIONAL ICD-9 ICD-10 CODES CODES ICD-10 CODES NOTES www.radltd.com To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5859 RADIOLOGY LTD. 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JOSEPH’S X X X X X X WILMOT X X X X X X X X WILMOT WOMEN’S MODALITY LOCATIONS TECHNOLOGY Radiology Ltd. has a nearly paperless and fully electronic workflow residing on state-of-the-art infrastructure, allowing for rapid and seamless communication across all locations throughout the enterprise. This allows us to route all imaging studies to the most appropriate location, ensuring the most accurate and timely interpretations and the highest level of patient care. We focus on technological improvements that help us both practice better medicine and optimize customer service. adVision (Provider Portal) - Images are available to the referring community within minutes of exam completion and can be viewed anywhere, anytime. Our systems are also Meaningful Use certified and enable our referring providers to: • Use different viewers to access images on any platform (one viewer is for power users; the other is a zero client viewer that can be used with any browser) • Access current and historical reports • Find status of patient exams • Order patient exams • View new services and products, including Clinical Decision Support, Mobile Report Viewer, and Alert Application 62 677 N. Wilmot Rd., Tucson, AZ 85711 . www.radltd.com © Radiology Ltd. 2015