SUPERSEDED LCD Reference Article Billing and Coding Article

Billing and Coding: Independent Diagnostic Testing Facility (IDTF)

A53252

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Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.
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Contractor Information

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General Information

Source Article ID
N/A
Article ID
A53252
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Independent Diagnostic Testing Facility (IDTF)
Article Type
Billing and Coding
Original Effective Date
10/01/2015
Revision Effective Date
01/01/2024
Revision Ending Date
03/31/2024
Retirement Date
N/A
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CMS National Coverage Policy

Internet-Only Manuals (IOMs)

  • CMS IOM Publication 100-02, Medicare Benefit Policy Manual,
    • Chapter 15, Section 80.2, Psychological Tests and Neuropsychological Tests
  • CMS IOM Publication 100-04, Medicare Claims Processing Manual,
    • Chapter 1, Section 30.2, Assignment of Provider’s Right to Payment
    • Chapter 35, Independent Diagnostic Testing Facility (IDTF)
  • CMS IOM Publication 100-08, Medicare Program Integrity Manual,
    • Chapter 10, Section 10.2.2.4 Independent Diagnostic Testing Facilities (IDTFs)

Social Security Act (Title XVIII) Standard References:

  • Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.

Article Guidance

Article Text

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35448, Independent Diagnostic Testing Facility (IDTF). Please refer to the LCD for reasonable and necessary requirements.

Coding Guidance

Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.

Additional information may be found in CMS Internet-Only Manual (IOM) Publication 100-04, Medicare Claims Processing Manual, Chapter 35, Independent Diagnostic Testing Facility (IDTF).

JW and JZ Modifiers

When billing for Part B drugs and biologicals (except those provided under a competitive acquisition program [CAP]), the use of the JW modifier to identify unused drugs or biologicals from single use vials or single use packages that are appropriately discarded is required. The discarded amount shall be billed on a separate claim line using the JW modifier. Providers are required to document the discarded drug or biological in the patient’s medical record.

Any amount wasted must be clearly documented in the medical record and should include the date and time, amount of medication wasted, and the reason for the wastage.

The use of the JZ modifier (attesting that there were no discarded amounts) is required on claims to report there are no discarded amounts of unused drugs or biologicals from single use vials or single use packages.

Claims for drugs separately payable under Medicare Part B from single-dose containers are required to report either the JW or JZ modifier, to identify any discarded amounts or to attest that there are no discarded amounts, respectively.

  • The JW and JZ modifier policy does not apply for drugs that are not separately payable, such as packaged OPPS or ASC drugs, or drugs administered in the FQHC or RHC setting.
  • The JW and JZ modifiers do not apply to drugs assigned status indicator N (Items and Services Packaged into APC Rates) under the OPPS. Similarly, the JW and JZ modifiers do not apply to drugs assigned payment indicator “N1” (ASC).


Documentation Requirements

  1. All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
  2. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.
  3. The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.
  4. Medical record documentation maintained by the IDTF must include the information listed below and be available upon request:
      1. Written order from the treating physician
      2. Hard copy documentation of the test results and interpretation; and
      3. The medical necessity (reason) for performing the diagnostic test(s).
  5. The IDTF must maintain documentation to demonstrate the required physician supervision requirements were met. Also, the IDTF must maintain documentation of sufficient physician resources during all hours of operation to assure that the required physician supervision is furnished.
  6. Multi-state entities must maintain evidence that supervising physicians are licensed to practice in the state(s) where the diagnostic tests are performed and the technicians performing the diagnostic test(s) are credentialed appropriately in each state in which services are performed in accordance with requirements outlined in this article.
  7. Documentation maintained by the IDTF must support that the personnel performing the diagnostic test(s) have the training and proficiency as evidenced by current licensure or certification as outlined in this article. This documentation must contain verification by the supervising physician(s).


Desk and Site Reviews

All new IDTF applications shall receive a thorough desk review, and a mandatory site review prior to the contractor's enrollment of the applicant and issuance of a billing number. The general purpose of both reviews is to determine whether the information listed on Attachment 2 of the CMS-855B is correct, verifiable, and in accordance with IDTF regulatory and manual requirements.

Site Visits for Mobile Units and Electronic Monitoring Services

Mobile units are required to list their geographic service area. They can be site visited by the following methods:

  • The mobile unit may visit the office of the site reviewer, or
  • The site reviewer can obtain an advance schedule of the locations the IDTF will be visiting and conduct the site visit at one of those locations.

Transtelephonic and electronic monitoring services (e.g., 24-hour ambulatory EKG monitoring; pacemaker monitoring and cardiac event detection) should be classified as IDTFs and must meet all IDTF requirements. These entities require a supervisory physician who performs general supervision. Final enrollment of a transtelephonic or electronic monitoring service, such as an IDTF, requires a site visit.

Interpreting Physicians

An IDTF is not restricted to billing only the technical component of diagnostic services. In certain situations, an IDTF can bill for both the technical component of the diagnostic test and interpretative services. This approach is referred to as billing "globally". The interpretative services must be performed by a licensed practitioner who is allowed to perform the service.

When enrolling or updating information, the IDTF shall list all physicians for whose diagnostic test interpretations it will bill. This includes physicians who are providing purchased interpretations to the IDTF (in accordance with CMS Manual System, Pub. 100-04, Medicare Claims Processing Manual, Chapter 1, Section 30.2), as well as physicians who are reassigning their benefits to the IDTF. The contractor will ensure and document the following:

  • All physicians listed are enrolled in Medicare.
  • All interpreting physicians who are reassigning their benefits to the IDTF have the right to do so. All required CMS-855R forms have been submitted.
  • The interpreting physicians listed are qualified to interpret the types of tests (codes) listed. In accordance with this CMS requirement (CMS Manual System, Pub. 100-08, Medicare Program Integrity Manual, Chapter 15, Section 15.5.19.3).


Note: The applicant cannot bill globally for interpreting physicians not listed.

If an interpreting physician has been recently added or changed, the new interpreting physician must have met all of the interpreting physician requirements at the time any tests were performed.

Off-Site Interpretations

If an IDTF wants to bill for an interpretation performed by an independent practitioner off the premises of the IDTF, it must meet all instructions identified in the CMS Manual System, Pub. 100-04, Medicare Claims Processing Manual, Chapter 1, concerning purchased interpretations. In this scenario, there is no reassignment of benefits because the purchaser of the test is also considered the supplier of the test.

When the technical component of a test is performed by the IDTF and the interpreting practitioner is the practitioner who ordered the test, the IDTF cannot bill for the interpretation. The interpreting practitioner must bill the interpretation since the IDTF cannot bill the interpretation when the interpreting physician is the referring physician.

Purchased Diagnostic Tests and Jurisdictional Pricing

Services that are reimbursed under the Medicare Physician Fee Schedule (MPFS) are reimbursed by the payment locality where the service is furnished and by the zip code. Contractors must use the zip code of the location where the service was rendered to determine contractor jurisdiction over the claim and the correct payment locality.

When a physician, practitioner, or supplier furnishes services in payment localities that cover more than one contractor's service area (e.g., the provider has separate office in multiple localities and/or multiple contractors), separate claims must be submitted to the appropriate contractor for processing.

Providers may not submit a global billing code on paper or electronic claims when one component of the service has been purchased. Only one service facility location (name, address and zip code) can be indicated in item 32 on the CMS-1500 form. Claims received with global services will be returned as unprocessable.

Suppliers (including laboratories, physicians and IDTFs) must bill their local contractor for all purchased diagnostic tests/interpretations, regardless of the location where the purchased service was rendered.

Purchased Technical Components

A physician may bill for the technical component of a diagnostic test that he/she purchased from another physician, medical group or supplier. However, in order to purchase a diagnostic test from another physician, medical group, or supplier, the purchaser must perform the interpretation (professional component). Additionally, the physician or supplier that furnished the technical component must be enrolled in the Medicare program.

Purchased Interpretations

A person or entity that provides diagnostic tests may submit the claim, and (if assignment is accepted) receive the Part B payment, for diagnostic test interpretations which that person or entity purchases from an independent physician or medical group if:

  • The tests are initiated by a physician or medical group which is independent of the person or entity providing the tests and of the physician or medical group providing the interpretations;
  • The physician or medical group providing the interpretations does not see the patient;
  • The purchaser (or employee, partner, or owner of the purchaser) performs the technical component of the test. The interpreting physician must be enrolled in the Medicare program. No formal reassignment is necessary; and
  • The purchaser must keep on file the name, the provider identification number and address of the interpreting physician.


Note: This does not remove the requirement that when an entity either purchases an interpretation or a test, they must perform the other component in order to be paid for the purchased component.

In order to price claims correctly and apply purchase price limitations, global billing is not acceptable for claims received on the Form CMS-1500 or on the ANSI X12N 837 electronic format. Each component must be billed as a separate line item (or on a separate claim).

Suppliers (including laboratories, physicians, and IDTFs) must submit claims for all purchased diagnostic tests/interpretations to their local contractor, regardless of the location where the purchased service was furnished.

Reporting CPT codes 77002 and 77003

Please note that CPT codes 77002 and 77003 were revised with the 2017 CPT annual updates. The CPT codes 77002 and 77003 are now “add-on” codes that must be listed separately in addition to the code for the primary procedure. Please refer to the AMA CPT book for the applicable year (depending on the date of service) for parenthetical notes directing users to the appropriate base codes to be used in conjunction with these add-on services.

Physician Supervision of Diagnostic Procedures

Supervision Level

Description

01

Procedure must be performed under the general supervision of a physician.

02

Procedure must be performed under the direct supervision of a physician.

03

Procedure must be performed under the personal supervision of a physician.

04

Physician supervision policy does not apply when procedure is furnished by a qualified, independent psychologist or a clinical psychologist. Otherwise the procedure must be performed under the general supervision of a physician.

05

Physician supervision policy does not apply when procedure is furnished by a qualified audiologist; otherwise must be performed under the general supervision of a physician.

06

Procedure must be personally performed by a physician or a Physical Therapist (PT) who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified electrophysiological clinical specialist and is permitted to provide the procedure under State law. Procedure may also be performed by a PT with ABPTS certification without physician supervision.

21

Procedure may be performed by a technician with certification under general supervision of a physician. Otherwise the procedure must be performed under direct supervision of a physician. Procedure may also be performed by a PT with ABPTS certification without physician supervision.

22

May be performed by a technician with on-line real-time contact with a physician.

66

May be personally performed by a physician or by a PT with ABPTS certification and certification in this specific procedure.

6A

Supervision standards for level 66 apply; in addition, the PT with ABPTS certification may personally supervise another PT, but only the PT with ABPTS certification may bill.

77

Procedure must be performed by a PT with ABPTS certification (TC & PC) or by a PT without certification under direct supervision of a physician (TC & PC), or by a technician with certification under general supervision of a physician (TC only; PC always physician).

7A

Supervision standards for level 77 apply; in addition, the PT with ABPTS certification may personally supervise another PT, but only the PT with ABPTS certification may bill.

09

Concept does not apply.


The provider is responsible for adhering to applicable CMS regulations for diagnostic test supervision.

Credentialing Matrix

The following table reflects CMS supervision requirements, which describes the levels of physician supervision required for furnishing the technical component of diagnostic tests for Medicare beneficiaries who are not a hospital inpatient or outpatient.

*American Board of Medical Specialty (ABMS), American Board of Nuclear Medicine (ABNM), American Board of Physical Medicine and Rehabilitation (ABPMR), American Board of Psychiatry and Neurology (ABPN), American Osteopathic Association (AOA), or subspecialty certification.

CPT/HCPCS CODES

LEVEL OF PHYSICIAN SUPERVISION

SUPERVISING PHYSICIAN QUALIFICATION REQUIREMENTS

TECHNICIAN QUALIFICATION REQUIREMENTS

10005

09

Board Certified* Radiologist

Credentialed by ARRT in ultrasound

10006

09

Board Certified* Radiologist

Credentialed by ARRT in ultrasound

10007

09

Board Certified* Radiologist

Credentialed by ARRT in fluoroscopy

10008

09

Board Certified* Radiologist

Credentialed by ARRT in fluoroscopy

10009

09

Board Certified* Radiologist

Credentialed by ARRT in CT

10010

09

Board Certified* Radiologist

Credentialed by ARRT in CT

10011

09

Board Certified* Radiologist

Credentialed by ARRT in MRI

10012

09

Board Certified* Radiologist

Credentialed by ARRT in MRI

10021

09

Board Certified* Physician

N/A

19081

09

Board Certified* Radiologist or Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R or ARRT: R.T.-M or ARDMS: RDMS or RT BS or ARRT: MR or ARMRIT: MRI

 

19082

09

Board Certified* Radiologist or Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R or ARRT: R.T.-M or ARDMS: RDMS or RT BS or ARRT: MR or ARMRIT: MRI

19083

09

Board Certified* Radiologist or Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R or ARRT: R.T.-M or ARDMS: RDMS or RT BS or ARRT: MR or ARMRIT: MRI

19084

09

Board Certified* Radiologist or Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R or ARRT: R.T.-M or ARDMS: RDMS or RT BS or ARRT: MR or ARMRIT: MRI

19085

09

Board Certified* Radiologist or Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R or ARRT: R.T.-M or ARDMS: RDMS or RT BS or ARRT: MR or ARMRIT: MRI

 

19086

09

Board Certified* Radiologist or Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R or ARRT: R.T.-M or ARDMS: RDMS or RT BS or ARRT: MR or ARMRIT: MRI

20501

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

23350

09

Board Certified* Radiologist or Orthopedist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

24220

09

Board Certified* Radiologist or Orthopedist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

25246

09

Board Certified* Radiologist or Orthopedist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

27369

09

Board Certified* Radiologist or Orthopedist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R or ARRT: R.T.-CT or R.T.- MR or ARMRIT: MRI

27648

09

Board Certified* Radiologist, Orthopedist or Podiatrist 

State License: General Radiographer or Credentialed by ARRT: R.T.-R

27093

09

Board Certified* Radiologist or Orthopedist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

27095

09

Board Certified* Radiologist or Orthopedist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

42550

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

43754

09

Board Certified* Gastroenterologist

RN

43755

09

Board Certified* Gastroenterologist

RN

51600

09

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

51610

09

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

51725

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51726

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51727

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51728

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51729

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51736

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51741

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51784

02

Board Certified* Urologist, Neurologist or Physiatrist

Urology or OB/GYN Personally Trained Staff

51785

03

Board Certified* Urologist, Neurologist or Physiatrist

Urology or OB/GYN Personally Trained Staff

51792

02

Board Certified* Urologist, Neurologist or Physiatrist

Urology or OB/GYN Personally Trained Staff

51797

02

Board Certified* Urologist

Urology or OB/GYN Personally Trained Staff

51798

09

Board Certified* Urologist or Radiologist

Urology or OB/GYN Personally Trained Staff or State License: General Radiographer or Credentialed by ARRT: R.T.-R

54240

02

Board Certified* Urologist

Credentialed by ARDMS: RVT or CCI: RVS

54250

01

Board Certified* Urologist

Credentialed by ARDMS: RVT or CCI: RVS

58340

09

Board Certified* Radiologist or Gynecologist

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

59025

01

Board Certified* Obstetrics/Gynecology

RN

62284

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

62302

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

62303

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

62304

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

62305

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

70010

09

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70015

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70030

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R 

70100

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70110

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70120

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70130

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70134

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70140

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70150

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70160

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70170

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70190

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70200

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70210

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70220

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70240

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70250

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70260

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70300

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70310

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70320

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70328

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70330

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70332

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

70336

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70350

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

70355

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

70360

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70370

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70371

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70380

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

70390

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

70450

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

70460

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70470

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

70480

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

70481

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

70482

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70486

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70487

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70488

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70490

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70491

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70492

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70496

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

70498

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

70540

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70542

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70543

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70544

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70545

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70546

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70547

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70548

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70549

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70551

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70552

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70553

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

70554

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

70555

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

71045

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71046

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71047

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71048

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71100

01

Board Certified* Radiologist

State License: General Radiographer or ARRT: R.T.-R

71101

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71110

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71111

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71120

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R 

71130

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

71250

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

71260

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

71270

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R   and ARRT: R.T.-CT

71271

09

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

71275

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R  and ARRT: R.T.-CT

71550

01

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

71551

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

71552

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

71555

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

72020

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72040

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72050

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72052

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72070

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72072

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72074

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72080

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72081

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72082

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72083

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72084

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72100

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72110

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72114

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72120

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72125

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72126

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72127

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72128

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72129

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72130

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72131

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72132

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72133

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72141

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72142

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72146

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72147

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72148

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72149

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72156

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72157

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72158

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72159

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72170

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72190

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72191

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72192

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72193

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72194

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

72195

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72196

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72197

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72198

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

72200

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72202

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72220

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72240

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72255

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72265

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72270

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72285

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

72295

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73000

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73010

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73020

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73030

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73040

03

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73050

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73060

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73070

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73080

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73085

03

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73090

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73092

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73100

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73110

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73115

03

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73120

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73130

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73140

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73200

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73201

02

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73202

02

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73206

02

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73218

01

Board Certified* Radiologist or Orthopaedic Surgeon

Credentialed by ARRT: MR or ARMRIT: MRI

73219

02

Board Certified* Radiologist or Orthopaedic Surgeon

Credentialed by ARRT: MR or ARMRIT: MRI

73220

02

Board Certified* Radiologist or Orthopaedic Surgeon

Credentialed by ARRT: MR or ARMRIT: MRI

73221

01

Board Certified* Radiologist or Orthopaedic Surgeon

Credentialed by ARRT: MR or ARMRIT: MRI

73222

02

Board Certified* Radiologist or Orthopaedic Surgeon

Credentialed by ARRT: MR or ARMRIT: MRI

73223

02

Board Certified* Radiologist or Orthopaedic Surgeon

Credentialed by ARRT: MR or ARMRIT: MRI

73225

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

73501

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73502

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73503

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73521

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73522

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73523

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73525

03

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73551

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73552

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73560

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73562

09

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73564

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73565

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73580

03

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73590

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73592

01

Board Certified* Radiologist or Orthopaedic Surgeon

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73600

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73610

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73615

03

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73620

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73630

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73650

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73660

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

73700

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73701

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73702

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73706

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

73718

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

73719

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

73720

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

73721

01

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

73722

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

73723

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

73725

02

Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

74018

01

Board Certified* Radiologist or Urologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

74019

01

Board Certified* Radiologist or Urologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

74021

01

Board Certified* Radiologist or Urologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

74022

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

74150

01

Board Certified* Radiologist or Urologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74160

02

Board Certified* Radiologist or Urologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74170

02

Board Certified* Radiologist or Urologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74174

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74175

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74176

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74177

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74178

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74181

01

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

74182

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

74183

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

74185

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

74190

03

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

74210

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74220

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74221

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74230

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74240

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74246

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74248

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74250

02

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74251

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74261

02

Board Certified* Gastroenterologist or Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74262

02

Board Certified* Gastroenterologist or Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

74270

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74280

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74290

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74300

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74301

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74328

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74329

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74330

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74400

02

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74410

02

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74415

02

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74420

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74425

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74430

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74440

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74445

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74450

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74455

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74470

03

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

74740

03

Board Certified* Radiologist or Gynecologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

74742

03

Board Certified* Radiologist or Gynecologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

74775

03

Board Certified* Radiologist or Gynecologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75557

01

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

75559

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

75561

01

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

75563

01

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

75565

01

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

75571

09

Board Certified* Cardiologist or Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

75572

02

Board Certified* Cardiologist or Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

75573

02

Board Certified* Cardiologist or Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

75574

02

Board Certified* Cardiologist or Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

75580

01

Board Certified* Cardiologist or Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

75600

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75605

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75625

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75630

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75635

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

75705

03

Board Certified* Radiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75710

03

Board Certified* Radiologist, Cardiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75716

03

Board Certified* Radiologist, Cardiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75726

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75731

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75733

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75736

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75741

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75743

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75746

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75756

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75774

03

Board Certified* Radiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75801

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75803

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75805

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75807

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75809

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75810

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75820

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75822

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75825

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75827

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75831

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75833

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75840

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75842

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75860

03

Board Certified* Radiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75870

03

Board Certified* Radiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75872

03

Board Certified* Radiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75880

03

Board Certified* Radiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75885

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75887

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75889

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

75891

03

Board Certified* Radiologist or Vascular Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R

76000

03

Board Certified* Radiologist or Urologist or in the field related to the Primary Procedure

State License: General Radiographer or Credentialed by ARRT: R.T.-R

76010

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

76080

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Credentialed by ARRT: R.T.-R

76098

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

76100

01

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

76120

02

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

76125

02

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

76376

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT or ARRT: MR or ARMRIT: MRI or ARDMS: RDMS or ARRT: R.T.-S (as applicable)

76377

03

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT or ARRT: MR or ARMRIT: MRI or ARDMS: RDMS or ARRT: R.T.-S (as applicable)

76380

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

76390

01

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

76391

02

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

76506

01

Board Certified* Radiologist or Neurologist

Credentialed by ARDMS: RDMS-NE or ARRT: R.T.-S

76510

02

Board Certified* Ophthalmologist, Radiologist or Optometrist

Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT

76511

02

Board Certified* Ophthalmologist, Radiologist or Optometrist

Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT

76512

02

Board Certified* Ophthalmologist, Radiologist or Optometrist

Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT

76513

02

Board Certified* Ophthalmologist, Radiologist or Optometrist

Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT

76514

01

Board Certified* Ophthalmologist, Radiologist or Optometrist

Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT

76516

01

Board Certified* Ophthalmologist, Radiologist or Optometrist

Credentialed by ARDMS: ROUB or RDMS-OP or JCAHPO: COT or COMT

76519

01

Board Certified* Ophthalmologist, Radiologist or Optometrist

Credentialed by ARDMS: ROUB or RDMS- OP or JCAHPO: COT or COMT

76529

01

Board Certified* Ophthalmologist or Radiologist

Credentialed by ARDMS: ROUB or RDMS- OP or JCAHPO: COT or COMT

76536

01

Board Certified* Radiologist or Neurologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76604

01

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76641

01

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76642

01

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76700

01

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76705

01

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76706

09

Board Certified* Cardiologist or Radiologist

Credentialed by ARDMS: RVT or RDMS or ARRT: R.T.-S or R.T.-VS or CCI: RVS

76770

01

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76775

01

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76776

01

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76801

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76802

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76805

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76810

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76811

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76812

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76813

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76814

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76815

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76816

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76817

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76818

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76819

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76820

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76821

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76825

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76826

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76827

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76828

01

Board Certified* Radiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76830

01

Board Certified* Radiologist, Urologist or Obstetrics/Gynecologist

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76831

03

Board Certified* Radiologist

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76856

01

Board Certified* Radiologist, Urologist or Obstetrics/Gynecologist

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76857

01

Board Certified* Radiologist, Urologist or Obstetrics/Gynecologist

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76870

01

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76872

01

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76873

02

Board Certified* Radiologist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76881

01

Board Certified* Radiologist or Podiatrist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76882

01

Board Certified* Radiologist or Podiatrist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76883

09

Board Certified* Radiologist or Podiatrist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76885

01

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76886

01

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76942

03

Board Certified* Radiologist, Podiatrist, or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76946

03

Board Certified* Radiologist

Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S

76975

03

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76977

01

Board Certified* Radiologist, Podiatrist or Urologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S or -BD

76978

03

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

76979

03

Board Certified* Radiologist

Credentialed by ARDMS: RDMS or ARRT: R.T.-S

77002

03

Board Certified* Radiologist or in the field related to the Primary Procedure

State License: General Radiographer or Credentialed by ARRT: R.T.-R

77003

03

Board Certified* Radiologist or in the field related to the Primary Procedure

State License: General Radiographer or Credentialed by ARRT: R.T.-R

77012

03

Board Certified* Radiologist, Podiatrist or Urologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

77014

02

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

77021

03

Board Certified* Radiologist or Podiatrist

Credentialed by ARRT: MR or ARMRIT: MRI

77046

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

77047

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

77048

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

77049

02

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

77053

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-M

77054

03

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-M

77063

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-M

77065

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-M

77066

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-M

77067

09

Board Certified* Radiologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-M

77071

03

Board Certified* Radiologist or Podiatrist

Physician Service Code – Must be performed by a physician

77072

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

77073

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

77074

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

77075

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

77076

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

77077

01

Board Certified* Radiologist or Podiatrist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

77078

01

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

77080

01

Board Certified* Radiologist, Internal Medicine Specialist, Urologist or Orthopaedic Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-BD or ISCD: CBDT

77081

01

Board Certified* Radiologist, Internal Medicine Specialist, Urologist or Orthopaedic Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-BD or ISCD: CBDT

77084

01

Board Certified* Radiologist

Credentialed by ARRT: MR or ARMRIT: MRI

77085

01

Board Certified* Radiologist, Internal Medicine Specialist, Urologist or Orthopaedic Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-BD or ISCD: CBDT

77086

01

Board Certified* Radiologist, Internal Medicine Specialist, Urologist or Orthopaedic Surgeon

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-BD or ISCD: CBDT

77417

01

Board Certified* Radiologist

State License: General Radiographer or Medical Physicist or Credentialed by ARRT: R.T.-R

78012

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78013

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78014

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78015

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78016

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78018

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78020

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78070

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78071

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78072

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78075

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78102

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78103

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78104

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78110

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78111

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78120

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78121

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78122

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78130

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78140

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78185

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78191

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78195

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78201

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78202

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78215

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78216

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78226

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78227

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78230

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78231

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78232

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78258

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78261

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78262

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78264

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78265

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78266

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78267

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78268

09

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78278

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78282

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78290

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78291

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78300

01

Board Certified* Nuclear Medicine, Radiology or Podiatrist

Credentialed by ARRT: N or NMTCB: CNMT

78305

01

Board Certified* Nuclear Medicine, Radiology or Podiatrist

Credentialed by ARRT: N or NMTCB: CNMT

78306

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78315

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78350

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78414

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78428

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78429

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78430

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78431

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78432

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78433

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78434

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78445

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78451

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78452

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78453

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78454

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78456

09

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78457

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78458

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78459

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78466

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78468

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78469

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78472

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78473

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78481

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78483

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78491

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78492

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78494

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78496

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78579

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78580

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78582

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or MTCB: CNMT

78597

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78598

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78600

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78601

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78605

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78606

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78608

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78610

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78630

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78635

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78645

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78650

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78660

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78700

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78701

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78707

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78708

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78709

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78725

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78730

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78740

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78761

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78800

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78801

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78802

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78803

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78804

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78811

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78812

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78813

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78814

01

Board Certified* Nuclear Medicine, Radiology or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: N or NMTCB: CNMT

78815

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78816

01

Board Certified* Nuclear Medicine or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78830

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78831

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78832

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

78835

01

Board Certified* Nuclear Medicine, Cardiology or Radiology

Credentialed by ARRT: N or NMTCB: CNMT

86485

09

Board Certified* M.D. or D.O.

Licensed Personnel

86490

09

Board Certified* M.D. or D.O.

Licensed Personnel

86580

09

Board Certified* M.D. or D.O.

Licensed Personnel

91010

02

Board Certified* Gastroenterologist

RN

91020

02

Board Certified* Gastroenterologist

RN

91022

02

Board Certified* Gastroenterologist

RN

91030

02

Board Certified* Gastroenterologist

RN

91034

02

Board Certified* Gastroenterologist

RN

91035

02

Board Certified* Gastroenterologist

RN

91037

02

Board Certified* Gastroenterologist

RN

91038

02

Board Certified* Gastroenterologist

RN

91040

02

Board Certified* Gastroenterologist

RN

91065

09

Board Certified* Gastroenterologist

RN

91110

09

Board Certified* Gastroenterologist

RN

91111

09

Board Certified* Gastroenterologist

RN

91113

09

Board Certified* Gastroenterologist

RN

91120

02

Board Certified* Gastroenterologist Colorectal Surgeon

RN

91122

02

Board Certified* Gastroenterologist Colorectal Surgeon

RN

91132

01

Board Certified* Gastroenterologist

RN

91133

03

Board Certified* Gastroenterologist

RN

92025

09

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92060

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92081

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92082

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92083

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92100

09

Board Certified* Ophthalmologist or Optometrist

Physician Service Code – Must be performed by a physician

92132

01

Board Certified* Ophthalmologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92133

01

Board Certified* Ophthalmologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92134

01

Board Certified* Ophthalmologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92136

09

Board Certified* Ophthalmologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92229

09

Board Certified* Ophthalmologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92230

09

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92235

02

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92240

02

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92242

02

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92250

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92265

03

Board Certified* Ophthalmologist, Neurologist, Physiatrist or Optometrist

Credentialed by JCAHPO: COT or COMT

92270

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92273

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92274

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92283

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92284

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92285

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

92286

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT or OPS: CRA

92511

03

Board Certified* Otolaryngologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

92517

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92518

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92519

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92537

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92538

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92540

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92541

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92542

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92544

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92545

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92546

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92547

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92548

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92549

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92550

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92552

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92553

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92555

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92556

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92557

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92562

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92563

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92565

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92567

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92568

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92570

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92571

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92572

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92575

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92576

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92577

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92579

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92582

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92583

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92584

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92587

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92588

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92596

09

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92597

09

Board Certified* Neurologist or Otolaryngologist

Physician service code – must be performed by a physician

92601

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92602

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92603

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92604

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92611

09

Board Certified* Radiologist or Otolaryngologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R

92620

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92621

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92625

02

Board Certified* Neurologist or Otolaryngologist

Licensed Audiologist*

92651

02

Board Certified* Neurologist, Physiatrist or Otolaryngologist

Licensed Audiologist*

92652

02

Board Certified* Neurologist, Physiatrist or Otolaryngologist

Licensed Audiologist*

92653

02

Board Certified* Neurologist, Physiatrist or Otolaryngologist

Licensed Audiologist*

93000

01

Board Certified* Internist or Cardiologist

RN, Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN), or State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93005

01

Board Certified* Internist or Cardiologist

RN, LPN/LVN, or State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93010

09

Board Certified* Internist or Cardiologist

Professional component only code – must be performed by a physician

93015

02

Board Certified* Internist, Cardiologist or Nuclear Medicine – ACLS Certified

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET or ARRT: R.T.-N or NMTCB: CNMT

93016

02

Board Certified* Internist, Cardiologist or Nuclear Medicine – ACLS Certified

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET or ARRT: R.T.-N or NMTCB: CNMT

93017

02

Board Certified* Internist, Cardiologist or Nuclear Medicine – ACLS Certified

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET or ARRT: R.T.-N or NMTCB: CNMT

93018

09

Board Certified* Cardiologist or Nuclear Medicine

Professional component only code – must be performed by a physician

93024

03

Board Certified* Internist or Cardiologist – ACLS Certified

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93025

01

Board Certified* Internist or Cardiologist – ACLS Certified

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93040

01

Board Certified* Internist or Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93041

01

Board Certified* Internist or Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93042

09

Board Certified* Cardiologist

Professional Component Code – must be performed by a physician

93224

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93225

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93226

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93227

09

Board Certified* Cardiologist

Professional Component Only Code – must be performed by a physician

93228

09

Board Certified* Cardiologist

Professional Component Only Code – service must be performed by a physician

93229

01

Board Certified* Cardiologist

State Licensed: RN or Paramedic or Credentialed by NHA: CET or CCI: CCT or CRAT

93241

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or CRAT or NHA: CET

93242

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or CRAT or NHA: CET

93243

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or CRAT or NHA: CET

93244

09

Board Certified* Cardiologist

Professional Component Only Code – must be performed by a physician

93245

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93246

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93247

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93248

09

Board Certified* Cardiologist

Professional Component Only Code – must be performed by a physician

93260

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93261

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93268

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93270

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93271

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93272

09

Board Certified* Cardiologist

Professional Component Only Code – must be performed by a physician

93278

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93279

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93280

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93281

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93282

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93283

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93284

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93285

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93286

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93287

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93288

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93289

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93290

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93291

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93292

02

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93293

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93294

09

Board Certified* Cardiologist

Professional Component Only Code – service must be performed by a physician

93295

09

Board Certified* Cardiologist

Professional Component Only Code – service must be performed by a physician

93296

01

Board Certified* Cardiologist

RN, State Licensed Paramedic or Credentialed by CCI: CCT or NHA: CET

93297

09

Board Certified* Cardiologist

Professional Component Only Code – service must be performed by a physician

93298

09

Board Certified* Cardiologist

Professional Component Only Code – service must be performed by a physician

93303

01

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93304

01

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93306

01

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93307

01

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93308

01

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93312

03

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93313

03

Board Certified* Cardiologist

Physician Service Code – must be performed by a physician

93314

03

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93315

03

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93316

03

Board Certified* Cardiologist

Physician Service Code – must be performed by a physician

93317

03

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93319

09

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93320

01

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93321

01

Board Certified* Cardiologist

Credentialed by ARDMS: RDCS or CCI: RCS

93325

01

Board Certified* Cardiologist or Obstetrics/Gynecologist with Subspecialty Certification in Maternal Fetal Medicine

Credentialed by ARDMS: RDCS or CCI: RCS

93350

02

Board Certified* Cardiologist

RN or State Licensed Paramedic or Credentialed by ARDMS: RDCS or CCI: RCS

93351

02

Board Certified* Cardiologist

State Licensed RN or Paramedic, or Credentialed by ARDMS: RDCS or CCI: RCS

93352

09

Board Certified* Cardiologist

Physician Service Code – service must be performed by a physician

93451

03

Board Certified* Cardiologist with Level 02 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93452

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93453

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93454

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93455

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93456

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93457

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93458

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93459

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93460

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93461

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93571

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93572

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93584

09

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93585

09

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93586

09

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93587

09

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93588

09

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93593

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93594

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93595

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93596

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93597

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93598

03

Board Certified* Cardiologist with Level 2 Training (minimum) as outlined by the ACC/AHA Task Force 3

Credentialed by: ARRT: CI or CCI: RCIS

93660

02

Board Certified* Cardiologist

Credentialed by NHA: CET or CCI: CCT, RCIS, RCS or ARDMS: RDCS or RN

93701

09

Board Certified* Cardiologist

Demonstrates Proficiency

93740

09

Board Certified* Cardiologist

Credentialed by CCI: CCT, NHA: CET, State licensed Paramedic or RN

93770

09

Board Certified* Cardiologist

Credentialed by CCI: CCT, NHA: CET, State Licensed Paramedic or RN

93784

01

Board Certified* Cardiologist, Internal Medicine or Family Practice

Credentialed by CCI: CCT, NHA: CET, State Licensed Paramedic or RN

93786

01

Board Certified* Cardiologist, Internal Medicine or Family Practice

Credentialed by CCI: CCT, NHA: CET, State Licensed Paramedic or RN

93788

09

Board Certified* Cardiologist, Internal Medicine or Family Practice

Credentialed by CCI: CCT, NHA: CET, State Licensed Paramedic or RN

93790

09

Board Certified* Cardiologist, Internal Medicine or Family Practice

Professional Component Only Code – must be performed by a physician

93792

01

Board Certified* Cardiologist

RN

93880

01

Board Certified* Radiologist, Neurologist, Cardiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93882

01

Board Certified* Radiologist, Neurologist, Cardiologist, Vascular Surgeon or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93886

01

Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93888

01

Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93890

01

Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93892

01

Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93893

01

Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93922

01

Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93923

01

Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93924

01

Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93925

01

Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93926

01

Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93930

01

Board Certified* Radiologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93931

01

Board Certified* Radiologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93970

01

Board Certified* Radiologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93971

01

Board Certified* Radiologist, Cardiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93975

01

Board Certified* Radiologist, Vascular Surgeon, Urologist or Obstetrics/Gynecologist

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93976

01

Board Certified* Radiologist, Vascular Surgeon, Urologist or Obstetrics/Gynecologist

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93978

01

Board Certified* Radiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93979

01

Board Certified* Radiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93980

01

Board Certified* Radiologist, Urologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93981

01

Board Certified* Radiologist, Urologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93985

01

Board Certified* Radiologist, Urologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93986

01

Board Certified* Radiologist, Urologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

93990

01

Board Certified* Radiologist or Vascular Surgeon

Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS

94010

01

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94014

01

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94015

01

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94016

09

Board Certified* Pulmonologist

Professional Component Only Code – must be performed by a physician

94060

02

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94070

02

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94150

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94200

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94375

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94450

02

Board Certified* Pulmonologist

State License: Respiratory Therapist

94452

02

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94453

02

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94617

01

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94618

01

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94619

01

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94621

02

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94664

02

Board Certified* Pulmonologist

State License: Respiratory Therapist or RN

94680

02

Board Certified* Pulmonologist

State License: Respiratory Therapist

94681

02

Board Certified* Pulmonologist

State License: Respiratory Therapist

94690

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94726

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94727

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94728

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94729

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94760

01

Board Certified* Pulmonologist

Demonstrates Proficiency

94761

01

Board Certified* Pulmonologist

Demonstrates Proficiency

94762

01

Board Certified* Pulmonologist

Demonstrates Proficiency

94772

01

Board Certified* Pulmonologist

State License: Respiratory Therapist

94774

09

Board Certified* Pulmonologist

Credentialed by NBRC: CRT, RRT, CPFT, or RPFT

94775

09

Board Certified* Pulmonologist

Credentialed by NBRC: CRT, RRT, CPFT, or RPFT

94776

09

Board Certified* Pulmonologist

Credentialed by NBRC: CRT, RRT, CPFT, or RPFT

94777

09

Board Certified* Pulmonologist

Credentialed by NBRC: CRT, RRT, CPFT, or RPFT

95004

02

Board Certified* Allergy, Asthma and Immunology or Otolaryngology

RN

95024

02

Board Certified* Allergy, Asthma and Immunology or Otolaryngology

RN

95027

02

Board Certified* Allergy, Asthma and Immunology or Otolaryngology

RN

95028

02

Board Certified* Otolaryngologist

RN

95044

02

Board Certified* Otolaryngologist

RN

95052

02

Board Certified* Otolaryngologist

RN

95056

02

Board Certified* Otolaryngologist

RN

95060

03

Board Certified* Otolaryngologist, Ophthalmologist or Optometrist

RN

95065

03

Board Certified* Otolaryngologist

RN

95070

02

Board Certified* Otolaryngologist

RN

95700

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95705

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95706

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95707

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95708

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95709

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95710

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95711

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95712

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95713

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95714

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95715

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95716

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95717

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95718

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95719

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95720

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95721

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95722

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95723

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95724

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95725

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95726

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95782

01

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95783

01

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95800

09

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95801

09

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95805

01

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN, or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95806

09

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95807

01

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN, or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95808

01

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN, or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95810

01

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN, or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95811

01

Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOHNS, ABPN, or AOA: Sleep Medicine Subspecialty Certification

Credentialed by BRPT: RPSGT or CPSGT, ABRET: R. EEG T. (Polysomnography) or NBRC: CRT, SDS or RRT

95812

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95813

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95816

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95819

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95822

09

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95824

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95830

09

Board Certified* Neurologist

Physician Service Code – must be performed by a physician

95860

6A

Board Certified* Neurologist or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95861

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified electrophysiologic clinical specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95863

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physican with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95864

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95867

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95868

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95869

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95870

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95872

66

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95875

03

Board Certified* Neurologist or Physiatrist

Credentialed by ABRET: R. EP T.

95885

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95886

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95887

6A

Board Certified* Neurologist; or Physical Medicine and Rehabilitation (PMR) Physician with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical Therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.

Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure.

*The following are considered appropriate credentials to assist a physician performing an EMG: AAET: R. NCS.T, ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.

95905

01

Board Certified* Neurologist, Physiatrist or Podiatrist

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, State Licensed Physical Therapist with ABPTS certification, Qualified Physical Therapist or ABEM: CNCT

95907

7A

Board Certified* Neurologist, Physiatrist or Podiatrist – General supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, State Licensed Physical Therapist with ABPTS certification, Qualified Physical Therapist or ABEM: CNCT

95908

7A

Board Certified* Neurologist, Physiatrist or Podiatrist- General supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT

95909

7A

Board Certified* Neurologist, Physiatrist or Podiatrist- General supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, State Licensed Physical Therapist with ABPTS certification, Qualified Physical Therapist or ABEM: CNCT

95910

7A

Board Certified* Neurologist or Physiatrist or Podiatrist- General supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, State Licensed Physical Therapist with ABPTS certification, Qualified Physical Therapist or ABEM: CNCT

95911

7A

Board Certified* Neurologist or Physiatrist or Podiatrist- General supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, or State Licensed Physical Therapist with ABPTS certification, Qualified Physical Therapist or ABEM: CNCT

95912

7A

Board Certified* Neurologist or Physiatrist or Podiatrist- General supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, State Licensed Physical Therapist with ABPTS certification, Qualified Physical Therapist or ABEM: CNCT

95913

7A

Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, ABRET: R. EPT, State Licensed Physical Therapist with ABPTS certification, Qualified Physical Therapist or ABEM: CNCT

95919

01

Board Certified* Neurologist or Physiatrist

Credentialed by AAET: R. NCS.T

95921

02

Board Certified* Neurologist or Physiatrist

Credentialed by AAET: R. NCS.T

95922

03

Board Certified* Neurologist or Physiatrist

Credentialed by AAET: R. NCS.T

95923

03

Board Certified* Neurologist or Physiatrist

Credentialed by AAET: R. NCS.T

95924

09

Board Certified* Neurologist or Physiatrist

Credentialed by AAET: R. NCS.T

95925

21

Board Certified* Neurologist or Physiatrist

Credentialed by ABRET: R. EP T. or R. EEG T. or State Licensed Qualified Physical Therapist or ABPTS Physical Therapist

95926

21

Board Certified* Neurologist, Physiatrist or Podiatrist

Credentialed by ABRET: R. EP T. or R. EEG T. or State Licensed Qualified Physical Therapist or ABPTS Physical Therapist

95927

21

Board Certified* Neurologist or Physiatrist

Credentialed by ABRET: R. EP T. or R. EEG T. or State Licensed Qualified Physical Therapist or ABPTS Physical Therapist

95928

09

Board Certified* Neurologist or Physiatrist

Credentialed by ABRET: R. EPT or R. EEG T.

95929

09

Board Certified* Neurologist or Physiatrist

Credentialed by ABRET: R. EPT or R. EEG T.

95930

09

Board Certified* Neurologist, Physiatrist or appropriately trained Optometrist

Credentialed by ABRET: R. EPT or R. EEG T.

95933

7A

Board Certified* Neurologist or Physiatrist – General Supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT

95937

7A

Board Certified* Neurologist, Physiatrist or Podiatrist – General Supervision level applies if PT not certified

Credentialed by AAET: R. NCS.T, State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT

95938

21

Board Certified* Neurologist or Physiatrist

Credentialed by ABRET: R. EP T. or R. EEG T. or State Licensed Qualified Physical Therapist or ABPTS Physical Therapist

95939

21

Board Certified* Neurologist or Physiatrist

Credentialed by ABRET: R. EP T. or R. EEG T. or State Licensed Qualified Physical Therapist or ABPTS Physical Therapist

95954

03

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95957

01

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

95958

03

Board Certified* Neurologist

Credentialed by ABRET: R. EEG T

96105

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician

96110

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician

96112

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96113

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96116

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96121

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96130

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96131

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96132

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96133

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96136

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96137

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96138

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96139

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

96146

04

Board Certified* Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist

Physician Service Code – must be performed by a physician or other qualified health care professional

0509T

01

Board Certified* Ophthalmologist, Neurologist or Optometrist

Credentialed by JCAHPO: COT or COMT

0554T

09

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

0555T

09

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

0556T

09

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

0557T

09

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

0558T

09

Board Certified* Radiologist or Urologist

State License: General Radiographer or Credentialed by ARRT: R.T.-R and ARRT: R.T.-CT

0604T

09

Board Certified* Ophthalmologist or Optometrist

N/A

0605T

09

Board Certified* Ophthalmologist or Optometrist

N/A

0606T

09

Board Certified* Ophthalmologist or Optometrist

N/A

0607T

09

Board Certified* Cardiologist

State Licensed RN or Paramedic or Credentialed by NHA: CET or CCI: CCT or CRAT

0608T

09

Board Certified* Cardiologist

State Licensed RN or Paramedic or Credentialed by NHA: CET or CCI: CCT or CRAT

0609T

09

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

0610T

09

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

0611T

09

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

0612T

09

Board Certified* Radiologist or Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification

Credentialed by ARRT: MR or ARMRIT: MRI

0615T

09

Board Certified* Neurologist

N/A

0648T

09

Board Certified* Radiologist, Gastroenterologist or Hepatologist

Credentialed by ARRT: MR or ARMRIT: MRI

0649T

09

Board Certified* Radiologist, Gastroenterologist or Hepatologist

Credentialed by ARRT: MR or ARMRIT: MRI

0683T

02

Board Certified* Cardiologist

State Licensed: RN or Paramedic or Credentialed by CCI: CCT or NHA: CET

0685T

02

Board Certified* Cardiologist

State Licensed: RN or Paramedic or Credentialed by CCI: CCT or NHA: CET

0689T

01

Board Certified* Radiologist