AIM 2014 CPT Radiology & Cardiac Codes Requiring Review

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AIM 2014 CPT Radiology & Cardiac Codes Requiring Review Modality Body Part CT Head 1 70480 CT orbit, sella or posterior fossa; w/o contrast 1 CT Head 1 70481 CT orbit, sella or posterior fossa; with CT Head 1 70482 CT orbit, sella or posterior fossa; w/o contrast followed by CT Head 2 70486 CT maxillofacial area (sinus); w/o contrast 1 CT Head 2 70487 CT maxillofacial area (sinus); with CT Head 2 70488 CT maxillofacial area (sinus); w/o contrast followed by CT Head 3 70450 CT head or brain; w/o contrast 1 CT Head 3 70460 CT head or brain; with CT Head 3 70470 CT head or brain; w/o contrast followed by CT Neck 4 70490 CT soft tissue neck; w/o contrast 1 CT Neck 4 70491 CT soft tissue neck; with CT Neck 4 70492 CT soft tissue neck; w/o contrast followed by CT Chest 5 71250 CT thorax; w/o contrast (noncardiac) 1 CT Chest 5 71260 CT thorax; with contrast (noncardiac) 0 CT Chest 5 71270 CT thorax; w/o contrast followed by contrast (noncardiac) 0 CT Abdomen 6 74150 CT abdomen; w/o contrast 1 CT Abdomen 6 74160 CT abdomen; with CT Abdomen 6 74170 CT abdomen; w/o contrast followed by CT Pelvis 7 72192 CT pelvis; w/o contrast 1 CT Pelvis 7 72193 CT pelvis; with CT Pelvis 7 72194 CT pelvis; w/o contrast followed by CT Spine 8 72125 CT cervical spine; w/o contrast 1 CT Spine 8 72126 CT cervical spine; with CT Spine 8 72127 CT cervical spine; w/o contrast followed by CT Spine 9 72128 CT thoracic spine; w/o contrast 1 CT Spine 9 72129 CT thoracic spine; with CT Spine 9 72130 CT thoracic spine; w/o contrast followed by CT Spine 10 72131 CT lumbar spine; w/o contrast 1 CT Spine 10 72132 CT lumbar spine; with CT Spine 10 72133 CT lumbar spine; w/o contrast followed by

Modality Body Part CT Extremity 11 73200 CT upper extremity; w/o contrast 1 CT Extremity 11 73201 CT upper extremity; with CT Extremity 11 73202 CT upper extremity; w/o contrast followed by CT Extremity 12 73700 CT lower extremity; w/o contrast 1 CT Extremity 12 73701 CT lower extremity; with CT Extremity 12 73702 CT lower extremity; w/o contrast followed by MRI Head 13 70551 MRI brain; w/o contrast 1 MRI Head 13 70552 MRI brain; with MRI Head 13 70553 MRI brain; w/o contrast followed by MRI Extremity 14 73218 MRI upper extremity, other than joint w/o contrast 1 MRI Extremity 14 73219 MRI upper extremity, other than joint with MRI Extremity 14 73220 MRI upper extremity, other than joint w/o contrast followed by MRI Spine 15 72141 MRI cervical spine; w/o contrast 1 MRI Spine 15 72142 MRI cervical spine; with MRI Spine 15 72156 MRI cervical spine; w/o contrast followed by MRI Spine 16 72146 MRI thoracic spine; w/o contrast 1 MRI Spine 16 72147 MRI thoracic spine; with MRI Spine 16 72157 MRI thoracic spine; w/o contrast followed by MRI Spine 17 72148 MRI lumbar spine; w/o contrast 1 MRI Spine 17 72149 MRI lumbar spine; with MRI Spine 17 72158 MRI lumbar spine; w/o contrast followed by MRI Heart 18 75557 without contrast material; 1 MRI Heart 18 75559 without contrast material; with stress imaging 0 MRI Heart 18 75561 without contrast material(s), followed by contrast material(s) and further sequences; 0 MRI Heart 18 75563 without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging 0

Modality Body Part NUC Card Heart 19 78451 Myocardial perfusion SPECT single study gated technique, rest or stress 0 NUC Card Heart 19 78452 Myocardial perfusion SPECT multiple studies gated technique, rest and/or stress 1 NUC Card Heart 19 78453 Myocardial perfusion planar single study gated technique, rest or stress 0 NUC Card Heart 19 78454 Myocardial perfusion planar multiple studies gated technique, rest and/or stress 0 MRI Head 23 70540 MRI orbit, face and neck; w/o contrast 1 MRI Head 23 70542 MRI orbit, face and neck; with MRI Head 23 70543 MRI orbit, face and neck; w/o contrast followed by MRI Head 24 70336 MRI temporomandibular joint(s) 1 MRI Chest 25 71550 MRI chest; w/o contrast 1 MRI Chest 25 71551 MRI chest; with MRI Chest 25 71552 MRI chest; w/o contrast followed by MRI Abdomen 26 74181 MRI abdomen; w/o contrast 1 MRI Abdomen 26 74182 MRI abdomen; with MRI Abdomen 26 74183 MRI abdomen; w/o contrast followed by MRI Pelvis 27 72195 MRI pelvis; w/o contrast 1 MRI Pelvis 27 72196 MRI pelvis; with MRI Pelvis 27 72197 MRI pelvis; w/o contrast followed by MRI Breast 29 77058 MRI breast; unilateral 1 MRI Breast 29 77059 MRI breast; bilateral 0 MRI Other 30 77084 MRI bone marrow blood supply 1 MRA Head 31 70544 MRA head; w/o contrast 1 MRA Head 31 70545 MRA head; with MRA Head 31 70546 MRA head; w/o contrast followed by MRA Chest 32 71555 MRA chest; with or w/o contrast 1 MRA Abdomen 33 74185 MRA abdomen; with or w/o contrast 1 MRA Pelvis 34 72198 MRA pelvis; with or w/o contrast 1 MRA Extremity 35 73225 MRA upper extremity; with or w/o contrast 1 MRA Extremity 36 73725 MRA lower extremity; with or w/o contrast 1

Modality Body Part MRA Spine 37 72159 MRA spinal canal and contents with or w/o contrast 1 CT Other 40 77078 CT bone mineral density study; axial skeleton 1 PET Head 42 78608 PET brain, metabolic evaluation 1 PET Head 42 78609 PET brain, perfusion evaluation 0 NUC Card Heart 44 78466 Planar, infarct avid; qualitative or quantitative 0 NUC Card Heart 44 78468 Planar, infarct avid; with ejection fraction by first pass technique 0 NUC Card Heart 44 78469 SPECT, infarct avid; with or w/o quantification 1 MRI Extremity 46 73718 MRI lower extremity, other than joint w/o MRI Extremity 46 73719 MRI lower extremity, other than joint w MRI Extremity 46 73720 MRI lower extremity, other than joint w/o contrast followed by MRI Extremity 46 73721 MRI lower extremity, any joint w/o contrast 1 MRI Extremity 46 73722 MRI lower extremity, any joint w MRI Extremity 46 73723 MRI lower extremity, any joint w/o contrast followed by MRI Extremity 47 73221 MRI upper extremity, any joint w/o contrast 1 MRI Extremity 47 73222 MRI upper extremity, any joint with MRI Extremity 47 73223 MRI upper extremity, any joint w/o contrast followed by PET Heart 71 78459 PET myocardial, metabolic evaluation 1 PET Heart 71 78491 PET myocardial, perfusion, single study 0 PET Heart 71 78492 PET myocardial, perfusion, multiple studies 0 CTA Head 72 70496 CTA head 1 CTA Neck 73 70498 CTA neck 1 MRA Neck 74 70547 MRA neck; w/o contrast 1 MRA Neck 74 70548 MRA neck; with MRA Neck 74 70549 MRA neck; w/o contrast followed by CTA Chest 75 71275 CTA chest (noncoronary) 1 CTA Pelvis 76 72191 CTA pelvis 1 CTA Extremity 77 73206 CTA upper extremity 1 CTA Extremity 78 73706 CTA lower extremity 1 CTA Abdomen 79 74175 CTA abdomen 1 CTA Abd/Pelvis 80 74174 CTA Abdomen & Pelvis 0 CTA Abdomen 80 75635 CTA abdominal aorta & bilateral iliofemoral lower extremity runoff 1 MRI Other 81 76390 MR Spectroscopy 1

Modality Body Part NUC Card Heart 82 78472 Cardiac blood pool, gated equilibrium; planar, single study, wall motion plus ejection fraction 1 NUC Card Heart 82 78473 Cardiac blood pool gated equilibrium; planar, multiple studies, wall motion study plus ejection fraction 0 NUC Card Heart 82 78481 Cardiac blood pool first pass tech; single study, wall motion study plus ejection fraction 0 NUC Card Heart 82 78483 Cardiac blood pool first pass tech; multiple studies, wall motion study plus ejection fraction 0 NUC Card Heart 82 78494 Cardiac blood pool gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction 0 PET Other 84 78811 PET tumor imaging, limited 0 PET Other 84 78812 PET tumor imaging, skull to mid-thigh 0 PET Other 84 78813 PET tumor imaging, whole body 1 PET Other 84 78814 PET tumor imaging with concurrent CT, limited 0 PET Other 84 78815 PET tumor imaging with concurrent CT, skull to mid-thigh 0 PET Other 84 78816 PET tumor imaging with concurrent CT, whole body 0 CT Other 85 74263 Computed tomographic (CT) colonography, screening, including image postprocessing 1 CT Other 86 74261 Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material 1 CT Other 86 74262 Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including noncontrast images, if performed 0 MRI Head 88 70554 Functional MRI brain not requiring physician or psychologist 1 MRI Head 88 70555 Functional MRI brain requiring physician or psychologist 0 CT Heart 98 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium 1 CT Heart 99 75572 Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed) 1

Modality Body Part CT Heart 99 75573 Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, if performed) 0 CTA Heart 100 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed) 1 CT Abd/Pelvis 101 74176 CT Abdomen & Pelvis without contrast 1 CT Abd/Pelvis 101 74177 CT Abdomen & Pelvis with CT Abd/Pelvis 101 74178 CT Abdomen & Pelvis wo/w