current epic procedure name

1

kxm139

Stamp

NCH Radiology Procedure Name List CT Effective November 5, 2016

CURRENT EPIC PROCEDURE NAME

(Orderables)New with Epic Name (Orderables)

CPT Code Review

(Chargeables)

BRAIN/HEADBRAIN NO CONTRAST-CT CT Head without Contrast 70450

BRAIN CONTRAST - CT CT Head with Contrast 70460

BRAIN DUAL - CT CT Head without then with Contrast 70470

CT Angiography BRAIN CONTRAST CT Head Angiography with Contrast 70496

CT Head Angiography without then with Contrast 70496

CT Head Stealth with Contrast 70460

CT Head Stealth without Contrast 70450

CT Head Limited Low Dose without Contrast 70450-52

CT Head ECMO 70450

INNER EARINNER EAR NO CONTRAST - CT CT Temporal Bones without Contrast 70480

INNER EAR CONTRAST - CT CT Temporal Bones with Contrast 70481




CPT Code Review

(Chargeables)

INNER EAR DUAL - CT CT Temporal Bones with Contrast 70482

FACIAL/SINUSESORBITS NO CONTRAST - CT CT Orbits without Contrast 70480

ORBITS CONTRAST - CT CT Orbits with Contrast 70481

ORBITS DUAL - CT CT Orbits without Contrast 70482

SINUSES NO CONTRAST - CT CT Sinuses without Contrast 70486

CT Sinuses Stealth without Contrast 70486

SINUSES CONTRAST - CT CT Sinuses with Contrast 70487

CT Sinuses Stealth with Contrast 70487

FACIAL BONES NO CONTRAST - CT CT Face without Contrast 70486

FACIAL BONES CONTRAST - CT CT Face with Contrast 70487

FACIAL BONES DUAL - CT CT Face with Contrast 70488




CPT Code Review

(Chargeables)

NECK/C-SPINE

NECK NO CONTRAST - CT CT Neck without Contrast 70490

NECK CONTRAST - CT CT Neck with Contrast 70491

CT Angiography NECK CONTRAST CT Neck Angiography with Contrast 70498

C-SPINE NO CONTRAST - CT CT Spine Cervical without Contrast 72125

C-SPINE CONTRAST - CT CT Spine Cervical with Contrast 72126

CT Spine Cervical Dynamic Without Contrast 72125

CHEST/NECK CONTRAST - CT CT Neck Chest with Contrast70491

71260

CHEST/CARDIACCHEST NO CONTRAST - CT CT Chest without Contrast 71250

CHEST CONTRAST - CT CT Chest with Contrast 71260

CT Angiography CHEST CT Chest Angiography Contrast 71275




CPT Code Review

(Chargeables)

CT Chest Cardiac Anatomy 75572

CT Chest Cardiac CHD Function 75573

CT Chest Cardiac Function 75574

CT Chest with Dynamic Airway 71250

BACK/SPINETHORACIC SPINE NO CONTRAST - CT CT Spine Thoracic without Contrast 72128

THORACIC SPINE CONTRAST - CT CT Spine Thoracic with Contrast 72129

LUMBAR SPINE NO CONTRAST - CT CT Spine Lumbar without Contrast 72131

LUMBAR SPINE CONTRAST - CT CT Spine Lumbar with Contrast 72132

CT Lumbar Bone Density 77078




CPT Code Review

(Chargeables)

SPINE COMBOS

CT Spine Cervical Thoracic without Contrast72125

72128

CT Spine Cervical Thoracic Lumbar without Contrast

72125

72128

72131

CT Spine Cervical Thoracic with Contrast72126

72129

CT Spine Cervical Thoracic Lumbar with Contrast

72126

72129

72132

CT Spine Thoracic Lumbar with Contrast 72129 & 72132

CT Spine Thoracic Lumbar without Contrast 72128 & 72131




CPT Code Review

(Chargeables)

PELVIS/HIPCT Angiography PELVIS CT Pelvis Angiography 72191

PELVIS NO CONTRAST - CT CT Pelvis without Contrast 72192

PELVIS (IV ONLY) - CT CT Pelvis with IV Contrast 72191

PELVIS (ORAL ONLY) - CT CT Pelvis Oral Contrast Only 72192

PELVIS (ORAL-IV) - CT CT Pelvis with IV and Oral Contrast 72193

CT Hip Right without Contrast 73700

CT Hip Left without Contrast 73700

CT Hip Bilateral without Contrast 73700-50

CT Hip Left with Contrast 73701

CT Hip Right with Contrast 73701

CT Hip Bilateral with Contrast 73701-50




CPT Code Review

(Chargeables)

UPPER EXT

CT Upper Extremity Angiography Left with Contrast 73206

CT Upper Extremity Angiography Right with Contrast 73206

CT Upper Extremity Angiography Bilateral with Contrast 73206-50

SHOULDERCT Shoulder Left without Contrast 73200

CT Shoulder Right without Contrast 73200

CT Shoulder Bilateral without Contrast 73200-50

CT Shoulder Left with Contrast 73201

CT Shoulder Right with Contrast 73201

CT Shoulder Bilateral with Contrast 73201-50




CPT Code Review

(Chargeables)

HUMERUS/ELBOW

CT Humerus Left without Contrast 73200

CT Humerus Right without Contrast 73200

CT Humerus Bilateral without Contrast 73200-50

CT Humerus Left with Contrast 73201

CT Humerus Right with Contrast 73201

CT Humerus Bilateral with Contrast 73201-50

CT Elbow Left without Contrast 73200

CT Elbow Right without Contrast 73200

CT Elbow Bilateral without Contrast 73200-50

CT Elbow Left with Contrast 73201

CT Elbow Right with Contrast 73201

CT Elbow Bilateral with Contrast 73201-50




CPT Code Review

(Chargeables)

CT Forearm Left without Contrast 73200

CT Forearm Right without Contrast 73200

CT Forearm Bilateral without Contrast 73200-50

CT Forearm Left with Contrast 73201

CT Forearm Right with Contrast 73201

CT Forearm Bilateral with Contrast 73201-50

CT Wrist Left without Contrast 73200

CT Wrist Right without Contrast 73200

CT Wrist Bilateral without Contrast 73200-50

CT Wrist Bilateral Dynamic without Contrast 73200

FOREARM/WRIST/HAND




CPT Code Review

(Chargeables)

CT Wrist Left with Contrast 73201

CT Wrist Right with Contrast 73201

CT Wrist Bilateral with Contrast 73201-50

CT Hand Left without Contrast 73200

CT Hand Right without Contrast 73200

CT Hand Bilateral without Contrast 73200-50

CT Hand Left with Contrast 73201

CT Hand Right with Contrast 73201

CT Hand Bilateral with Contrast 73201-50




CPT Code Review

(Chargeables)

LOWER EXTCT Lower Extremity Angiography Left with Contrast 73706

CT Lower Extremity Angiography Right with Contrast 73706

CT Lower Extremity Angiography Bilateral with Contrast 73706-50

THIGH/KNEECT Thigh Left without Contrast 73700

CT Thigh Right without Contrast 73700

CT Thigh Bilateral without Contrast 73700-50

CT Knee Left without Contrast 73700

CT Knee Right without Contrast 73700

CT Knee Bilateral without Contrast 73700-50

CT Thigh Left with Contrast 73701

CT Thigh Right with Contrast 73701




CPT Code Review

(Chargeables)

CT Thigh Bilateral with Contrast 73701-50

CT Knee Left with Contrast 73701

CT Knee Right with Contrast 73701

CT Knee Bilateral with Contrast 73701-50

ANKLE/FOOTCT Ankle Left without Contrast 73700

CT Ankle Right without Contrast 73700

CT Ankle Bilateral without Contrast 73700-50

CT Ankle Left with Contrast 73701

CT Ankle Right with Contrast 73701

CT Ankle Bilateral with Contrast 73701-50

CT Foot Left without Contrast 73700

CT Foot Right without Contrast 73700




CPT Code Review

(Chargeables)

CT Foot Bilateral without Contrast 73700-50

CT Foot Left with Contrast 73701

CT Foot Right with Contrast 73701

CT Foot Bilateral with Contrast 73701-50

ABDOMENAbdomen NO CONTRAST - CT CT Abdomen without Contrast 74150

Abdomen IV ONLY - CT CT Abdomen with IV Contrast 74160

Abdomen ORAL ONLY - CT CT Abdomen Oral Contrast Only 74150

Abdomen ORAL-IV - CT CT Abdomen with IV and Oral Contrast 74160

Abdomen DUAL - CT CT Abdomen without then with Contrast 74170

CT Angiography ABDOMEN CT Abdomen Angiography with Contrast 74175

CT Angiography RENAL ARTERIES CT Abdomen Angiography Renal with Contrast 74175

CT Abdomen Angiography Liver with Contrast 74175




CPT Code Review

(Chargeables)

ABD-PELVISAbdomen-PELVIS IV AND ORAL CONTRAST - CT CT Abdomen Pelvis without Contrast 74176

Abdomen-PELVIS NO CONTRAST CT CT Abdomen Pelvis Urinary Calculus without Contrast 74176

CT Abdomen Pelvis with IV Contrast 74177

Abdomen-PELVIS ORAL ONLY - CT CT Abdomen Pelvis Oral Contrast Only 74176

CT Abdomen Pelvis without then with Contrast 74178

CT Abdomen Pelvis Angiography with Contrast 74174

OTHERFLUID DRAINAGE - CT CT Fluid Drainage with Cath Placement 75989

CT CONSULTATION WITH REPORT CT Consult with Report Neuro 76140

BIOPSY - CT CT Biopsy with Needle 77012

COMPUTER RECONSTRUCTIONS - CT CT Computer Reconstructions76377

76376

GUIDED TISSUE ABLATION CT CT Guided Ablation Soft Tissue 77013

CT Guided Ablation Bone 76380




CPT Code Review

(Chargeables)

CT FOREIGN REFERENCE CT Foreign Reference NCH internal use

CT Consult with Report Body 76140

CT Tibia Fibula Left with Contrast 73701

CT Tibia Fibula Left without Contrast 73700

CT Tibia Fibula Right with Contrast 73701

CT Tibia Fibula Right without Contrast 73700

CT Tibia Fibula Bilateral with Contrast 73701-50

CT Tibia Fibula Bilateral without Contrast 73700-50

CT Abdomen Pelvis with IV and Oral Contrast 74177

CT Chest Cardiac CHD Anatomy 75573

CT Head Neck Angiography with Contrast 70496

CT Head Neck Angiography without then with Contrast 70498

CT Head Cone Beam NCH internal use




CPT Code Review

(Chargeables)

CT Head Craniofacial with Contrast 70487

CT Head Craniofacial without Contrast 70486

NCH Radiology Procedure Name List Fluoro Effective November 5, 2016


(Orderables)New Epic Name (Orderables)

CPT Code Review

(Chargeables)

GI-UpperESOPHAGRAM - FL FL Esophogram 74220

UGI - FL FL Upper GI 74240

***NEW FL Upper GI - Double Contrast 74246

***NEW FL Upper GI with Small Bowel Follow Through - Double Contrast 74249

UGI/SB - FL FL Upper GI with Small Bowel Follow Through 74245

ENTEROCLYSIS STUDY - FL FL Small Bowel Enteroclysis 74251

SMALL BOWEL ONLY - FL FL Small Bowel Follow Through 74250

LAP BAND ADJUSTMENT STUDY - FL FL Lap Band Adjustment with Contrast 74240

GI-Lower TractBAE - FL FL Enema with Contrast 74270

THERAPEUTIC ENEMA (INTUS REDUCTION) FL FL Enema Intussusception Therapeutic 74283

BAE W/AIR CONTRAST - FL FL Enema Double Contrast 74280

UrologyCYSTO W/FLUORO FL Voiding Cystourethrogram 74455

RETROGRADE URETHROGRAM - FL FL Retro Urethrogram 74450

NEW FL Voiding Cystourethrogram w/ Urodynamics 74455

NCH Radiology Procedure Name List Fluoro Effective November 5, 2016



CPT Code Review

(Chargeables)

OtherNG-TUBE PLACE/REPLACE - FL FL NG Tube Placement 74340

***NEW FL NG Tube Reposition 43761 & 76000

NJ TUBE PLACE/REPLACE - FL FL NJ Tube Placement 74340

***NEW FL NJ Tube Reposition 43761 & 76000

GJ TUBE PLACE/REPLACE - FL FL GJ Tube Placement 49450

***NEW FL GJ Tube Replacement 49452

FLUORO SCOUT FILM FL Scout 76000

VIDEO SWALLOWING STUDY - FL FL Video Swallow Study 74230

SPEECH STUDY - FL FL Velo - Palatine Speech Study 70371

VAGINOGRAM - FL FL Vaginogram 74775

FLUOROSCOPY ONLY - FL FL Fluoro Only 76000

FLUORO CONSULTATION WITH REPORT FL Consult with Report NCH internal use

FLUORO FOREIGN REFERENCE FL Foreign Reference NCH internal use

NCH Radiology Procedure Name List IR Effective November 5, 2016


(Orderables)New Epic Name (Clinical Orderables)

CPT Code Review

(Chargeables)

NECK/CAROTID

IR Biopsy Thyroid ConsultWait to code based on

documentation

CHEST/LUNG

IR Angio Head and Neck Consult Generic - Not coded

IR Angio Chest Consult Generic - Not coded

IR Pulmonary Bronchogram Consult Generic - Not coded

ABDOMEN IR Drainage Abdomen Consult Generic - not coded

IR GI Dilitation Consult Generic - not coded

IR Biopsy Liver Consult Generic - not coded

IR GI Dye Study Consult Generic - not coded

IR GI Biliary Intervention Consult Generic - not coded

IR GI Sialogram Consult Generic - not coded




CPT Code Review

(Chargeables)

IR GI Percutaneous Gastrostomy Tube Placement Consult Generic - not coded

IR GI Feeding Tube Placement Consult Generic - not coded

RENAL/UROLOGY IR Angio Dialysis Shunt Consult Generic - not coded

IR GU Nephrostomy Placement Consult Generic - not coded

IR GU Dye Study Consult Generic - not coded

IR GU Interventional Other Consult Generic - not coded

EXTREMITY

NON SPECIFIC IR Angio Extremity Consult Generic - not coded

IR Angio Abdomen and Pelvis Consult Generic - not coded

IR Angio Thrombolysis Consult Generic - not coded

IR Angio Infusion Other Consult Generic - not coded

Ir Angio Embolization Head and Neck Consult Generic - not coded




CPT Code Review

(Chargeables)

IR Angio Embolization Non Head and Neck Consult Generic - not coded

IR Angio Angioplasty Consult Generic - not coded

IR IVC Filter Place Percutaneous with Image Consult Generic - not coded

IR Angio Central Line Injection Consult Generic - not coded

IR Angio Vein Sampling Consult Generic - not coded

IR Angio Vascular FB Removal Consult Generic - not coded

IR Sclerotherapy Head and Neck Consult Generic - not coded

IR Sclerotherapy Other Consult Generic - not coded

IR Drainage Chest Consult Generic - not coded

IR Drainage Other Consult Generic - not coded

IR Arthrography Consult Generic - not coded

IR Myelogram Consult Generic - not coded

IR Biopsy Other Consult Generic - not coded

IR Soft Tissue Foreign Body Removal Consult Generic - not coded

IR Vascular Access PICC or CVL Placement Consult Generic - not coded




CPT Code Review

(Chargeables)

IR Vascular Access Tunneled Catheter Placement Consult Generic - not coded

IR Vascular Access Port Placement Consult Generic - not coded

IR Vascular Access Manipulate Vascular Catheter Consult Generic - not coded

NCH Radiology Procedure Name List MRI Effective November 5, 2016


(Orderable)New Epic Name (Clinical Orderables)

CPT Code Review

(Chargeables)

HEAD/SKULLTM JOINTS - MRI MR Head Temporomandibular Joint 70336

MR Head IAC Without Contrast 70540

MR Head IAC With Contrast 70542

MR Head IAC Without then with Contrast 70543

MR Head Angiography Arterial Without Contrast 70544

MR Head Angiography Venous Without Contrast 70544

MR Head Angiography Arterial With Contrast 70545

MR Head Angiography Venous With Contrast 70545

MR Head Angiography Arterial Without then with Contrast 70546

MR Head Angiography Venous Without the with Contrast 70546

LIMITED STUDY BRAIN - MRI MR Head Limited Ventricles 70551

BRAIN NO CONTRAST - MRI MR Head Without Contrast 70551

BRAIN CONTRAST - MRI MR Head With Contrast 70552

BRAIN DUAL - MRI MR Head Without then with Contrast 70553

MR FUNCTIONAL BRAIN NO PHYSICIAN MR Head Functional Without Physician 70554

MR FUNCTIONAL BRAIN PHYSICIAN MR Head Functional With Physician 70555




CPT Code Review

(Chargeables)

MR BRAIN NO CONTRAST - OR MR Head OR Without Contrast 70557

MR BRAIN CONTRAST - OR MR Head OR With Contrast 70558

MR BRAIN DUAL - OR MR Head OR Without then with Contrast 70559

MR SPECTROSCOPY MR Head Spectroscopy 76390

MR Head Neuronavigation With Contrast 70552

MR Head Pituitary With Contrast 70552

MR Head Pituitary Without Contrast 70551

MR Head Pituitary Without then with Contrast 70553

MR Head Stroke Without Contrast 70551

MR Head Seizure without Contrast 70551

MR Head Neuronavigation without Contrast 70551

MR Head Neuronavigation without then with Contrast 70553

FACIAL/SINUSESMR Head Face and Sinuses Without Contrast 70540

MR Head Face and Sinuses With Contrast 70542

MR Head Face and Sinuses Without then with Contrast 70543

MR Head Orbits Without Contrast 70540




CPT Code Review

(Chargeables)

MR Head Orbits With Contrast 70542

MR Head Orbits Without then with Contrast 70543

NECK/C-SPINENECK NO CONTRAST - MRI MR Neck Without Contrast 70540

NECK W/CONTRAST - MRI MR Neck With Contrast 70542

NECK DUAL - MRI MR Neck Without then with Contrast 70543

ANGIO NECK NO CONTRAST - MRI MR Neck Angiography Without Contrast 70547

ANGIO NECK W/CONTRAST - MRI MR Neck Angiography With Contrast 70548

ANGIO NECK DUAL - MRI MR Neck Angiography Without then with Contrast 70549

MR Neck Angiography Arterial With Contrast 70548

MR Neck Angiography Arterial Without Contrast 70547

MR Neck Angiography Arterial Without then with Contrast 70549

MR Neck Angiography Venous With Contrast 70548

MR Neck Angiography Venous Without Contrast 70547

MR Neck Angiography Venous Without then with Contrast 70549

MR Neck Brachial Plexus Left With Contrast 70542

MR Neck Brachial Plexus Left Without Contrast 70540

MR Neck Brachial Plexus Left Without then with Contrast 70543




CPT Code Review

(Chargeables)

MR Neck Brachial Plexus Right With Contrast 70542

MR Neck Brachial Plexus Right Without Contrast 70540

MR Neck Brachial Plexus Right Without then with Contrast 70543

CERVICAL SPINE NO CONTRAST - MRI MR Spine Cervical Without Contrast 72141

CERVICAL SPINE CONTRAST - MRI MR Spine Cervical With Contrast 72142

CERVICAL SPINE DUAL - MRI MR Spine Cervical Without then with Contrast 72156

CHEST/CARDIACCHEST NO CONTRAST - MRI MR Chest Without Contrast 71550

CHEST W/CONTRAST - MRI MR Chest With Contrast 71551

CHEST DUAL - MRI MR Chest Without then with Contrast 71552

MR Chest Ribs Without Contrast 71550

MR Chest Ribs Without then with Contrast 71552

MR Chest Sternum With Contrast 71551

MR Chest Sternum Without Contrast 71550

MR Chest Sternum Without then with Contrast 71552




CPT Code Review

(Chargeables)

MR Chest Thoracic Outlet Without Contrast 71550

MR Chest Thoracic Outlet Without then with Contrast 71552

MR Chest Angiography and Venography With or Without Contrast 71555

ANGIOGRAPHY CHEST - MRI MR Chest Angiography with Contrast 71555

CARDIAC MORPH NO CONTRAST - MRI MR Cardiac Morph without Contrast 75557

CARDIAC MORPH W/CONTRAST - MRI MR Cardiac Morph with Contrast 75561

MR Cardiac Angiogram Without then With Contrast 2/23/15 Needs to be with and also a

without and with contrast orderable add line for 75561 and 75561-52)75561

MR Cardiac Morphology & Function w/Stress Imaging Without Contrast in review

MR Cardiac Morphology & Function Without Contrast 75557

MR Cardiac Morphology & Function Without then with Contrast 75561

MR Cardiac Flow/Vel/Stress 75565

MR Cardiac Flow/Vel/Stress for Cardiomyopathy 75565




CPT Code Review

(Chargeables)

BACK/SPINE

THORACIC SPINE NO CONTRAST - MRI MR Spine Thoracic Without Contrast 72146

THORACIC SPINE CONTRAST - MRI MR Spine Thoracic With Contrast 72147

THORACIC SPINE DUAL - MRI MR Spine Thoracic Without then with Contrast 72157

LUMBAR SPINE NO CONTRAST - MRI MR Spine Lumbar Without Contrast 72148

LUMBAR SPINE CONTRAST - MRI MR Spine Lumbar With Contrast 72149

LUMBAR SPINE DUAL - MRI MR Spine Lumbar Without then with Contrast 72158

SPINE COMBOS

MR LIMITED CER/THO/LUM SPINE MR Spine Cervical and Thoracic and Lumbar Limited 72141 -52, 72146 -52,72148 -52

CERVICAL-THORACIC NO CONT - MRI MR Spine Cervical and Thoracic Without Contrast72141

72146

CERVICAL/THORACIC/LUMBAR SPINE NO

CONTRAST - MRIMR Spine Cervical and Thoracic and Lumbar Without Contrast

72141

72146

72148

CERVICAL-THORACIC CONTRAST - MRI MR Spine Cervical and Thoracic With Contrast72142

72147

CERVICAL/THORACIC/LUMBAR SPINE CONTRAST -

MRI MR Spine Cervical and Thoracic and Lumbar With Contrast

72142

72147

72149




CPT Code Review

(Chargeables)

THORACIC-LUMBAR NO CONT - MRI MR Spine Thoracic and Lumbar Without Contrast72146

72148

THORACIC-LUMBAR CONTRAST - MRI MR Spine Thoracic and Lumbar With Contrast 72147

72149

MR Spine Cervical and Thoracic Without then with Contrast

72156

72157

CERVICAL/THORACIC/LUMBAR SPINE DUAL - MRI MR Spine Cervical and Thoracic and Lumbar Without then with Contrast

72156

72157

72158

MR Spine Thoracic and Lumbar Without then with Contrast 72157

72158

PELVIS/HIPPELVIS-FETAL STUDY - MRI MR Pelvis Fetal Study Without Contrast 72195

MR LIMITED PELVIS MR Pelvis Limited 72195-52

PELVIS NO CONTRAST - MRI MR Pelvis Without Contrast 72195

PELVIS W/CONTRAST - MRI MR Pelvis With Contrast 72196

PELVIS DUAL - MRI MR Pelvis Without then with Contrast 72197

ANGIOGRAPHY PELVIS - MRI MR Angiography Pelvis 72198

MR Pelvis Angiography With Contrast 72198

MR Pelvis Angiography Without Contrast 72198




CPT Code Review

(Chargeables)

MR Pelvis Angiography Without then with Contrast 72198

MR Pelvis Appendix Without Contrast 72195-52

MR Sacroiliac Joints Without Contrast 72195

MR Sacroiliac Joints Without then with Contrast 72197

MR Sacroiliac Joints with Contrast 72196

MR Hip Left Without Contrast 73721

MR Hip Right Without Contrast 73721

MR Hips Limited Spica Without Contrast 73721-52

MR Hip Left With Contrast 73722

MR Hip Right With Contrast 73722

MR Hip Left Without then with Contrast 73723

MR Hip Right Without then with Contrast 73723

MR Hip Arthrogram Left With Contrast 73722

MR Hip Arthrogram Right With Contrast 73722

MR Urography Without Contrast 72195

MR Urography Without then with Contrast 72197




CPT Code Review

(Chargeables)

LOWER EXT

ANGIOGRAPHY LOWER EXT - MRI MR Lower Extremity Angiography Left with Contrast 73725

ANGIOGRAPHY LOWER EXT - MRI MR Lower Extremity Angiography Right with Contrast 73725

MR Lower Extremity Angiography Left without Contrast 73725

MR Lower Extremity Angiography Right without Contrast 73725

MR Lower Extremity Angiography Left with and without Contrast 73725

MR Lower Extremity Angiography Right with and without Contrast 73725

FEMUR/KNEEMR Femur Left Without Contrast 73718

MR Femur Right Without Contrast 73718

MR Femur Left With Contrast 73719

MR Femur Right With Contrast 73719

MR Femur Left Without then with Contrast 73720




CPT Code Review

(Chargeables)

MR Femur Right Without then with Contrast 73720

MR Knee Left Without Contrast 73721

MR Knee Right Without Contrast 73721

MR Knee Left With Contrast 73722

MR Knee Right With Contrast 73722

MR Knee Left Without then with Contrast 73723

MR Knee Right Without then with Contrast 73723

TIB-FIB/ANKLEMR Tibia and Fibula Left Without Contrast 73718

MR Tibia and Fibula Right Without Contrast 73718

MR Tibia and Fibula Left With Contrast 73719

MR Tibia and Fibula Right With Contrast 73719

MR Tibia and Fibula Left Without then with Contrast 73720

MR Tibia and Fibula Right Without then with Contrast 73720




CPT Code Review

(Chargeables)

MR Tibia and Fibula Bilateral without Contrast 73718-50

MR Ankle Left Without Contrast 73721

MR Ankle Right Without Contrast 73721

MR Ankle Left With Contrast 73722

MR Ankle Right With Contrast 73722

MR Ankle Left Without then with Contrast 73723

MR Ankle Right Without then with Contrast 73723

FOOT/TOESMR Foot Left Without Contrast 73718

MR Foot Right Without Contrast 73718

MR Foot Left With Contrast 73719

MR Foot Right With Contrast 73719

MR Foot Left Without then with Contrast 73720

MR Foot Right Without then with Contrast 73720

MR Toes Left Without Contrast 73721




CPT Code Review

(Chargeables)

MR Toes Right Without Contrast 73721

MR Toes Left With Contrast 73722

MR Toes Right With Contrast 73722

MR Toes Left Without then with Contrast 73723

MR Toes Right Without then with Contrast 73723

UPPER EXT

MR Upper Extremity Angiography Left With Contrast 73225

MR Upper Extremity Angiography Left Without Contrast 73225

MR Upper Extremity Angiography Left Without then with Contrast 73225

MR Upper Extremity Angiography Right With Contrast 73225

MR Upper Extremity Angiography Right Without Contrast 73225

MR Upper Extremity Angiography Right Without then with Contrast 73225

SHOULDER/ CLAVICLE

MR Shoulder Left Without Contrast 73221




CPT Code Review

(Chargeables)

MR Shoulder Right Without Contrast 73221

MR Shoulder Left With Contrast 73222

MR Shoulder Right With Contrast 73222

MR Shoulder Left Without then with Contrast 73223

MR Shoulder Right Without then with Contrast 73223

MR Shoulder Arthrogram Left With Contrast 73222

MR Shoulder Arthrogram Right With Contrast 73222

MR Shoulder Bilateral Without Contrast 73221-50

MR Shoulder Bilateral Brachial Plexus with Contrast 73222-50

MR Shoulder Bilateral Brachial Plexus without then with Contrast 73223-50

MR Shoulder Bilateral Brachial Plexus without Contrast 73221-50

MR Clavicle Left With Contrast 73219

MR Clavicle Left Without Contrast 73218

MR Clavicle Left Without then with Contrast 73220

MR Clavicle Right With Contrast 73219




CPT Code Review

(Chargeables)

MR Clavicle Right Without Contrast 73218

MR Clavicle Right Without then with Contrast 73220

HUMERUS/ ELBOW

MR Humerus Left Without Contrast 73218

MR Humerus Right Without Contrast 73218

MR Humerus Left With Contrast 73219

MR Humerus Right With Contrast 73219

MR Humerus Left Without then with Contrast 73220

MR Humerus Right Without then with Contrast 73220

MR Elbow Left Without Contrast 73221

MR Elbow Right Without Contrast 73221

MR Elbow Left With Contrast 73222

MR Elbow Right With Contrast 73222

MR Elbow Left Without then with Contrast 73223




CPT Code Review

(Chargeables)

MR Elbow Right Without then with Contrast 73223

MR Elbow Arthrogram Left With Contrast 73222

MR Elbow Arthrogram Right With Contrast 73222

FOREARM/ WRIST

MR Forearm Left Without Contrast 73218

MR Forearm Right Without Contrast 73218

MR Forearm Left With Contrast 73219

MR Forearm Right With Contrast 73219

MR Forearm Left Without then with Contrast 73220

MR Forearm Right Without then with Contrast 73220

MR Wrist Left Without Contrast 73221

MR Wrist Right Without Contrast 73221

MR Wrist Left With Contrast 73222




CPT Code Review

(Chargeables)

MR Wrist Right With Contrast 73222

MR Wrist Left Without then with Contrast 73223

MR Wrist Right Without then with Contrast 73223

MR Wrist Arthrogram Left With Contrast 73222

MR Wrist Arthrogram Right With Contrast 73222

HAND/ FINGERS

MR Hand Left Without Contrast 73218

MR Hand Right Without Contrast 73218

MR Hand Left With Contrast 73219

MR Hand Right With Contrast 73219

MR Hand Left Without then with Contrast 73220

MR Hand Right Without then with Contrast 73220

MR Fingers Left Without Contrast 73221

MR Fingers Right Without Contrast 73221




CPT Code Review

(Chargeables)

MR Thumb Left Without Contrast 73221

MR Thumb Right Without Contrast 73221

MR Fingers Left With Contrast 73222

MR Fingers Right With Contrast 73222

MR Thumb Left With Contrast 73222

MR Thumb Right With Contrast 73222

MR Fingers Left Without then with Contrast 73223

MR Fingers Right Without then with Contrast 73223

MR Thumb Left Without then with Contrast 73223

MR Thumb Right Without then with Contrast 73223

ABDOMENMR Abdomen Adrenal Without Contrast 74181

MR Abdomen Kidney Without Contrast 74181

ABDOMEN LIMITED - MRI MR Abdomen Limited 74181-52

MR Abdomen Liver Without Contrast 74181




CPT Code Review

(Chargeables)

MR Abdomen MRCP Without Contrast 74181

MR Abdomen Pancreas Without Contrast 74181

ABDOMEN NO CONTRAST - MRI MR Abdomen Without Contrast 74181

MR Abdomen Adrenal With Contrast 74182

MR Abdomen Enterography With Contrast 74182

MR Abdomen Kidney With Contrast 74182

MR Abdomen Liver With Contrast 74182

MR Abdomen MRCP With Contrast 74182

MR Abdomen Pancreas With Contrast 74182

ABDOMEN W/CONTRAST - MRI MR Abdomen With Contrast 74182

MR Abdomen Adrenal Without then with Contrast 74183

MR Abdomen Enterography Without then with Contrast 74183

MR Abdomen Kidney Without then with Contrast 74183

MR Abdomen Liver Without then with Contrast 74183




CPT Code Review

(Chargeables)

MR Abdomen MRCP Without then with Contrast 74183

MR Abdomen Pancreas Without then with Contrast 74183

ABDOMEN DUAL - MRI MR Abdomen Without then with Contrast 74183

MR Abdomen Angiography With Contrast 74185

MR Abdomen Angiography Without Contrast 74185

MR Abdomen Angiography Without then with Contrast 74185

ABD-PELVISMR Abdomen and Pelvis With Contrast 74182, 72196

MR Abdomen and Pelvis Without Contrast 74181, 72195

MR Abdomen and Pelvis Without then with Contrast 74183, 72197

OTHERMR CONSULTATION WITH REPORT MR Consultation With Report NCH internal use

MR Anal Rectal Malformation 72195

MR FOREIGN REFERENCE MR Foreign Reference NCH internal use




CPT Code Review

(Chargeables)

MR Perianal Disease Without then with Contrast 72197

MR Whole Body Rapid Screen 76498

NCH Radiology Procedure Name List Nuc Med Effective November 5, 2016



CPT Code Review

(Orderables)

BRAINBRAIN VASCULAR FLOW LIMITED - NM NM Brain Vascular Flow 78601

CSF FLOW - NM NM CSF Flow 78630

CNS SHUNT EVALUATION - NM NM CNS Shunt Evaluation 78645

NM Ommaya Reservoir Flow 78645

CSF LEAKAGE DETECTION - NM NM CSF Leak 78650

SPECT NM Brain Ictal SPECT CT 78607

NM Brain Inter-Ictal SPECT CT 78607

NM Brain SPECT CT Imaging 78607

SPECT BRAIN SCAN - NM NM Brain SPECT Imaging 78607

THYROID/

PARATHYROIDTHYROID IMAGING - NM NM Thyroid Imaging 78013

IODINE UPTAKE/THYROID SCAN - NM NM Thyroid Uptake and Imaging 78014

NM THYROID UPTAKE SINGLE OR MULTI NM Thyroid Uptake Single or Multi 78014




CPT Code Review

(Orderables)

RADIOPHARM THERAPY ORAL - NMNM Therapy Thyroid Non Cancer Oral

79005

NM I-131 UPTAKE THYROID SCAN NM Thyroid Uptake and Scan I131 78014

NM THYROID TUMOR POST TX SCAN NM Therapy Thyroid Tumor I131 Post Imaging 78018

NM THYROID TUMOR THERAPY NM Therapy Thyroid Tumor I131 79005

PARATHYROID SCAN - NM NM Parathyroid Imaging 78070

SPECTNM WB SPECT THYROID AND UPTAKE NM Thyroid Whole Body SPECT CT And Uptake 78012

NM PARATHYROID W/ SPECT NM Parathyroid SPECT without CT 78071

NM PARATHYROID W/ SPECT CT NM Parathyroid SPECT CT 78072

CARDIAC/LUNGDYNAMIC CARDIAC IMAGING - NM NM Cardiac Function 78472

SPECT CARDIAC SCAN - NM NM Cardiac SPECT 78494

PULMONARY VENT IMAGING/AEROSAL - NM NM Lung Ventilation 78579

LUNG PERFUSION - NM NM Lung Perfusion 78580

LUNG VQ IMAGING - NM NM Lung Ventilation Perfusion 78582




CPT Code Review

(Orderables)

LIVER/SPLEEN

SPECT LIVER SCAN - NM NM Liver SPECT 78205

LIVER SPLEEN - NM NM Liver Spleen 78215

NM Hepatobiliary Function Atresia 78226

NM Hepatobiliary Function CCK 78227

NM Hepatobiliary Function 78226

GIESOPHAG MOTILITY/ASPIRATION - NM NM Esophageal Motility-Aspiration 78258

NM Gastric Emptying Reflux with Solid Meal 78262

NM Gastric Emptying Reflux with Liquid Meal 78262

NM Gastric Emptying Solid Meal 78264

NM Gastric Emptying Liquid Meal 78264

GI BLEED SCAN - NM NM GI Bleed 78278

MECKELS LOCALIZATION - NM NM Meckels Scan 78290




CPT Code Review

(Orderables)

COLONIC TRANSIT - NM NM Colonic Transit 78299

RENAL/CYSTO

RENAL CORTICAL SCAN - NM NM Renal Cortex 78700

NM Renal under age 2 78707

NM Renal over age 2 78707

GFR RENAL SCAN - NM NM Renal GFR 78707

NM Renal under age 2 with Lasix 78708

NM Renal over age 2 with Lasix 78708

SPECT RENAL SCAN - NM NM Renal SPECT Cortex 78710

CYSTOGRAM - NM NM Cystogram 78740

BONEBONE MARROW IMAGING - NM NM Bone Marrow Imaging 78104

BONE IMAGING - NM NM Bone Imaging 78306

BONE 3 PHASE - NM NM Bone 3 Phase Imaging 78315




CPT Code Review

(Orderables)

SPECT BONE SCAN - NM NM Bone SPECT Imaging 78320

NM Bone SPECT CT Imaging 78320

ENDO/LYMPH MIBG

NEUROENDOCRINE IMAGING-DLYD - NM NM Neuroendocrine without SPECT CT 78802

NEUROENDOCRINE IMAGING AND SPECT - NM NM Neuroendocrine SPECT CT 78803

NEUROENDOCRINE SPECT - NM NM Neuroendocrine SPECT 78803

NM Sentinel Lymph Node 78195

NM Sentinel Lymph Node SPECT CT 78195

LYMPHATIC IMAGING - NM NM Lymphatic Imaging 78195

NM NEUROENDO IMAGING POST THERAPY NM Therapy I131 MIBG Post Imaging 78018

NM I-131 MIBG THERAPY NM Therapy I131 MIBG 79101

PET CTNM PET/CT BRAIN NM PET CT Brain Imaging 78814

NM PET/CT LIMITED NM PET CT Limited 78814

NM PET/CTSKULL TO THIGH NM Skull to Thigh PET CT 78815

PET/CTFULL BODY - NM NM Whole body PET CT 78816




CPT Code Review

(Orderables)

WHOLE BODYWHOLE BODY METASTAT IMAGING - NM NM Wholebody Metastatic Imaging 78018

WBC IMAGING - NM NM WBC Whole Body Imaging 78806

OTHERRADIOPHARM THERAPY IV- NM NM Radiopharm Therapy IV 79101

RADIOPHARM THERAPY INTRA-ARTERIAL - NM NM Radiopharm Therapy Intra-Arterial 79445

NM FOREIGN REFERENCE NM Foreign Reference NCH internal use

NM CONSULTATION WITH REPORT NM Consultation with Report NCH internal use




CPT Code Review

(Orderables)

NCH Radiology Procedure Name List Ultrasound Effective November 5, 2016


(Orderables)New Epic Procedure Name (Orderables)

CPT Code Review

(Chargeables)

BRAIN/HEADBRAIN - US US Head 76506

INTRACRANIAL ARTERY - US US Transcranial Artery 93886

FACIAL - US US Facial 76536

NECK/SPINENECK - US US Neck 76536

CAROTID DUPLEX - US US Carotid Doppler Bilateral 93880

THYROID - US US Thyroid 76536

SPINE - US US Spine 76800

US Back Soft Tissue 76604-52

CHEST/BREASTCHEST - US US Chest 76604

US Chest Wall 76604

US Breast Right 76641

US Breast Left 76641

US BREAST LIMITED RIGHT US Breast Limited Right 76642

US BREAST LIMITED LEFT US Breast Limited Left 76642

US BREAST BILATERAL US Breast Bilateral 76641-50




CPT Code Review

(Chargeables)

US BREAST LIMITED BILAT US Breast Limited Bilateral 76642-50

ABDOMENABD/US ABD LIMITED W/ FATTY MEAL US US Abdomen with Fatty Meal 76700

ABD/ ABD LIMITED W/CCK - US US Abdomen with CCK 76700

ABDOMEN - US US Abdomen 76700

ABDOMEN LIMITED - US US Abdomen Limited 76705

US Abdomen Limited Pylorus 76705

US Abdomen Limited Intussusception 76705

US Abdomen Limited Appendix 76705

ABDOMINAL DUPLEX - US US Abdomen with Doppler 93975

76700

ABDOMEN LIMITED DUPLEX - US US Abdomen Limited Doppler 93976

US Abdomen Doppler 93975

US IVC with Iliac Vein Doppler 93978

US Aorta with Iliac Artery Doppler 93978

US Abdomen with ARFI 76700

US Abdomen Wall 76705

US Abdomen Limited for Ascites or Abscess 76705




CPT Code Review

(Chargeables)

US Abdomen Limited Neonatal for NEC 76705

US Abdomen Limited for Small Bowel and Colon 76705

US Hernia Evaluation 76705

US Buttock or Perineal 76882

RENAL/UROLOGYRENAL - US US Kidney 76770

RENAL BIOPSY - US US Guidance Kidney Biopsy 76942

RENAL TRANSPLANT - US US Kidney Post Transplant with Doppler 76776

RENAL DUPLEX - US US Kidney with Doppler93975

76775

US Kidney Doppler 93975

OB/PREGNANCYOB <14 WKS SINGLE FETUS - US US OB Less Than 14 Weeks 76801

OB <14 WKS ADDL. FETUS - US US OB Less Than 14 Weeks Additional Fetus 76802

US OB Greater Than 14 Weeks 76805

US OB Greater Than 14 Weeks Additional Fetus 76810

PREGNANCY EVAL LIMITED - US US Pregnancy Evaluation Limited 76815

TRANSVAGINAL OBSTETRIC - US US Pregnancy Transvaginal 76817




CPT Code Review

(Chargeables)

PELVIS/HIPSTRANSVAGINAL - US US Transvaginal 76830

PELVIC - US US Pelvis 76856

US Pelvis Doppler 93975

SCROTUM - US US Scrotum 76870

SCROTUM DUPLEX - US US Scrotum with Doppler93976

76870

US Penis 93980

US Groin 76882

US INFANT HIPS US Infant Hips with Dynamic Manipulation 76885

US INFANT HIPS US Infant Hips without Dynamic Manipulation 76886

LOWER EXTUS Lower Extremity Artery Right 93926

US Lower Extremity Artery Left 93926

LOWER EXTREMITY VEIN BILAT - US US Lower Extremity Vein Bilateral 93970

US Lower Extremity Vein Right 93971

US Lower Extremity Vein Left 93971

US Lower Extremity Musculoskeletal Bilateral 76881-50

US Lower Extremity Musculoskeletal Right 76881

US Lower Extremity Musculoskeletal Left 76881




CPT Code Review

(Chargeables)

US Lower Extremity Soft Tissue Bilateral 76882-50

US Lower Extremity Soft Tissue Right 76882

US Lower Extremity Soft Tissue Left 76882

US Lower Extremity Joint Bilateral 76881-50

US Lower Extremity Joint Right 76882

US Lower Extremity Joint Left 76882

LOWER EXT ARTERY BILATERAL - US US Lower Extremity Artery Bilateral 93925

UPPER EXTUPPER EXT ARTERY BILATERAL - US US Upper Extremity Artery Bilateral 93930

US Upper Extremity Artery Left 93931

US Upper Extremity Artery Right 93931

UPPER EXT VEIN BILATERAL - US US Upper Extremity Vein Bilateral 93970

US Upper Extremity Vein Right 93971

US Upper Extremity Vein left 93971

US Upper Extremity Musculoskeletal Bilateral 76881-50

US Upper Extremity Musculoskeletal Right 76881

US Upper Extremity Musculoskeletal Left 76881

US Upper Extremity Soft Tissue Bilateral 76882-50

US Upper Extremity Soft Tissue Right 76882

US Upper Extremity Soft Tissue Left 76882




CPT Code Review

(Chargeables)

US Upper Extremity Joint Bilateral 76881-50

US Upper Extremity Joint Right 76882

US Upper Extremity Joint Left 76882

POC-NON SPECIFICNew US EAP Build:

US ED VASCULAR ACCESS US POC Peripheral Vascular Access No Charge

US NICU/PICU VASCULAR ACCESS US POC Central Line Vascular Access No Charge

US ED BLADDER ASPIRATION US POC Bladder Interventional No Charge

US ED PERICARDIAL ASPIRATION US POC Cardiac Interventional No Charge

US ED ABD FAST SCAN US POC Fast for Abdomen No Charge

US POC Cardiac Diagnostic No Charge

US POC Bladder Diagnostic No Charge

US POC Small Joint Diagnostic No Charge

US POC Small Joint Interventional No Charge

US POC Med Joint Diagnostic No Charge

US POC Med Joint Interventional No Charge

US POC Large Joint Diagnostic No Charge

US POC Large Joint Interventional No Charge

US POC Soft Tissue Upper Extremity Diagnostic No Charge

US POC Soft Tissue Upper Extremity Interventional No Charge

US POC Soft Tissue Lower Extremity Diagnostic No Charge




CPT Code Review

(Chargeables)

US POC Soft Tissue Lower Extremity Interventional No Charge

US POC Ultrasound Guidance Interventional No Charge

OTHERFLUID DRAINAGE - US US Fluid Drainage 75989

US CONSULTATION WITH REPORT US Consultation with Report NCH internal use

US INTRAOPERATIVE US Guidance OR 76998

US GUIDANCE/DRAINAGE US Guidance and Drainage 76942

EM OUTPATIENT FOLLOWUP US EM Consultation Follow Up NCH internal use

EM INITIAL OUTPATIENT CONSULTATION US EM Consultation Initial NCH internal use

US FOREIGN REFERENCE US Foreign Reference NCH internal use




CPT Code Review

(Chargeables)

NCH Radiology Procedure Name List X-ray, OR, Portables Effective Novemeber 5, 2016



CPT Code Review

(Chargeables)

SKULL

XRAY SKULL AP/LAT XR Skull AP and Lateral 70250

SKULL AP/LAT - PORTABLE XR Skull AP and Lateral - Portable 70250

XRAY SKULL LAT XR Skull - Lateral 70250

**New** XR Skull - PA and Lateral and Townes 70250

XRAY SKULL SERIES XR Skull Series 70260

FACIAL BONESXRAY MANDIBLE XR Mandible 70110

XRAY NASAL BONES XR Nasal Bones 70160

XRAY ZYGOMA XR Zygoma 70140

XRAY FACIAL BONES XR Facial Bones 70150

XRAY ORBITS XR Orbits 70200-52

XRAY PANOREX XR Panorex 70355

SINUSES - PORTABLE XR Sinuses - 4 Years and Older - Portable 70220

XRAY SINUS 3 VIEW >4YR XR Sinuses - 4 Years and Older 70220

XRAY SINUS 2 VIEW UNDER 4 YR XR Sinuses - Under 4 Years - 2 Views 70210


**New** XR Sinuses - Under 4 Years - 2 Views - Portable 70210

NECK/C-spineXRAY NECK AP/LAT XR Neck Soft Tissue - AP and Lateral 70360

NECK AP/LAT - PORTABLE XR Neck Soft Tissue - AP and Lateral - Portable 70360

XRAY NECK AP XR Neck Soft Tissue - AP Only 70360

XRAY NECK LAT XR Neck Soft Tissue - Lateral Only 70360

NECK LAT - PORTABLE XR Neck Soft Tissue - Lateral Only - Portable 70360

C-spine LAT,CHEST AP - PORTABLE XR Cervical Spine Lateral and Chest AP - Portable 72040 & 71010

C-spine LAT,CHEST,PELVIS - PORTABLE XR Cervical Spine Lateral and Chest AP and Pelvis - Portable 72040 & 71010 & 72170

C-spine,CHEST,ABD SUPINE - PORTABLE XR Cervical Spine Lateral and Chest AP and Abdomen Supine - Portable 72020 & 71010 & 74000

XRAY CERVICAL SPINE AP/LAT XR Cervical Spine - AP and Lateral 72040

XRAY C-spine AP/LAT/ODONT/OBLIQUES XR Cervical Spine Series 72050

CERVICAL SPINE AP - PORTABLE XR Cervical Spine - AP Only - Portable 72020

XRAY CERVICAL SPINE AP XR Cervical Spine - AP Only 72020

CERVICAL SPINE LAT - PORTABLE XR Cervical Spine - Lateral Only- Portable 72020

XRAY CERVICAL SPINE LAT XR Cervical Spine - Lateral Only 72020

XRAY CERVICAL SPINE ODONTOID XR Cervical Spine - Odontoid Only 72020

CERVICAL SPINE AP/LAT - PORTABLE XR Cervical Spine - AP and Lateral - Portable 72040

XRAY C-spine AP/LAT/ODONTOID XR Cervical Spine - AP and Lateral and Odontoid 72040


XRAY CERVICAL SPINE AP/LAT FL/EXT XR Cervical Spine - AP and Lateral and Flexion and Extention 72050

XRAY CERVICAL SPINE AP/ODONTOID XR Cervical Spine - AP and Odontoid 72040

CERVICAL SPINE FL/EXT - PORTABLE XR Cervical Spine - Flexion and Extention - Portable 72040

XRAY CERVICAL SPINE FL/EXT XR Cervical Spine - Flexion and Extention 72040

CHEST (Neonatal)NEO CHEST-ABD CONTRAST - PORTABLE XR Neonatal Chest with Abdomen with Contrast - 1 View - Portable 71010

NEO CHEST-ABD/CROSSFIRE - PORTABLE XR Neonatal Chest with Abdomen and Crossfire Abdomen - Portable 71010 & 74000

XRAY NEONATAL CHEST/ABD XR Neonatal Chest with Abdomen 71010

NEO CHEST-ABD - PORTABLE XR Neonatal Chest with Abdomen - Portable 71010

NEO CHEST-ABD AP/DECUB ABD - PORTABLE XR Neonatal Chest with Abdomen and Decub Abdomen - Portable 74020

NEO CHEST-ABD AP/DECUB - PORTABLE XR Neonatal Chest with Abdomen and Decub Chest - Portable 71010 & 71035

CHESTCHEST AP - PORTABLE XR Chest AP - Portable 71010

CHEST AP/CROSSFIRE - PORTABLE XR Chest - AP and Crossfire - Portable 71020

CHEST AP/DECUB - PORTABLE XR Chest - AP and Decub - Portable 71010, 71035

XRAY CHEST DECUB ONLY XR Chest - Decub Only 71035

CHEST DECUB - PORTABLE XR Chest - Decub Only - Portable 71035

XRAY CHEST PA (INS-EXP) XR Chest - Inspiratory and Expiratory 71010, 71035

XRAY CHEST PA (INS-EXP) & LAT XR Chest - Inspiratory and Expiratory and Lateral 71020, 71035


XRAY CHEST LAT ONLY XR Chest - Lateral Only 71035

XRAY CHEST PA XR Chest - PA Only 71010

XRAY CHEST PA/DECUB XR Chest - PA and Decub 71010, 71035

XRAY CHEST PA/LAT XR Chest - PA and Lateral 71020

XRAY CHEST PA/LAT/DECUB XR Chest - PA and Lateral and Decub 71020, 71035

` XR Chest Crossfire - Portable 71035

ABDOMENXRAY ABD SUPINE XR Abdomen - Supine 74000

ABD SUPINE - PORTABLE XR Abdomen - Supine - Portable 74000

***NEW*** XR Abdomen Supine and Chest AP 74000 & 71010

ABD SUPINE/CHEST AP - PORTABLE XR Abdomen Supine and Chest AP - Portable 74000 & 71010

XRAY ABD UPRIGHT XR Abdomen - Upright 74000

CROSSFIRE ABD - PORTABLE XR Abdomen - Crossfire - Portable 74000

XRAY G-TUBE/PEG CHECK STUDY XR G-Tube or Peg Check 74010 -52

XRAY ABD DECUB XR Abdomen - Decub 76499

ABD DECUB - PORTABLE XR Abdomen - Decub - Portable 76499

**New** XR Abdomen - Supine and Decub 74000 & 76499

ABD SUPINE/DECUB - PORTABLE XR Abdomen - Supine and Decub - Portable 74010-52 if only 2 views done


XRAY ABD SUPINE/UPRIGHT XR Abdomen - Supine and Upright 74020

ABD SUPINE/UPRIGHT - PORTABLE XR Abdomen - Supine and Upright - Portable 74020

XRAY AAS XR Acute Abdominal Series 74022

AAS - PORTABLE XR Acute Abdominal Series - Portable 74022

XRAY AAS W/LAT CHEST XR Acute Abdominal Series with Lateral Chest 74020 & 71020

TRUNK

XRAY RIBS BILATERAL XR Ribs - Bilateral 71111

***NEW XR Ribs - Left 71101

***NEW XR Ribs - Right 71101

XRAY STERNAL-CLAVICULAR JOINTS XR Sternal Clavicular Joints 71130

XRAY STERNUM XR Sternum 71120

XRAY CLAVICLE-BILAT XR Clavicle 2 View - Bilateral 73000-50

***NEW XR Clavicle 2 View - Left 73000

***NEW XR Clavicle 2 View - Right 73000

***NEW XR Clavicle 2 View - Bilateral - Portable 73000-50

***NEW XR Clavicle 2 View - Left - Portable 73000

***NEW XR Clavicle 2 View - Right - Portable 73000

***NEW XR Scapula - Left 73010

***NEW XR Scapula - Right 73010


BACK/SPINE

XR THORACIC SPINE, 1V XR Thoracic Spine - AP Only 72020

***NEW XR Thoracic Spine - AP Only - Portable 72020

XRAY THORACIC AP/LAT XR Thoracic Spine - AP and Lateral 72070

***NEW XR Thoracic Spine - AP and Lateral - Portable 72070

XRAY THORACIC FLEX/EXT XR Thoracic Spine - Flexion and Extention 72070

***NEW XR Thoracic Spine - Lateral Only 72020

***NEW XR Thoracic Spine - Lateral Only - Portable 72020

XRAY SCOLIOSIS PA/LAT,BENDING XR Scoliosis - 4 View - PA/Lateral/Bendings 72083

XRAY SCOLIOSIS PA/LAT/OBL XR Scoliosis - 4 View - PA/Lateral/Obliques 72083

XRAY SCOLIOSIS SERIES XR Scoliosis Series 72083

XRAY SCOLIOSIS STRETCH FILM XR Scoliosis Stretch 72081

XRAY SCOLIOSIS BENDING ONLY XR Scoliosis - Bending Only - One View 72120 -52

***NEW XR Scoliosis - Bending Only - Two View 72120

XRAY SCOLIOSIS FLEX/EXT XR Scoliosis - Flexion and Extension 72080

XRAY SCOLIOSIS LAT ONLY XR Scoliosis - Lateral Only 72081

XRAY SCOLIOSIS PA XR Scoliosis - PA Only 72081

XRAY SCOLIOSIS PA/LAT XR Scoliosis - PA and Lateral 72082

XRAY LUMBAR AP/LAT XR Lumbar - AP and Lateral 72100


***NEW XR Lumbar - AP and Lateral - Portable 72100

***NEW XR Lumbar - AP and Lateral and Spot 72100

XRAY LUMBAR FLEX/EXT XR Lumbar - Flexion and Extention 72100

***NEW XR Lumbar - AP Only 72020

***NEW XR Lumbar - AP Only - Portable 72020

***NEW XR Lumbar - Lateral Only 72020

***NEW XR Lumbar - Lateral Only - Portable 72020

XRAY LUMBAR AP/LAT/OBL XR Lumbar - AP and Lateral and Obliques 72110

***NEW XR Lumbar - 4 or More Views 72110

HIP/PELVIS

XRAY PELVIS AP XR Pelvis AP 72170

XRAY PELVIS AP STANDING XR Pelvis AP - Standing 72170

PELVIS AP - PORTABLE XR Pelvis AP - Portable 72170

XRAY PELVIS INLET/OUTLET XR Pelvis Inlet and Outlet 72170

XRAY PELVIS JUDET XR Pelvis Judet 72170

XRAY SI JOINTS XR SI Joints 72202

XRAY COCCYX XR Coccyx 72220

XRAY SACRUM XR Sacrum 72220

XRAY HIP AP/LAT-BILAT XR Hip 3 or 4 Views - AP and Lateral - Bilateral 73522

***NEW XR Hip - AP and Lateral - Left 73502


***NEW XR Hip - AP and Lateral - Right 73502

***NEW XR Hip False Profile Standing - Bilateral 73521

***NEW XR Hip False Profile Standing - Left 73501

***NEW XR Hip False Profile Standing - Right 73501

***NEW XR Pelvis 3 View 72190

***NEW XR Pelvis with Lateral Hip - Left 73501

***NEW XR Pelvis with Lateral Hip - Right 73501

XRAY PELVIS AP W/VON ROSEN XR Pelvis with Von Rosen 72170

XRAY PELVIS AP W/FROG LAT XR Pelvis - 2 View - AP and Frog Lateral 72170

UPPER EXTREMITYXRAY UPPER EXT ENTIRE (AP/LAT)-BILAT XR Upper Extremity Total - AP and Lateral - Bilateral 73090 & 73060-50

***NEW XR Upper Extremity Total - AP and Lateral - Left 73090 & 73060

***NEW XR Upper Extremity Total - AP and Lateral - Right 73090 & 73060

***NEW XR Neonate Upper Extremity Total - AP and Lateral - Bilateral 73092-50

***NEW XR Neonate Upper Extremity Total - AP and Lateral - Left 73092

***NEW XR Neonate Upper Extremity Total - AP and Lateral - Right 73092

***NEW XR Neonate Upper Extremity Total - AP and Lateral - Bilateral - Portable 73092-50

***NEW XR Neonate Upper Extremity Total - AP and Lateral - Left - Portable 73092

***NEW XR Neonate Upper Extremity Total - AP and Lateral - Right - Portable 73092

SHOULDERSHOULDER BILAT - PORTABLE XR Shoulder - Bilateral - Portable 73030-50


***NEW XR Shoulder - Left - Portable 73030

***NEW XR Shoulder - Right - Portable 73030

XRAY SHOULDER-BILAT XR Shoulder - Bilateral 73030-50

***NEW XR Shoulder - Left 73030

***NEW XR Shoulder - Right 73030

XRAY A-C JOINTS XR AC Joints 73050

HUMERUS and ELBOW

XRAY HUMERUS-BILAT XR Humerus - Bilateral 73060-50

***NEW XR Humerus - Left 73060

***NEW XR Humerus - Right 73060

***NEW XR Humerus - Bilateral - Portable 73060-50

***NEW XR Humerus - Left - Portable 73060

***NEW XR Humerus - Right - Portable 73060

XRAY ELBOW-BILAT XR Elbow 2 Views - Bilateral 73070-50

***NEW XR Elbow 2 Views - Left 73070

***NEW XR Elbow 2 Views - Right 73070

***NEW XR Elbow 2 Views - Bilateral - Portable 73070 -50

***NEW XR Elbow 2 Views - Left - Portable 73070

***NEW XR Elbow 2 Views - Right - Portable 73070

XRAY ELBOW 3 VIEW BILATERAL XR Elbow 3 or More Views - Bilateral 73080-50


***NEW XR Elbow 3 or More Views - Left 73080

***NEW XR Elbow 3 or More Views - Right 73080

***NEW XR Elbow 3 Views - Bilateral - Portable 73080 -50

***NEW XR Elbow 3 Views - Left - Portable 73080

***NEW XR Elbow 3 Views - Right - Portable 73080

FOREARM and WRIST

XRAY FOREARM-BILAT XR Forearm - Bilateral 73090-50

***NEW XR Forearm - Left 73090

***NEW XR Forearm - Right 73090

***NEW XR Forearm - Bilateral - Portable 73090-50

***NEW XR Forearm - Left - Portable 73090

***NEW XR Forearm - Right - Portable 73090

***NEW XR Wrist - Navicular Only - Bilateral 73100-52,50

***NEW XR Wrist - Navicular Only - Left 73100-52

***NEW XR Wrist - Navicular Only - Right 73100-52

***NEW XR Wrist - Clenched Fist Only - Bilateral 73100-52

***NEW XR Wrist - Clenched Fist Only - Left 73100-52

***NEW XR Wrist - Clenched Fist Only - Right 73100-52,50

XRAY WRIST 2 VIEW BILATERAL XR Wrist 2 Views - Bilateral 73100-50


***NEW XR Wrist 2 Views - Left 73100

***NEW XR Wrist 2 Views - Right 73100

***NEW XR Wrist 2 Views - Left - Portable 73100

***NEW XR Wrist 2 Views - Right - Portable 73100

XRAY WRIST 3 VIEW BILATERAL XR Wrist 3 Views - Bilateral 73110-50

***NEW XR Wrist 3 Views - Left 73110

***NEW XR Wrist 3 Views - Right 73110

***NEW XR Wrist 3 Views - Left - Portable 73110

***NEW XR Wrist 3 Views - Right - Portable 73110

***NEW XR Wrist with Navicular - Bilateral 73110-50

***NEW XR Wrist with Navicular - Left 73110

***NEW XR Wrist with Navicular - Right 73110

HAND and FINGER

XRAY HAND 2 VIEW BILATERAL XR Hand 2 Views - Bilateral 73120-50

***NEW XR Hand 2 Views - Left 73120

***NEW XR Hand 2 Views - Right 73120

***NEW XR Hand 2 Views - Left - Portable 73120

***NEW XR Hand 2 Views - Right - Portable 73120

XRAY HAND-BILAT 3 VIEW XR Hand 3 Views - Bilateral 73130-50


***NEW XR Hand 3 Views - Left 73130

***NEW XR Hand 3 Views - Right 73130

***NEW XR Hand 3 Views - Left - Portable 73130

***NEW XR Hand 3 Views - Right - Portable 73130

***NEW XR Finger - Left 73140

***NEW XR Finger - Right 73140

***NEW XR Finger - Left - Portable 73140

***NEW XR Finger - Right - Portable 73140

LOWER EXTREMITYXRAY FEMUR-BILAT XR Femur - Bilateral 73552-50

***NEW XR Femur - Left 73552

***NEW XR Femur - Right 73552

***NEW XR Femur - Bilateral - Portable 73552-50

***NEW XR Femur - Left - Portable 73552

***NEW XR Femur - Right - Portable 73552

XRAY LOWER EXT ENTIRE (AP)-BILAT XR Lower Extremity Total - AP Only - Bilateral72170, 73551-50, 73590-52 & -

50, 73620-52 & -50

***NEW XR Lower Extremity Total AP Only - Left72170, 73551, 73590-52, 73620-

52

***NEW XR Lower Extremity Total AP Only - Right72170, 73551, 73590-52, 73620-

52


***NEW XR Lower Extremity Total AP - 1 View 77074

XRAY LOWER EXT ENTIRE(AP/LAT)-BILAT XR Lower Extremity Total - AP and Lateral - Bilateral72170, 73552-50, 73590-50,

73630-50

***NEW XR Lower Extremity Total - AP and Lateral - Left 72170, 73552, 73590, 73630

***NEW XR Lower Extremity Total - AP and Lateral - Right 72170, 73552, 73590, 73631

***NEW XR Neonate Lower Extremity Total - AP and Lateral - Bilateral 73592

***NEW XR Neonate Lower Extremity Total - AP and Lateral - Left 73592

***NEW XR Neonate Lower Extremity Total - AP and Lateral - Right 73592

***NEW XR Neonate Lower Extremity Total - AP and Lateral - Bilateral - Portable 73592

***NEW XR Neonate Lower Extremity Total - AP and Lateral - Left - Portable 73592

***NEW XR Neonate Lower Extremity Total - AP and Lateral - Right - Portable 73592

KNEE***NEW XR Knee - Notch View Only - Bilateral 73560-50

***NEW XR Knee - Notch View Only - Left 73560

***NEW XR Knee - Notch View Only - Right 73560

***NEW XR Knee - AP and Lateral - Left - Portable 73560

***NEW XR Knee - AP and Lateral - Right - Portable 73560

XRAY KNEE 2 VIEW-BILAT XR Knee - AP and Lateral - Bilateral 73560-50

***NEW XR Knee - AP and Lateral - Left 73560


***NEW XR Knee - AP and Lateral - Right 73560

***NEW XR Patella Only - Bilateral 73560-50

***NEW XR Patella Only - Left 73560

***NEW XR Patella Only - Right 73560

***NEW XR Knee 3 View - Left - Portable 73562

***NEW XR Knee 3 View - Right - Portable 73562

***NEW XR Knee - AP and Lateral and Notch - Bilateral 73562-50

***NEW XR Knee - AP and Lateral and Notch - Left 73562

***NEW XR Knee - AP and Lateral and Notch - Right 73562

XRAY KNEE 3 VIEW BILATERAL XR Knee - AP and Lateral and Patella - Bilateral 73562-50

***NEW XR Knee - AP and Lateral and Patella - Left 73562

***NEW XR Knee - AP and Lateral and Patella - Right 73562

XRAY KNEE 4 OR MORE VIEWS BILATERAL XR Knee - 4 or More Views - Bilateral 73564-50

***NEW XR Knee - 4 or More Views - Left 73564

***NEW XR Knee - 4 or More Views - Right 73564

***NEW XR Knee - 4 Views - Left - Portable 73564

***NEW XR Knee - 4 Views - Right - Portable 73564

TIB/FIB and ANKLEXRAY TIB/FIB-BILAT XR Tibia and Fibula - Bilateral 73590-50

***NEW XR Tibia and Fibula - Left 73590

***NEW XR Tibia and Fibula - Right 73590


***NEW XR Tibia and Fibula - Left - Portable 73590

***NEW XR Tibia and Fibula - Right - Portable 73590

XRAY ANKLE-STANDING-BILAT XR Ankle 2 View - Bilateral 73600-50

***NEW XR Ankle 2 View - Right 73600

***NEW XR Ankle 2 View - Left 73600

***NEW XR Ankle 2 View - Bilateral - Portable 73600-50

***NEW XR Ankle 2 View - Left - Portable 73600

***NEW XR Ankle 2 View - Right - Portable 73600

XRAY ANKLE-BILAT XR Ankle 3 View - Bilateral 73610-50

***NEW XR Ankle 3 View - Left 73610

***NEW XR Ankle 3 View - Right 73610

FOOT and TOES

XRAY FOOT 2 VIEW BILATERAL XR Foot 2 Views - Bilateral 73620-50

***NEW XR Foot 2 Views - Left 73620

***NEW XR Foot 2 Views - Right 73620

***NEW XR Foot 2 Views - Bilateral - Portable 73620-50

***NEW XR Foot 2 Views - Left - Portable 73620

***NEW XR Foot 2 Views - Right - Portable 73620

XRAY FOOT-KITE/TURCO-BILAT XR Foot Turco - Bilateral 73620-50 & -52

***NEW XR Foot Turco - Left 73620-52


***NEW XR Foot Turco - Right 73620-52

XRAY FOOT-STANDING-BILAT XR Foot Standing - Bilateral 73620-50

***NEW XR Foot Standing - Left 73620

***NEW XR Foot Standing - Right 73620

XRAY HEEL AP/LAT-BILAT XR Calcaneus - Bilateral 73650-50

***NEW XR Calcaneus - Left 73650

***NEW XR Calcaneus - Right 73650

XRAY HEEL-HARRIS VIEW-BILAT XR Calcaneus Harris View - Bilateral 73650-50

***NEW XR Calcaneus Harris View - Left 73650

***NEW XR Calcaneus Harris View - Right 73650

XRAY FOOT-BILAT XR Foot 3 Views - Bilateral 73630-50

***NEW XR Foot 3 Views - Left 73630

***NEW XR Foot 3 Views - Right 73630

***NEW XR Foot 3 View - Bilateral -Portable 73630-50

***NEW XR Foot 3 View - Portable - Left 73630

***NEW XR Foot 3 View - Portable - Right 73630

***NEW XR Toe - Left 73660

***NEW XR Toe - Right 73660

***NEW XR Toe - Left - Portable 73660

***NEW XR Toe - Right - Portable 73660


OR FLUOROFLUORO - OR FL Less than or Equal to 1 Hour 76000

***New FL Greater than or Equal to 1 Hour 76001

CHOLANGIOGRAM-OPERATIVE - OR FL Cholangiogram OR 74300

FLUORO LOWER EXT-BILAT - OR FL Lower Extremity - Bilateral - OR - Up to One Hour 76000

***New FL Lower Extremity - Bilateral - OR - Greater Than One Hour 76001

***New FL Lower Extremity - Left - OR - Up to One Hour 76000

***New FL Lower Extremity - Left - OR - Greater Than One Hour 76001

***New FL Lower Extremity - Right - OR - Up to One Hour 76000

***New FL Lower Extremity - Right - OR - Greater Than One Hour 76001

OR O-ARM ONLY FL O-Arm - OR - Up to One Hour 76000

***New FL O-Arm - OR - Greater than One Hour 76001

FLUORO UPPER EXT-BILAT - OR FL Upper Extremity - Bilateral - OR - Up to One Hour 76000

***New FL Upper Extremity - Bilateral - OR - Greater Than One Hour 76001

***New FL Upper Extremity - Left - OR - Up to One Hour 76000

***New FL Upper Extremity - Left - OR - Greater Than One Hour 76001

***New FL Upper Extremity - Right - OR - Up to One Hour 76000

***New FL Upper Extremity - Right - OR - Greater Than One Hour 76001

XRAY INDEPENDENT FLUORO/MINI C-ARM FL Mini C-Arm Independent - Up to One Hour 76000

***New FL Mini C-Arm Independent - Greater Than One Hour 76001

CYSTO/RETRO W/FLUORO - OR FL Cysto Retro OR 74450

HIP NAILING-BILAT - OR FL Hip - Bilateral - OR - Up to One Hour 76000


***NEW FL Hip - Bilateral - OR - Greater Than One Hour 76001

***NEW FL Hip - Left - OR - Up to One Hour 76000

***NEW FL Hip - Left - OR - Greater One Hour 76001

***NEW FL Hip - Right - OR - Up to One Hour 76000

***NEW FL Hip - Right - OR - Greater Than One Hour 76001

BONE SURVEY***NEW XR Bone Survey Genetics in review

XR BONE SURVEY >= 12 MO, INITIAL XR Bone Survey - Complete - 1 Year and Older 77075

XR BONE SURVEY <12 MO, INITIAL XR Bone Survey - Complete - Less than 1 Year 77076

XR BONE SURVEY >= 12 MO, FOLLOW UP XR Bone Survey - Limited - 1 Year and Older 77074

XR BONE SURVEY <12 MO, FOLLOW UP XR Bone Survey - Limited - Less than 1 Year 77076

***NEW XR Bone Survey Coroner Case - 1 Year and Older 77075

***NEW XR Bone Survey Coroner Case - Less Than 1 Year 77076

JOINT SURVEYXRAY BONE AGE XR Bone Age 77072

XRAY SCANOGRAM XR Lower Extremity Scanogram 77073

BONE DENSITYXRAY DUAL ENERGY BONE DENSITY STUDY XR Densitometry 77080

XR DXA AXIAL W/VERTEBRAL FX ASSESMENT XR Densitometry Vertebral Fracture 77085


XR BONE DENSITY VERTEBRAL FX XR Densitometry Peripheral 77081

OTHERXRAY SHUNT EVALUATION VJ-VP XR Shunt Evaluation 74000, 71010, 70250

***New XR VJ Shunt 72050 & 71020

***New XR VP Shunt 74010, 71010, 70250

***New XR Shuntogram 75809

XRAY FOREIGN BODY SERIES (INGESTED) XR Foreign Body Ingested 76010

XR FOREIGN REFERENCE XR Foreign Reference NO CPT, no PB

***NEW XR Knees and Wrists - AP Only 77077

XRAY FILM CONSULTATION WITH REPORT XR Consult with Report 74140

XRAY PUMP EVAL BACLOFEN/PERITONEAL XR Baclofen Pump Eval 72100 & 72070

NCH Radiology Procedure Name List Mammography Effective November 5, 2016

PROC_NAME New Epic Name CPT Code Review

MAMMO BILATERAL DIAGNOSTIC 77056

MAMMO UNILATERAL DIAGNOSTIC 77055

MAMMO SCREENING BILATERAL 77057

MAMMO SCREENING UNILATERAL 77057

current epic procedure name

Documents