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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
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• 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. IS A PREFERRED PROVIDER
FOR THE FOLLOWING INSURANCES
MAJOR INSURANCE PLANS
MAJOR NETWORK PLANS
• AARP Medicare Complete
• Accountable Health Plans
(Formally Secure Horizons)
• Ancillary Care Services
• Aetna US Healthcare: not contracted
• Arizona Foundation for Medical Care
with Aetna Sr
• Beech Street
• AHCCCS (All Plans)
• Banner Health Plus
• CCN
• Blue Cross/Blue Shield including BCBS Advantage • Coventry National
• Care1st HealthPlan (AHCCCS)
• First Health (Individual Provider Contracts)
• CareMore Health Plan
• Health Management Network
• Cigna
• MultiPlan
• Cochise Health System
• PHCS
• EverCare and Community Plan UHC
(Formally EverCare Select)
• GEHA
• Health Choice Arizona
• Health Choice Generations
If you need further assistance
• Health Net / Health Net Medicare Advantage
with
insurances, please call our
• Humana
Insurance Billing Representative
• Humana Community HMO
at (520) 296-0278.
• Humana Gold
• Indian Health Services
• Logistics Health Inc. (LHI)
• Mail Handlers Benefit Plan (MHBP)
• Mayo Health Plan Arizona
• MDIA (Medrisk Data)
• Medicare
• Mercy Care Healthcare Group
• OneCare
• One Call Medical
• UHC West (Formally Pacificare)
• Preferred Medical Claim Solutions
• State Compensation Fund
• United Medical Resources (UMR)
• United Healthcare
• United Healthcare Community Plan
(Formally APIPA)
• United Healthcare Medicare Complete
• United Military West – VA
• University Family Care (AHCCCS)
• University Physician Advantage
59
WE HAVE 7 IMAGING CENTERS TO SERVE YOU
CAMP LOWELL IMAGING CENTER
4640 E. Camp Lowell Dr.
Tucson, AZ 85712
Tel: (520) 318-6144
LA CHOLLA CENTER FOR
DIAGNOSTIC IMAGING & TREATMENT
LA CHOLLA CENTER FOR
WOMEN’S IMAGING
5960 N. La Cholla Blvd.
Tucson, AZ 85741
Tel: (520) 797-3439
MIDVALE IMAGING CENTER
1598A W. Commerce Court
Tucson, AZ 85746
Tel: (520) 290-4842
RANCHO VISTOSO
DIAGNOSTIC IMAGING
2551 E. Vistoso Commerce Loop Rd.
Oro Valley, AZ 85755
Tel: (520) 825-1990
ST. JOSEPH’S IMAGING CENTER
330 N. Wilmot Rd.
Tucson, AZ 85711
Tel: (520) 290-4840
WILMOT CENTER FOR
DIAGNOSTIC IMAGING & TREATMENT
WILMOT CENTER FOR
WOMEN’S IMAGING
677 N. Wilmot Rd.
Tucson, AZ 85711
Tel: (520) 722-1832
RADIOLOGY LTD.—
CARONDELET IMAGING CENTER
6567 E. Carondelet Dr., Suite 105
Tucson, AZ 85710
Tel: (520) 751-3096
60
61
X
X
X
Breast MRI
Breast
Interventional
DEXA (Bone
Densitometry)
X
X
Breast Biopsy
X
X
3D
Mammography
Digital X-ray
X
X
LA CHOLLA
WOMEN’S
Digital
Mammography
X
Ultrasound
X
X
X
PET / CT
Interventional
X
X
CT
X
X
X
LA
CHOLLA
MRI (Espree—
X-Large
Opening)
MRI
(High-field)
CAMP
LOWELL
X
X
X
X
X
X
MIDVALE
X
X
X
X
RADIOLOGY
LTD.—
CARONDELET
X
X
X
X
X
X
RANCHO
VISTOSO
X
ST.
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