Ordering Guide - Charlotte Radiology

Imaging Exam & CPT Code Finder

Use the inputs below to quickly verify the type of imaging exam to order for the medical reason or area of concern. The tool will provide the recommended exam, contrast guidance, contraindications, and CPT codes.

Exam/Procedure	Area of Concern	Common Reason(s)	Contrast	Study Type	CPT Code	Notes	hf:tax:original_sheet	hf:tax:area_concern	hf:tax:clinical_indication
Testicular ultrasound	Testicles	Epididymitis, Hydrocele, Orchalgia, Pain/swelling, Palpable lump, Torsion, Varicocele	N/A	Ultrasound	76870		ultrasound	testicles	epididymitis hydrocele orchalgia pain-swelling palpable-lump torsion varicocele
Chest – 4 or More Views	Chest, Chest and Lungs, Lungs, Ribs	Bone/Joint Injury or Issue, Chest pain, Fracture, Lung Function	N/A	X-Ray	71048		x-ray	chest chest-and-lungs lungs ribs	bone-joint-injury-or-issue chest-pain fracture lung-function
Abdominal ultrasound Complete	Abdomen	Abdominal pain (specify right or left upper quadrant or epigastric region), Abnormal LFT’s, Cirrhosis, Hepatitis C, Hepatomegaly, Polycystic disease, Splenomegaly	N/A	Ultrasound	76700		ultrasound	abdomen	abdominal-pain-specify-right-or-left-upper-quadrant-or-epigastric-region abnormal-lfts cirrhosis hepatitis-c hepatomegaly polycystic-disease splenomegaly
US Pelvis Transabdominal	Pelvis	Endometriosis, Fibroids / enlarged uterus, IUD, Menstrual disorders, Ovarian cysts, PCOS, Pelvic pain (relating specifically to uterus or ovaries; ultrasound is not the exam of choice for intestinal disorders)	N/A	Ultrasound	76830	Radiology Ltd.’s preferred protocol is to perform both the Transabdominal and Transvaginal scans as these will give the most detailed information. If only one study is preferred, our recommendation is to order a transvaginal scan.	ultrasound	pelvis	endometriosis fibroids-enlarged-uterus iud menstrual-disorders ovarian-cysts pcos pelvic-pain-relating-specifically-to-uterus-or-ovaries-ultrasound-is-not-the-exam-of-choice-for-intestinal-disorders
MRI chest without contrast	Chest	Pectoralis tear	No	MRI	71550	Without contrast. Chest Pectoralis. Specify right or left	mri	chest	pectoralis-tear
3D Diagnostic mammogram with tomosynthesis			No		77065 unilateral, 77066 bilateral	± breast ultrasound
Foot ultrasound	Foot	Arthritis, Ganglion cyst/foreign body, Mortons Neuroma, Palpable abnormality, Plantar Fasciitis, Plantar plate tear, Tendinosis	N/A			Specify left, right, or bilateral		foot	arthritis ganglion-cyst-foreign-body mortons-neuroma palpable-abnormality plantar-fasciitis plantar-plate-tear tendinosis
3D Screening mammogram with tomosynthesis		Screening Mamography	No		77063	Ultrasound if needed			screening-mamography
3D Screening mammogram with tomosynthesis		Mastectomy annual screening including CAD (unilateral)	No		77067-52	Unilateral. Ultrasound if needed.			mastectomy-annual-screening-including-cad-unilateral
3D Diagnostic mammogram with tomosynthesis			No		77061 unilateral, 77062 bilateral	± breast ultrasound
		Nipple Discharge	No		77061 unilateral, 77062 bilateral				nipple-discharge
		Recommendation of additional imaging	No		76642 - unilateral, 77065 unilateral, 77066 bilateral	± breast ultrasound Callback or Recall Exam			recommendation-of-additional-imaging
		Nipple Discharge, Under 30 Years of age	No		76642 - right or left	± 3D Diagnostic mammogram with tomosynthesis			nipple-discharge under-30-years-of-age
CT Head/Brain	Brain	Alzheimer's, Confusion, CVA/Memory Loss, Headache, Hydrocephalus, Post-op, Shunt check, Stroke/Bleed, Trauma	No	CT	70450	Without contrast Headache <7 days with possible trauma correlation	ct	brain	alzheimers confusion cva-memory-loss headache hydrocephalus post-op shunt-check stroke-bleed trauma
CT Head/Brain	Brain	Headache, HIV, Infection, Mass, Mastoiditis, Meningioma/Meningitis, Metastic staging, Migraine, Seizures, Toxoplasmosis, Tumor, Vertigo	Yes	CT	70460	with contrast If patient has contraindication for MRI	ct	brain	headache hiv infection mass mastoiditis meningioma-meningitis metastic-staging migraine seizures toxoplasmosis tumor vertigo
CT Head/Brain	Pituitary	Hyperprolactinemia, Pituitary tumor	Yes	CT	70470	With and without contrast Pituitary tumor (If MRI contraindicated)	ct	pituitary	hyperprolactinemia pituitary-tumor
Knee Ultrasound	Knees	Arthritis, Baker Cyst, Ganglion cyst/foreign body, Palpable abnormality, Quadriceps/Patellar Tendinosis or Tear	N/A	Ultrasound	76881	Specify Left/Right/Bilateral	ultrasound	knees	arthritis baker-cyst ganglion-cyst-foreign-body palpable-abnormality quadriceps-patellar-tendinosis-or-tear
Pelvis Ultrasound	Male Pelvis	Bladder, Prostate, Seminal Vesicles	N/A	Ultrasound	76856		ultrasound	male-pelvis	bladder prostate seminal-vesicles
Pelvic Ultrasound Limited	Male or Female Pelvic Limited	Single Organ Evaluation	N/A	Ultrasound	76857		ultrasound	male-or-female-pelvic-limited	single-organ-evaluation
Bladder Ultrasound	Male Pelvis	Bladder Mass/Stone, Hematuria	N/A	Ultrasound	76857	Indicate if post-void residual is needed	ultrasound	male-pelvis	bladder-mass-stone hematuria
Renal Artery Duplex Ultrasound	Renal Artery	Abdominal Bruit, Renal Artery Stenosis Uncontrolled HTN	N/A	Ultrasound	93976		ultrasound	renal-artery	abdominal-bruit renal-artery-stenosis-uncontrolled-htn
Renal Ultrasound	Renals	Flank/Back Pain, Hematuria, Neurogenic Bladder, Polycystic Kidneys, Renal Cyst/Mass, Renal Disease (CKD), UTI	N/A	Ultrasound	76770		ultrasound	renals	flank-back-pain hematuria neurogenic-bladder polycystic-kidneys renal-cyst-mass renal-disease-ckd uti
Renal with Bladder Ultrasound	Renals and Bladder	Hematuria, Neurogenic Bladder, Polycystic Kidneys, Renal Cyst/Mass, Renal Disease (CKD)	N/A	Ultrasound	76770, 76857	This will assess kidneys/ bladder and postvoid residual	ultrasound	renals-and-bladder	hematuria neurogenic-bladder polycystic-kidneys renal-cyst-mass renal-disease-ckd
RUQ Abdominal Ultrasound	Abdomen RUQ	Abnormal LFT’s, Cirrhosis, Hepatitis C	N/A	Ultrasound	76705		ultrasound	abdomen-ruq	abnormal-lfts cirrhosis hepatitis-c
Soft Tissue Ultrasound	Abdominal Wall	Hernia's Ventral or Epigastric	N/A	Ultrasound	76705		ultrasound	abdominal-wall	hernias-ventral-or-epigastric
Soft Tissue Ultrasound	Arms	Bump, Cyst, Lipoma, Mass, Palpable lump	N/A	Ultrasound	76882	Specify Left/Right	ultrasound	arms	bump cyst lipoma mass palpable-lump
MRA Head	MRA Head	Aneurysm, AVM (Arteriovenous Malformation), CVA/TIA/Stroke, Insufficiency, Vascular Tumor Vertebrobasilar	No	MRI	70544	Without Contrast	mri	mra-head	aneurysm avm-arteriovenous-malformation cva-tia-stroke insufficiency vascular-tumor-vertebrobasilar
CT Temporal Bones/Inner Ears	Inner Ears	Basilar skull fracture, Cholesteotoma, Inner ear path fracture, Trauma	No	CT	70480	Without contrast	ct	inner-ear-s	basilar-skull-fracture cholesteotoma inner-ear-path-fracture trauma
CT Temporal Bones/Inner Ears	Inner Ears	Infection, Neoplasm, Subperiosteal abscess, Tinitus	Yes	CT	70481	With contrast Tinitus (if MRI contradicted)	ct	inner-ear-s	infection neoplasm subperiosteal-abscess tinitus
CT Orbits	Orbits/Eyes	Foreign Body, Fracture, Trauma	No	CT	70480	without contrast	ct	orbits-eyes	foreign-body fracture trauma
CT Orbits	Orbits/Eyes	Cellulitis/Mass, Exophthalmos, Graves’ disease, Pain	Yes	CT	70481	with contrast	ct	orbits-eyes	cellulitis-mass exophthalmos graves-disease pain
CT Sinus	Sinus	Endoscopic sinus surgery, Ostiomeatal complex, Sinusitis	No	CT	70486	without contrast	ct	sinus	endoscopic-sinus-surgery ostiomeatal-complex sinusitis
CT Sinus	Sinus	Infection, Mass	Yes	CT	70487	With contrast	ct	sinus	infection mass
CT Face	Facial Bones	Fracture	No	CT	70486	Without contrast	ct	facial-bones	fracture
CT Face	Facial Bones	Infection, Inflammatory disease, Mass, Tumor	Yes	CT	70487	With contrast	ct	facial-bones	infection inflammatory-disease mass tumor
CT Mandible	Jaw/Mandible	Cyst, Mandible lesion	No	CT	70486	Without contrast	ct	jaw-mandible	cyst mandible-lesion
CT Soft Tissue Neck	Neck	Cancer/Metastatic Disease, Congenital cysts, Dysphagia, Infection, Lymphadenopathy, mass or stone of salivary gland (parotid or submandibular), Tumor	Yes	CT	70491	With contrast	ct	neck	cancer-metastatic-disease congenital-cysts dysphagia infection lymphadenopathy mass-or-stone-of-salivary-gland-parotid-or-submandibular tumor
CT Soft Tissue Neck	Thyroid	Parathyroid adenoma	Yes	CT	70492	Without and with contrast Please indicate (4D) Protocol	ct	thyroid	parathyroid-adenoma
CT Cervical Spine	Cervical Spine	Bone lesions, Fracture, fusion, MR recommended for disc herniation, Trauma	No	CT	72125	Without contrast	ct	cervical-spine	bone-lesions fracture fusion mr-recommended-for-disc-herniation trauma
CT Cervical Spine	Cervical Spine	Abcess or infection, Metastatic disease	Yes	CT	72126	With contrast	ct	cervical-spine	abcess-or-infection metastatic-disease
CT Thoracic Spine	Thoracic Spine	Bone lesions, Degenerative changes, Fracture, fusion, MR recommended for disc herniation, Trauma	No	CT	72128	Without contrast	ct	thoracic-spine	bone-lesions degenerative-changes fracture fusion mr-recommended-for-disc-herniation trauma
CT Thoracic Spine	Thoracic Spine	Abcess or infection, Metastatic disease	Yes	CT	72129	With contrast	ct	thoracic-spine	abcess-or-infection metastatic-disease
CT Lumbar Spine	Lumbar spine	Bone lesions, Fracture, fusion, MR recommended for disc herniation, Pars defect, Trauma	No	CT	72131	Without contrast	ct	lumbar-spine	bone-lesions fracture fusion mr-recommended-for-disc-herniation pars-defect trauma
CT Lumbar Spine	Lumbar spine	Abcess or infection, Metastatic disease	Yes	CT	72132	With contrast	ct	lumbar-spine	abcess-or-infection metastatic-disease
CT Chest	Chest and Lungs	Air trapping, Asbestosis, Bronchiesctasis, Diffuse lung disease, Fibrosis, Interstitial lung disease, Pleural plaques, Sarcoidosis	No	CT	71250	Without contrast. Please indicate High Resolution	ct	chest-and-lungs	air-trapping asbestosis bronchiesctasis diffuse-lung-disease fibrosis interstitial-lung-disease pleural-plaques sarcoidosis
CT Chest	Chest and Lungs	Abnormal chest X-ray, COPD/Cough, Hemoptysis, Lung/Esophageal CA, Lymphoma/Mass/Pain, Pneumonia, Shortness of breath, Tracheal stenosis	Yes	CT	71260	With contrast	ct	chest-and-lungs	abnormal-chest-x-ray copd-cough hemoptysis lung-esophageal-ca lymphoma-mass-pain pneumonia shortness-of-breath tracheal-stenosis
CT Chest	Lungs	Lung nodules	No	CT	71250	Without contrast	ct	lungs	lung-nodules
CT Heart	Coronary vascular risk stratification, Heart Screening	Hyperlipidemia	No	CT	75571	Please indicate Calcium Score Coronary vascular risk stratification for asymptomatic patients only	ct	coronary-vascular-risk-stratification heart-screening	hyperlipidemia
CT Abdomen	Upper abdomen only	Abdominal pain, Hernia (ventral or umbilical)	No	CT	74150	Patient unable to have IV contrast	ct	upper-abdomen-only	abdominal-pain hernia-ventral-or-umbilical
CT Abdomen	Upper abdomen only	Abdominal pain, Abscess, Hernia (ventral or umbilical)	Yes	CT	74160	With contrast	ct	upper-abdomen-only	abdominal-pain abscess hernia-ventral-or-umbilical
CT Abdomen	Adrenals	Adrenal mass	Yes	CT	74170	Without and with contrast. Please indicate (Adrenal protocol).	ct	adrenals	adrenal-mass
CT Abdomen	Liver	Cirrhosis, Hepatitis, Hepatoma, Liver hemangioma (MR preferred)	Yes	CT	74170	Without and with contrast. Please indicate (Liver Protocol)	ct	liver	cirrhosis hepatitis hepatoma liver-hemangioma-mr-preferred
CT Abdomen	Pancreas	Pancreatic Mass, Pancreatitis, Pseudocyst	Yes	CT	74160	Without and with contrast. Please indicate (Pancreatic protocol).	ct	pancreas	pancreatic-mass pancreatitis pseudocyst
CT Abdomen	Kidneys	Any renal pathology	Yes	CT	74170	Without and with contrast. Please indicate (Renal protocol).	ct	kidneys	any-renal-pathology
CT Abdomen	Urinary/Renal system	Flank pain/Hematuria, Follow up hydronephrosis, Kidney Stone (renal calculi/stone), Post lithotripsy	No	CT	74176	Without contrast. *Please indicate (Stone protocol). radiologist may add contrast at discretion for kidney stones**	ct	urinary-renal-system	flank-pain-hematuria follow-up-hydronephrosis renal-calculi-stone post-lithotripsy
CT Abdomen/Pelvis	Abdomen, Pelvis	Abdominal pain, Appendicitis, Cancer, Cancer staging, Diarrhea, Diverticulitis, Infection, Pyelonephritis, Weight loss	Yes	CT	74177	With contrast	ct	abdomen pelvis	abdominal-pain appendicitis cancer cancer-staging diarrhea diverticulitis infection pyelonephritis weight-loss
CT Abdomen/Pelvis	Urinary/Renal system	Hematuria, Transitional cell carcinoma of kidney and/or bladder	Yes	CT	74178	Without and with contrast. Please indicate (IVP/Urogram Protocol).	ct	urinary-renal-system	hematuria transitional-cell-carcinoma-of-kidney-and-or-bladder
CT Abdomen/Pelvis	Small Intestine	Abscess/Inflammation, Bleeding sources, Bowel obstruction, Crohn's disease, Small bowel related issues, Tumor/Fistula	Yes	CT	74177	With contrast Please indicate (Enterography Protocol)	ct	small-intestine	abscess-inflammation bleeding-sources bowel-obstruction crohns-disease small-bowel-related-issues tumor-fistula
CT Abdomen/Pelvis	Colon	Failed colonoscopy, Patients on blood thinners who are not candidates for routine colonoscopy, Screening	No	CT	74261 Diagnostic, 74263 Screening	Without contrast and 3D rendering. Please indicate (Virtual Colonography).	ct	colon	failed-colonoscopy patients-on-blood-thinners-who-are-not-candidates-for-routine-colonoscopy screening
CT Pelvis	Pelvis	Arthritis, Fracture, Inguinal hernia	No	CT	72192	Without contrast.	ct	pelvis	arthritis fracture inguinal-hernia
CT Pelvis	Pelvis	Bone infection, Cancer staging, Hernia (inguinal), Pain/Mass/Cysts, Pelvic Infection	Yes	CT	72193	With contrast.	ct	pelvis	bone-infection cancer-staging hernia-inguinal pain-mass-cysts pelvic-infection
CT Cystogram	Pelvis and Bladder	Bladder Cancer, Bladder polyps, Fistula/Bleeding, Hydronephrosis, Vesicoureteral reflux	No	CT	72192	With contrast.	ct	pelvis-and-bladder	bladder-cancer bladder-polyps fistula-bleeding hydronephrosis vesicoureteral-reflux
CTA Brain	Brain	Aneurysm, AVM (Arteriovenous Malformation), CVA/TIA/Stroke, Vascular Tumor	Yes	CT	70496	With contrast.	ct	brain	aneurysm avm-arteriovenous-malformation cva-tia-stroke vascular-tumor
CTV Brain	Brain	AVM (Arteriovenous Malformation)	Yes	CT	70460	With contrast.	ct	brain	avm-arteriovenous-malformation
CTA Carotids	Carotid Arteries	Bruit, Cartoid stenosis, CVA/TIA/Stroke, Vascular Tumor, Vertebrobasilar Insufficiency	Yes	CT	70498	With contrast.	ct	carotid-arteries	bruit cartoid-stenosis cva-tia-stroke vascular-tumor vertebrobasilar-insufficiency
CTA Head/Neck	Brain, Carotid Arteries	Vertebrobasilar Insufficiency	Yes	CT	70496, 70498	With contrast.	ct	brain carotid-arteries	vertebrobasilar-insufficiency
CTA Upper Extremities	Arms	Arterial stenosis, Ischemia	Yes	CT	73206	With contrast (Indicate Right or Left and area of concern)	ct	arms	arterial-stenosis ischemia
CTA Chest	Pulmonary Arteries	Pulmonary embolism, Shortness of breath	Yes	CT	71275	With contrast. Please indicate (PE Protocol).	ct	pulmonary-arteries	pulmonary-embolism shortness-of-breath
CTA Chest	Aorta	Aortic dissection, Thoracic aortic aneurysm	Yes	CT	71275	With contrast. Please indicate (Aorta Protocol).	ct	aorta	aortic-dissection thoracic-aortic-aneurysm
CTA Chest	Subclavian Arteries	Stenosis	Yes	CT	71275	With contrast (Please indicate Subclavian Protocol)	ct	subclavian-arteries	stenosis
CTA Chest and Abdomen	Aorta	Aortic dissection, Thoracic aortic aneurysm	Yes	CT	71275, 74175	With contrast	ct	aorta	aortic-dissection thoracic-aortic-aneurysm
CTA Mesenteric Arteries	Mesenteric arteries	Mesenteric ischemia	Yes	CT	74175	With contrast	ct	mesenteric-arteries	mesenteric-ischemia
CTA Renal Arteries	Renal Artery	Hypertension, Renal artery stenosis	Yes	CT	74175	With contrast	ct	renal-artery	hypertension renal-artery-stenosis
CTA Abdomen/Pelvis and bilateral runoff	Aorta & Iliacs, Distal arteries, Femoral	Claudication, Non healing wound, Peripheral artery disease	Yes	CT	75635	With contrast	ct	aorta-iliacs distal-arteries femoral	claudication non-healing-wound peripheral-artery-disease
CTA Pelvis	Iliac Arteries	AVM, Iliac aneurysm	Yes	CT	72191	With contrast	ct	iliac-arteries	avm iliac-aneurysm
CTV Pelvis	Pelvic veins	DVT, Pelvic congestion	Yes	CT	72193	With contrast	ct	pelvic-veins	dvt pelvic-congestion
CTA Lower Extremities	Distal arteries, Femoral, Iliac Arteries	Claudication, Ischemia, Non healing wound, Peripheral artery disease	Yes	CT	73706	With contrast	ct	distal-arteries femoral iliac-arteries	claudication ischemia non-healing-wound peripheral-artery-disease
CT Sternoclavicular Joints	Sternoclavicular Joints	Swelling	No	CT	71250	Without contrast	ct	sternoclavicular-joints	swelling
CT Upper Extremities	Elbow, Forearms, Humerus, Shoulder	*MR Preferred, DJD, Fracture, Surgical planning	No	CT	73200	Without contrast	ct	elbow forearms humerus shoulder	mr-preferred djd fracture surgical-planning
CT Upper Extremities	Elbow, Forearms, Humerus, Shoulder	*MR Preferred, Cancer/Metastatic Disease, Infection, Mass, Tumor	Yes	CT	73201	With contrast	ct	elbow forearms humerus shoulder	mr-preferred cancer-metastatic-disease infection mass tumor
CT Lower Extremities	Ankle, Femurs, Foot, Hips, Knees, Tibia/Fibula	*MR Preferred, DJD, Fracture, Surgical planning	No	CT	73700	Without contrast	ct	ankle femurs foot hips knees tib-fib	mr-preferred djd fracture surgical-planning
CT Lower Extremities	Ankle, Femurs, Foot, Hips, Knees, Tibia/Fibula	*MR Preferred, Cancer/Metastatic Disease, Infection, Mass, Tumor	Yes	CT	73701	With contrast	ct	ankle femurs foot hips knees tib-fib	mr-preferred cancer-metastatic-disease infection mass tumor
MRI Brain	Brain	Alzheimer's, Confusion, Dementia, Dizziness, Headache, Hydrocephalus, Memory loss, Mental status changes, Migraine, Old Trauma, Subacute, TIA	No	MRI	70551	Without contrast.	mri	brain	alzheimers confusion dementia dizziness headache hydrocephalus memory-loss mental-status-changes migraine old-trauma subacute tia
MRI Brain	Brain	Cancer, Headache (pseudotumor), Mass, Mets, Seizures, Tumor, Vascular lesions	Yes	MRI	70553	Without and with contrast	mri	brain	cancer headache-pseudotumor mass mets seizures tumor vascular-lesions
MRI Brain	Brain	Metabolic abnormality Demyelinating disease	Yes	MRI	70553	Without and with contrast	mri	brain	metabolic-abnormality-demyelinating-disease
MRI Brain	Pituitary	Hyperprolactinemia, Pituitary tumor	Yes	MRI	70553	Without and with contrast. Please indicate (Pituitary protocol).	mri	pituitary	hyperprolactinemia pituitary-tumor
MRI Brain	Brain (IAC) Ears	Hearing loss	Yes	MRI	70553	Without and with contrast	mri	brain-iac-ears	hearing-loss
MRI Brain	Brain	Dementia, Memory loss, Seizures	No	MRI	70551	Without contrast to include NeuroQuant (3D volumetric analysis)	mri	brain	dementia memory-loss seizures
MRI brain and orbits	Brain, Face, Orbits/Eyes	Exophthalmos, Graves’ disease, Proptosis	Yes	MRI	70543, 70553	Without and with contrast	mri	brain face orbits-eyes	exophthalmos graves-disease proptosis
MRI Brain	Cranial nerves	Bell’s palsy, Cranial nerve palsy, Pulsatile tinnitus, Trigeminal neuralgia	Yes	MRI	70553	Without and with contrast. Please indicate Cranial nerves.	mri	cranial-nerves	bells-palsy cranial-nerve-palsy pulsatile-tinnitus trigeminal-neuralgia
MRI neck	Neck (soft tissue)	Cancer, Infection, Mass, Mets, Tumor, Vocal cord paralysis	Yes	MRI	70543	Without and with contrast	mri	neck-soft-tissue	cancer infection mass mets tumor vocal-cord-paralysis
MRI cervical spine	Cervical Spine	Chronic demyelination, Cord compromise, Disc degeneration/herniation, Facet joint arthritis, Fracture, Ligament injury, Neck Pain, Post-operative radiculopathy, Spondylolisthesis, Trauma, Upper extremity radiculopathy	No	MRI	72141	Without contrast Preferred for evaluation of disc and facet degeneration leading to pain and neurological symptoms	mri	cervical-spine	chronic-demyelination cord-compromise disc-degeneration-herniation facet-joint-arthritis fracture ligament-injury disc-herniation-neck-pain post-operative-radiculopathy spondylolisthesis trauma upper-extremity-radiculopathy
MRI cervical spine	Cervical Spine	Active demyelination, Cervcalgia, Epidural fluid collection, Infection, Inflammatory arthropathy, Metastatic disease, MS, Spinal cord tumor	Yes	MRI	72142	With contrast	mri	cervical-spine	active-demyelination cervcalgia epidural-fluid-collection infection inflammatory-arthropathy metastatic-disease ms spinal-cord-tumor
MRI thoracic spine	Spine, Thoracic Spine	Back pain, Chronic demyelination, Cord compromise, Disc degeneration/herniation, Disc herniation, Facet joint arthritis, Fracture, Ligament injury, Post-operative radiculopathy, Spondylolisthesis, Thoracic radiculopathy, Trauma	No	MRI	72146	Without contrast Preferred for evaluation of disc and facet degeneration leading to pain and neurological symptoms	mri	spine thoracic-spine	back-pain chronic-demyelination cord-compromise disc-degeneration-herniation disc-herniation facet-joint-arthritis fracture ligament-injury post-operative-radiculopathy spondylolisthesis thoracic-radiculopathy trauma
MRI thoracic spine	Spine, Thoracic Spine	Back pain, Multiple sclerosis	Yes	MRI	72147	With contrast	mri	spine thoracic-spine	back-pain multiple-sclerosis
MRI lumbar spine	Lumbar spine	Chronic demyelination, Cord compromise, Disc degeneration/herniation, Facet joint arthritis, Fracture, Ligament injury, Lower back pain, Lower extremity radiculopathy, Post-operative radiculopathy, Spondylolisthesis, Trauma, Vertebroplasty Planning (with history of malignancy/mets)	No	MRI	72148	Without contrast Preferred for evaluation of disc and facet degeneration leading to pain and neurological symptoms	mri	lumbar-spine	chronic-demyelination cord-compromise disc-degeneration-herniation facet-joint-arthritis fracture ligament-injury lower-back-pain lower-extremity-radiculopathy post-operative-radiculopathy spondylolisthesis trauma vertebroplasty-planning
MRI lumbar spine	Lumbar spine, Spine	Back pain	Yes	MRI	72149	With contrast	mri	lumbar-spine spine	back-pain
MRI chest	Chest Mediastinum	Cancer, Mass, Mets, Tumor	Yes	MRI	71552	Without and with contrast	mri	chest-mediastinum	cancer mass mets tumor
MRI Chest/Mediastinum	Brachial Plexus	Brachial plexus injury, Cancer, Mass, Mets, Nerve avulsion, Tumor	Yes	MRI	71552	Without and with contrast (specify brachial plexus)	mri	brachial-plexus	brachial-plexus-injury cancer mass mets nerve-avulsion tumor
MRI enterography	Small Intestine	Crohn's disease, Inflammatory bowel disease	Yes	MRI	72197, 74183	Without and with contrast	mri	small-intestine	crohns-disease inflammatory-bowel-disease
MRI abdomen	Pancreas	Adrenals, MRCP (biliary / pancreatic ducts)	No	MRI	74183	Without contrast (MRCP)	mri	pancreas	adrenals mrcp
MRA abdomen	Renal Mesenteric Arteries	AAA (Abdominal aortic aneurysm), Abdominal aorta dissection, Mesenteric ischemia, Renal artery stenosis	Yes	MRI	74185	With contrast	mri	renal-mesenteric-arteries	aaa-abdominal-aortic-aneurysm abdominal-aorta-dissection mesenteric-ischemia renal-artery-stenosis
MRI abdomen	Abdomen	Cancer, Kidney eval, Liver eval, Mass, Mets, Pancreas eval, Tumor	Yes	MRI	74183	Without and with contrast	mri	abdomen	cancer kidney-eval liver-eval mass mets pancreas-eval tumor
MRI pelvis	Pelvis	Arthritis, Fracture, Muscle/Tendon tear	No	MRI	72195	Without contrast	mri	pelvis	arthritis fracture muscle-tendon-tear
MRI dynamic pelvis	Pelvis	Incontinence, Outlet obstruction, Pelvic floor dysfunction, Pelvic organ prolapse	Yes	MRI	72195	Without contrast	mri	pelvis	incontinence outlet-obstruction pelvic-floor-dysfunction pelvic-organ-prolapse
MRI urogram	Urogram	Congenital abnormalities, Hematuria, Urinary tract obstruction	Yes	MRI	72197, 74183	Without and with contrast	mri	urogram	congenital-abnormalities hematuria urinary-tract-obstruction
MR pelvis	Prostate	Benign prostatic hyperplasia (BPH), Enlarged prostate, Evaluation of prostate cancer, Prostate abscess, Prostatitis	Yes	MRI	72197	Without and with contrast and 3D	mri	prostate	benign-prostatic-hyperplasia-bph enlarged-prostate evaluation-of-prostate-cancer prostate-abscess infection-prostatitis
MRI chest	Scapula	Mass, Pain	Yes	MRI	71552	Without and with. Contrast Indicate Right or Left.	mri	scapula	mass pain
MRI Upper extremity (non joint)	Arms, Finger, Hand	Abscess, Autoimmune myositis/myopathy, Cancer, Infection, Inflammatory myopathy, Metastatic disease, Myonecrosis, Myositis, Osteomyelitis	No, Yes	MRI	73220	With and without contrast. Indicate Right or Left and body part.	mri	arms finger hand	abscess autoimmune-myositis-myopathy cancer infection inflammatory-myopathy metastatic-disease myonecrosis myositis osteomyelitis
MRI Upper extremity (joint)	Elbow, Shoulder, Wrist	Arthritis, Articular cartilage injury, Dislocation, Fracture, Joint effusion, Joint pain (specify joint), Labral injury/tear, Ligament injury/tear, Loose bodies, Muscle athrophy, Muscle injury/tear, Osteochondritis dissecans (OCD), Osteonechrosis/AVN, Tendnopathy, Tendon injury/tear, Trauma	No	MRI	73221	Without contrast. Indicate Right or Left and body part.	mri	elbow shoulder wrist	arthritis articular-cartilage-injury dislocation fracture joint-effusion joint-pain-specify-joint labral-injury-tear ligament-injury-tear loose-bodies muscle-athrophy muscle-injury-tear osteochondritis-dissecans-ocd osteonechrosis-avn tendnopathy tendon-injury-tear trauma
MRI Upper extremity (non joint)	Arms, Finger, Hand	Fracture, Muscle tendon injury, Osseous metastatic disease, Osteomyelitis, Osteonechrosis, Trauma	No	MRI	73218	Without contrast. Indicate Right or Left and body part. - For further evalution, complete with contrast.	mri	arms finger hand	fracture muscle-tendon-injury osseous-metastatic-disease osteomyelitis osteonechrosis trauma
MRI Upper extremity (joint)	Elbow, Shoulder, Wrist	Cancer, Infection, Inflammatory arthropathy, Joint effusion, Metastatic disease, Osteomyelitis, Septic arthritis, Soft tissue abscess, Tumor, Vascular malformation	No, Yes	MRI	73223	Without and with contrast. Indicate Right or Left and body part.	mri	elbow shoulder wrist	cancer infection inflammatory-arthropathy joint-effusion metastatic-disease osteomyelitis septic-arthritis soft-tissue-abscess tumor vascular-malformation
MRI Lower extremity	Foot, Leg	Fracture, Muscle/tendon injury, Osseous metastatic disease, Osteomyelitis, Trauma	No	MRI	73718	Without contrast. Indicate Right or Left and body part. - For additional evalution, add contrast.	mri	foot leg	fracture muscle-tendon-injury-2 osseous-metastatic-disease osteomyelitis trauma
MRI Lower extremity (non joint)	Foot, Leg	Abscess, Autoimmune myositis/myopathy, Cancer, Infection, Inflammatory myopathy, Metastatic disease, Myonecrosis, Myositis, Osteomyelitis, Tumor	No, Yes	MRI	73720	Without and with contrast. Indicate Right or Left and body part.	mri	foot leg	abscess autoimmune-myositis-myopathy cancer infection inflammatory-myopathy metastatic-disease myonecrosis myositis osteomyelitis tumor
MRI Lower extremity (joint)	Ankle, Hips, Knees, Toe	Cancer, Infection, Inflammatory arthropathy, Joint effusion, Metastatic disease, Osteomyelitis, Septic arthritis, Soft tissue abscess, Tumor, Vascular malformation	No, Yes	MRI	73723	Without and with contrast. Indicate Right or Left and body part.	mri	ankle hips knees toe	cancer infection inflammatory-arthropathy joint-effusion metastatic-disease osteomyelitis septic-arthritis soft-tissue-abscess tumor vascular-malformation
MRI Lower extremity (joint)	Ankle, Hips, Knees, Toe	Arthritis, Articular cartilage injury, Dislocation, Fracture, Joint effusion, Joint pain (specify joint), Labral injury/tear, Ligament injury/tear, Loose bodies, Meniscal injury/tear, Muscle athrophy, Muscle injury/tear, Osteochondritis dissecans (OCD), Osteonechrosis/AVN, Tendnopathy, Tendon injury/tear, Trauma	No	MRI	73721	Without contrast. Indicate Right or Left and body part.	mri	ankle hips knees toe	arthritis articular-cartilage-injury dislocation fracture joint-effusion joint-pain-specify-joint labral-injury-tear ligament-injury-tear loose-bodies meniscal-injury-tear muscle-athrophy muscle-injury-tear osteochondritis-dissecans-ocd osteonechrosis-avn tendnopathy tendon-injury-tear trauma
MRI Coccyx, MRI Sacrum, MRI SI joints	Sacrum/Coccyx or SI Joints	Arthritis, Fracture	No	MRI	72195	Without contrast	mri	sacrum-coccyx-or-si-joints	arthritis fracture
MRA abdomen, MRI abdomen	Liver or Renal Transplant	Pre-kidney transplant, Pre-liver transplant, Renal mass-evaluation/Pre-op	Yes	MRI	74183, 74185	MRA abdomen without contrast & MRI abdomen without and with contrast	mri	liver-or-renal-transplant	pre-kidney-transplant pre-liver-transplant renal-mass-evaluation-pre-op
MRA Head, MRA Neck	MRA Head, MRA Neck	Bruit, Cartoid stenosis, CVA/TIA/Stroke, Dissection, Vertebral stenosis, Vertebrobasilar Insufficiency	Yes	MRI	70544, 70548	MRA Head without contrast & MRA Neck with contrast Vertebral stenosis (if CTA not possible)	mri	mra-head mra-neck	bruit cartoid-stenosis cva-tia-stroke dissection vertebral-stenosis vertebrobasilar-insufficiency
MRI Lower extremity (joint)	Ankle, Hips, Knees, Toe	Arthritis, Articular cartilage injury, Joint pain (specify joint), Labral injury/tear, Ligament injury/tear, Loose bodies, Meniscal injury/tear, Muscle injury/tear, Osteochondritis dissecans (OCD), Tendon injury/tear, Trauma	Yes	MRI	73722	With contrast. Indicate Right/Left or bilateral.	mri	ankle hips knees toe	arthritis articular-cartilage-injury joint-pain-specify-joint labral-injury-tear ligament-injury-tear loose-bodies meniscal-injury-tear muscle-injury-tear osteochondritis-dissecans-ocd tendon-injury-tear trauma
PET / CT Whole Body	Whole Body	Cutaneous Lymphoma, Melanoma, Merkel cell carcinoma, Myeloma, Sarcoma	N/A		78816			whole-body	cutaneous-lymphoma melanoma merkel-cell-carcinoma myeloma sarcoma
PET / CT Vertex to Mid-Thigh	Vertex (Top of Head) to Mid-Thigh	All other types of cancer	N/A		78815			vertex-top-of-head-to-mid-thigh	all-other-types-of-cancer
PET / CT Vertex to Mid-Thigh	Vertex (Top of Head) to Mid-Thigh	Metastatic disease of brain	N/A		78608			vertex-top-of-head-to-mid-thigh	metastatic-disease-of-brain
PET / CT Vertex to Mid-Thigh	Vertex (Top of Head) to Mid-Thigh	Myocardium (Cannot do if patient is diabetic)	N/A		78459			vertex-top-of-head-to-mid-thigh	myocardium-cannot-do-if-patient-is-diabetic
PET / CT Bone Scan	Whole Body	Metastatic bone cancer lesions or disease (Sodium fluoride PET bone scans are not covered by insurance)	N/A		78816			whole-body	metastatic-bone-cancer-lesions-or-disease-sodium-fluoride-pet-bone-scans-are-not-covered-by-insurance
PET / CT Vertex to Mid-Thigh	Vertex (Top of Head) to Mid-Thigh	Prostate cancer post treatments & rising PSA	N/A		78815			vertex-top-of-head-to-mid-thigh	prostate-cancer-post-treatments-rising-psa
PET / CT Vertex to Mid-Thigh	Vertex (Top of Head) to Mid-Thigh	Neuroendocrine tumors	N/A		78815			vertex-top-of-head-to-mid-thigh	neuroendocrine-tumors
DEXA	Hips and Spine Bones	Early surgical menopause, Follow-up treatment for prevention/monitoring of osteoporosis, Long-term current use of other medication, Long-term current use of steroid treatment, Post menopause, Vertebral abnormalities	No	DEXA	77080, Spine (axial skeleton)		dexa	hips-and-spine-bones	early-surgical-menopause follow-up-treatment-for-prevention-monitoring-of-osteoporosis long-term-current-use-of-other-medication long-term-current-use-of-steroid-treatment post-menopause vertebral-abnormalities
DEXA + VFA	Hips and Spine Bones	Vertebral fracture assessment and DEXA	No	DEXA	77085		dexa	hips-and-spine-bones	vertebral-fracture-assessment-and-dexa
DEXA (VFA)	Hips and Spine Bones	Vertebral fracture assessment only	No	DEXA	77086		dexa	hips-and-spine-bones	vertebral-fracture-assessment-only
DEXA (BCS)	Hips and Spine Bones	Body composition study	No	DEXA	76499		dexa	hips-and-spine-bones	body-composition-study
Ultrasound Bilateral Carotid Duplex	Carotid Arteries	Amaurosis fugax, Arterial vascular disease, Ataxia HTN, Hyperlipidemia, Stenosis, Stroke, TIA	N/A	Ultrasound	93880		ultrasound	carotid-arteries	amaurosis-fugax arterial-vascular-disease ataxia-htn hyperlipidemia stenosis stroke tia
Ultrasound Thyroid	Thyroid	Enlarged thyroid/Fullness, Goiter, Hypo-/Hyper-thyroid, Nodules, Thyroiditis	N/A	Ultrasound	76536		ultrasound	thyroid	enlarged-thyroid-fullness goiter hypo-hyper-thyroid nodules thyroiditis
Upper Extremity Venous Duplex/Doppler	Upper extremity vasculature	Deep vein thrombosis, Redness, Upper extremity Swelling/Pain	N/A	Ultrasound	93970, 93971	(Specify Left/ Right or Bilateral with indication for each)	ultrasound	upper-extremity-vasculature	deep-vein-thrombosis redness upper-extremity-swelling-pain
Shoulder Ultrasound	Shoulder	Arthritis, Bicep Tendon, Foreign Body, Ganglion cyst, Rotator cuff tear, Tendinosis/Tear	N/A	Ultrasound	76881	Specify Left/Right/Bilateral	ultrasound	shoulder	arthritis bicep-tendon foreign-body ganglion-cyst rotator-cuff-tear tendinosis-tear
Abdominal duplex ultrasound	Liver	Liver transplant, Portal HTN, Portal venous thrombosis, TIPS	N/A	Ultrasound	93975		ultrasound	liver	liver-transplant portal-htn portal-venous-thrombosis tips
Aorta duplex Ultrasound	Aorta & Iliacs	AAA (Abdominal aortic aneurysm), Abdominal bruit/Pulsitile mass, Aortic dissection	N/A	Ultrasound	93978	Not screening AAA for Medicare	ultrasound	aorta-iliacs	aaa-abdominal-aortic-aneurysm abdominal-bruit-pulsitile-mass aortic-dissection
Ultrasound Doppler Pelvis Limited	Groin, Pelvic wall	Inguinal hernia	N/A	Ultrasound	76857		ultrasound	groin pelvic-wall	inguinal-hernia
Lower extremity Venous Duplex/Doppler	Lower extremity vasculature	Deep vein thrombosis, Redness, Upper extremity Swelling/Pain	N/A	Ultrasound	93970, 93971	(Specify Left/ Right or Bilateral with indication for each)	ultrasound	lower-extremity-vasculature	deep-vein-thrombosis redness upper-extremity-swelling-pain
Soft Tissue Ultrasound	Leg	Bump, Cyst, Lipoma, Mass, Palpable lump	N/A	Ultrasound	76881	Specify Left/ Right	ultrasound	leg	bump cyst lipoma mass palpable-lump
Knee Ultrasound	Knees	Arthritis, Baker Cyst, Foreign Body, Ganglion cyst, Palpable abnormality, Quadriceps/Patellar Tendinosis or Tear	N/A	Ultrasound	76882	Specify Left/Right/Bilateral	ultrasound	knees	arthritis baker-cyst foreign-body ganglion-cyst palpable-abnormality quadriceps-patellar-tendinosis-or-tear
Venous Duplex/Doppler	Venous Doppler Upper or Lower Extremity For extremity lumps and bumps see Soft Tissue Ultrasound	Deep vein thrombosis, Redness, Swelling/Pain, Upper and Lower Extremity	N/A	Ultrasound	93970, 93971	(specify upper or lower and bilateral, right, or left with indication for each)	ultrasound	venous-doppler-upper-or-lower-extremity-for-extremity-lumps-and-bumps-see-soft-tissue-ultrasound	deep-vein-thrombosis redness swelling-pain upper-and-lower-extremity
Skull 1-3 Views	Skull	VP Shunt	N/A	X-Ray	70250		x-ray	skull	vp-shunt
Skull Minimum 4 Views	Head	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70260		x-ray	head	bone-joint-injury-or-issue fracture
Orbits Minimum 4 Views	Orbits/Eyes	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70200		x-ray	orbits-eyes	bone-joint-injury-or-issue fracture
Sinuses Paranasal < 3 Views	Nose, Sinus	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70210		x-ray	nose sinus	bone-joint-injury-or-issue fracture
Sinuses Paranasal Minimum 3 Views	Nose, Sinus	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70220		x-ray	nose sinus	bone-joint-injury-or-issue fracture
Screening Orbits (Pre-MRI)	Orbits/Eyes	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70030		x-ray	orbits-eyes	bone-joint-injury-or-issue fracture
Facial Bones < 3 Views	Facial Bones	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70140		x-ray	facial-bones	bone-joint-injury-or-issue fracture
Facial Bones Minimum 3 Views	Facial Bones	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70150		x-ray	facial-bones	bone-joint-injury-or-issue fracture
Nasal Bones Minimum 3 Views	Nose	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70160		x-ray	nose	bone-joint-injury-or-issue fracture
Mandible 1-3 Views	Mandible	Abscess, Trauma	N/A	X-Ray	70100		x-ray	mandible-4-views-2	abscess trauma
Mandible 4 Views	Mandible	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	70110		x-ray	mandible-4-views-2	bone-joint-injury-or-issue fracture
Neck For Soft Tissue	Neck Soft Tissue (Not for Cervical Spine)	Foreign Body, Stridor	N/A	X-Ray	70360		x-ray	neck-soft-tissue-not-for-cervical-spine	foreign-body stridor
C-Spine 2 or 3 Views	Cervical Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72040		x-ray	cervical-spine	bone-joint-injury-or-issue fracture
C-Spine Minimum 4-5 Views	Cervical Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72050		x-ray	cervical-spine	bone-joint-injury-or-issue fracture
C-Spine Complete 6 or More Views	Cervical Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72052		x-ray	cervical-spine	bone-joint-injury-or-issue fracture
T-Spine 2 Views	Spine, Thoracic Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72070		x-ray	spine thoracic-spine	bone-joint-injury-or-issue fracture
T-Spine 3 Views	Spine, Thoracic Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72072		x-ray	spine thoracic-spine	bone-joint-injury-or-issue fracture
T-Spine 4 Views	Spine, Thoracic Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72074		x-ray	spine thoracic-spine	bone-joint-injury-or-issue fracture
L/S-Spine 2 or 3 Views	Lumbar spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72100		x-ray	lumbar-spine	bone-joint-injury-or-issue fracture
L/S-Spine Minimum 4 Views	Lumbar spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72110		x-ray	lumbar-spine	bone-joint-injury-or-issue fracture
L/S-Spine Complete with Bending Views (Minimum 6 Views)	Lumbar spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72114		x-ray	lumbar-spine	bone-joint-injury-or-issue fracture
Thoracolumbar Junction (Minimum 2 Views)	Sacrum/Coccyx or SI Joints, Thoracic Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72080		x-ray	sacrum-coccyx-or-si-joints thoracic-spine	bone-joint-injury-or-issue fracture
Spine - Entire Thoracic and Lumbar, including Skull, Cervical and Sacral (if performed) - 1 View	Head, Neck, Spine	Pain, Scoliosis	N/A	X-Ray	72081		x-ray	head neck spine	pain scoliosis
Spine - Entire Thoracic and Lumbar, including Skull, Cervical and Sacral (if performed) - 2 or 3 Views	Cervical Spine, Head, Lumbar spine, Spine, Thoracic Spine	Bone/Joint Injury or Issue, Fracture, Scoliosis Evaluation	N/A	X-Ray	72082		x-ray	cervical-spine head lumbar-spine spine thoracic-spine	bone-joint-injury-or-issue fracture scoliosis-evaluation
Spine - Entire Thoracic and Lumbar, including Skull, Cervical and Sacral (if performed) - 4 or 5 Views	Cervical Spine, Head, Lumbar spine, Neck, Spine, Thoracic Spine	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72083		x-ray	cervical-spine head lumbar-spine neck spine thoracic-spine	bone-joint-injury-or-issue fracture
Spine – Entire Thoracic and Lumbar, including Skull, Cervical and Sacral (if performed) – Minimum 6 Views	Cervical Spine, Head, Lumbar spine, Spine, Thoracic Spine	Bone/Joint Injury or Issue, Fracture, Scoliosis Evaluation	N/A	X-Ray	72084		x-ray	cervical-spine head lumbar-spine spine thoracic-spine	bone-joint-injury-or-issue fracture scoliosis-evaluation
Chest - 1 View	Chest, Chest and Lungs, Lungs, Ribs	Bone/Joint Injury or Issue, Fracture, Lung Function	N/A	X-Ray	71045		x-ray	chest chest-and-lungs lungs ribs	bone-joint-injury-or-issue fracture lung-function
Chest - 2 Views	Chest, Chest and Lungs, Lungs, Ribs	Bone/Joint Injury or Issue, Fracture, Lung Function, Lung nodules	N/A	X-Ray	71046		x-ray	chest chest-and-lungs lungs ribs	bone-joint-injury-or-issue fracture lung-function lung-nodules
Chest - 3 Views	Chest, Chest and Lungs, Lungs, Ribs	Bone/Joint Injury or Issue, Fracture, Lung Function, Lung nodules	N/A	X-Ray	71047		x-ray	chest chest-and-lungs lungs ribs	bone-joint-injury-or-issue fracture lung-function lung-nodules
Ribs Bilateral 3 Views	Ribs	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	71110		x-ray	ribs	bone-joint-injury-or-issue fracture
Ribs Unilateral 2 Views	Ribs	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	71100		x-ray	ribs	bone-joint-injury-or-issue fracture
Ribs Unilateral 2 Views with Chest 1 View	Ribs	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	71101		x-ray	ribs	bone-joint-injury-or-issue fracture
Sternum Minimum 2 Views	Sternoclavicular Joints		N/A	X-Ray	71120		x-ray	sternoclavicular-joints
Sternoclavicular Joints 3 Views	Sternoclavicular Joints	Bone/Joint Injury or Issue, Dislocation, Fracture	N/A	X-Ray	71130		x-ray	sternoclavicular-joints	bone-joint-injury-or-issue dislocation fracture
Shoulder 2 Views	Shoulder	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73030		x-ray	shoulder	bone-joint-injury-or-issue fracture
Shoulder 1 View	Shoulder	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73020		x-ray	shoulder	bone-joint-injury-or-issue fracture
Acromioclavicular Joints Bilateral	Acromioclavicular Joints Bilateral, Upper Extremities	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73050		x-ray	acromioclavicular-joints-bilateral upper-extremities	bone-joint-injury-or-issue fracture
Clavicle Complete	Collar Bone	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73000		x-ray	collar-bone	bone-joint-injury-or-issue fracture
Scapula Complete	Scapula, Shoulder	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73010		x-ray	scapula shoulder	bone-joint-injury-or-issue fracture
Humerus Minimum 2 Views	Arms	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73060		x-ray	arms	bone-joint-injury-or-issue fracture
Elbow Minimum 3 Views	Elbow	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73080		x-ray	elbow	bone-joint-injury-or-issue fracture
Elbow 2 Views	Elbow	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73070		x-ray	elbow	bone-joint-injury-or-issue fracture
Forearm 2 Views	Forearms	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73090		x-ray	forearms	bone-joint-injury-or-issue fracture
Wrist 2 Views	Wrist	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73100		x-ray	wrist	bone-joint-injury-or-issue fracture
Hand 2 Views	Hand	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73120		x-ray	hand	bone-joint-injury-or-issue fracture
Finger(s) Minimum 2 Views	Finger	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73140		x-ray	finger	bone-joint-injury-or-issue fracture
Lower Extremity Xray Infant	Lower Extremity Infant (up to 364 days old) 2+ Views		N/A	X-Ray	73092		x-ray	lower-extremity-infant-up-to-364-days-old-2-views
Abdomen 1 View	Abdomen	Abdominal pain	N/A	X-Ray	74018		x-ray	abdomen	abdominal-pain
Abdomen 2 Views	Abdomen	Abdominal pain	N/A	X-Ray	74019		x-ray	abdomen	abdominal-pain
Abdomen 3 or More Views	Abdomen	Abdominal pain	N/A	X-Ray	74021		x-ray	abdomen	abdominal-pain
Acute Abdomen Series + PA CXR 3 Views	Abdomen	Abdominal pain	N/A	X-Ray	74022		x-ray	abdomen	abdominal-pain
Pelvis 1 or 2 Views	Hips, Pelvis	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72170		x-ray	hips pelvis	bone-joint-injury-or-issue fracture
Pelvis Minimum 3 Views	Hips, Pelvis	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72190		x-ray	hips pelvis	bone-joint-injury-or-issue fracture
Hip, Unilateral, with Pelvis - 1 View	Hips, Pelvis	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73501		x-ray	hips pelvis	bone-joint-injury-or-issue fracture
Hip, Unilateral, with Pelvis - 2 or 3 Views	Hips, Pelvis	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73502		x-ray	hips pelvis	bone-joint-injury-or-issue fracture
Hips, Unilateral, with Pelvis - Minimum 4 Views	Hips, Pelvis	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73503		x-ray	hips pelvis	bone-joint-injury-or-issue fracture
Hips, Bilateral, with Pelvis – 2 Views	Hips, Pelvis		N/A	X-Ray	73521		x-ray	hips pelvis
Hips, Bilateral, with Pelvis - Minimum 3-4 Views	Hips, Pelvis	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73522		x-ray	hips pelvis	bone-joint-injury-or-issue fracture
Hips, Bilateral, with Pelvis - Minimum 5 Views	Hips, Pelvis	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73523		x-ray	hips pelvis	bone-joint-injury-or-issue fracture
Sacrum & Coccyx Minimum 2 Views	Sacrum/Coccyx or SI Joints	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72220		x-ray	sacrum-coccyx-or-si-joints	bone-joint-injury-or-issue fracture
Sacroiliac Joints 3+ Views	Hips	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	72202		x-ray	hips	bone-joint-injury-or-issue fracture
Femur - 1 View	Femurs	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73551		x-ray	femurs	bone-joint-injury-or-issue fracture
Femur – 2 Views Minimum	Femurs	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73552		x-ray	femurs	bone-joint-injury-or-issue fracture
Knee 1 or 2 Views	Knees	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73560		x-ray	knees	bone-joint-injury-or-issue fracture
Knee 3 Views	Knees	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73562		x-ray	knees	bone-joint-injury-or-issue fracture
Knee 4 or More Views	Knees	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73564		x-ray	knees	bone-joint-injury-or-issue fracture
Both Knees Standing AP	Knees	Bone/Joint Injury or Issue, Fracture, Joint dysfunction, Joint pain (specify joint)	N/A	X-Ray	73565		x-ray	knees	bone-joint-injury-or-issue fracture joint-dysfunction joint-pain-specify-joint
Tibia & Fibula 2 Views	Tibia/Fibula	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73590		x-ray	tib-fib	bone-joint-injury-or-issue fracture
Ankle 2 Views	Ankle	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73600		x-ray	ankle	bone-joint-injury-or-issue fracture
Ankle Minimum 3 Views	Ankle	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73610		x-ray	ankle	bone-joint-injury-or-issue fracture
Foot Minimum 3 Views	Foot	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73630		x-ray	foot	bone-joint-injury-or-issue fracture
Calcaneus (Heel) Minimum 2 Views	Foot, Heel	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73650		x-ray	foot heel	bone-joint-injury-or-issue fracture
Toe(s) Minimum 2 Views	Toe	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73660		x-ray	toe	bone-joint-injury-or-issue fracture
Bone Age Studies	Bone Age	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	77072		x-ray	bone-age-studies	bone-joint-injury-or-issue fracture
Bone Survey Complete	Osseous Complete (Bone Survey)		N/A	X-Ray	77075		x-ray	osseous-complete-bone-survey
Screening Aorta Ultrasound Medicare Screening	Aorta	AAA (Abdominal aortic aneurysm)	N/A	Ultrasound	76706	AAA screening per Medicare	ultrasound	aorta	aaa-abdominal-aortic-aneurysm
CT Chest lung cancer screening	Lungs	Lung cancer screening (must meet criteria)	No	CT	71271 (*71250 - for short term followup exams of 3 or 6 month only)	Without contrast	ct	lungs	lung-cancer-screening-must-meet-criteria
			No		Additional lesion - 19082, Additional lesion - 19084, MRI guided biopsy - 19085, Stereotactic guided biopsy - 19081, Ultrasound guided biopsy - 19083	Right or Left
		Cystic mass or lesion(s)	No		19000, 19001 x number of additional cysts 76942, Multiple same side, Ultrasound guided single 19000, Ultrasound guided single 76942				cystic-mass-or-lesion-s
Foot 2 Views	Foot	Bone/Joint Injury or Issue, Fracture	N/A	X-Ray	73620		x-ray	foot	bone-joint-injury-or-issue fracture
MRI pelvis	Ovaries, Pelvis, Pelvis and Bladder, Uterus	Abcess or infection, Adenomyosis, Bone infection, Cyst, Endometriosis, Fibroid/Osteomyelitis, Infection, Inguinal hernia, Mass, Mets, Osteomyelitis/Syrinx, Ovarian cysts, Septic arthritis, Tumor, Urethral diverticulum	Yes	MRI	72197	with and without contrast	mri	ovaries pelvis pelvis-and-bladder uterus	abcess-or-infection adenomyosis bone-infection cyst endometriosis fibroid-osteomyelitis infection inguinal-hernia mass mets osteomyelitis-syrinx ovarian-cysts septic-arthritis tumor urethral-diverticulum
Screening Mammogram with Tomosynthesis 3D	Breast	Screening Mammography Bilateral	N/A	Screening Mammography	77062 - tomo, 77067		screening-mammography	breast	screening-mammography-bilateral
Screening Mammogram with Tomosynthesis Mastectomy 3D	Breast	Screening Mammogram Unilaterial Mastectomy	N/A	Screening Mammography	77063 - tomo, 77067-52		screening-mammography	breast	screening-mammogram-unilaterial-mastectomy
Diagnostic Mammogram with Tomosynthesis	Breast	New Lump, New Problem, Nipple Discharge/Inversion, Questionable Abcess, Recall	N/A	Diagnostic Mammography	77061 unilateral - tomo, 77062 bilateral - tomo, 77065 unilateral, 77066 bilateral	Annual or Short Term Follow-Up; Plus or minus ultrasound - 76642 unilateral limited	diagnostic-mammography	breast	new-lump new-problem nipple-discharge-inversion questionable-abcess recall
Male Diagnostic Mammogram with Tomosynthesis (25 yrs. or older)	Breast	New Lump, New Problem	N/A	Diagnostic Mammography	77062 - tomo, 77066 bilateral	Plus or minus ultrasound - 76642 unilateral limited	diagnostic-mammography	breast	new-lump new-problem
Male Diagnostic Mammogram with Tomosynthesis (Under 25 yrs.)	Breast	New Lump, New Problem	N/A	Diagnostic Mammography	76642 - unilateral	Ultrasound only	diagnostic-mammography	breast	new-lump new-problem
Stero Biopsy Includes Clip	Breast	Lump	N/A	Breast Procedures	19081, 19082 - Additional Lesion, 77065 - Post 2D Mamm Unilateral, 77066 - Post 2D Mamm Bilateral		breast-procedures	breast	lump
US Core Biopsy Includes Clip	Breast	Lump	N/A	Breast Procedures	19083, 19084 - Additional Lesion, 77065 - Post 2D Mamm Unilateral, 77066 - Post 2D Mamm Bilateral		breast-procedures	breast	lump
MRI Biopsy Includes Clip	Breast	Lump	N/A	Breast Procedures	19085, 19086 - Additional Lesion, 77065 - Post 2D Mamm Unilateral, 77066 - Post 2D Mamm Bilateral		breast-procedures	breast	lump
Seed/Saviscout Ultrasound	Breast	Tumor	N/A	Breast Procedures	19285, 19286 - Additional Lesion, 76098 - Speciman, 77065 - Post 2D Mamm Unilateral, 77066 - Post 2D Mamm Bilateral		breast-procedures	breast	tumor
Seed/Saviscout Mammogram	Breast	Tumor	N/A	Breast Procedures	19281, 19282 - Additional Lesion, 76098 - Speciman		breast-procedures	breast	tumor
CT Soft Tissue Neck	Neck	Stridor, Suspect foreign body	No	CT	70490	Without contrast	ct	neck	stridor suspect-foreign-body
MRI cervical spine	Cervical Spine	AVM, Cancer, Demyelinating disease, Discitis/Osteomyelitis, Epidural abscess, Epidural hematoma, Fracture, Infection, Ligament injury, Metastatic disease, Myelopathy/Syrinx, Paraspinal abscess, Prevertebral abscess, Spondylolisthesis, Trauma, Tumor, Vascular lesions, Vertebroplasty Planning (with history of malignancy/mets)	No, Yes	MRI	72156	With and without contrast	mri	cervical-spine	avm cancer demyelinating-disease discitis-osteomyelitis epidural-abscess epidural-hematoma fracture infection ligament-injury metastatic-disease myelopathy-syrinx paraspinal-abscess prevertebral-abscess spondylolisthesis trauma tumor vascular-lesions vertebroplasty-planning
MRI thoracic spine	Thoracic Spine	AVM, Cancer, Demyelinating disease, Discitis/Osteomyelitis, Epidural abscess, Epidural hematoma, Fracture, Infection, Ligament injury, Metastatic disease, Myelopathy/Syrinx, Paraspinal abscess, Prevertebral abscess, Spondylolisthesis, Trauma, Tumor, Vascular lesions, Vertebroplasty Planning (with history of malignancy/mets)	No, Yes	MRI	72157	With and without contrast	mri	thoracic-spine	avm cancer demyelinating-disease discitis-osteomyelitis epidural-abscess epidural-hematoma fracture infection ligament-injury metastatic-disease myelopathy-syrinx paraspinal-abscess prevertebral-abscess spondylolisthesis trauma tumor vascular-lesions vertebroplasty-planning
MRI lumbar spine	Lumbar spine	Cancer, Compression fractures, Discitis/Osteomyelitis, Infection, Mass, Mets, Post-op, Spinal chord evaluation or demyelination, Tumor, Vertebroplasty, Vertebroplasty Planning (with history of malignancy/mets)	No, Yes	MRI	72158	With and without contrast	mri	lumbar-spine	cancer compression-fractures discitis-osteomyelitis infection mass mets post-op spinal-chord-evaluation-or-demyelination tumor vertebroplasty vertebroplasty-planning
MRI Upper extremity (joint)	Elbow, Shoulder, Wrist	Arthritis, Articular cartilage injury, Joint pain (specify joint), Labral injury/tear, Ligament injury/tear, Loose bodies, Muscle injury/tear, Osteochondritis dissecans (OCD), Tendon injury/tear, Trauma	Yes	MRI	73222	With contrast. Indicate Right or Left and body part.	mri	elbow shoulder wrist	arthritis articular-cartilage-injury joint-pain-specify-joint labral-injury-tear ligament-injury-tear loose-bodies muscle-injury-tear osteochondritis-dissecans-ocd tendon-injury-tear trauma
MRI Orbit and Face and Neck	Brain, Face, Neck (soft tissue), Orbits/Eyes	Diplopia, Optic neuritis, Orbital mass	No	MRI	70540	Without contrast.	mri	brain face neck-soft-tissue orbits-eyes	diplopia optic-neuritis orbital-mass
MRA Head	Arterial/Venous Structures in Head	Aneurysm, CVA	Yes	MRI	70545	With contrast	mri	arterial-venous-structures-in-head	aneurysm cva
MRA Head	Arterial/Venous Structures in Head	Cartoid stenosis, CVA	No, Yes	MRI	70546	With and without contrast	mri	arterial-venous-structures-in-head	cartoid-stenosis cva
MRA Neck	Arterial/Venous Structures in Head	Cartoid stenosis, CVA	No	MRI	70547	WIthout contrast	mri	arterial-venous-structures-in-head	cartoid-stenosis cva
MRA Neck	Arterial/Venous Structures in Neck	Cartoid stenosis, CVA, Dissection	No, Yes	MRI	70549	With and without contrast	mri	arterial-venous-structures-in-neck	cartoid-stenosis cva dissection
MRI cervical spine	Abdomen, Cervical Spine	Cervcalgia, Multiple sclerosis, Spinal cord tumor	Yes	MRI	72142	With contrast	mri	abdomen cervical-spine	cervcalgia multiple-sclerosis spinal-cord-tumor
Temporomadibular Joints Bilateral	Joints of Jaw	TMK Pain	N/A	X-Ray	70330		x-ray	joints-of-jaw	tmk-pain
Ultrasound Intimia Media Thickness	Walls of carotid arteries	CAD, Cartoid stenosis	N/A	Ultrasound	93895		ultrasound	walls-of-carotid-arteries	cad cartoid-stenosis

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