| CPT/ HCPCS Codes |
Description |
Supervising Physician Qualification Requirements |
Technician Qualification |
| 27369 |
Njx cntrst kne arthg/ct/mri |
Radiologist or Orthopedic Surgeon |
Physician Only Service |
| 51798 |
Us urine capacity measure |
Urologist or Radiologist |
Urology or OB/GYN Personally Trained Staff; CRT-R |
| 70010 |
Contrast x-ray of brain |
Radiologist |
Physician Only Service |
| 70015 |
Contrast x-ray of brain |
Radiologist |
Physician Only Service |
| 70030 |
X-ray eye for foreign body |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70100 |
X-ray exam of jaw<4views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70110 |
X-ray exam of jaw 4/>views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70120 |
X-ray exam of mastoids |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70130 |
X-ray exam of mastoids |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70134 |
X-ray exam of middle ear |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70140 |
X-ray exam of facial bones |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70150 |
X-ray exam of facial bones |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70160 |
X-ray exam of nasal bones |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70170 |
X-ray exam of tear duct |
Radiologist |
Physician only service |
| 70190 |
X-ray exam of eye sockets |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70200 |
X-ray exam of eye sockets |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70210 |
X-ray exam of sinuses |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70220 |
X-ray exam of sinuses |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70240 |
X-ray exam, pituitary saddle |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70250 |
X-ray exam of skull |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70260 |
X-ray exam of skull |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70300 |
X-ray exam of teeth |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70310 |
X-ray exam of teeth |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70320 |
Full mouth x-ray of teeth |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70328 |
X-ray exam of jaw joint |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70330 |
X-ray exam of jaw joints |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70332 |
X-ray exam of jaw joint |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70336 |
Magnetic image, jaw joint |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70350 |
X-ray head for orthodontia |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70355 |
Panoramic x-ray of jaws |
Radiologist/DDS/ Maxofacial Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70360 |
X-ray exam of neck |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70370 |
Throat x-ray & fluoroscopy |
Radiologist |
Physician Only Service |
| 70371 |
Speech evaluation, complex |
Radiologist |
Physician Only Service |
| 70380 |
X-ray exam of salivary gland |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 70390 |
X-ray exam of salivary duct |
Radiologist |
Physician Only Service |
| 70450 |
CT head/brain w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70460 |
CT head/brain w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70470 |
CT head/brain w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70480 |
CT orbit/ear/fossa w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70481 |
CT orbit/ear/fossa w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70482 |
CT orbit/ear/fossa w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70486 |
CT maxillofacial w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70487 |
CT maxillofacial w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70488 |
CT maxillofacial w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70490 |
CT soft tissue neck w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70491 |
CT soft tissue neck w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70492 |
CT sft tsue nck w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70496 |
CT angiography, head |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70498 |
CT angiography, neck |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 70540 |
MRI orbit/face/neck w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70542 |
MRI orbit/face/neck w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70543 |
MRI orbt/fac/nck w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70544 |
MR angiography head w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RTMR |
| 70545 |
MR angiography head w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70546 |
MR angiograph head w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70547 |
MR angiography neck w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70548 |
MR angiography neck w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70549 |
MR angiograph neck w/o&w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70551 |
MRI brain w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70552 |
MRI brain w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70553 |
MRI brain w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70554 |
FMRI brain by tech |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70555 |
FMRI brain by phys/psych |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70557 |
MRI brain w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70558 |
MRI brain w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 70559 |
MRI brain w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 71045 |
X-ray exam chest 1 view |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71046 |
X-ray exam chest 2 views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71047 |
X-ray exam chest 3 views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71048 |
X-ray exam chest 4+ views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71100 |
X-ray exam of ribs uni 2 views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71101 |
X-ray exam of ribs/chest |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71110 |
X-ray exam of ribs bil 3 views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71111 |
X-ray exam of ribs/chest 4/>vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71120 |
X-ray exam of sternum 2/>vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71130 |
X-ray exam of sternoclavic jt 3/>vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 71250 |
Ct thorax dx c |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 71260 |
Ct thorax dx c+ |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 71270 |
Ct thorax dx c-/c+ |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 71271 |
Low dose CT scan of chest for lung cancer screening |
Radiologist-board certification or board eligibility with the American Board of Radiology or equivalent organization. |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 71275 |
CT angiography, chest |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 71550 |
MRI chest w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 71551 |
MRI chest w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 71552 |
MRI chest w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 71555 |
MR angio chest w or w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72020 |
X-ray exam of spine 1 view |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72040 |
X-ray exam of neck spine 2-3 vw |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72050 |
X-ray exam of neck spine 4/5 vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72052 |
X-ray exam of neck spine 6/> vw |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72070 |
X-ray exam of thoracic spine 2 vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72072 |
X-ray exam of thoracic spine spine 3 vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72074 |
X-ray exam of thoracic spine 4/>vw |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72080-72084 |
X-ray exam thoracolmb 2/>vw- X-ray exam entire spi 6/>vw |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72100 |
X-ray exam l-s spine 2/3 vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72110 |
X-ray exam l-s spine 4/>vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72114 |
X-ray exam l-s spine bending |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72120 |
X-ray bend only l-s spine |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72125 |
CT neck spine w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72126 |
CT neck spine w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72127 |
CT neck spine w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72128 |
CT chest spine w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72129 |
CT chest spine w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72130 |
CT chest spine w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72131 |
CT lumbar spine w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72132 |
CT lumbar spine w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72133 |
CT lumbar spine w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72141 |
MRI neck spine w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72142 |
MRI neck spine w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72146 |
MRI chest spine w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72147 |
MRI chest spine w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72148 |
MRI lumbar spine w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72149 |
MRI lumbar spine w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72156 |
MRI neck spine w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72157 |
MRI chest spine w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72158 |
MRI lumbar spine w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72159 |
MRA spinal canal/contents, w & w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72170 |
X-ray exam of pelvis |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72190 |
X-ray exam of pelvis |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72191 |
CT angiograph pelv w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72192 |
CT pelvis w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72193 |
CT pelvis w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72194 |
CT pelvis w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 72195 |
MRI pelvis w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72196 |
MRI pelvis w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72197 |
MRI pelvis w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72198 |
MRI angio pelvis w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 72200 |
X-ray exam si joints |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72202 |
X-ray exam si joints 3/>vws |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72220 |
X-ray exam sacrum tailbone |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 72240 |
Myelography neck spine |
Radiologist |
Physician Only Service |
| 72255 |
Myelography thorax spine |
Radiologist |
Physician Only Service |
| 72265 |
Myelography l-s spine |
Radiologist |
Physician Only Service |
| 72270 |
Myelography 2/> spine regions |
Radiologist |
Physician Only Service |
| 72285 |
Discography cerv/thor spine |
Radiologist |
Physician Only Service |
| 72295 |
X-ray of lower spine disk |
Radiologist |
Physician Only Service |
| 73000 |
X-ray exam of collar bone |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73010 |
X-ray exam of shoulder blade |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73020 |
X-ray exam of shoulder |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73030 |
X-ray exam of shoulder |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73040 |
Contrast x-ray of shoulder |
Radiologist or Orthopedic Surgeon |
Physician Only Service |
| 73050 |
X-ray exam of shoulders |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73060 |
X-ray exam of humerus |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73070 |
X-ray exam of elbow |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73080 |
X-ray exam of elbow |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73085 |
Contrast x-ray of elbow |
Radiologist or Orthopedic Surgeon |
Physician Only Service |
| 73090 |
X-ray exam of forearm |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73092 |
X-ray exam of arm, infant |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73100 |
X-ray exam of wrist |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73110 |
X-ray exam of wrist |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73115 |
Contrast x-ray of wrist |
Radiologist or Orthopedic Surgeon |
Physician Only Service |
| 73120 |
X-ray exam of hand |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73130 |
X-ray exam of hand |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73140 |
X-ray exam of finger(s) |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73200 |
CT upper extremity w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73201 |
CT upper extremity w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73202 |
CT uppr extremity w/o&w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73206 |
CT angio upr extrm w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73218 |
MRI upper extremity (UE) w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73219 |
MRI UE w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73220 |
MRI UE w/o & W/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73221 |
MRI joint UE w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73222 |
MRI joint UE w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73223 |
MRI joint UE w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73225 |
MRA UE w/dye & w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73501-73503 |
X-ray exam hip uni 1 view- X-ray exam hip uni 4/> views |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73521-73523 |
X-ray exam hips bi 2 views- X-ray exam hips bi 5/> views |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73525 |
Contrast x-ray of hip |
Radiologist or Orthopedic Surgeon |
Physician Only Service |
| 73551 & 73552 |
X-ray exam of femur 1- X-ray exam femur 2/> |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73560 |
X-ray exam of knee, 1 or 2 |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73562 |
X-ray exam of knee, 3 |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73564 |
X-ray exam, knee, 4 or more |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73565 |
X-ray exam of knees |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73580 |
Contrast x-ray of knee joint |
Radiologist or Orthopedic Surgeon |
Physician Only Service |
| 73590 |
X-ray exam of lower leg |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73592 |
X-ray exam of leg, infant |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73600 |
X-ray exam of ankle |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73610 |
X-ray exam of ankle |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73615 |
Contrast x-ray of ankle |
Radiologist or Orthopedic Surgeon |
Physician Only Service |
| 73620 |
X-ray exam of foot |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73630 |
X-ray exam of foot |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73650 |
X-ray exam of heel |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73660 |
X-ray exam of toe(s) |
Radiologist or Orthopedic Surgeon |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 73700 |
CT lower extremity w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73701 |
CT lower extremity w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73702 |
CT lwr extremity w/o&w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73706 |
CT angio lwr extr w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 73718 |
MRI lower extremity w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73719 |
MRI lower extremity w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73720 |
MRI lwr extremity w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73721 |
MRI jnt of lwr extre w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73722 |
MRI joint of lwr extr w/dye |
Radiologist |
Certified Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73723 |
MRI joint lwr extr w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 73725 |
MRA lwr ext w or w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 74018 |
X-ray exam abdomen 1 view |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74019 |
X-ray exam abdomen 2 views
|
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74021 |
X-ray exam abdomen 3 + views |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74022 |
X-ray exam complete abdomen |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74150 |
CT abdomen w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74160 |
CT abdomen w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74170 |
CT abdomen w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74174 |
CT angio abd&pelv w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74175 |
CT angio abdom w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74176 |
CT abd & pelvis w/o contrast |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74177 |
CT abd & pelvis with contrast |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74178 |
CT abd & pelv1/> regns |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 74181 |
MRI abdomen w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 74182 |
MRI abdomen w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 74183 |
MRI abdomen w/o & w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 74185 |
MRI angio, abd w or w/o dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 74190 |
X-ray exam of peritoneum |
Radiologist |
Physician Only Service |
| 74210 |
X-ray xm phrnx&/crv esoph c+ |
Radiologist |
Physician Only Service |
| 74220 |
X-ray xm esophagus 1cntrst |
Radiologist |
Physician Only Service |
| 74221 |
X-ray xm esophagus 2cntrst |
Radiologist |
Physician Only Service |
| 74230 |
X-ray xm swlng funcj c+ |
Radiologist |
Physician Only Service |
| 74240 |
X-ray xm upr gi trc 1cntrst |
Radiologist |
Physician Only Service |
| 74246 |
X-ray xm upr gi trc 2cntrst |
Radiologist |
Physician Only Service |
| 74248 |
X-ray sm int f-thru std |
Radiologist |
Physician Only Service |
| 74250 |
X-ray xm sm int 1cntrst std |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74251 |
X-ray xm sm int 2cntrst std |
Radiologist |
Physician Only Service |
| 74261 |
CT colonography dx |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T. .-CT) |
| 74262 |
CT colonography dx w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T. .-CT) |
| 74263 |
CT colonography screening |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T. .-CT) |
| 74270 |
X-ray xm colon 1cntrst std |
Radiologist |
Physician Only Service |
| 74280 |
X-ray xm colon 2cntrst std |
Radiologist |
Physician Only Service |
| 74283 |
Ther nma rdctj intus/obstrcj |
Radiologist |
Physician Only Service |
| 74290 |
Contrast x-ray, gallbladder |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74300 |
X-ray bile ducts/pancreas |
Radiologist |
Physician Only Service |
| 74301 |
X-rays at surgery add-on |
Radiologist |
Physician Only Service |
| 74328 |
X-ray bile duct endoscopy |
Radiologist |
Physician Only Service |
| 74329 |
X-ray for pancreas endoscopy |
Radiologist |
Physician Only Service |
| 74330 |
X-ray bile/panc endoscopy |
Radiologist |
Physician Only Service |
| 74400 |
Contrst x-ray, urinary tract |
Radiologist or Urologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74410 |
Contrst x-ray, urinary tract |
Radiologist or Urologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74415 |
Contrst x-ray, urinary tract |
Radiologist or Urologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74420 |
Contrst x-ray, urinary tract |
Radiologist or Urologist |
Physician Only Service |
| 74425 |
Urography antegrade rs&i |
Radiologist or Urologist |
Physician Only Service |
| 74430 |
Contrast x-ray, bladder |
Radiologist or Urologist |
Physician Only Service |
| 74440 |
X-ray, male genital tract |
Radiologist or Urologist |
Physician Only Service |
| 74445 |
X-ray exam of penis |
Radiologist or Urologist |
Physician Only Service |
| 74450 |
X-ray, urethra/bladder |
Radiologist or Urologist |
Physician Only Service |
| 74455 |
X-ray, urethra/bladder |
Radiologist or Urologist |
Physician Only Service |
| 74470 |
X-ray exam of kidney lesion |
Radiologist or Urologist |
Physician Only Service |
| 74710 |
X-ray measurement of pelvis |
Radiologist or OBGYN |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 74712 & 74713 |
MRI fetal sngl/1st gestation- MRI ea addl gestation |
Radiologist or OBGYN |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 74740 |
X-ray, female genital tract |
Radiologist or OBGYN |
Physician Only Service |
| 74742 |
X-ray, fallopian tube |
Radiologist or OBGYN |
Physician Only Service |
| 74775 |
X-ray exam of perineum |
Radiologist or OBGYN |
Physician Only Service |
| 75557 |
Cardiac MRI for morph |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 75559 |
Cardiac MRI w/stress img |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 75561 |
Cardiac MRI for morph w/dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 75563 |
Card MRI w/stress img & dye |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 75565 |
Card MRI veloc flow mapping |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-RT-MR |
| 75571 |
CT hrt w/o dye w/ca test |
Radiologist/Cardiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 75572 |
CT hrt w/3d image |
Radiologist/Cardiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 75573 |
Ct hrt strux cgen hrt ds |
Radiologist/Cardiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 75574 |
CT angio hrt w/3d image |
Radiologist/Cardiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 75600 |
Contrast exam thoracic aorta |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75605 |
Contrast exam thoracic aorta |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75625 |
Contrast exam abdominl aorta |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75630 |
X-ray aorta, leg arteries |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75635 |
CT angio abdominal arteries |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 75705 |
Artery x-rays, spine |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75710 |
Artery x-rays, arm/leg |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75716 |
Artery x-rays, arms/legs |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75726 |
Artery x-rays, abdomen |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75731 |
Artery x-rays, adrenal gland |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75733 |
Artery x-rays, adrenals |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75736 |
Artery x-rays, pelvis |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75741 |
Artery x-rays, lung |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75743 |
Artery x-rays, lungs |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75746 |
Artery x-rays, lung |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75756 |
Artery x-rays, chest |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75774 |
Artery x-ray, each vessel |
Radiologist,Vascular Surgery |
Physician Only Service |
| 75801 |
Lymph vessel x-ray, arm/leg |
Radiologist |
Physician Only Service |
| 75803 |
Lymph vessel x-ray, arms/legs |
Radiologist |
Physician Only Service |
| 75805 |
Lymph vessel x-ray, trunk |
Radiologist |
Physician Only Service |
| 75807 |
Lymph vessel x-ray, trunk |
Radiologist |
Physician Only Service |
| 75809 |
Nonvascular shunt, x-ray |
Radiologist |
Physician Only Service |
| 75810 |
Vein x-ray, spleen/liver |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75820 |
Vein x-ray, arm/leg |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75822 |
Vein x-ray, arms/legs |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75825 |
Vein x-ray, trunk |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75827 |
Vein x-ray, chest |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75831 |
Vein x-ray, kidney |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75833 |
Vein x-ray, kidneys |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75840 |
Vein x-ray, adrenal gland |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75842 |
Vein x-ray, adrenal glands |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75860 |
Vein x-ray, neck |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75870 |
Vein x-ray, skull |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75872 |
Vein x-ray, skull epidural |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75880 |
Vein x-ray, eye socket |
Radiologist, Vascular Surgery |
Physician Only Service |
| 75885 |
Vein x-ray, liver w/hemodynam |
Radiologist, Vascular Surgeon |
Physician Only Service |
| 75887 |
Vein x-ray, liver w/o hemodyn |
Radiologist, Vascular Surgeon |
Physician Only Service |
| 75889 |
Vein x-ray, liver w/hemodynam |
Radiologist, Vascular Surgeon |
Physician Only Service |
| 75891 |
Vein x-ray, liver |
Radiologist, Vascular Surgeon |
Physician Only Service |
| 75893 |
Venous sampling by catheter |
Radiologist, Vascular Surgeon |
Physician Only Service |
| 75898 |
Follow-up angiography |
Radiologist, Vascular Surgeon |
Physician Only Service |
| 76000 |
Fluoroscopy <1 hr phys/qhp |
Radiologist or in the field related to the Primary Procedure |
Physician Only Service |
| 76010 |
X-ray, nose to rectum |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 76080 |
X-ray exam of fistula |
Radiologist |
Physician Only Service |
| 76098 |
X-ray exam, surgical specimen |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 76100 |
X-ray exam of body section |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 76120 |
Cine/video x-rays |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 76125 |
Cine/video x-rays add-on |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 76376 |
3D render w/intrp postproces |
Radiologist/Cardiologist |
(ARRT:R.T.-CT or (ARRT:R.T.-MR) or ARMRIT-MR or ARDMS- RDCS |
| 76377 |
3D render w/intrp postproces |
Radiologist/Cardiologist |
(ARRT:R.T.-CT or (ARRT:R.T.-MR) or ARMRIT-MR or ARDMS- RDCS |
| 76380 |
CAT scan follow-up study |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 76391 |
Mr elastography |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76506 |
Echo exam of head |
Radiologist or Neurologist |
Credentialed by ARDMS or ARRT:R.T.-S |
| 76510 |
Ophth US b & quant a |
Ophthalmologist, optometrist or Radiologist |
Credentialed by JCAHPO - COMT |
| 76511 |
Ophth US quant a only |
Ophthalmologist, optometrist or Radiologist |
Credentialed by JCAHPO - COMT |
| 76512 |
Ophth US b w/non-quant a |
Ophthalmologist, optometrist or Radiologist |
Credentialed by JCAHPO - COMT |
| 76513 |
Oph us dx ant sgm us uni/bi |
Ophthalmologist or Radiologist |
Credentialed by JCAHPO- COMT |
| 76514 |
Echo exam of eye, thickness |
Ophthalmologist, optometrist or Radiologist |
Credentialed by JCAHPO - COMT |
| 76516 |
Echo exam of eye |
Ophthalmologist, optometrist or Radiologist |
Credentialed by JCAHPO- COMT |
| 76519 |
Echo exam of eye |
Ophthalmologist, optometrist or Radiologist |
Credentialed by JCAHPO- COMT |
| 76529 |
Echo exam of eye |
Ophthalmologist or Radiologist |
Credentialed by JCAHPO- COMT |
| 76536 |
US exam of head and neck |
Radiologist or Neurologist |
Credentialed by ARDMS RDMS or ARRT:R.T.-S |
| 76604 |
US exam, chest |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76641 |
US breast complete |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76642 |
US breast limited |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76700 |
US exam, abdom, complete |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76705 |
Echo exam of abdomen |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76706 |
US abdl aorta screen aaa |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76770 |
US exam abdo back wall, comp |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76775 |
US exam abdo back wall, lim |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76776 |
US exam k translp w/doppler |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76800 |
US exam, spinal canal |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76801 |
Ob US < 14 wks, single fetus |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76802 |
Ob US < 14 wks, addl fetus |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76805 |
Ob US >/= 14 wks, sngl fetus |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76810 |
Ob US >/= 14 wks, addl fetus |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76811 |
Ob US, detailed, sngl fetus |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76812 |
Ob US, detailed, addl fetus |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76813 |
Ob US, nuchal meas 1 gest |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76814 |
Ob US, nuchal meas add-on |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76815 |
Ob US, limited, fetus(s) |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76816 |
Ob US, follow-up, per fetus |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76817 |
Transvaginal US obstetric |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76818 |
Fetal biophys profile w/nst |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76819 |
Fetal biophys profil w/o nst |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76820 |
Umbilical artery echo |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76821 |
Middle cerebral artery echo |
Radiologist/OBGYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76825 |
Echo exam of fetal heart |
Radiologist or OB/GYN/Cardiology |
Credentialed by ARDMS RDCS/RDMS or ARRT:R.T.-S |
| 76826 |
Echo exam of fetal heart |
Radiologist or OB/GYN/Cardiology |
Credentialed by ARDMS RDCS/RDMS or ARRT:R.T-S. |
| 76827 |
Echo exam of fetal heart |
Radiologist or OB/GYN/Cardiology |
Credentialed by ARDMS RDCS/RDMS or ARRT:R.T.-S |
| 76828 |
Echo exam of fetal heart |
Radiologist or OB/GYN/Cardiology |
Credentialed by ARDMS RDCS/RDMS or ARRT:R.T-S. |
| 76830 |
Transvaginal US non-ob |
Radiologist or OB/GYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76831 |
Echo exam, uterus |
Radiologist or OB/GYN |
Physician Only Service |
| 76856 |
US exam, pelvic, complete |
Radiologist or OB/GYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76857 |
US exam, pelvic, limited |
Radiologist or OB/GYN |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76870 |
US exam, scrotum |
Radiologist or Urologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76872 |
US, transrectal |
Radiologist or OB/GYN, Urologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76873 |
Echograp trans r, pros study |
Radiologist or Urologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76881 |
US compl joint r-t w/img |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76882 |
US lmtd jt/nonvasc xtr strux |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76885 |
US exam infant hips dynamic |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76886 |
US exam infant hips, static |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76932 |
Echo guide for heart biopsy |
Radiologist /Cardiologist |
Physician Only Service |
| 76937 |
US guide, vascular access |
Radiologist, Vascular Surgeon |
Physician Only Service |
| 76940 |
US guide, tissue ablation |
Radiologist |
Physician Only Service |
| 76945 |
Echo guide, villus sampling |
Radiologist |
Physician Only Service |
| 76946 |
Echo guide for amniocentesis |
Radiologist |
Physician Only Service |
| 76975 |
GI endoscopic ultrasound |
Radiologist |
Physician Only Service |
| 76977 |
US bone density measure |
Radiologist/Multiple physician specialties |
Credentialed by ARDMS or ARRT:R.T.-S, or BD |
| 76978 |
Us trgt dyn mbubb 1st les |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76979 |
Us trgt dyn mbubb ea addl |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76981 |
Use parenchyma |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76982 |
Use 1st target lesion |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 76983 |
Use ea addl target lesion |
Radiologist |
Credentialed by ARDMS RDMS or ARRT:R.T-S |
| 77002 |
Needle localization by x-ray |
Radiologist or in the field related to the Primary Procedure |
Physician Only Service |
| 77003 |
Fluoroguide for dx spine inject |
Radiologist or in the field related to the Primary Procedure |
Physician Only Service |
| 77011 |
CT scan for localization |
Radiologist |
Physician Only Service |
| 77012 |
CT scan for needle biopsy |
Radiologist |
Physician Only Service |
| 77021 |
MRI guidance ndl plmt rs&i |
Radiologist |
Physician Only Service |
| 77046 |
Mri breast c- unilateral |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 77047 |
Mri breast c- bilateral |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 77048 |
Mri breast c-+ w/cad uni |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 77049 |
Mri breast c-+ w/cad bi |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 77053 |
X-ray of mammary duct |
Radiologist |
Physician Only Service |
| 77054 |
X-ray of mammary ducts |
Radiologist |
Physician Only Service |
| 77061 |
breast tomosynthesis-uni |
Radiologist |
Facility Must be FDA Certified to Perform Mammography Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77062 |
Breast tomosynthesis bi |
Radiologist |
Facility Must be FDA Certified to Perform Mammography Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77063 |
Breast tomosynthesis bi |
Radiologist |
Facility Must be FDA Certified to Perform Mammography Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77065 |
Dx mammography including CAD, unilateral |
Radiologist |
Facility Must be FDA Certified to Perform Mammography Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77066 |
Dx mammography including CAD, bilateral |
Radiologist |
Facility Must be FDA Certified to Perform Mammography Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77067 |
Screening , bilateral including CAD |
Radiologist |
Facility Must be FDA Certified to Perform Mammography Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77071 |
X-ray stress view |
Radiologist |
Physician Only Service |
| 77072 |
X-rays for bone age |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77073 |
X-rays, bone length studies |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77074 |
X-rays, bone survey limited |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77075 |
X-rays, bone survey complete |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77076 |
X-rays, bone survey infant |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77077 |
Joint survey, single view |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-R) |
| 77078 |
CT bone density, axial |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-CT) |
| 77080 |
DXA bone density, axial |
Radiologist or Internal Medicine |
Certified Radiologic Technologist (ARRT:R.T.-BD), CDT, CBDT |
| 77081 |
DXA bone density/peripheral |
Radiologist or Internal Medicine |
Certified Radiologic Technologist (ARRT:R.T.-BD), CDT, CBDT |
| 77084 |
Magnetic image bone marrow |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 77085 |
DXA bone density study |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-BD), CDT, CBDT |
| 77086 |
Fracture assessment via DXA |
Radiologist |
Certified Radiologic Technologist (ARRT:R.T.-BD), CDT, CBDT |
| 77089 |
Trabecular bone score (TBS) -prep and transmission |
Radiologist or Internal Medicine |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 77090 |
TBS -prep and transmission-performed elsewhere |
Radiologist or Internal Medicine |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 77091 |
TBS technical calculation only |
Radiologist or Internal Medicine |
Certified Radiologic Technologist (ARRT:R.T.-MR) or ARMRIT-MR |
| 78012 |
Thyroid uptake measurement |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78013 |
Thyroid imaging w/blood flow |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78014 |
Thyroid imaging w/blood flow |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78015 |
Thyroid met imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78016 |
Thyroid met imaging/studies |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78018 |
Thyroid met imaging, body |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78020 |
Thyroid met uptake |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78070 |
Parathyroid planar imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78071 |
Parathyrd planar w/wo subrtrj |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78072 |
Parathyrd planar w/SPECT&CT |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78075 |
Adrenal cortex & medulla img |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78102 |
Bone marrow imaging, ltd |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78103 |
Bone marrow imaging, mult |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78104 |
Bone marrow imaging, body |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78110 |
Plasma volume, single |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78111 |
Plasma volume, multiple |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78120 |
Red cell mass, single |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78121 |
Red cell mass, multiple |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78122 |
Blood volume |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78130 |
Red cell survival study |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78140 |
Red cell sequestration |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78185 |
Spleen imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78191 |
Platelet survival |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78195 |
Lymph system imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78201 |
Liver imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78202 |
Liver imaging with flow |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78215 |
Liver and spleen imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78216 |
Liver & spleen image/flow |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78226 |
Hepatobiliary system imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78227 |
Hepatobil syst image w/drug |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78230 |
Salivary gland imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78231 |
Serial salivary imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78232 |
Salivary gland function exam |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78258 |
Esophageal motility study |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78261 |
Gastric mucosa imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78262 |
Gastroesophageal reflux exam |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78264-78266 |
Gastric emptying study…. |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78278 |
Acute GI blood loss imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78282 |
GI protein loss exam |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78290 |
Meckel’s divert exam |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78291 |
Leveen/shunt patency exam |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78300 |
Bone imaging, limited area |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78305 |
Bone imaging, multiple areas |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78306 |
Bone imaging, whole body |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78315 |
Bone imaging, 3 phase |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78350 |
Bone mineral single photon |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78351 |
Bone mineral dual photon |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78414 |
Non-imaging heart function |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78428 |
Cardiac shunt imaging |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78429 |
Myocrd img pet 1 std w/ct |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78430 |
Myocrd img pet rst/strs w/ct |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78431 |
Myocrd img pet rst&strs ct |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78432 |
Myocrd img pet 2rtracer |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78433 |
Myocrd img pet 2rtracer ct |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78434 |
Aqmbf pet rest & rx stress |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78445 |
Vascular flow imaging |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78451 |
Ht muscle image SPECT sing |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78452 |
Ht muscle image SPECT mult |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78453 |
Ht muscle image planar sing |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78454 |
Ht musc image planar mult |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78456 |
Acute venous thrombus image |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78457 |
Venous thrombosis imaging |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78458 |
Ven thrombosis images, bilat |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78459 |
Myocrd img pet single study |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78466 |
Heart infarct image |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78468 |
Heart infarct image (ef) |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78469 |
Heart infarct image (3D) |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78472 |
Gated heart, planar, single |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78473 |
Gated heart, multiple |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78481 |
Heart first pass, single |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78483 |
Heart first pass, multiple |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78491 |
Myocrd img pet 1std rst/strs |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78492 |
Heart image (PET) multiple |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78494 |
Heart image, SPECT |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78496 |
Heart first pass add-on |
Nuclear Medicine, Cardiology or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78579 |
Lung ventilation imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78580 |
Lung perfusion imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78582 |
Lung ventilat&perfus imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78597 |
Lung perfusion differential |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78598 |
Lung perf&ventilat diferentl |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78600 |
Brain imaging <4 views |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78601 |
Brain imaging w/flow <4 views |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78605 |
Brain image 4+ views |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78606 |
Brain image w/flow 4+ views |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78608 |
Brain imaging (PET) |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78609 |
Brain imaging (PET) |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78610 |
Brain flow imaging only |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78630 |
Cerebrospinal fluid scan |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78635 |
CSF ventriculography |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78645 |
CSF shunt evaluation |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78650 |
CSF leakage imaging |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78660 |
Nuclear exam of tear flow |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78700 |
Kidney imaging morphol |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78701 |
Kidney imaging with flow |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78707 |
K flow/funct image w/o drug |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78708 |
K flow/funct image w/drug |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78709 |
K flow/funct image multiple |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78725 |
Kidney function study |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78730 |
Urinary bladder retention |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78740 |
Ureteral reflux study |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78761 |
Testicular imaging w/flow |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78800 |
Rp loclzj tum 1 area 1 d img |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78801 |
Rp loclzj tum 2+area 1+d img |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78802 |
Rp loclzj tum whbdy 1 d img |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78803 |
Rp loclzj tum spect 1 area |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78804 |
Rp loclzj tum whbdy 2+d img |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78811 |
PET image ltd area |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78812 |
PET image skull-thigh |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78813 |
PET image full body |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78814 |
PET image w/CT lmtd |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78815 |
PET image w/CT skull-thigh |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78816 |
PET image w/CT full body |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78830 |
Rp loclzj tum spect w/ct 1 |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78831 |
Rp loclzj tum spect 2 areas |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78832 |
Rp loclzj tum spect w/ct 2 |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 78835 |
Rp quan meas single area |
Nuclear Medicine or Radiology |
Credentialed by ARRT:R.T.-N or CNMT |
| 91010 |
Esophagus motility study |
Gastroenterologist |
GI trained RN, LPN |
| 91013 |
Esophgl motil w/stim/perfus |
Gastroenterologist |
GI trained RN, LPN |
| 91020 |
Gastric motility studies |
Gastroenterologist |
GI trained RN, LPN |
| 91022 |
Duodenal motility study |
Gastroenterologist |
GI trained RN, LPN |
| 91030 |
Acid perfusion of esophagus |
Gastroenterologist |
GI trained RN, LPN |
| 91034 |
Gastroesophageal reflux test |
Gastroenterologist |
GI trained RN, LPN |
| 91035 |
G-esoph reflx tst w/ electrod |
Gastroenterologist |
GI trained RN, LPN |
| 91037 |
Esoph imped function test |
Gastroenterologist |
GI trained RN, LPN |
| 91038 |
Esoph imped funct test > 1h |
Gastroenterologist |
GI trained RN, LPN |
| 91040 |
Esoph balloon distension tst |
Gastroenterologist |
GI trained RN, LPN |
| 91065 |
Breath hydrogen/methane test |
Gastroenterologist |
GI trained RN, LPN |
| 91110 |
GI tract Capsule endoscopy |
Gastroenterologist |
GI trained RN, LPN |
| 91112 |
GI Transit and pressure-stomach through colon,, wireless capsule |
Gastroenterologist |
GI trained RN, LPN |
| 91117 |
Colon motility 6 hr study |
Gastroenterologist |
GI trained RN, LPN |
| 91120 |
Rectal sensation test |
Gastroenterologist or Colorectal Surgeon |
GI trained RN, LPN |
| 91122 |
Anal pressure record |
Gastroenterologist or Colorectal Surgeon |
GI trained RN, LPN |
| 91132 |
Electrogastrography |
Gastroenterologist or Colorectal Surgeon |
Physician Only Service |
| 91133 |
Electrogastrography w/test |
Gastroenterologist or Colorectal Surgeon |
Physician Only Service |
| 91200 |
Liver elastography |
Gastroenterologist or Colorectal Surgeon |
Physician Only Service |
| 92081 |
Visual field examination(s) |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92082 |
Visual field examination(s) |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92083 |
Visual field examination(s) |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92100 |
Serial tonometry exam(s) |
Ophthalmologist |
Credentialed by JCAHPO: COMT |
| 92132 |
Cmptr ophth dx img ant segmt |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92133 |
Cmptr ophth img optic nerve |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92134 |
Cmptr ophth dx img post segmt |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92136 |
Ophthalmic biometry |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92201 |
Opscpy extnd rta draw uni/bi |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92202 |
Opscpy extnd on/mac draw |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92227 |
Img rta detcj/mntr ds staff |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92228 |
Img rta detc/mntr ds phy/qhp |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92229 |
Img rta detc/mntr ds poc aly |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92230 |
Eye exam with photos |
Ophthalmologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92235 |
Fluorescein angrph uni/bi |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92240 |
ICG angiography uni/bi |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92242 |
Fluorescein ICG angiography |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92250 |
Eye exam with photos |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92260 |
Ophthalmoscopy/dynamometry |
Ophthalmologist |
Physician Only Service |
| 92265 |
Eye muscle evaluation |
Ophthalmologist, Neurologist or Optometrist |
Physician Only Service |
| 92270 |
Electro-oculography |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92273 |
Full field erg w/i&r |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92274 |
Multifocal erg w/i&r |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92283 |
Color vision examination |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92284 |
Dark adaptation eye exam |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92285 |
Eye photography |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92286 |
Internal eye photography |
Ophthalmologist, Neurologist or Optometrist |
Credentialed by JCAHPO: COMT |
| 92287 |
Internal eye photography |
Ophthalmologist |
Physician Only Service |
| 92517 |
Vemp test i&r cervical |
Otolaryngologists Audiologists |
Audiologist |
| 92518 |
Vemp test i&r ocular |
Otolaryngologists or Audiologists |
Audiologist |
| 92519 |
Vemp tst i&r cervical&ocular |
Otolaryngologists or Audiologists |
Audiologist |
| 92537 |
Caloric vstblr test w/rec |
Neurologist or Otolaryngologist |
Audiologist |
| 92538 |
Caloric vstblr test w/rec |
Neurologist or Otolaryngologist |
Audiologist |
| 92540 |
Basic vestibular evaluation |
Neurologist or Otolaryngologist |
Audiologist |
| 92541 |
Spontaneous nystagmus test |
Neurologist or Otolaryngologist |
Audiologist |
| 92542 |
Positional nystagmus test |
Neurologist or Otolaryngologist |
Audiologist |
| 92544 |
Optokinetic nystagmus test |
Neurologist or Otolaryngologist |
Audiologist |
| 92545 |
Oscillating tracking test |
Neurologist or Otolaryngologist |
Audiologist |
| 92546 |
Sinusoidal rotational test |
Neurologist or Otolaryngologist |
Audiologist |
| 92547 |
Supplemental electrical test |
Neurologist or Otolaryngologist |
Audiologist |
| 92548 |
Cdp-sot 6 cond w/i&r |
Neurologist or Otolaryngologist |
Audiologist |
| 92549 |
Cdp-sot 6 cond w/i&r mct&adt |
Neurologist or Otolaryngologist |
Audiologist |
| 92550 |
Tympanometry & reflex thresh |
Neurologist or Otolaryngologist |
Audiologist |
| 92552 |
Pure tone audiometry, air |
Neurologist or Otolaryngologist |
Audiologist |
| 92553 |
Audiometry, air & bone |
Neurologist or Otolaryngologist |
Audiologist |
| 92555 |
Speech threshold audiometry |
Neurologist or Otolaryngologist |
Audiologist |
| 92556 |
Speech audiometry, complete |
Neurologist or Otolaryngologist |
Audiologist |
| 92557 |
Comprehensive hearing test |
Neurologist or Otolaryngologist |
Audiologist |
| 92558 |
Evoked auditory test qual |
Neurologist or Otolaryngologist |
Audiologist |
| 92562 |
Loudness balance test |
Neurologist or Otolaryngologist |
Audiologist |
| 92563 |
Tone decay hearing test |
Neurologist or Otolaryngologist |
Audiologist |
| 92565 |
Stenger test, pure tone |
Neurologist or Otolaryngologist |
Audiologist |
| 92567 |
Tympanometry |
Neurologist or Otolaryngologist |
Audiologist |
| 92568 |
Acoustic refl threshold tst |
Neurologist or Otolaryngologist |
Audiologist |
| 92570 |
Acoustic immittance testing |
Neurologist or Otolaryngologist |
Audiologist |
| 92571 |
Filtered speech hearing test |
Neurologist or Otolaryngologist |
Audiologist |
| 92572 |
Staggered spondaic word test |
Neurologist or Otolaryngologist |
Audiologist |
| 92575 |
Sensorineural acuity test |
Neurologist or Otolaryngologist |
Audiologist |
| 92576 |
Synthetic sentence test |
Neurologist or Otolaryngologist |
Audiologist |
| 92577 |
Stenger test, speech |
Neurologist or Otolaryngologist |
Audiologist |
| 92579 |
Visual audiometry (vra) |
Neurologist or Otolaryngologist |
Audiologist |
| 92582 |
Conditioning play audiometry |
Neurologist or Otolaryngologist |
Audiologist |
| 92583 |
Select picture audiometry |
Neurologist or Otolaryngologist |
Audiologist |
| 92584 |
Electrocochleography |
Neurologist or Otolaryngologist |
Audiologist |
| 92587 |
Evoked auditory test limited |
Neurologist or Otolaryngologist |
Audiologist |
| 92588 |
Evoked auditory test complete |
Neurologist or Otolaryngologist |
Audiologist |
| 92596 |
Ear protector evaluation |
Neurologist or Otolaryngologist |
Audiologist |
| 92651 |
Aep hearing status deter i&r |
Neurologist or Otolaryngologist |
Audiologist |
| 92652 |
Aep thrshld est mlt freq i&r |
Neurologist or Otolaryngologist |
Audiologist |
| 92653 |
Aep neurodiagnostic i&r |
Neurologist or Otolaryngologist |
Audiologist |
| 93000 |
Electrocardiogram, complete |
Internist or Cardiologist |
CCI-CCT, RN, LPN, NCCT-NCET, NHA-CET |
| 93005 |
Electrocardiogram, tracing |
Internist or Cardiologist |
CCI-CCT, RN, LPN, CET NCCT-NCET, NHA-CET |
| 93010 |
Electrocardiogram report |
Internist or Cardiologist |
Physician Only Service |
| 93015 |
Cardiovascular stress test |
Internist or Cardiologist |
RN/PA- ACLS certified |
| 93016 |
Cardiovascular stress test |
Internist or Cardiologist |
RN/PA - ACLS certified |
| 93017 |
Cardiovascular stress test |
Internist or Cardiologist |
RN/PA- ACLS certified |
| 93018 |
Cardiovascular stress test |
Internist or Cardiologist |
Physician Only Service |
| 93024 |
Cardiac drug stress test |
Internist or Cardiologist |
RN PA- ACLS certified |
| 93025 |
Microvolt t-wave assess |
Internist or Cardiologist |
RN PA- ACLS certified |
| 93040 |
Rhythm ECG with report |
Internist or Cardiologist |
CCI-CCT, RN, LPN, NCCT-NCET, NHA-CET |
| 93041 |
Rhythm ECG, tracing |
Internist or Cardiologist |
CCI-CCT, RN, LPN, NCCT-NCET, NHA-CET |
| 93042 |
Rhythm ECG, report |
Internist or Cardiologist |
Physician Only Service |
| 93224 |
ECG monit/reprt up to 48 hrs |
Cardiologist |
CCI-CCT, RN, LPN, Paramedic |
| 93225 |
ECG monit/reprt up to 48 hrs |
Cardiologist |
CCI-CCT, RN, LPN, Paramedic |
| 93226 |
ECG monit/reprt up to 48 hrs |
Cardiologist |
CCI-CCT, RN, LPN, Paramedic |
| 93227 |
ECG monit/reprt up to 48 hrs |
Cardiologist |
Physician Only Service |
| 93228 |
Remote 30 day ECG rev/report |
Cardiologist |
RN, LPN, CCI-CCT, Paramedic |
| 93229 |
Remote 30 day ECG tech supp |
Cardiologist |
RN, LPN, CCI-CCT |
| 93241 |
Ext ecg>48hr<7d rec scan a/r |
Cardiologist |
Physician Only Service |
| 93242 |
Ext ecg>48hr<7d recording |
Cardiologist |
RN, LPN, CCI-CCT |
| 93243 |
Ext ecg>48hr<7d scan a/r |
Cardiologist |
Physician Only Service |
| 93244 |
Ext ecg>48hr<7d rev&interpj |
Cardiologist |
RN, LPN, CCI-CCT |
| 93245 |
Ext ecg>7d<15d rec scan a/r |
Cardiologist |
Physician Only Service |
| 93246 |
Ext ecg>7d<15d recording |
Cardiologist |
RN, LPN, CCI-CCT |
| 93247 |
Ext ecg>7d<15d scan a/r |
Cardiologist |
Physician Only Service |
| 93248 |
Ext ecg>7d<15d rev&interpj |
Cardiologist |
RN, LPN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93260 |
Prgrmg dev eval impltbl sys |
Cardiologist |
RN, LPN, CCI-CCT, Paramedic, NCCT-NCET, NHA-CET |
| 93261 |
Interrogate subq defib |
Cardiologist |
RN, LPN, CCI-CCT, Paramedic, NCCT-NCET, NHA-CET |
| 93264 |
Rem mntr wrls p-art prs snr |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93268 |
ECG record/review |
Cardiologist |
RN, LPN, CCI-CCT, Paramedic, NCCT-NCET, NHA-CET |
| 93270 |
Remote 30 day ECG rev/report |
Cardiologist |
RN, LPN, CCI-CCT, Paramedic, NCCT-NCET, NHA-CET |
| 93271 |
ECG/monitoring and analysis |
Cardiologist |
RN, LPN, CCI-CCT, Paramedic, NCCT-NCET, NHA-CET |
| 93272 |
ECG/review interpret only |
Cardiologist |
Physician Only Service |
| 93278 |
ECG/signal-averaged |
Cardiologist |
CCI-CCT, RN, LPN, NCCT-NCET, NHA-CET |
| 93279 |
Prgrmg dev eval pm/ldls pm |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93280 |
PM device progr eval dual |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93281 |
PM device progr eval multi |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93282 |
Prgrmg eval implantable dfb |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93283 |
Prgrmg eval implantable dfb |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93284 |
Prgrmg eval implantable dfb |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93285 |
Prgrmg dev eval scrms ip |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93288 |
Interrog evl pm/ldls pm ip |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93289 |
Interrog device eval heart |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93290 |
Interrog dev eval icpms ip |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93291 |
Interrog dev eval scrms ip |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93292 |
WCD device interrogate |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93293 |
PM phone r-strip device eval |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93294 |
Rem interrog evl pm/ldls pm |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93295 |
Dev interrog remote 1/2/mlt |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93296 |
Rem interrog evl pm/ids |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93297 |
Rem interrog dev eval icpms |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93298 |
Rem interrog dev eval scrms |
Cardiologist |
RN, CCI-CCT, NCCT-NCET, NHA-CET |
| 93303 |
Echo transthoracic |
Cardiologist |
ARDMS-RDCS, CCI: RCS |
| 93304 |
Echo transthoracic |
Cardiologist |
ARDMS-RDCS; CCI: RCS |
| 93306 |
TTE w/doppler complete |
Cardiologist |
ARDMS-RDCS, CCI: RCS |
| 93307 |
TTE w/o doppler complete |
Cardiologist |
ARDMS-RDCS; CCI: RCS |
| 93308 |
TTE F/U or lmtd |
Cardiologist |
ARDMS-RDCS; CCI: RCS |
| 93312 |
Echo transesophageal |
Cardiologist |
Physician only service |
| 93313 |
Echo transesophageal |
Cardiologist |
Physician only service |
| 93314 |
Echo transesophageal |
Cardiologist |
Physician only service |
| 93315 |
Echo transesophageal |
Cardiologist |
Physician only service |
| 93316 |
Echo transesophageal |
Cardiologist |
Physician only service |
| 93317 |
Echo transesophageal |
Cardiologist |
Physician only service |
| 93318 |
Echo transesophageal intraop |
Cardiologist |
Physician only service |
| 93319 |
3D echocardiographic imaging and post processing |
Cardiologist |
ARDMS-RDCS, CCI: RCS |
| 93320 |
Doppler echo exam, heart |
Cardiologist |
Credentialed by ARDMS-RDCS, |
| 93321 |
Doppler echo exam, heart |
Cardiologist |
Credentialed by ARDMS RDCS, |
| 93325 |
Doppler color flow add-on |
Cardiologist |
Credentialed by ARDMS RDCS, |
| 93350 |
Stress TTE only |
Cardiologist |
ARDMS RDCS, CCI: RCS |
| 93351 |
Stress TTE complete |
Cardiologist |
ARDMS: RDCS: CCI: RCS |
| 93352 |
Admin ECG contrast agent |
Cardiologist |
ARDMS: RDCS: CCI: RCS |
| 93356 |
Myocrd strain img spckl trck |
Cardiologist |
Credentialed by ARDMS-RDCS |
| 93600 |
Bundle of His recording |
Cardiologist |
Physician only service |
| 93602 |
Intra-atrial recording |
Cardiologist |
Physician only service |
| 93603 |
Right ventricular recording |
Cardiologist |
Physician only service |
| 93609 |
Map tachycardia, add-on |
Cardiologist |
Physician only service |
| 93610 |
Intra-atrial pacing |
Cardiologist |
Physician only service |
| 93612 |
Intraventricular pacing |
Cardiologist |
Physician only service |
| 93613 |
Electrophys map 3D, add-on |
Cardiologist |
Physician only service |
| 93615 |
Esophageal recording |
Cardiologist |
Physician only service |
| 93616 |
Esophageal recording |
Cardiologist |
Physician only service |
| 93618 |
Heart rhythm pacing |
Cardiologist |
Physician only service |
| 93619 |
Electrophysiology evaluation |
Cardiologist |
Physician only service |
| 93620 |
Electrophysiology evaluation |
Cardiologist |
Physician only service |
| 93621 |
Electrophysiology evaluation |
Cardiologist |
Physician only service |
| 93622 |
Electrophysiology evaluation |
Cardiologist |
Physician only service |
| 93623 |
Stimulation, pacing heart |
Cardiologist |
Physician only service |
| 93624 |
Electrophysiologic study |
Cardiologist |
Physician only service |
| 93631 |
Heart pacing, mapping |
Cardiologist |
Physician only service |
| 93640 |
Evaluation heart device |
Cardiologist |
Physician only service |
| 93641 |
Electrophysiology evaluation |
Cardiologist |
Physician only service |
| 93642 |
Electrophysiology evaluation |
Cardiologist |
Physician only service |
| 93644 |
Electrophysiological eval SQ def |
Cardiologist |
Physician only service |
| 93660 |
Tilt table evaluation |
Cardiologist |
RN, or CCI-CCT, NCCT-NCET, NHA-CET |
| 93662 |
Intracardiac ECG (ice) |
Cardiologist |
Physician only service |
| 93701 |
Bioimpedance, thoracic |
Cardiologist |
Physician only service |
| 93724 |
Analyze pacemaker system |
Cardiologist |
Physician only service |
| 93740 |
Temperature gradient studies |
Cardiologist |
RN |
| 93745 |
Set-up cardiovert-defibrill |
Cardiologist |
RN |
| 93750 |
Interrogation of ventricular assist device (VAD) |
Cardiologist |
RN |
| 93770 |
Measure venous pressure |
Cardiologist |
RN |
| 93784 |
Ambl bp mntr w/software |
Cardiologist |
RN |
| 93786 |
Ambl bp mntr w/sw rec only |
Cardiologist |
RN |
| 93788 |
Ambl bp mntr w/sw a/r |
Cardiologist |
RN |
| 93790 |
Ambl bp mntr w/sw i&r |
Cardiologist |
Physician only service |
| 93880 |
Extracranial bilat study |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93882 |
Extracranial uni/ltd study |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93886 |
Intracranial complete study |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93888 |
Intracranial limited study |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93890 |
Tcd, vasoreactivity study |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93892 |
Tcd, emboli detect w/o inj |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93893 |
Tcd, emboli detect w/inj |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93895 |
Quantitative carotid evaluation |
Radiologist, Neurologist or Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS |
| 93922 |
Upr/l xtremity art 2 levels |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93923 |
Upr/l xtr art stdy 3+ lvls |
Radiologist , Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93924 |
Lwr xtr vasc stdy bilat |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93925 |
Lower extremity study |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93926 |
Lower extremity study |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93930 |
Upper extremity study |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93931 |
Upper extremity study |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93970 |
Extremity study |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93971 |
Extremity study |
Radiologist, Cardiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93975 |
Vascular study |
Radiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS Credentialed by ARDMS- RVT, CCI-RVS |
| 93976 |
Vascular study |
Radiologist , Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93978 |
Vascular study |
Radiologist , Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93979 |
Vascular study |
Radiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93980 |
Penile vascular study |
Radiologist or Urologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93981 |
Penile vascular study |
Radiologist or Urologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93985 |
Dup-scan hemo compl bi std |
Radiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93986 |
Dup-scan hemo compl uni std |
Radiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 93990 |
Doppler flow testing |
Radiologist, Vascular Surgeon |
Credentialed by ARDMS -RDMS, RVT or ARRT- RS, CCI-RVS |
| 94010 |
Breathing capacity test |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94014 |
Patient recorded spirometry |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94015 |
Patient recorded spirometry |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94016 |
Review patient spirometry |
Pulmonologist |
Physician only service |
| 94060 |
Evaluation of wheezing |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94070 |
Evaluation of wheezing |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94150 |
Vital capacity test |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94200 |
Lung function test (MBC/MVV) |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94375 |
Respiratory flow volume loop |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94450 |
Hypoxia response curve |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94452 |
Hast w/report |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94453 |
Hast w/oxygen titrate |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94618 |
Pulmonary stress testing |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94621 |
Cardiopulm exercise testing |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94680 |
Exhaled air analysis, O2 |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94681 |
Exhaled air analysis, O2/CO2 |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94690 |
Exhaled air analysis |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94726 |
Pulm funct tst plethysmograp |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94727 |
Pulm function test by gas |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94728 |
Airwy resist by oscillometry |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94729 |
Co/membrane diffuse capacity |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94760 |
Measure blood oxygen level |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94761 |
Measure blood oxygen level |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94762 |
Measure blood oxygen level |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 94772 |
Breath recording, infant |
Pulmonologist |
Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
| 95004 |
Percut allergy skin tests |
Otolaryngologist/Allergy/Immunology |
RN |
| 95017 |
Perq & icut allg test venoms |
Otolaryngologist/Allergy/Immunology |
RN |
| 95018 |
Perq&ic allg test drugs/biol |
Otolaryngologist/Allergy/Immunology |
RN |
| 95024 |
Inj.allergenic extracts for immed.rxn |
Otolaryngologist/Allergy/Immunology |
RN |
| 95027 |
Id allergy titrate-airborne |
Otolaryngologist/Allergy/Immunology |
RN |
| 95028 |
Id allergy test-delayed type |
Otolaryngologist/Allergy/Immunology |
RN |
| 95044 |
Allergy patch tests |
Otolaryngologist/Allergy/Immunology, Dermatology |
RN |
| 95052 |
Photo patch test |
Otolaryngologist/Allergy/Immunology, Dermatology |
RN |
| 95056 |
Photosensitivity tests |
Otolaryngologist/Allergy/Immunology, Dermatology |
RN |
| 95060 |
Eye allergy tests |
Otolaryngologist/Allergy/Immunology |
Physician only service |
| 95065 |
Nose allergy test |
Otolaryngologist/Allergy/ Immunology |
Physician only service |
| 95070 |
Bronchial allergy tests |
Allergy/Immunology Otolaryngologist |
RN |
| 95076 |
Ingest challenge ini 120 min |
Allergy/Immunology Otolaryngologist |
Physician only service |
| 95079 |
Ingest challenge addl 60 min |
Allergy/Immunology Otolaryngologist |
Physician only service |
| 95700 |
Eeg cont rec w/vid eeg tech |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95705 |
Eeg w/o vid 2-12 hr unmntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95706 |
Eeg wo vid 2-12hr intmt mntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95707 |
Eeg w/o vid 2-12hr cont mntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95708 |
Eeg wo vid ea 12-26hr unmntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95709 |
Eeg w/o vid ea 12-26hr intmt |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95710 |
Eeg w/o vid ea 12-26hr cont |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95711 |
Veeg 2-12 hr unmonitored |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95712 |
Veeg 2-12 hr intmt mntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95713 |
Veeg 2-12 hr cont mntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95714 |
Veeg ea 12-26 hr unmntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95715 |
Veeg ea 12-26hr intmt mntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95716 |
Veeg ea 12-26hr cont mntr |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95717 |
Eeg phys/qhp 2-12 hr w/o vid |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95718 |
Eeg phys/qhp 2-12 hr w/veeg |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95719 |
Eeg phy/qhp ea incr w/o vid |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95720 |
Eeg phy/qhp ea incr w/veeg |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95721 |
Eeg phy/qhp>36<60 hr w/o vid |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95722 |
Eeg phy/qhp>36<60 hr w/veeg |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95723 |
Eeg phy/qhp>60<84 hr w/o vid |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95724 |
Eeg phy/qhp>60<84 hr w/veeg |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95725 |
Eeg phy/qhp>84 hr w/o vid |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95726 |
Eeg phy/qhp>84 hr w/veeg |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95782 |
Polysom <6 yrs 4/> paramtrs |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95783 |
Polysom < 6 yrs cpap/bilvl |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95800 |
Slp stdy unattended *only used in a facility |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95801 |
Slp stdy unatnd w/anal *Only used in a facility |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95805 |
Multiple sleep latency test |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95806 |
Sleep study unatt&resp efft *Only used in a facility |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95807 |
Sleep study, attended |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95808 |
Polysom any age 1-3> param |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95810 |
Polysom 6/> yrs 4/> param |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95811 |
Polysom 6/>yrs cpap 4/> parm |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 95812 |
EEG, 41-60 minutes |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95813 |
Eeg extnd mntr 61-119 min |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95816 |
EEG, awake and drowsy |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95819 |
EEG, awake and asleep |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95822 |
EEG, coma or sleep only |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95824 |
EEG, cerebral death only |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95830 |
Insert electrodes for EEG |
Neurologist |
Physician only service |
| 95836 |
Ecog impltd brn npgt <30 d |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95860 |
Muscle test, one limb |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95861 |
Muscle test, 2 limbs |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95863 |
Muscle test, 3 limbs |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95864 |
Muscle test, 4 limbs |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95867 |
Muscle test cran nerv unilat |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95868 |
Muscle test cran nerve bilat |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95869 |
Muscle test, thor paraspinal |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95870 |
Muscle test, nonparaspinal |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95872 |
Muscle test, one fiber |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95875 |
Limb exercise test |
Neurologist –Physical Medicine & Rehab Neurologist |
Physician only service |
| 95885 |
Musc tst done w/nerv tst lim |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95886 |
Musc test done w/n test comp |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95887 |
Musc tst done w/n tst nonext |
Neurologist –Physical Medicine & Rehab |
Procedure must be performed by PT w/ ABPTS |
| 95905 |
Motor &/sens NCV test |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95907 |
Nvr cndj tst 1-2 studies |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95908 |
Nvr cndj tst 3-4 studies |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95909 |
Nvr cndj tst 5-6 studies |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95910 |
Nvr cndj tst 7-8 studies |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95911 |
Nvr cndj tst 9-10 studies |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95912 |
Nvr cndj tst 11-12 studies |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95913 |
Nvr cndj tst 13/> studies |
Neurologist –Physical Medicine & Rehab |
Registered evoked potential technologist (R.EPT) |
| 95921 |
Autonomic parasym testing |
Neurologist –Physical Medicine & Rehab |
Credentialed by ABRET as R. EPT |
| 95922 |
Autonomic testing sympathetic > 5 minutes tilt |
Neurologist –Physical Medicine & Rehab |
Credentialed by ABRET as R. EPT |
| 95923 |
Sudomotor plus |
Neurologist –Physical Medicine & Rehab |
Credentialed by ABRET as R. EPT |
| 95924 |
Ans parasymp & symp w/tilt |
Neurologist –Physical Medicine & Rehab |
Credentialed by ABRET as R. EPT |
| 95925 |
Somatosensory testing |
Neurologist |
Credentialed by ABRET as R. EPT |
| 95926 |
Somatosensory testing |
Neurologist |
Credentialed by ABRET as R. EPT |
| 95927 |
Somatosensory testing |
Neurologist |
Credentialed by ABRET as R. EPT |
| 95928 |
C motor evoked, uppr limbs |
Neurologist |
Credentialed by ABRET as R. EPT |
| 95929 |
C motor evoked, lwr limbs |
Neurologist |
Credentialed by ABRET as R. EPT |
| 95930 |
Visual ep test cns w/i&r |
Neurologist |
Credentialed by ABRET as R. EPT |
| 95933 |
Blink reflex test |
Neurologist –Physical Medicine & Rehab |
PT w/ ABPTS |
| 95937 |
Neuromuscular junction test |
Neurologist – |
PT w/ ABPTS |
| 95938 |
Somatosensory testing |
Neurologist –Physical Medicine & Rehab |
PT w/ ABPTS |
| 95939 |
C motor evoked upr&lwer limbs |
Neurologist –Physical Medicine & Rehab |
PT w/ ABPTS |
| 95954 |
EEG monitoring/giving drugs |
Neurologist |
Physician only service |
| 95957 |
EEG digital analysis |
Neurologist |
Credentialed by ABRET as R. EEG T |
| 95958 |
EEG monitoring/function test |
Neurologist |
Physician only service |
| 95976 |
Alys smpl cn npgt prgrmg |
Neurologist |
Physician only service |
| 95977 |
Alys cplx cn npgt prgrmg |
Neurologist |
Physician only service |
| 95983 |
Alys brn npgt prgrmg 15 min |
Neurologist |
Physician only service |
| 95984 |
Alys brn npgt prgrmg addl 15 |
Neurologist |
Physician only service |
| 96000 |
Motion analysis, video/3D |
Neurologist |
PT w/ ABPTS |
| 96001 |
Motion test w/ft press meas |
Neurologist |
PT w/ ABPTS |
| 96002 |
Dynamic surface EMG |
Neurologist |
Physician Only Service |
| 96003 |
Dynamic fine wire EMG |
Neurologist |
Physician Only Service |
| 96004 |
Phys review & interpretation of motion tests |
Neurologist |
Physician only service |
| G0248 |
Demonstrate use home inr mon |
Physician: General Supervision |
Registered Nurse |
| G0249 |
Provide inr test mater/equip |
Physician: General Supervision |
Demonstrates Proficiency |
| G0398 |
Home sleep test/type 2 porta |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| G0399 |
Home sleep test/type 3 porta |
MD/DO certified with (ABSM), or Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| G0400 |
Home sleep test/type 4 porta |
MD/DO certified with (ABSM), or has a Sleep Certification issued by (ABIM), (ABFM), (ABP), (ABPN), (ABOto), (AOBNP), (AOBFP), (AOBIM), (AOBOO) |
Registered Sleep Technologist (RST); Registered Polysomnographic Technologist (RPSGT); Certified Pulmonary Function Technologist (CPFT), Registered Pulmonary Function Technologist (RPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT) |
| 0501T |
Cor FFR Derived Cor CTA Data |
Board Certified Cardiologist |
N/A |
| 0502T |
Cor FFR Data Prep & Transmis |
Board Certified Cardiologist |
N/A |
| 0503T |
Cor FFR Alys Gnrj FFR Mdl |
Board Certified Cardiologist |
N/A |
| 0504T |
Cor FFR Data Review I&R |
Board Certified Cardiologist |
N/A |