LCD Reference Article Billing and Coding Article

Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)

A58559

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Draft Article
Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.
NOT AN LCD REFERENCE ARTICLE
This article is not in direct support of an LCD.

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General Information

Source Article ID
N/A
Article ID
A58559
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)
Article Type
Billing and Coding
Original Effective Date
04/01/2021
Revision Effective Date
03/21/2024
Revision Ending Date
N/A
Retirement Date
N/A
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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CMS National Coverage Policy

CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, §80.2 Psychological and Neuropsychological Tests and §80.6 Requirements for Ordering and Following Orders for Diagnostic Tests

CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 1, §30.2 Assignment of Provider’s Right to Payment

CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 35, Independent Diagnostic Testing Facility (IDTF)

Title XVIII of the Social Security Act, §1833(e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim.

Title XVIII of the Social Security Act, §1861(aa)(6) NPs and CNSs perform tests in collaboration with a physician.

42 CFR §410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions

42 CFR §410.33 Independent diagnostic testing facility

Article Guidance

Article Text

This article provides information regarding CPT/HCPCS codes that describe diagnostic procedures (and some materials required to perform the diagnostic procedures, i.e., radioactive tracers) that may be performed in an independent diagnostic testing facility (IDTF).

Coding Guidelines

In order for an IDTF to be reimbursed by Medicare for any procedure or material included in this article, that specific IDTF must be credentialed and approved by Palmetto GBA provider enrollment to bill for that specific service when provided to a Medicare beneficiary.

The information in this article may not be all-inclusive and may be subject to change as CPT/HCPCS codes are updated. The codes included in this article are based on the latest coding updates. The effective date of this article is the date of the most recent update.

With these updates certain codes may be deleted but will still be appropriate for billing up to 1 year after the procedure date. A listing of these codes that may still be valid are located in the Other Coding Information section of this article.

The listing of a procedure code does not guarantee that Medicare will reimburse the service. All services are subject to Medicare medical necessity and coverage policies, including National Coverage Decisions, Local Coverage Decisions, statutory exclusions and instructions in interpretive manuals.

It is not appropriate to bill Medicare for services that are not covered as if they are covered. When billing for non-covered services, use the appropriate modifier.

Additional Services/Supplies

Additional services/items (e.g., radiopharmaceutical agents, special contrast agents, medications, etc.) are considered supplies and are also payable to an IDTF if they are commonly separately reimbursed to a physician in a physician’s office setting. They are not listed in this article, in that if the test is payable, the supplies will be also.

Physician Supervision of Diagnostic Procedures

The following list defines the numeric level of physician supervision for diagnostic procedures assigned to each CPT/HCPCS code and is located in the Medicare Physician Fee Schedule Database (MPFSDB).

1 = General supervision of a physician

2 = Direct supervision of a physician

3 = Personal supervision of a physician

4 = Physician supervision does not apply if performed by a qualified independent psychologist or a clinical psychologist; otherwise general supervision of a physician is required

5 = Physician supervision does not apply if performed by a qualified audiologist; otherwise general supervision of a physician is required

6 = Must be personally performed by a physician or by a physical therapist (PT) who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified electrophysiologic clinical specialist and is permitted to provide the service under state law

66 = May be performed by a physician or a physical therapist with ABPTS certification and certification in this specific procedure

6A = Supervision standards for level 66 apply; in addition, the PT with ABPTS certification may supervise another PT, but only the PT with ABPTS certification may bill

21 = Procedure may be performed by a technician with certification under general supervision of a physician; otherwise must be performed under the direct supervision of a physician

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

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

7A = Must be personally performed by a physical therapist (PT) who is certified by the American Board of Physical Therapy Specialties (ABPTS) or by a PT without certification under direct supervision of a physician, or by a technician with certification under general supervision; in addition, the PT with ABPTS certification may supervise another PT, but only the PT with ABPTS certification may bill

9 = 26 /TC indicator not applicable - concept of a professional/technical component does not apply

Qualification requirements: IDTF Supervising Physician

  • Licensed to practice in the state(s) in which the diagnostic tests he or she supervises will be performed
  • Enrolled in Medicare
  • Meets the proficiency standards for any tests he or she is supervising
  • Not currently excluded or barred
  • Provides general supervision for no more than three IDTF sites

Qualification requirements: IDTF Interpreting Physician

  • Licensed to practice in the state(s) in which the diagnostic tests he or she interprets will be performed
  • Enrolled in Medicare
  • Not currently excluded or barred
  • Qualified to interpret the types of tests (codes) listed in the enrollment application

Qualification requirements: IDTF Technician

  • Meets the licensure and/or certification standards of the state in which tests are performed at the time of the IDTF’s enrollment and/or at the time any tests were performed
  • Qualified to perform the types of tests (codes) listed in the enrollment application

Note: *American Board of Medical Specialties (ABMS), American Osteopathic Association (AOA), or other subspecialty

CPT/HCPCS Codes Supervising Physician Qualifications Technician Qualifications
G0106 Board Certified* Gastroenterologist General Radiographer, ARRT: R.T.-N or NMTCB:CNMT
G0120 Board Certified* Radiologist General Radiographer, ARRT: R.T.
G0130 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer, ARRT: R.T.-BD
G0279 Board Certified* Radiologist General Radiographer, ARRT: R.T.-M (Facility must be FDA certified to perform mammography)
G0288 Board Certified* Radiologist or Cardiovascular Surgeon General Radiographer, ARRT: R.T., ARDMS: RDCS or CCI: RCS
G0398 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS, or RRT: SDS
G0399 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS, or RRT: SDS
G0400 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS, or RRT: SDS
G0500 Board Certified* Gastroenterologist or Anesthesiologist N/A
G2010 Board Certified* Radiologist N/A
0568T Board Certified* OB/GYN ARDMS: Sonographer
0598T Board Certified* Physician N/A
0599T Board Certified* Physician N/A
0602T Board Certified* Nephrologist or Urologist N/A
0603T Board Certified* Nephrologist or Urologist N/A
0604T Board Certified* Ophthalmologist or Optometrist N/A
0605T Board Certified* Ophthalmologist or Optometrist N/A
0606T Board Certified* Ophthalmologist or Optometrist N/A
0607T Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
0608T Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
0609T Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
0610T Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
0611T Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
0615T Board Certified* Radiologist, Neurologist with (ASN or UCNS) or Physician ARRT: MR or ARMRIT: MRI
0633T Board Certified* Radiologist ARRT: CT
0634T Board Certified* Radiologist ARRT: CT
0635T Board Certified* Radiologist ARRT: CT
0636T Board Certified* Radiologist ARRT: CT
0637T Board Certified* Radiologist ARRT: CT
0638T Board Certified* Radiologist ARRT: CT
0648T Board Certified* Radiologist N/A
0650T Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
0651T Board Certified* Gatroenterologist N/A
0652T Board Certified* Gatroenterologist N/A
0658T Board Certified* Dermatologist N/A
0659T Board Certified* Cardiologist N/A
0689T Board Certified* Radiologist N/A
0690T Board Certified* Radiologist N/A
0691T Board Certified* Radiologist N/A
0693T Board Certified* Radiologist N/A
0697T Board Certified* Radiologist N/A
0698T Board Certified* Radiologist N/A
0721T Board Certified* Radiologist N/A
0722T Board Certified* Radiologist N/A
0723T Board Certified* Radiologist N/A
0724T Board Certified* Radiologist N/A
10004 Board Certified* Radiologist General Radiographer, ARRT
10005 Board Certified* Physician ARDMS: Sonographer
10006 Board Certified* Physician ARDMS: Sonographer
10007 Board Certified* Physician ARRT: Fluoroscopy
10008 Board Certified* Physician ARRT: Fluoroscopy
10009 Board Certified* Physician ARRT: CT
10010 Board Certified* Physician ARRT: CT
10011 Board Certified* Physician ARRT: MRI
10012 Board Certified* Physician ARRT: MRI
11102 Board Certified* Dermatology N/A
11103 Board Certified* Dermatology N/A
11104 Board Certified* Dermatology N/A
11105 Board Certified* Dermatology N/A
11106 Board Certified* Dermatology N/A
11107 Board Certified* Dermatology N/A
19000 Board Certified* Physician N/A
19001 Board Certified* Physician N/A
19030 Board Certified* Physician N/A
19081 Board Certified* Radiologist or Surgeon General Radiographer, ARRT: R.T.-M, ARDMS: RDMS or RT BS, ARRT: MR or ARMRIT: MRI
19082 Board Certified* Radiologist or Surgeon General Radiographer, ARRT: R.T.-M, ARDMS: RDMS or RT BS, ARRT: MR or ARMRIT: MRI
19083 Board Certified* Radiologist or Surgeon General Radiographer, ARRT: R.T.-R or ARRT: R.T.-M, ARDMS: RDMS or RT BS, ARRT: MR or ARMRIT: MRI
19084 Board Certified* Radiologist or Surgeon General Radiographer, ARRT: R.T.-R or ARRT: R.T.-M, ARDMS: RDMS or RT BS, ARRT: MR or ARMRIT: MRI
19085 Board Certified* Radiologist or Surgeon General Radiographer, ARRT: R.T.-M, ARDMS: RDMS or RT BS, ARRT: MR or ARMRIT: MRI
19086 Board Certified* Radiologist or Surgeon General Radiographer, ARRT: R.T.-M, ARDMS: RDMS or RT BS, ARRT: MR or ARMRIT: MRI
23350 Board Certified* Radiologist or Orthopedist General Radiographer, ARRT: R.T.-R
24220 Board Certified* Radiologist ARRT: R.T.-R
25246 Board Certified* Radiologist ARRT: R.T.-R
27093 Board Certified* Radiologist ARRT: R.T.-R
27095 Board Certified* Radiologist ARRT: R.T.-R
27096 Board Certified* Radiologist, Orthopedist or Neurologist N/A
27369 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer, Medical Physicist, ARRT: R.T.-CT or R.T.-MR or ARMRIT: MRI
27648 Board Certified* Radiologist ARRT: R.T.-R
31253 Board Certified* Otolaryngologist N/A
36005 Board Certified* Radiologist ARRT: R.T.-R
38505 Board Certified* Radiologist or General Physician N/A
42975 Board Certified* Otolaryngologist or Physician with (ABSM, ABFM, ABIM or ABOto) N/A
50430 Board Certified* Radiologist or Urologist N/A
50431 Board Certified* Radiologist or Urologist N/A
51600 Board Certified* Radiologist or Urologist ARRT: R.T.-R
51725 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51726 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51727 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51728 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51729 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51736 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51741 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51784 Board Certified* Urologist, Neurologist or Physiatrist Urology or OB/GYN Personally Trained Staff
51785 Board Certified* Urologist, Neurologist or Physiatrist Urology or OB/GYN Personally Trained Staff
51792 Board Certified* Urologist, Neurologist or Physiatrist Urology or OB/GYN Personally Trained Staff
51797 Board Certified* Urologist Urology or OB/GYN Personally Trained Staff
51798 Board Certified* Physician Urology or OB/GYN Personally Trained Staff; ARRT: R.T.-R
54240 Board Certified* Urologist ARDMS: RVT or CCI: RVS
54250 Board Certified* Urologist ARDMS: RVT or CCI: RVS
58340 Board Certified* OB/GYN ARDMS: RDMS-OB/GYN or ARRT: R.T.-S
62302 Board Certified* Radiologist ARRT: R.T.-R
62303 Board Certified* Radiologist ARRT: R.T.-R
62304 Board Certified* Radiologist ARRT: R.T.-R
62305 Board Certified* Radiologist ARRT: R.T.-R
62328 Board Certified* Physician N/A
70010 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70015 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70030 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70100 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70110 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70120 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70130 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70134 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70140 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70150 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70160 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70170 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70190 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70200 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70210 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70220 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70240 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70250 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70260 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70300 Board Certified* Radiologist General Radiographer or Medical Physicist
70310 Board Certified* Radiologist General Radiographer or Medical Physicist
70320 Board Certified* Radiologist General Radiographer or Medical Physicist
70328 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70330 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70332 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer
70336 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70350 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer
70355 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer 
70360 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70370 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70371 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70380 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
70390 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer 
70450 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70460 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70470 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70480 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70481 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70482 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70486 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70487 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70488 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70490 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70491 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70492 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70496 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70498 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
70540 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70542 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70543 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70544 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70545 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70546 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70547 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70548 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70549 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70551 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70552 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70553 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
70554 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
70555 Board Certified* Physician ARRT: MR or ARMRIT: MRI
71045 Board Certified* Radiologist General Radiographer
71046 Board Certified* Radiologist General Radiographer
71047 Board Certified* Radiologist General Radiographer
71048 Board Certified* Radiologist General Radiographer
71100 Board Certified* Radiologist General Radiographer
71101 Board Certified* Radiologist General Radiographer
71110 Board Certified* Radiologist General Radiographer
71111 Board Certified* Radiologist General Radiographer
71120 Board Certified* Radiologist General Radiographer
71130 Board Certified* Radiologist General Radiographer
71250 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
71260 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
71270 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
71271 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
71275 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
71550 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
71551 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
71552 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
71555 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
72020 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72040 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72050 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72052 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72070 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72072 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72074 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72080 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72081 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72082 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72083 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72084 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72100 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72110 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72114 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72120 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72125 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72126 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72127 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72128 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72129 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72130 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72131 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72132 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72133 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72141 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72142 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72146 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72147 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72148 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72149 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72156 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72157 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72158 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72159 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72170 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72190 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72191 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72192 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72193 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72194 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
72195 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72196 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72197 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72198 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
72200 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72202 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72220 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72240 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72255 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72265 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72270 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72275 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72285 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
72295 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer or Medical Physicist
73000 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73010 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73020 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73030 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73040 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73050 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73060 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73070 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73080 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73085 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73090 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73092 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73100 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73110 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73115 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73120 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73130 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73140 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73200 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer, Medical Physicist or ARRT: R.T.-CT
73201 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer, Medical Physicist or ARRT: R.T.-CT
73202 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer, Medical Physicist or ARRT: R.T.-CT
73206 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer, Medical Physicist or ARRT: R.T.-CT
73218 Board Certified* Radiologist or Orthopaedic Surgeon ARRT: MR or ARMRIT: MRI
73219 Board Certified* Radiologist or Orthopaedic Surgeon ARRT: MR or ARMRIT: MRI
73220 Board Certified* Radiologist or Orthopaedic Surgeon ARRT: MR or ARMRIT: MRI
73221 Board Certified* Radiologist or Orthopaedic Surgeon ARRT: MR or ARMRIT: MRI
73222 Board Certified* Radiologist or Orthopaedic Surgeon ARRT: MR or ARMRIT: MRI
73223 Board Certified* Radiologist or Orthopaedic Surgeon ARRT: MR or ARMRIT: MRI
73225 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
73501 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73502 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73503 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73521 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73522 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73523 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73525 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73551 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73552 Board Certified* Radiologist or Orthopaedic Surgeon General Radiographer or Medical Physicist
73560 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73562 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73564 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73565 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73580 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73590 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73592 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73600 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73610 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73615 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73620 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73630 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73650 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73660 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer or Medical Physicist
73700 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer, Medical Physicist or ARRT: R.T.-CT
73701 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer, Medical Physicist or ARRT: R.T.-CT
73702 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer, Medical Physicist or ARRT: R.T.-CT
73706 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist General Radiographer, Medical Physicist or ARRT: R.T.-CT
73718 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist ARRT: MR or ARMRIT: MRI
73719 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist ARRT: MR or ARMRIT: MRI
73720 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist ARRT: MR or ARMRIT: MRI
73721 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist ARRT: MR or ARMRIT: MRI
73722 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist ARRT: MR or ARMRIT: MRI
73723 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist ARRT: MR or ARMRIT: MRI
73725 Board Certified* Radiologist, Orthopaedic Surgeon or Podiatrist ARRT: MR or ARMRIT: MRI
74018 Board Certified* Radiologist or Urologist General Radiographer or Medical Physicist
74019 Board Certified* Radiologist or Urologist General Radiographer or Medical Physicist
74021 Board Certified* Radiologist or Urologist General Radiographer or Medical Physicist
74022 Board Certified* Radiologist General Radiographer or Medical Physicist
74150 Board Certified* Radiologist or Urologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
74160 Board Certified* Radiologist or Urologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
74170 Board Certified* Radiologist or Urologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
74174 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT: R.T.-CT
74175 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
74176 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
74177 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
74178 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
74181 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
74182 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
74183 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
74185 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
74190 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
74210 Board Certified* Radiologist General Radiographer
74220 Board Certified* Radiologist General Radiographer
74221 Board Certified* Radiologist General Radiographer
74230 Board Certified* Radiologist General Radiographer
74240 Board Certified* Radiologist General Radiographer
74246 Board Certified* Radiologist General Radiographer
74248 Board Certified* Radiologist General Radiographer
74250 Board Certified* Radiologist General Radiographer
74251 Board Certified* Radiologist General Radiographer
74261 Board Certified* Gastroenterologist or Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-C.T.
74262 Board Certified* Gastroenterologist or Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-C.T.
74270 Board Certified* Radiologist General Radiographer
74280 Board Certified* Radiologist General Radiographer
74290 Board Certified* Radiologist General Radiographer
74400 Board Certified* Radiologist or Urologist General Radiographer
74410 Board Certified* Radiologist or Urologist General Radiographer
74415 Board Certified* Radiologist or Urologist General Radiographer
74420 Board Certified* Radiologist or Urologist General Radiographer
74425 Board Certified* Radiologist or Urologist General Radiographer
74430 Board Certified* Radiologist or Urologist General Radiographer
74440 Board Certified* Radiologist or Urologist General Radiographer
74445 Board Certified* Radiologist or Urologist General Radiographer
74450 Board Certified* Radiologist or Urologist General Radiographer
74455 Board Certified* Radiologist or Urologist General Radiographer
74470 Board Certified* Radiologist or Urologist General Radiographer
74712 Board Certified* Radiologist or Gynecologist General Radiographer or Medical Physicist
74713 Board Certified* Radiologist or Gynecologist General Radiographer or Medical Physicist
74740 Board Certified* Radiologist or Gynecologist General Radiographer or Medical Physicist
74742 Board Certified* Radiologist or Gynecologist General Radiographer or Medical Physicist
74775 Board Certified* Radiologist or Gynecologist General Radiographer
75557 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
75559 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
75561 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
75563 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
75565 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
75572 Board Certified* Cardiologist or Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-C.T
75573 Board Certified* Cardiologist or Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-C.T
75574 Board Certified* Cardiologist or Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-C.T
75580 Board Certified* Cardiologist or Radiologist  General Radiographer, Medical Physicist or ARRT: R.T.-R and ARRT: R.T.-CT
75600 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75605 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75625 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75630 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75635 Board Certified* Radiologist General Radiographer, Medical Physicist or ARRT: R.T.-CT
75705 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) General Radiographer
75710 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75716 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75726 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75731 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75733 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75736 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75741 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75743 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75746 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75756 Board Certified* Radiologist, Cardiologist or Vascular Surgeon General Radiographer
75774 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer
75801 Board Certified* Radiologist General Radiographer
75803 Board Certified* Radiologist General Radiographer
75807 Board Certified* Radiologist General Radiographer
75809 Board Certified* Radiologist General Radiographer
75810 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75820 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75822 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75825 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75827 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75831 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75833 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75840 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75842 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) General Radiographer
75860 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) General Radiographer
75870 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) General Radiographer
75872 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) General Radiographer
75880 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) General Radiographer
75885 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75887 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75889 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75891 Board Certified* Radiologist or Vascular Surgeon General Radiographer
75893 Board Certified* Radiologist General Radiographer
76000 Board Certified* Radiologist or Urologist or in the field related to the Primary Procedure General Radiographer
76010 Board Certified* Radiologist General Radiographer or Medical Physicist
76080 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer
76098 Board Certified* Radiologist General Radiographer
76101 Board Certified* Radiologist General Radiographer
76102 Board Certified* Radiologist General Radiographer
76120 Board Certified* Radiologist General Radiographer
76125 Board Certified* Radiologist General Radiographer
76140 Board Certified* Radiologist N/A
76376 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist and ARRT: R.T.-CT or ARRT: MR or ARMRIT: MRI or ARDMS: RDMS or ARRT: R.T.-S
76377 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist and ARRT: R.T.-CT or ARRT: MR or ARMRIT: MRI or ARDMS: RDMS or ARRT: R.T.-S
76380 Board Certified* Radiologist or Neurologist with (ASN or UCNS) General Radiographer, Medical Physicist or ARRT:
R.T.-R and ARRT: R.T.-CT
76390 Board Certified* Radiologist or Neurologist with (ASN or UCNS) ARRT: MR or ARMRIT: MRI
76506 Board Certified* Radiologist or Neurologist ARDMS: RDMS-OP or JCAHPO: COT or COMT
76510 Board Certified* Ophthalmologist, Radiologist or Optometrist ARDMS: RDMS-OP or JCAHPO: COT or COMT
76511 Board Certified* Ophthalmologist, Radiologist or Optometrist ARDMS: RDMS-OP or JCAHPO: COT or COMT
76512 Board Certified* Ophthalmologist, Radiologist or Optometrist ARDMS: RDMS-OP or JCAHPO: COT or COMT
76513 Board Certified* Ophthalmologist, Radiologist or Optometrist ARDMS: RDMS-OP or JCAHPO: COT or COMT
76514 Board Certified* Ophthalmologist, Radiologist or Optometrist ARDMS: RDMS-OP or JCAHPO: COT or COMT
76516 Board Certified* Ophthalmologist, Radiologist or Optometrist ARDMS: ROUB or RDMS- OP or JCAHPO: COT or COMT
76519 Board Certified* Ophthalmologist, Radiologist or Optometrist ARDMS: ROUB or RDMS- OP or JCAHPO: COT or COMT
76529 Board Certified* Ophthalmologist or Radiologist ARDMS: ROUB or RDMS- OP or JCAHPO: COT or COMT
76536 Board Certified* Radiologist or Neurologist ARDMS: RDMS or ARRT: R.T.-S
76604 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-S
76641 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-BS
76642 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-BS
76700 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76705 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76706 Board Certified* Radiologist ARDMS: RVT or RDMS or ARRT: R.T.-S, R.T.-VS or CCI: RVS
76770 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76775 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76776 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76800 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-S
76801 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76802 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76805 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76810 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76811 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76812 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76813 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76814 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76815 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76816 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76817 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76818 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76819 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76820 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76821 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76825 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76826 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76827 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76828 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76830 Board Certified* Radiologist or Urologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76831 Board Certified* Radiologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76856 Board Certified* Radiologist or Urologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76857 Board Certified* Radiologist or Urologist ARDMS: RDMS- OB/GYN or ARRT: R.T.-S
76870 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76872 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76873 Board Certified* Radiologist or Urologist ARDMS: RDMS or ARRT: R.T.-S
76881 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-S
76882 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-S
76885 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-S
76886 Board Certified* Radiologist ARDMS: RDMS or ARRT: R.T.-S
76937 Board Certified* Physician General Radiographer
76942 Board Certified* Radiologist , Podiatrist, or Urologist ARDMS: RDMS or ARRT: R.T.-S
77002 Board Certified* Radiologist or in the field related to the Primary Procedure General Radiographer
77046 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
77047 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
77048 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
77049 Board Certified* Radiologist ARRT: MR or ARMRIT: MRI
77053 Board Certified* Radiologist General Radiographer and ARRT: R.T.-M
77054 Board Certified* Radiologist General Radiographer and ARRT: R.T.-M
77063 Board Certified* Radiologist General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography
77065 Board Certified* Radiologist General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography
77066 Board Certified* Radiologist General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography
77067 Board Certified* Radiologist General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography
77072 Board Certified* Radiologist General Radiographer or Medical Physicist
77074 Board Certified* Radiologist General Radiographer or Medical Physicist
77075 Board Certified* Radiologist General Radiographer or Medical Physicist
77076 Board Certified* Radiologist General Radiographer or Medical Physicist
77077 Board Certified* Radiologist or Urologist General Radiographer or Medical Physicist
77078 Board Certified* Radiologist or Urologist General Radiographer and ARRT: R.T.-CT
77080 Board Certified* Radiologist, Urologist, Orthopaedic Surgeon or Physician with ABIM General Radiographer, ARRT: R.T.-BD or ISCD: CBDT
77081 Board Certified* Radiologist, Urologist, Orthopaedic Surgeon or Physician with ABIM General Radiographer, ARRT: R.T.-BD or ISCD: CBDT
77084 Board Certified* Radiologist, Urologist, Orthopaedic Surgeon or Physician with ABIM ARRT: MR or ARMRIT: MRI
77085 Board Certified* Radiologist, Urologist, Orthopaedic Surgeon or Physician with ABIM General Radiographer, ARRT: R.T.-BD or ISCD: CBDT
77086 Board Certified* Radiologist, Urologist, Orthopaedic Surgeon or Physician with ABIM General Radiographer, ARRT: R.T.-BD or ISCD: CBDT
78012 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78013 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78014 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78015 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78016 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78018 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78020 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78070 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78071 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78072 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78075 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78102 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78103 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78104 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78110 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78111 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78120 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78121 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78122 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78130 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78140 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78185 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78191 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78195 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78201 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78202 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78215 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78216 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78226 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78227 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78230 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78231 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78232 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78258 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78261 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78262 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78264 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78265 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78266 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78267 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78278 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78282 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78290 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78291 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78300 Board Certified* Nuclear Medicine or Radiology or Podiatrist ARRT: N or NMTCB: CNMT
78305 Board Certified* Nuclear Medicine or Radiology or Podiatrist ARRT: N or NMTCB: CNMT
78306 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78315 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78414 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78428 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78429 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78430 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78431 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78432 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78433 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78434 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78445 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78451 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78452 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78453 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78454 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78456 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78457 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78458 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78459 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78466 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78468 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78469 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78472 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78473 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78481 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78483 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78491 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78492 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78494 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78496 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78579 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78580 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78582 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78597 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78598 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78600 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78601 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78605 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78606 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78608 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78609 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78610 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78630 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78635 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78645 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78650 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78660 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78700 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78701 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78707 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78708 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78709 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78725 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78730 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78740 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78761 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78800 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78801 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78802 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78803 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78804 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78811 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78812 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78813 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78814 Board Certified* Nuclear Medicine, Radiology or Neurologist with (ASN or UCNS) ARRT: N or NMTCB: CNMT
78815 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78816 Board Certified* Nuclear Medicine or Radiology ARRT: N or NMTCB: CNMT
78830 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78831 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78832 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
78835 Board Certified* Nuclear Medicine or Cardiology or Radiology ARRT: N or NMTCB: CNMT
91010 Board Certified* Gastroenterologist RN
91013 Board Certified* Gastroenterologist RN
91020 Board Certified* Gastroenterologist RN
91022 Board Certified* Gastroenterologist RN
91030 Board Certified* Gastroenterologist RN
91034 Board Certified* Gastroenterologist RN
91035 Board Certified* Gastroenterologist RN
91037 Board Certified* Gastroenterologist RN
91038 Board Certified* Gastroenterologist RN
91040 Board Certified* Gastroenterologist RN
91065 Board Certified* Gastroenterologist RN
91113 Board Certified* Gastroenterologist RN
91117 Board Certified* Gastroenterologist Colorectal Surgeon RN
91120 Board Certified* Gastroenterologist Colorectal Surgeon RN
91122 Board Certified* Gastroenterologist Colorectal Surgeon RN
91132 Board Certified* Gastroenterologist RN
91133 Board Certified* Gastroenterologist RN
92060 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92081 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92082 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92083 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92132 Board Certified* Ophthalmologist or Optometrist JCAHPO: COT or COMT
92133 Board Certified* Ophthalmologist or Optometrist JCAHPO: COT or COMT
92134 Board Certified* Ophthalmologist or Optometrist JCAHPO: COT or COMT
92136 Board Certified* Ophthalmologist or Optometrist JCAHPO: COT or COMT
92227 Board Certified* Ophthalmologist or Optometrist JCAHPO: COT or COMT
92228 Board Certified* Physician JCAHPO: COT or COMT
92229 Board Certified* Physician N/A
92235 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92240 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92242 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92250 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92260 Board Certified* Ophthalmologist or Optometrist N/A
92265 Board Certified* Ophthalmologist, Neurologist, Physiatrist or Optometrist JCAHPO: COT or COMT
92270 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92274 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92283 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92284 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92285 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT
92286 Board Certified* Ophthalmologist, Neurologist or Optometrist JCAHPO: COT or COMT or OPS: CRA
92516 Board Certified* Neurologist or Otolaryngologist N/A
92517 Board Certified* Neurologist or Otolaryngologist N/A
92518 Board Certified* Neurologist or Otolaryngologist N/A
92519 Board Certified* Neurologist or Otolaryngologist N/A
92520 Board Certified* Neurologist or Otolaryngologist N/A
92541 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92542 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92544 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92545 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92546 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92547 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92548 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92549 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92550 Board Certified* Neurologist or Otolaryngologist/Concept of physician supervision does not apply Physician Service Code – must be performed by a physician
92552 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92553 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92555 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92556 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92557 Board Certified* Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician
92561 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92562 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92563 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92564 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92565 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92567 Board Certified* Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician
92568 Board Certified* Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician
92571 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92572 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92575 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92576 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92577 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92579 Board Certified* Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician
92582 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92583 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92584 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92587 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92588 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92596 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92650 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92651 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92652 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
92653 Board Certified* Neurologist or Otolaryngologist Licensed Audiologist
93000 Board Certified* Cardiologist RN, LPN, Licensed Paramedic or CCI: CCT
93005 Board Certified* Cardiologist RN, LPN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93010 Board Certified* Internist or Cardiologist/Concept of physician supervision does not apply Professional component only code – must be performed by a physician
93015 Board Certified* Internist or Cardiologist - ACLS certified RN, Licensed Paramedic or CCI: CCT
93016 Board Certified* Internist or Cardiologist - ACLS certified RN, Licensed Paramedic or CCI: CCT
93017 Board Certified* Internist or Cardiologist - ACLS certified RN, Licensed Paramedic or CCI: CCT or NHA: CET or
ARRT: R.T.-N or NMTCB: CNMT
93018 Board Certified* Cardiologist/ Physician Supervision concept does not apply Professional component only code – must be performed by a physician
93024 Board Certified* Internist or Cardiologist - ACLS certified RN, Licensed Paramedic or CCI: CCT
93025 Board Certified* Internist or Cardiologist - ACLS certified RN, Licensed Paramedic or CCI: CCT
93040 Board Certified* Internist or Cardiologist  RN, Licensed Paramedic or CCI: CCT
93041 Board Certified* Internist or Cardiologist  RN, Licensed Paramedic or CCI: CCT
93042 Board Certified* Cardiologist/ Physician Supervision concept does not apply Professional component only code – must be performed by a physician
93224 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93225 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93226 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93227 Board Certified* Cardiologist/ Physician Supervision concept does not apply Professional component only code – must be performed by a physician
93228 Board Certified* Cardiologist Professional component only code – must be performed by a physician
93229 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93241 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93242 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93243 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93244 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93245 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93246 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93247 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93248 Board Certified* Cardiologist RN, Licensed Paramedic, CCI: CCT or ARDMS: RDCS
93260 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93261 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93264 Board Certified*Pulmonologist or Cardiologist RN, Licensed Paramedic or CCI: CCT
93268 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93270 Board Certified* Physician RN, Licensed Paramedic or CCI: CCT
93271 Board Certified* Physician RN, Licensed Paramedic or CCI: CCT
93272 Board Certified* Cardiologist/ Physician Supervision concept does not apply Professional component only code - must be performed by a physician
93278 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93293 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93294 Board Certified* Cardiologist Professional component only code – must be performed by a physician
93295 Board Certified* Cardiologist Professional component only code – must be performed by a physician
93296 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93297 Board Certified* Cardiologist Professional component only code – must be performed by a physician
93298 Board Certified* Cardiologist Professional component only code – must be performed by a physician
93303 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93304 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93306 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93307 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93308 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93312 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93313 Board Certified* Cardiologist Physician Service Code - must be performed by a physician
93314 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93315 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93316 Board Certified* Cardiologist Physician Service Code - must be performed by a physician
93317 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93319 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93320 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93321 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93325 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS
93350 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS, RN or Licensed Paramedic
93351 Board Certified* Cardiologist ARDMS: RDCS or CCI: RCS, RN or Licensed Paramedic
93352 Board Certified* Cardiologist Physician Service Code - must be performed by a physician
93356 Board Certified* Physician ARDMS: RDCS or CCI: RCS
93701 Board Certified* Cardiologist Demonstrates Proficiency
93770 Board Certified* Cardiologist RN, Licensed Paramedic or CCI: CCT
93784 Board Certified* Cardiologist, or Physician with ABFM or ABIM RN, Licensed Paramedic or CCI: CCT
93786 Board Certified* Cardiologist, or Physician with ABFM or ABIM RN, Licensed Paramedic or CCI: CCT
93788 Board Certified* Cardiologist, or Physician with ABFM or ABIM RN, Licensed Paramedic or CCI: CCT
93790 Board Certified* Cardiologist, or Physician with ABFM or ABIM/ Physician supervision concept does not apply Professional component only code - must be performed by a physician
93880 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) ARDMS: RVT, ARRT: VS or CCI: RVS
93882 Board Certified* Radiologist , Vascular Surgeon or Neurologist with (ASN or UCNS) ARDMS: RVT, ARRT: VS or CCI: RVS
93886 Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93888 Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93890 Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93892 Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93893 Board Certified* Radiologist, Neurologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93895 Board Certified* Physician ARDMS -RDMS, RVT or ARRT- RS
93922 Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93923 Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93924 Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93925 Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93926 Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93930 Board Certified* Radiologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93931 Board Certified* Radiologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93970 Board Certified* Radiologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93971 Board Certified* Radiologist, Cardiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93975 Board Certified* Radiologist, Vascular Surgeon or Urologist ARDMS: RVT, ARRT: VS or CCI: RVS
93976 Board Certified* Radiologist, Vascular Surgeon or Urologist ARDMS: RVT, ARRT: VS or CCI: RVS
93978 Board Certified* Radiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93979 Board Certified* Radiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93980 Board Certified* Radiologist, Urologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93981 Board Certified* Radiologist, Urologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93985 Board Certified* Radiologist, Urologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93986 Board Certified* Radiologist, Urologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
93990 Board Certified* Radiologist or Vascular Surgeon ARDMS: RVT, ARRT: VS or CCI: RVS
94010 Board Certified* Pulmonologist Respiratory Therapist or RN
94014 Board Certified* Pulmonologist Respiratory Therapist or RN
94015 Board Certified* Pulmonologist Respiratory Therapist or RN
94016 Board Certified* Pulmonologist/ Physician supervision concept does not apply Professional component only code - must be performed by a physician
94060 Board Certified* Pulmonologist Respiratory Therapist or RN
94070 Board Certified* Pulmonologist Respiratory Therapist or RN
94150 Board Certified* Pulmonologist Respiratory Therapist
94200 Board Certified* Pulmonologist Respiratory Therapist
94375 Board Certified* Pulmonologist Respiratory Therapist
94450 Board Certified* Pulmonologist Respiratory Therapist
94452 Board Certified* Pulmonologist Respiratory Therapist or RN
94453 Board Certified* Pulmonologist Respiratory Therapist or RN
94617 Board Certified* Pulmonologist Respiratory Therapist or RN
94618 Board Certified* Pulmonologist Respiratory Therapist or RN
94619 Board Certified* Pulmonologist Respiratory Therapist or RN
94621 Board Certified* Pulmonologist Respiratory Therapist or RN
94680 Board Certified* Pulmonologist Respiratory Therapist
94681 Board Certified* Pulmonologist Respiratory Therapist
94690 Board Certified* Pulmonologist Respiratory Therapist
94726 Board Certified* Pulmonologist Respiratory Therapist
94727 Board Certified* Pulmonologist Respiratory Therapist
94728 Board Certified* Pulmonologist Respiratory Therapist
94729 Board Certified* Pulmonologist Respiratory Therapist
94760 Board Certified* Pulmonologist Demonstrates proficiency
94761 Board Certified* Pulmonologist Demonstrates proficiency
94762 Board Certified* Pulmonologist Demonstrates proficiency
94772 Board Certified* Pulmonologist Respiratory Therapist
95700 Board Certified* Neurologist ABRET: R. EEG T
95705 Board Certified* Neurologist ABRET: R. EEG T
95706 Board Certified* Neurologist ABRET: R. EEG T
95707 Board Certified* Neurologist ABRET: R. EEG T
95708 Board Certified* Neurologist ABRET: R. EEG T
95709 Board Certified* Neurologist ABRET: R. EEG T
95710 Board Certified* Neurologist ABRET: R. EEG T
95711 Board Certified* Neurologist ABRET: R. EEG T
95712 Board Certified* Neurologist ABRET: R. EEG T
95713 Board Certified* Neurologist ABRET: R. EEG T
95714 Board Certified* Neurologist ABRET: R. EEG T
95715 Board Certified* Neurologist ABRET: R. EEG T
95716 Board Certified* Neurologist ABRET: R. EEG T
95717 Board Certified* Neurologist ABRET: R. EEG T
95718 Board Certified* Neurologist ABRET: R. EEG T
95719 Board Certified* Neurologist ABRET: R. EEG T
95720 Board Certified* Neurologist ABRET: R. EEG T
95721 Board Certified* Neurologist ABRET: R. EEG T
95722 Board Certified* Neurologist ABRET: R. EEG T
95723 Board Certified* Neurologist ABRET: R. EEG T
95724 Board Certified* Neurologist ABRET: R. EEG T
95725 Board Certified* Neurologist ABRET: R. EEG T
95726 Board Certified* Neurologist ABRET: R. EEG T
95800 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95801 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95805 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95806 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95807 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95808 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95810 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95811 Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto) BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS
95812 Board Certified* Neurologist ABRET: R. EEG T
95813 Board Certified* Neurologist ABRET: R. EEG T
95816 Board Certified* Neurologist ABRET: R. EEG T
95819 Board Certified* Neurologist ABRET: R. EEG T
95822 Board Certified* Neurologist ABRET: R. EEG T
95830 Board Certified* Neurologist/ Physician Supervision concept does not apply Physician service code - must be performed by a physician
95836 Board Certified* Neurosurgeon or Neurologist ABRET: R. EEG T
95860 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95861 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95863 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95864 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95867 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95868 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95869 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95870 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95872 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95875 Board Certified* Neurologist or Physiatrist ABRET: R. EP T.
95885 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95886 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95887 Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:
a) American Board of Electrodiagnostic Medicine,
b) Clinical Neurophysiology, or
c) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.
AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
95905 Board Certified* Neurologist, Physiatrist or Podiatrist AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95907 Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95908 Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95909 Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95910 Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95911 Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95912 Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95913 Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95921 Board Certified* Neurologist or Physiatrist AAET: R. NCS.T
95922 Board Certified* Neurologist or Physiatrist AAET: R. NCS.T
95923 Board Certified* Neurologist or Physiatrist AAET: R. NCS.T
95924 Board Certified* Neurologist or Physiatrist AAET: R. NCS.T
95925 Board Certified* Neurologist or Physiatrist ABRET: R. EPT or R. EEG T.
95926 Board Certified* Neurologist, Physiatrist or Podiatrist ABRET: R. EPT or R. EEG T.
95927 Board Certified* Neurologist or Physiatrist ABRET: R. EPT or R. EEG T.
95928 Board Certified* Neurologist or Physiatrist ABRET: R. EPT or R. EEG T.
95929 Board Certified* Neurologist or Physiatrist ABRET: R. EPT or R. EEG T.
95930 Board Certified* Neurologist or Physiatrist ABRET: R. EPT or R. EEG T.
95933 Board Certified* Neurologist or Physiatrist AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95937 Board Certified* Neurologist or Physiatrist - General supervision level applies if PT not certified AAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
95938 Board Certified* Neurologist, Physiatrist or Podiatrist - General supervision level applies if PT not certified ABRET: R. EPT or R. EEG T.
95939 Board Certified* Neurologist or Physiatrist ABRET: R. EPT or R. EEG T.
95943 Board Certified* Neurologist or Physiatrist AAET: R. NCS.T
95957 Board Certified* Neurologist ABRET: R. EEG T
95958 Board Certified* Neurologist ABRET: R. EEG T
95965 Board Certified* Neurosurgeon or Neurologist ABRET: R. EEG T
95966 Board Certified* Neurosurgeon or Neurologist ABRET: R. EEG T
95967 Board Certified* Neurosurgeon or Neurologist ABRET: R. EEG T
95976 Board Certified* Neurosurgeon or Neurologist ABRET: R. EEG T
95977 Board Certified* Neurosurgeon or Neurologist ABRET: R. EEG T
95983 Board Certified* Neurosurgeon or Neurologist ABRET: R. EEG T
95984 Board Certified* Physician N/A
96105 Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist Physician service code - must be performed by a physician
96110 Psychiatrist, Clinical Psychologist or Qualified Independent Psychologist Physician service code - must be performed by a physician
96116 Board Certified* Physician or Psychologist Physician Service Code - must be performed by a physician or other qualified health care professional
99151 Board Certified* Physician Physician Service Code - must be performed by a physician or other qualified health care professional
99152 Board Certified* Physician RN
99153 Board Certified* Physician RN
99155 Board Certified* Physician RN
99156 Board Certified* Physician RN
99157 Board Certified* Physician RN
99202 Board Certified* Physician RN
99211 Board Certified* Physician RN
99453 Board Certified* Physician RN
99454 Board Certified* Physician RN
99457 Board Certified* Physician RN
99458 Board Certified* Physician RN

 

These associations hold licenses and/or certifications and are approved to perform in areas of expertise within the bounds of organization:

American Association of Electrodiagnostic Technologists (AAET)

American Board of Electrodiagnostic Medicine (ABEM)

American Board of Family Medicine (ABFM)

American Board of Internal Medicine (ABIM)

American Board of Medical Specialties (ABMS)

American Board of Nuclear Medicine (ABNM)

American Board of Otolaryngology (ABOto)

American Board of Psychiatry and Neurology (ABPN)

American Board of Physical Therapy Specialties (ABPTS)

American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET)

American Board of Sleep Medicine (ABSM)

American Osteopathic Association (AOA)

American Registry of Diagnostic Medical Sonographers (ARDMS)

American Registry of Magnetic Resonance Imaging Technologists (ARMRIT)

The American Registry of Radiologic Technologists (ARRT)

American Society of Neuroimaging (ASN)

Board of Registered Polysomnographic Technologists (BRPT)

Cardiovascular Credentialing International (CCI)

The International Society for Clinical Densitometry (ISCD)

Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO)

National Board for Respiratory Care (NBRC)

National Healthcare Association (NHA)

Nuclear Medicine Technology Certification Board (NMTCB)

The Board of Certification of the Ophthalmic Photographers' Society (OPS)

Physical Medicine and Rehabilitation (PMR)

United Council for Neurologic Subspecialties (UCNS)

 

Response To Comments

Number Comment Response
1
N/A

Coding Information

Bill Type Codes

Code Description
N/A

Revenue Codes

Code Description
N/A

CPT/HCPCS Codes

Group 1

(894 Codes)
Group 1 Paragraph

N/A

Group 1 Codes
Code Description
10004 Fna bx w/o img gdn ea addl
10005 Fna bx w/us gdn 1st les
10006 Fna bx w/us gdn ea addl
10007 Fna bx w/fluor gdn 1st les
10008 Fna bx w/fluor gdn ea addl
10009 Fna bx w/ct gdn 1st les
10010 Fna bx w/ct gdn ea addl
10011 Fna bx w/mr gdn 1st les
10012 Fna bx w/mr gdn ea addl
11102 Tangntl bx skin single les
11103 Tangntl bx skin ea sep/addl
11104 Punch bx skin single lesion
11105 Punch bx skin ea sep/addl
11106 Incal bx skn single les
11107 Incal bx skn ea sep/addl
19000 Puncture aspir cyst breast
19001 Puncture aspir cyst brst ea
19030 Njx px only mam ducto/glcto
19081 Bx breast 1st lesion strtctc
19082 Bx breast add lesion strtctc
19083 Bx breast 1st lesion us imag
19084 Bx breast add lesion us imag
19085 Bx breast 1st lesion mr imag
19086 Bx breast add lesion mr imag
23350 Injection for shoulder x-ray
24220 Injection px for elbow arthg
25246 Injection for wrist x-ray
27093 Injection for hip x-ray
27095 Injection for hip x-ray
27096 Inject sacroiliac joint
27369 Njx cntrst kne arthg/ct/mri
27648 Injection for ankle x-ray
31253 Nsl/sins ndsc total
36005 Injection ext venography
38505 Needle biopsy lymph nodes
42975 Dise eval slp do brth flx dx
50430 Njx px nfrosgrm &/urtrgrm
50431 Njx px nfrosgrm &/urtrgrm
51600 Injection for bladder x-ray
51725 Simple cystometrogram
51726 Complex cystometrogram
51727 Cystometrogram w/up
51728 Cystometrogram w/vp
51729 Cystometrogram w/vp&up
51736 Urine flow measurement
51741 Electro-uroflowmetry first
51784 Anal/urinary muscle study
51785 Anal/urinary muscle study
51792 Urinary reflex study
51797 Intraabdominal pressure test
51798 Us urine capacity measure
54240 Penis study
54250 Penis study
58340 Catheter for hysterography
62302 Myelography lumbar injection
62303 Myelography lumbar injection
62304 Myelography lumbar injection
62305 Myelography lumbar injection
62328 Dx lmbr spi pnxr w/fluor/ct
70010 Contrast x-ray of brain
70015 Contrast x-ray of brain
70030 X-ray eye for foreign body
70100 X-ray exam of jaw <4views
70110 X-ray exam of jaw 4/> views
70120 X-ray exam of mastoids
70130 X-ray exam of mastoids
70134 X-ray exam of middle ear
70140 X-ray exam of facial bones
70150 X-ray exam of facial bones
70160 X-ray exam of nasal bones
70170 X-ray exam of tear duct
70190 X-ray exam of eye sockets
70200 X-ray exam of eye sockets
70210 X-ray exam of sinuses
70220 X-ray exam of sinuses
70240 X-ray exam pituitary saddle
70250 X-ray exam of skull
70260 X-ray exam of skull
70300 X-ray exam of teeth
70310 X-ray exam of teeth
70320 Full mouth x-ray of teeth
70328 X-ray exam of jaw joint
70330 X-ray exam of jaw joints
70332 X-ray exam of jaw joint
70336 Magnetic image jaw joint
70350 X-ray head for orthodontia
70355 Panoramic x-ray of jaws
70360 X-ray exam of neck
70370 Throat x-ray & fluoroscopy
70371 Speech evaluation complex
70380 X-ray exam of salivary gland
70390 X-ray exam of salivary duct
70450 Ct head/brain w/o dye
70460 Ct head/brain w/dye
70470 Ct head/brain w/o & w/dye
70480 Ct orbit/ear/fossa w/o dye
70481 Ct orbit/ear/fossa w/dye
70482 Ct orbit/ear/fossa w/o&w/dye
70486 Ct maxillofacial w/o dye
70487 Ct maxillofacial w/dye
70488 Ct maxillofacial w/o & w/dye
70490 Ct soft tissue neck w/o dye
70491 Ct soft tissue neck w/dye
70492 Ct sft tsue nck w/o & w/dye
70496 Ct angiography head
70498 Ct angiography neck
70540 Mri orbit/face/neck w/o dye
70542 Mri orbit/face/neck w/dye
70543 Mri orbt/fac/nck w/o &w/dye
70544 Mr angiography head w/o dye
70545 Mr angiography head w/dye
70546 Mr angiograph head w/o&w/dye
70547 Mr angiography neck w/o dye
70548 Mr angiography neck w/dye
70549 Mr angiograph neck w/o&w/dye
70551 Mri brain stem w/o dye
70552 Mri brain stem w/dye
70553 Mri brain stem w/o & w/dye
70554 Fmri brain by tech
70555 Fmri brain by phys/psych
71045 X-ray exam chest 1 view
71046 X-ray exam chest 2 views
71047 X-ray exam chest 3 views
71048 X-ray exam chest 4+ views
71100 X-ray exam ribs uni 2 views
71101 X-ray exam unilat ribs/chest
71110 X-ray exam ribs bil 3 views
71111 X-ray exam ribs/chest4/> vws
71120 X-ray exam breastbone 2/>vws
71130 X-ray strenoclavic jt 3/>vws
71250 Ct thorax dx c-
71260 Ct thorax dx c+
71270 Ct thorax dx c-/c+
71271 Ct thorax lung cancer scr c-
71275 Ct angiography chest
71550 Mri chest w/o dye
71551 Mri chest w/dye
71552 Mri chest w/o & w/dye
71555 Mri angio chest w or w/o dye
72020 X-ray exam of spine 1 view
72040 X-ray exam neck spine 2-3 vw
72050 X-ray exam neck spine 4/5vws
72052 X-ray exam neck spine 6/>vws
72070 X-ray exam thorac spine 2vws
72072 X-ray exam thorac spine 3vws
72074 X-ray exam thorac spine4/>vw
72080 X-ray exam thoracolmb 2/> vw
72081 X-ray exam entire spi 1 vw
72082 X-ray exam entire spi 2/3 vw
72083 X-ray exam entire spi 4/5 vw
72084 X-ray exam entire spi 6/> vw
72100 X-ray exam l-s spine 2/3 vws
72110 X-ray exam l-2 spine 4/>vws
72114 X-ray exam l-s spine bending
72120 X-ray bend only l-s spine
72125 Ct neck spine w/o dye
72126 Ct neck spine w/dye
72127 Ct neck spine w/o & w/dye
72128 Ct chest spine w/o dye
72129 Ct chest spine w/dye
72130 Ct chest spine w/o & w/dye
72131 Ct lumbar spine w/o dye
72132 Ct lumbar spine w/dye
72133 Ct lumbar spine w/o & w/dye
72141 Mri neck spine w/o dye
72142 Mri neck spine w/dye
72146 Mri chest spine w/o dye
72147 Mri chest spine w/dye
72148 Mri lumbar spine w/o dye
72149 Mri lumbar spine w/dye
72156 Mri neck spine w/o & w/dye
72157 Mri chest spine w/o & w/dye
72158 Mri lumbar spine w/o & w/dye
72159 Mr angio spine w/o&w/dye
72170 X-ray exam of pelvis
72190 X-ray exam of pelvis
72191 Ct angiograph pelv w/o&w/dye
72192 Ct pelvis w/o dye
72193 Ct pelvis w/dye
72194 Ct pelvis w/o & w/dye
72195 Mri pelvis w/o dye
72196 Mri pelvis w/dye
72197 Mri pelvis w/o & w/dye
72198 Mr angio pelvis w/o & w/dye
72200 X-ray exam si joints
72202 X-ray exam si joints 3/> vws
72220 X-ray exam sacrum tailbone
72240 Myelography neck spine
72255 Myelography thoracic spine
72265 Myelography l-s spine
72270 Myelogphy 2/> spine regions
72285 Discography cerv/thor spine
72295 X-ray of lower spine disk
73000 X-ray exam of collar bone
73010 X-ray exam of shoulder blade
73020 X-ray exam of shoulder
73030 X-ray exam of shoulder
73040 Contrast x-ray of shoulder
73050 X-ray exam of shoulders
73060 X-ray exam of humerus
73070 X-ray exam of elbow
73080 X-ray exam of elbow
73085 Contrast x-ray of elbow
73090 X-ray exam of forearm
73092 X-ray exam of arm infant
73100 X-ray exam of wrist
73110 X-ray exam of wrist
73115 Contrast x-ray of wrist
73120 X-ray exam of hand
73130 X-ray exam of hand
73140 X-ray exam of finger(s)
73200 Ct upper extremity w/o dye
73201 Ct upper extremity w/dye
73202 Ct uppr extremity w/o&w/dye
73206 Ct angio upr extrm w/o&w/dye
73218 Mri upper extremity w/o dye
73219 Mri upper extremity w/dye
73220 Mri uppr extremity w/o&w/dye
73221 Mri joint upr extrem w/o dye
73222 Mri joint upr extrem w/dye
73223 Mri joint upr extr w/o&w/dye
73225 Mr angio upr extr w/o&w/dye
73501 X-ray exam hip uni 1 view
73502 X-ray exam hip uni 2-3 views
73503 X-ray exam hip uni 4/> views
73521 X-ray exam hips bi 2 views
73522 X-ray exam hips bi 3-4 views
73523 X-ray exam hips bi 5/> views
73525 Contrast x-ray of hip
73551 X-ray exam of femur 1
73552 X-ray exam of femur 2/>
73560 X-ray exam of knee 1 or 2
73562 X-ray exam of knee 3
73564 X-ray exam knee 4 or more
73565 X-ray exam of knees
73580 Contrast x-ray of knee joint
73590 X-ray exam of lower leg
73592 X-ray exam of leg infant
73600 X-ray exam of ankle
73610 X-ray exam of ankle
73615 Contrast x-ray of ankle
73620 X-ray exam of foot
73630 X-ray exam of foot
73650 X-ray exam of heel
73660 X-ray exam of toe(s)
73700 Ct lower extremity w/o dye
73701 Ct lower extremity w/dye
73702 Ct lwr extremity w/o&w/dye
73706 Ct angio lwr extr w/o&w/dye
73718 Mri lower extremity w/o dye
73719 Mri lower extremity w/dye
73720 Mri lwr extremity w/o&w/dye
73721 Mri jnt of lwr extre w/o dye
73722 Mri joint of lwr extr w/dye
73723 Mri joint lwr extr w/o&w/dye
73725 Mr ang lwr ext w or w/o dye
74018 X-ray exam abdomen 1 view
74019 X-ray exam abdomen 2 views
74021 X-ray exam abdomen 3+ views
74022 X-ray exam complete abdomen
74150 Ct abdomen w/o dye
74160 Ct abdomen w/dye
74170 Ct abdomen w/o & w/dye
74174 Ct angio abd&pelv w/o&w/dye
74175 Ct angio abdom w/o & w/dye
74176 Ct abd & pelvis w/o contrast
74177 Ct abd & pelv w/contrast
74178 Ct abd & pelv 1/> regns
74181 Mri abdomen w/o dye
74182 Mri abdomen w/dye
74183 Mri abdomen w/o & w/dye
74185 Mri angio abdom w orw/o dye
74190 X-ray exam of peritoneum
74210 X-ray xm phrnx&/crv esoph c+
74220 X-ray xm esophagus 1cntrst
74221 X-ray xm esophagus 2cntrst
74230 X-ray xm swlng funcj c+
74240 X-ray xm upr gi trc 1cntrst
74246 X-ray xm upr gi trc 2cntrst
74248 X-ray sm int f-thru std
74250 X-ray xm sm int 1cntrst std
74251 X-ray xm sm int 2cntrst std
74261 Ct colonography dx
74262 Ct colonography dx w/dye
74270 X-ray xm colon 1cntrst std
74280 X-ray xm colon 2cntrst std
74290 Contrast x-ray gallbladder
74400 Urography iv +-kub tomog
74410 Urography nfs drip&/bolus
74415 Urography nfs drip&/bls w/nf
74420 Urography rtrgr +-kub
74425 Urography antegrade rs&i
74430 Contrast x-ray bladder
74440 X-ray male genital tract
74445 X-ray exam of penis
74450 X-ray urethra/bladder
74455 X-ray urethra/bladder
74470 X-ray exam of kidney lesion
74712 Mri fetal sngl/1st gestation
74713 Mri fetal ea addl gestation
74740 X-ray female genital tract
74742 X-ray fallopian tube
74775 X-ray exam of perineum
75557 Cardiac mri for morph
75559 Cardiac mri w/stress img
75561 Cardiac mri for morph w/dye
75563 Card mri w/stress img & dye
75565 Card mri veloc flow mapping
75572 Ct hrt w/3d image
75573 Ct hrt c+ strux cgen hrt ds
75574 Ct angio hrt w/3d image
75580 N-invas est c ffr sw aly cta
75600 Contrast exam thoracic aorta
75605 Contrast exam thoracic aorta
75625 Contrast exam abdominl aorta
75630 X-ray aorta leg arteries
75635 Ct angio abdominal arteries
75705 Artery x-rays spine
75710 Artery x-rays arm/leg
75716 Artery x-rays arms/legs
75726 Artery x-rays abdomen
75731 Artery x-rays adrenal gland
75733 Artery x-rays adrenals
75736 Artery x-rays pelvis
75741 Artery x-rays lung
75743 Artery x-rays lungs
75746 Artery x-rays lung
75756 Artery x-rays chest
75774 Artery x-ray each vessel
75801 Lymph vessel x-ray arm/leg
75803 Lymph vessel x-ray arms/legs
75807 Lymph vessel x-ray trunk
75809 Nonvascular shunt x-ray
75810 Vein x-ray spleen/liver
75820 Vein x-ray arm/leg
75822 Vein x-ray arms/legs
75825 Vein x-ray trunk
75827 Vein x-ray chest
75831 Vein x-ray kidney
75833 Vein x-ray kidneys
75840 Vein x-ray adrenal gland
75842 Vein x-ray adrenal glands
75860 Vein x-ray neck
75870 Vein x-ray skull
75872 Vein x-ray skull epidural
75880 Vein x-ray eye socket
75885 Vein x-ray liver w/hemodynam
75887 Vein x-ray liver w/o hemodyn
75889 Vein x-ray liver w/hemodynam
75891 Vein x-ray liver
75893 Venous sampling by catheter
76000 Fluoroscopy <1 hr phys/qhp
76010 X-ray nose to rectum
76080 X-ray exam of fistula
76098 X-ray exam surgical specimen
76120 Cine/video x-rays
76125 Cine/video x-rays add-on
76140 X-ray consultation
76376 3d render w/intrp postproces
76377 3d render w/intrp postproces
76380 Cat scan follow-up study
76390 Mr spectroscopy
76506 Echo exam of head
76510 Oph us dx b-scan&quan a-scan
76511 Oph us dx quan a-scan only
76512 Oph us dx b-scan
76513 Oph us dx ant sgm us uni/bi
76514 Echo exam of eye thickness
76516 Echo exam of eye
76519 Echo exam of eye
76529 Echo exam of eye
76536 Us exam of head and neck
76604 Us exam chest
76641 Ultrasound breast complete
76642 Ultrasound breast limited
76700 Us exam abdom complete
76705 Echo exam of abdomen
76706 Us abdl aorta screen aaa
76770 Us exam abdo back wall comp
76775 Us exam abdo back wall lim
76776 Us exam k transpl w/doppler
76800 Us exam spinal canal
76801 Ob us < 14 wks single fetus
76802 Ob us < 14 wks addl fetus
76805 Ob us >= 14 wks sngl fetus
76810 Ob us >= 14 wks addl fetus
76811 Ob us detailed sngl fetus
76812 Ob us detailed addl fetus
76813 Ob us nuchal meas 1 gest
76814 Ob us nuchal meas add-on
76815 Ob us limited fetus(s)
76816 Ob us follow-up per fetus
76817 Transvaginal us obstetric
76818 Fetal biophys profile w/nst
76819 Fetal biophys profil w/o nst
76820 Umbilical artery echo
76821 Middle cerebral artery echo
76825 Echo exam of fetal heart
76826 Echo exam of fetal heart
76827 Echo exam of fetal heart
76828 Echo exam of fetal heart
76830 Transvaginal us non-ob
76831 Echo exam uterus
76856 Us exam pelvic complete
76857 Us exam pelvic limited
76870 Us exam scrotum
76872 Us transrectal
76873 Echograp trans r pros study
76881 Us compl joint r-t w/img
76882 Us lmtd jt/fcl evl nvasc xtr
76885 Us exam infant hips dynamic
76886 Us exam infant hips static
76937 Us guide vascular access
76942 Echo guide for biopsy
77002 Needle localization by xray
77046 Mri breast c- unilateral
77047 Mri breast c- bilateral
77048 Mri breast c-+ w/cad uni
77049 Mri breast c-+ w/cad bi
77053 X-ray of mammary duct
77054 X-ray of mammary ducts
77063 Breast tomosynthesis bi
77065 Dx mammo incl cad uni
77066 Dx mammo incl cad bi
77067 Scr mammo bi incl cad
77072 X-rays for bone age
77074 X-rays bone survey limited
77075 X-rays bone survey complete
77076 X-rays bone survey infant
77077 Joint survey single view
77078 Ct bone density axial
77080 Dxa bone density axial
77081 Dxa bone density/peripheral
77084 Magnetic image bone marrow
77085 Dxa bone density study
77086 Fracture assessment via dxa
78012 Thyroid uptake measurement
78013 Thyroid imaging w/blood flow
78014 Thyroid imaging w/blood flow
78015 Thyroid met imaging
78016 Thyroid met imaging/studies
78018 Thyroid met imaging body
78020 Thyroid met uptake
78070 Parathyroid planar imaging
78071 Parathyrd planar w/wo subtrj
78072 Parathyrd planar w/spect&ct
78075 Adrenal cortex & medulla img
78102 Bone marrow imaging ltd
78103 Bone marrow imaging mult
78104 Bone marrow imaging body
78110 Plasma volume single
78111 Plasma volume multiple
78120 Red cell mass single
78121 Red cell mass multiple
78122 Blood volume
78130 Red cell survival study
78140 Red cell sequestration
78185 Spleen imaging
78191 Platelet survival
78195 Lymph system imaging
78201 Liver imaging
78202 Liver imaging with flow
78215 Liver and spleen imaging
78216 Liver & spleen image/flow
78226 Hepatobiliary system imaging
78227 Hepatobil syst image w/drug
78230 Salivary gland imaging
78231 Serial salivary imaging
78232 Salivary gland function exam
78258 Esophageal motility study
78261 Gastric mucosa imaging
78262 Gastroesophageal reflux exam
78264 Gastric emptying imag study
78265 Gastric emptying imag study
78266 Gastric emptying imag study
78267 Breath tst attain/anal c-14
78278 Acute gi blood loss imaging
78282 Gi protein loss exam
78290 Meckels divert exam
78291 Leveen/shunt patency exam
78300 Bone imaging limited area
78305 Bone imaging multiple areas
78306 Bone imaging whole body
78315 Bone imaging 3 phase
78414 Non-imaging heart function
78428 Cardiac shunt imaging
78429 Myocrd img pet 1 std w/ct
78430 Myocrd img pet rst/strs w/ct
78431 Myocrd img pet rst&strs ct
78432 Myocrd img pet 2rtracer
78433 Myocrd img pet 2rtracer ct
78434 Aqmbf pet rest & rx stress
78445 Vascular flow imaging
78451 Ht muscle image spect sing
78452 Ht muscle image spect mult
78453 Ht muscle image planar sing
78454 Ht musc image planar mult
78456 Acute venous thrombus image
78457 Venous thrombosis imaging
78458 Ven thrombosis images bilat
78459 Myocrd img pet single study
78466 Heart infarct image
78468 Heart infarct image (ef)
78469 Heart infarct image (3d)
78472 Gated heart planar single
78473 Gated heart multiple
78481 Heart first pass single
78483 Heart first pass multiple
78491 Myocrd img pet 1std rst/strs
78492 Myocrd img pet mlt rst&strs
78494 Heart image spect
78496 Heart first pass add-on
78579 Lung ventilation imaging
78580 Lung perfusion imaging
78582 Lung ventilat&perfus imaging
78597 Lung perfusion differential
78598 Lung perf&ventilat diferentl
78600 Brain image < 4 views
78601 Brain image w/flow < 4 views
78605 Brain image 4+ views
78606 Brain image w/flow 4 + views
78608 Brain imaging (pet)
78609 Brain imaging (pet)
78610 Brain flow imaging only
78630 Cerebrospinal fluid scan
78635 Csf ventriculography
78645 Csf shunt evaluation
78650 Csf leakage imaging
78660 Nuclear exam of tear flow
78700 Kidney imaging morphol
78701 Kidney imaging with flow
78707 K flow/funct image w/o drug
78708 K flow/funct image w/drug
78709 K flow/funct image multiple
78725 Kidney function study
78730 Urinary bladder retention
78740 Ureteral reflux study
78761 Testicular imaging w/flow
78800 Rp loclzj tum 1 area 1 d img
78801 Rp loclzj tum 2+area 1+d img
78802 Rp loclzj tum whbdy 1 d img
78803 Rp loclzj tum spect 1 area
78804 Rp loclzj tum whbdy 2+d img
78811 Pet image ltd area
78812 Pet image skull-thigh
78813 Pet image full body
78814 Pet image w/ct lmtd
78815 Pet image w/ct skull-thigh
78816 Pet image w/ct full body
78830 Rp loclzj tum spect w/ct 1
78831 Rp loclzj tum spect 2 areas
78832 Rp loclzj tum spect w/ct 2
78835 Rp quan meas single area
91010 Esophagus motility study
91013 Esophgl motil w/stim/perfus
91020 Gastric motility studies
91022 Duodenal motility study
91030 Acid perfusion of esophagus
91034 Gastroesophageal reflux test
91035 G-esoph reflx tst w/electrod
91037 Esoph imped function test
91038 Esoph imped funct test > 1hr
91040 Esoph balloon distension tst
91065 Breath hydrogen/methane test
91113 Gi trc img intral colon i&r
91117 Colon motility 6 hr study
91120 Rectal sensation test
91122 Anal pressure record
91132 Electrogastrography
91133 Electrogastrography w/test
92060 Sensorimotor examination
92081 Limited visual field xm
92082 Intermediate visual field xm
92083 Extended visual field xm
92132 Cmptr ophth dx img ant segmt
92133 Cmptr ophth img optic nerve
92134 Cptr ophth dx img post segmt
92136 Ophthalmic biometry
92227 Img rta detcj/mntr ds staff
92228 Img rta detc/mntr ds phy/qhp
92229 Img rta detc/mntr ds poc aly
92235 Fluorescein angrph mltiframe
92240 Icg angiography i&r uni/bi
92242 Fluorescein&icg angiography
92250 Fundus photography w/i&r
92260 Ophthalmodynamometry
92265 Ndl oculoelectromyography 1+
92270 Electro-oculography w/i&r
92274 Multifocal erg w/i&r
92283 Extnd color vision xm
92284 Dx dark adaptation exam i&r
92285 External ocular photography
92286 Ant sgm img i&r speclr mic
92516 Facial nerve function test
92517 Vemp test i&r cervical
92518 Vemp test i&r ocular
92519 Vemp tst i&r cervical&ocular
92520 Laryngeal function studies
92541 Spontaneous nystagmus test
92542 Positional nystagmus test
92544 Optokinetic nystagmus test
92545 Oscillating tracking test
92546 Sinusoidal rotational test
92547 Supplemental electrical test
92548 Cdp-sot 6 cond w/i&r
92549 Cdp-sot 6 cond w/i&r mct&adt
92550 Tympanometry & reflex thresh
92552 Pure tone audiometry air
92553 Audiometry air & bone
92555 Speech threshold audiometry
92556 Speech audiometry complete
92557 Comprehensive hearing test
92562 Loudness balance test
92563 Tone decay hearing test
92565 Stenger test pure tone
92567 Tympanometry
92568 Acoustic refl threshold tst
92571 Filtered speech hearing test
92572 Staggered spondaic word test
92575 Sensorineural acuity test
92576 Synthetic sentence test
92577 Stenger test speech
92579 Visual audiometry (vra)
92582 Conditioning play audiometry
92583 Select picture audiometry
92584 Electrocochleography
92587 Evoked auditory test limited
92588 Evoked auditory tst complete
92596 Ear protector evaluation
92650 Aep scr auditory potential
92651 Aep hearing status deter i&r
92652 Aep thrshld est mlt freq i&r
92653 Aep neurodiagnostic i&r
93000 Electrocardiogram complete
93005 Electrocardiogram tracing
93010 Electrocardiogram report
93015 Cardiovascular stress test
93016 Cardiovascular stress test
93017 Cardiovascular stress test
93018 Cardiovascular stress test
93024 Cardiac drug stress test
93025 Microvolt t-wave assess
93040 Rhythm ecg with report
93041 Rhythm ecg tracing
93042 Rhythm ecg report
93224 Ecg monit/reprt up to 48 hrs
93225 Ecg monit/reprt up to 48 hrs
93226 Ecg monit/reprt up to 48 hrs
93227 Ecg monit/reprt up to 48 hrs
93228 Remote 30 day ecg rev/report
93229 Remote 30 day ecg tech supp
93241 Ext ecg>48hr<7d rec scan a/r
93242 Ext ecg>48hr<7d recording
93243 Ext ecg>48hr<7d scan a/r
93244 Ext ecg>48hr<7d rev&interpj
93245 Ext ecg>7d<15d rec scan a/r
93246 Ext ecg>7d<15d recording
93247 Ext ecg>7d<15d scan a/r
93248 Ext ecg>7d<15d rev&interpj
93260 Prgrmg dev eval impltbl sys
93261 Interrogate subq defib
93264 Rem mntr wrls p-art prs snr
93268 Ecg record/review
93270 Remote 30 day ecg rev/report
93271 Ecg/monitoring and analysis
93272 Ecg/review interpret only
93278 Ecg/signal-averaged
93293 Pm phone r-strip device eval
93294 Rem interrog evl pm/ldls pm
93295 Dev interrog remote 1/2/mlt
93296 Rem interrog evl pm/ids
93297 Rem interrog dev eval icpms
93298 Rem interrog dev eval scrms
93303 Echo transthoracic
93304 Echo transthoracic
93306 Tte w/doppler complete
93307 Tte w/o doppler complete
93308 Tte f-up or lmtd
93312 Echo transesophageal
93313 Echo transesophageal
93314 Echo transesophageal
93315 Echo transesophageal
93316 Echo transesophageal
93317 Echo transesophageal
93319 3d echo img cgen car anomal
93320 Doppler echo exam heart
93321 Doppler echo exam heart
93325 Doppler color flow add-on
93350 Stress tte only
93351 Stress tte complete
93352 Admin ecg contrast agent
93356 Myocrd strain img spckl trck
93701 Bioimpedance cv analysis
93770 Measure venous pressure
93784 Ambl bp mntr w/software
93786 Ambl bp mntr w/sw rec only
93788 Ambl bp mntr w/sw a/r
93790 Ambl bp mntr w/sw i&r
93880 Extracranial bilat study
93882 Extracranial uni/ltd study
93886 Intracranial complete study
93888 Intracranial limited study
93890 Tcd vasoreactivity study
93892 Tcd emboli detect w/o inj
93893 Tcd emboli detect w/inj
93895 Carotid intima atheroma eval
93922 Upr/l xtremity art 2 levels
93923 Upr/lxtr art stdy 3+ lvls
93924 Lwr xtr vasc stdy bilat
93925 Lower extremity study
93926 Lower extremity study
93930 Upper extremity study
93931 Upper extremity study
93970 Extremity study
93971 Extremity study
93975 Vascular study
93976 Vascular study
93978 Vascular study
93979 Vascular study
93980 Penile vascular study
93981 Penile vascular study
93985 Dup-scan hemo compl bi std
93986 Dup-scan hemo compl uni std
93990 Doppler flow testing
94010 Breathing capacity test
94014 Patient recorded spirometry
94015 Patient recorded spirometry
94016 Review patient spirometry
94060 Evaluation of wheezing
94070 Evaluation of wheezing
94150 Vital capacity test
94200 Lung function test (mbc/mvv)
94375 Respiratory flow volume loop
94450 Hypoxia response curve
94452 Hast w/report
94453 Hast w/oxygen titrate
94617 Exercise tst brncspsm w/ecg
94618 Pulmonary stress testing
94619 Exercise tst brncspsm wo ecg
94621 Cardiopulm exercise testing
94680 Exhaled air analysis o2
94681 Exhaled air analysis o2/co2
94690 Exhaled air analysis
94726 Pulm funct tst plethysmograp
94727 Pulm function test by gas
94728 Airwy resist by oscillometry
94729 Co/membane diffuse capacity
94760 Measure blood oxygen level
94761 Measure blood oxygen level
94762 Measure blood oxygen level
94772 Breath recording infant
95700 Eeg cont rec w/vid eeg tech
95705 Eeg w/o vid 2-12 hr unmntr
95706 Eeg wo vid 2-12hr intmt mntr
95707 Eeg w/o vid 2-12hr cont mntr
95708 Eeg wo vid ea 12-26hr unmntr
95709 Eeg w/o vid ea 12-26hr intmt
95710 Eeg w/o vid ea 12-26hr cont
95711 Veeg 2-12 hr unmonitored
95712 Veeg 2-12 hr intmt mntr
95713 Veeg 2-12 hr cont mntr
95714 Veeg ea 12-26 hr unmntr
95715 Veeg ea 12-26hr intmt mntr
95716 Veeg ea 12-26hr cont mntr
95717 Eeg phys/qhp 2-12 hr w/o vid
95718 Eeg phys/qhp 2-12 hr w/veeg
95719 Eeg phys/qhp ea incr w/o vid
95720 Eeg phy/qhp ea incr w/veeg
95721 Eeg phy/qhp>36<60 hr w/o vid
95722 Eeg phy/qhp>36<60 hr w/veeg
95723 Eeg phy/qhp>60<84 hr w/o vid
95724 Eeg phy/qhp>60<84 hr w/veeg
95725 Eeg phy/qhp>84 hr w/o vid
95726 Eeg phy/qhp>84 hr w/veeg
95800 Slp stdy unattended
95801 Slp stdy unatnd w/anal
95805 Multiple sleep latency test
95806 Sleep study unatt&resp efft
95807 Sleep study attended
95808 Polysom any age 1-3> param
95810 Polysom 6/> yrs 4/> param
95811 Polysom 6/>yrs cpap 4/> parm
95812 Eeg 41-60 minutes
95813 Eeg extnd mntr 61-119 min
95816 Eeg awake and drowsy
95819 Eeg awake and asleep
95822 Eeg coma or sleep only
95830 Insert electrodes for eeg
95836 Ecog impltd brn npgt <30 d
95860 Muscle test one limb
95861 Muscle test 2 limbs
95863 Muscle test 3 limbs
95864 Muscle test 4 limbs
95867 Muscle test cran nerv unilat
95868 Muscle test cran nerve bilat
95869 Muscle test thor paraspinal
95870 Muscle test nonparaspinal
95872 Muscle test one fiber
95875 Limb exercise test
95885 Musc tst done w/nerv tst lim
95886 Musc test done w/n test comp
95887 Musc tst done w/n tst nonext
95905 Motor &/ sens nrve cndj test
95907 Nvr cndj tst 1-2 studies
95908 Nrv cndj tst 3-4 studies
95909 Nrv cndj tst 5-6 studies
95910 Nrv cndj test 7-8 studies
95911 Nrv cndj test 9-10 studies
95912 Nrv cndj test 11-12 studies
95913 Nrv cndj test 13/> studies
95921 Autonomic nrv parasym inervj
95922 Autonomic nrv adrenrg inervj
95923 Autonomic nrv syst funj test
95924 Ans parasymp & symp w/tilt
95925 Somatosensory testing
95926 Somatosensory testing
95927 Somatosensory testing
95928 C motor evoked uppr limbs
95929 C motor evoked lwr limbs
95930 Visual ep test cns w/i&r
95933 Blink reflex test
95937 Neuromuscular junction test
95938 Somatosensory testing
95939 C motor evoked upr&lwr limbs
95957 Eeg digital analysis
95958 Eeg monitoring/function test
95965 Meg spontaneous
95966 Meg evoked single
95967 Meg evoked each addl
95976 Alys smpl cn npgt prgrmg
95977 Alys cplx cn npgt prgrmg
95983 Alys brn npgt prgrmg 15 min
95984 Alys brn npgt prgrmg addl 15
96105 Assessment of aphasia
96110 Developmental screen w/score
96116 Nubhvl xm phys/qhp 1st hr
99151 Mod sed same phys/qhp <5 yrs
99152 Mod sed same phys/qhp 5/>yrs
99153 Mod sed same phys/qhp ea
99155 Mod sed oth phys/qhp <5 yrs
99156 Mod sed oth phys/qhp 5/>yrs
99157 Mod sed other phys/qhp ea
99202 Office o/p new sf 15 min
99211 Off/op est may x req phy/qhp
99453 Rem mntr physiol param setup
99454 Rem mntr physiol param dev
99457 Rem physiol mntr 1st 20 min
99458 Rem physiol mntr ea addl 20
G0106 Colon ca screen;barium enema
G0120 Colon ca scrn; barium enema
G0130 Single energy x-ray study
G0279 Tomosynthesis, mammo
G0288 Recon, cta for surg plan
G0398 Home sleep test/type 2 porta
G0399 Home sleep test/type 3 porta
G0400 Home sleep test/type 4 porta
G0500 Mod sedat endo service >5yrs
G2010 Remot image submit by pt
0568T Intro mix saline&air f/ssg
0598T Ncntc r-t fluor wnd img 1st
0599T Ncntc r-t fluor wnd img ea
0602T Transdermal gfr measurements
0603T Transdermal gfr monitoring
0604T Rem oct rta dev setup&educaj
0605T Rem oct rta techl sprt min 8
0606T Rem oct rta phys/qhp ea 30d
0607T Rem mntr pulm flu mntr setup
0608T Rem mntr pulm flu mntr alys
0609T Mrs disc pain acquisj data
0610T Mrs disc pain transmis data
0611T Mrs disc pain alg alys data
0615T Eye mvmt alys w/o calbrj i&r
0633T Ct breast w/3d uni c-
0634T Ct breast w/3d uni c+
0635T Ct breast w/3d uni c-/c+
0636T Ct breast w/3d bi c-
0637T Ct breast w/3d bi c+
0638T Ct breast w/3d bi c-/c+
0648T Quan mr tis wo mri 1orgn
0650T Prgrmg dev eval scrms remote
0651T Mag ctrld capsule endoscopy
0652T Egd flx transnasal dx br/wa
0658T Elec impd spectrsc 1+skn les
0659T Tcat intra-c nfs supersat o2
0689T Quan us tis charac w/o dx us
0690T Quan us tis charac w/dx us
0691T Auto alys xst ct std vrt fx
0693T Compre ful bdy 3d mtn alys
0697T Quan mr tis wo mri mlt orgn
0698T Quan mr tiss w/mri mlt orgn
0721T Quan ct tiss charac w/o ct
0722T Quan ct tiss charac w/ct
0723T Qmrcp w/o dx mri sm anat ses
0724T Qmrcp w/dx mri same anatomy
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CPT/HCPCS Modifiers

Group 1

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Group 1 Codes

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ICD-10-CM Codes that Support Medical Necessity

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Group 1 Codes

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ICD-10-CM Codes that DO NOT Support Medical Necessity

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Group 1 Codes

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ICD-10-PCS Codes

Group 1

Group 1 Paragraph

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Group 1 Codes

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Additional ICD-10 Information

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Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

Code Description
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Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

Code Description
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Other Coding Information

Group 1

Group 1 Paragraph

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Group 1 Codes

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Revision History Information

Revision History Date Revision History Number Revision History Explanation
03/21/2024 R12

For 0615T, under Article Text – Table: Supervising Physician Qualifications added Board Certified* Physician.

01/01/2024 R11

Under Article Text – Table: CPT/HCPCS Codes and CPT/HCPCS Codes Group 1: Codes added 75580. For 75580, under Article Text – Table: Supervising Physician Qualifications added Board Certified* Cardiologist or Radiologist and under Article Text – Table: Technician Qualifications added General Radiographer, Medical Physicist or ARRT: R.T.-R and ARRT: R.T.-CT. This revision is retroactive effective for dates of service on or after 1/1/24.

01/01/2024 R10

Under Article Text – Table: CPT/HCPCS Codes and CPT/HCPCS Codes Group 1: Codes deleted 0501T, 0502T, 0503T, 0504T and 74710. Under CPT/HCPCS Codes Group 1: Codes the description was revised for 19000, 19001, 19030, 92060, 92081, 92082, 92083, 92235, 92240, 92242, 92250, 92260, 92265, 92270, 92283, 92285, 92286 and 99202. This revision is due to the 2024 Annual/Q1 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/24.

10/01/2023 R9

Under Article Text – Table: CPT/HCPCS Codes and CPT/HCPCS Codes Group 1: Codes added 73223. For 73223, under Article Text – Table: Supervising Physician Qualifications added Board Certified* Radiologist or Orthopaedic Surgeon and under Article Text – Table: Technician Qualifications added ARRT: MR or ARMRIT: MRI. Under Article Text – Table: Technician Qualifications for 23350 added General Radiographer, for 76380 added General Radiographer, Medical Physicist or ARRT: R.T.-R and ARRT: R.T.-CT and removed ARDMS: RDMS-NE or ARRT: R.T.-S, for 19083 and 19084 added ARRT: R.T.-R, for 76706 added ARDMS: RVT, ARRT R.T.-S, R.T.-VS or CCI: RVS and removed ARRT: R.T.-BS, for 93017 added NHA: CET, ARRT: R.T.-N or NMTCB: CNMT.

09/01/2023 R8

Under Article Text – Table: Technician Qualifications added ARDMS: RDCS to the following CPT/HCPCS codes 93005, 93224, 93225, 93226, 93241, 93242, 93243, 93244, 93245, 93246, 93247 and 93248.

01/01/2023 R7

Under CPT/HCPCS Codes Group 1: Codes the description was revised for 0723T, 0724T, 24220, 76882, 78803, 78830, 78831, 78832, 92229 and 92284. This revision is due to the 2023 Annual/Q1 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/23.

07/01/2022 R6

Under Article Text – Table and CPT/HCPCS Codes Group 1: Codes added 0721T, 0722T, 0723T and 0724T. This revision is due to the Q3 CPT®/HCPCS Code Update and is effective 7/1/22.

Under Article Text – Table and CPT/HCPCS Codes Group 1: Codes added 78492 and 78609. This revision is also effective 7/1/22.

06/01/2022 R5

Under Article Text – Table and CPT/HCPCS Codes Group 1: Codes added codes 70328, 76390, and 76776.

01/01/2022 R4

Under Article Text revised the heading below the table to read “These associations hold licenses and/or certifications and are approved to perform in areas of expertise within the bounds of organization”, and added the National Healthcare Association (NHA) as an approved organization for EKG Technicians.

01/01/2022 R3

Under Article Text – Table and CPT/HCPCS Codes Group 1: Codes added codes 42975, 91113, 93319, 0689T, 0690T, 0691T, 0693T, 0697T, and 0698T, and deleted codes 72275, 76101, 76102, 92561, 92564 and 95943. The descriptions were revised for codes 0598T, 0648T, 75573 and 99211. This revision is due to the Annual CPT/HCPCS code update and has an effective date of 1/1/22.

11/25/2021 R2

Code 92650 has been added to the Article Text - Table and CPT/HCPCS Codes Group 1: Codes sections of this article.

07/01/2021 R1

Codes 0648T, 0650T, 0651T, 0652T, 0658T and 0659T were added to the Article Text - Table and CPT/HCPCS Codes Group 1: Codes sections of this article. This revision is due to the QTR3 2021 CPT/HCPCS code update and has a retroactive effective date of 7/1/21.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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01/11/2024 01/01/2024 - N/A Superseded View
09/05/2023 10/01/2023 - 12/31/2023 Superseded View
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