Procedure code directory

Page 5 of 14, in code order. Codes 70150 to 77077.

• 70150X-ray of face bones, minimum of 3 views$33.79
• 70210X-ray of paranasal sinus, 1-2 views$23.09
• 70220X-ray of paranasal sinus, minimum of 3 views$27.63
• 70250X-ray of skull, 1-3 views$17.28
• 70260X-ray of skull, minimum of 4 views$26.97
• 70330X-ray of jaw joints on both sides of mouth$48.64
• 70350Imaging of jaws and skull$16.48
• 70355X-ray of lower jaws, upper jaws and teeth$14.94
• 70360X-ray of soft tissue of neck$16.40
• 70371Imaging of voice box with speech evaluation$98.59
• 70450Ct scan head or brain without contrast$40.22
• 70460Ct scan head or brain with contrast$68.11
• 70470Ct scan of head or brain before and after contrast$83.98
• 70480Ct scan of cranial cavity without contrast$109.74
• 70486Ct scan of face without contrast$61.51
• 70487Ct scan of face with contrast$57.47
• 70490Ct scan of soft tissue of neck without contrast$78.66
• 70491Ct scan of soft tissue of neck with contrast$81.73
• 70492Ct scan of soft tissue of neck before and after contrast$150.79
• 70496Ct scan of blood vessels of head with contrast$84.13
• 70498Ct scan of blood vessels of neck with contrast$80.79
• 70540Mri scan of bone of eye socket, face, and/or neck without contrast$143.49
• 70543Mri scan of bone of eye socket, face, and/or neck before and after contrast$189.65
• 70544Mri scan of blood vessels of head without contrast$93.59
• 70546Mri scan of blood vessels of head before and after contrast$164.09
• 70547Mri scan of blood vessels of neck without contrast$100.53
• 70548Mri scan of blood vessels of neck with contrast$83.23
• 70549Mri scan of blood vessels of neck before and after contrast$145.19
• 70551Mri scan of brain without contrast$94.16
• 70552Mri scan of brain with contrast$109.43
• 70553Mri scan of brain before and after contrast$153.94
• 71045X-ray of chest, 1 view$8.64
• 71046X-ray of chest, 2 views$16.28
• 71047X-ray of chest, 3 views$24.54
• 71048X-ray of chest, minimum of 4 views$32.24
• 71100X-ray of ribs on side of body, 2 views$20.66
• 71101X-ray of ribs on side of body, minimum of 3 views$19.00
• 71110X-ray of ribs on both sides of body, 3 views$26.96
• 71111X-ray of ribs on both sides of body, minimum of 4 views$31.13
• 71250Ct scan of chest without contrast$66.48
• 71260Ct scan of chest with contrast$62.03
• 71270Ct scan of chest before and after contrast$107.04
• 71271Low dose ct scan of chest for lung cancer screening$72.80
• 71275Ct scan of blood vessels of chest with contrast$88.49
• 71555Mri scan of blood vessels of chest$147.99
• 72020X-ray of spine, 1 view$14.55
• 72040X-ray of upper spine, 2-3 views$23.72
• 72050X-ray of upper spine, 4-5 views$35.18
• 72052X-ray of upper spine, 6 or more views$42.79
• 72070X-ray of middle spine, 2 views$20.40
• 72072X-ray of middle spine, 3 views$19.03
• 72074X-ray of middle spine, minimum of 4 views$26.65
• 72080X-ray of middle and lower spine, 2 views$22.02
• 72081X-ray of entire middle and lower spine, 1 view$28.90
• 72082X-ray of entire middle and lower spine, 2-3 views$39.67
• 72083X-ray of entire middle and lower spine, 4-5 views$38.30
• 72084X-ray of entire middle and lower spine, minimum of 6 views$47.06
• 72100X-ray of lower and sacral spine, 2-3 views$23.76
• 72110X-ray of lower and sacral spine, minimum of 4 views$34.78
• 72114X-ray lower and sacral spine, minimum of 6 views$43.06
• 72120X-ray lower and sacral spine, 2-3 views bending views$29.91
• 72125Ct scan of upper spine without contrast$46.99
• 72126Ct scan of upper spine with contrast$59.29
• 72128Ct scan of middle spine without contrast$46.63
• 72129Ct scan of middle spine with contrast$55.34
• 72131Ct scan of lower spine without contrast$53.06
• 72132Ct scan of lower spine with contrast$57.32
• 72141Mri scan of upper spinal canal without contrast$108.96
• 72146Mri scan of middle spinal canal without contrast$99.42
• 72148Mri scan of lower spinal canal without contrast$116.92
• 72156Mri scan of upper spinal canal before and after contrast$142.72
• 72157Mri scan of middle spinal canal before and after contrast$138.57
• 72158Mri scan of lower spinal canal before and after contrast$149.73
• 72170X-ray of pelvis, 1-2 views$13.01
• 72190X-ray of pelvis, minimum of 3 views$26.00
• 72192Ct scan of pelvis without contrast$53.35
• 72193Ct scan of pelvis with contrast$65.03
• 72195Mri scan of pelvis without contrast$147.56
• 72197Mri scan of pelvis before and after contrast$191.31
• 72200X-ray of joint between lower spine and hip bone, 1-2 views$22.03
• 72202X-ray of joint between lower spine and hip bone, 3 or more views$25.60
• 72220X-ray of sacrum and tailbone, minimum of 2 views$17.21
• 72295Review by radiologist of disc of lower spine image$57.56
• 73000X-ray of collar bone$17.88
• 73010X-ray of shoulder blade$22.56
• 73020X-ray of shoulder, 1 view$11.35
• 73030X-ray of shoulder, minimum of 2 views$22.04
• 73040Review by radiologist of shoulder joint image$119.55
• 73050X-ray of both collar bones joints$26.32
• 73060X-ray of upper arm, minimum of 2 views$11.37
• 73070X-ray of elbow, 2 views$16.13
• 73080X-ray of elbow, minimum of 3 views$16.52
• 73090X-ray of forearm, 2 views$10.89
• 73100X-ray of wrist, 2 views$23.23
• 73110X-ray of wrist, minimum of 3 views$24.37
• 73120X-ray of hand, 2 views$20.94
• 73130X-ray of hand, minimum of 3 views$23.03
• 73140X-ray of finger, minimum of 2 views$27.96
• 73200Ct scan of arm without contrast$77.63
• 73201Ct scan of arm with contrast$80.93
• 73218Mri scan of arm without contrast$212.48
• 73220Mri scan of arm before and after contrast$239.19
• 73221Mri scan of arm joint without contrast$127.60
• 73222Mri scan of arm joint with contrast$197.59
• 73223Mri scan of arm joint before and after contrast$233.62
• 73501X-ray of hip, 1 view$20.45
• 73502X-ray of hip, 2-3 views$26.38
• 73503X-ray of hip, minimum of 4 views$47.13
• 73521X-ray of both hips, 2 views$25.89
• 73522X-ray of both hips, 3-4 views$35.14
• 73523X-ray of both hips, minimum of 5 views$33.99
• 73525Review by radiologist of hip joint image$103.89
• 73551X-ray of thigh bone, 1 view$16.13
• 73552X-ray of thigh bone, minimum 2 views$12.92
• 73560X-ray of knee, 1-2 views$18.48
• 73562X-ray of knee, 3 views$27.47
• 73564X-ray of knee, 4 or more views$34.42
• 73565X-ray of both knees while standing$34.99
• 73580Review by radiologist of knee joint image$104.81
• 73590X-ray of lower leg, 2 views$10.75
• 73600X-ray of ankle, 2 views$20.98
• 73610X-ray of ankle, minimum of 3 views$21.50
• 73620X-ray of foot, 2 views$21.74
• 73630X-ray of foot, minimum of 3 views$24.19
• 73650X-ray of heel, minimum of 2 views$22.76
• 73660X-ray of toe, minimum of 2 views$17.55
• 73700Ct scan of leg without contrast$61.49
• 73701Ct scan of leg with contrast material$54.85
• 73706Ct scan of blood vessels of lower leg with contrast$115.70
• 73718Mri scan of leg without contrast$132.74
• 73720Mri scan of leg before and after contrast$138.52
• 73721Mri scan of leg joint without contrast$127.76
• 73723Mri scan of leg joint before and after contrast$189.99
• 74018X-ray of abdomen, 1 view$11.13
• 74019X-ray of abdomen, 2 views$14.72
• 74021X-ray of abdomen, minimum of 3 views$22.22
• 74022X-ray series of abdomen with single x-ray of chest$17.62
• 74150Ct scan of abdomen without contrast$93.55
• 74160Ct scan of abdomen with contrast$107.50
• 74170Ct scan of abdomen before and after contrast$127.64
• 74174Ct scan of blood vessels of abdomen and pelvis with contrast$117.69
• 74175Ct scan of blood vessels of abdomen with contrast$104.72
• 74176Ct scan of abdomen and pelvis without contrast$90.05
• 74177Ct scan of abdomen and pelvis with contrast$105.68
• 74178Ct scan of abdomen and pelvis before and after contrast$176.76
• 74181Mri scan of abdomen without contrast$93.69
• 74183Mri scan of abdomen before and after contrast$175.35
• 74185Mri scan of blood vessels of abdomen$211.76
• 74220Single contrast x-ray of esophagus$35.23
• 74221Double contrast x-ray of esophagus$49.22
• 74230Imaging for evaluation of swallowing function$30.38
• 74240Single contrast x-ray of upper digestive tract$66.13
• 74246Double contrast x-ray of upper digestive tract$63.10
• 74250Single contrast x-ray of small intestine$38.13
• 74261Diagnostic ct scan of large intestine without contrast$161.07
• 74270Single contrast x-ray of large intestine$64.16
• 74300Review by radiologist of bile and/or pancreatic duct image during surgery$11.91
• 74328Review by radiologist of image from tube placement into bile duct using an endoscope$22.25
• 74330Review by radiologist of image from tube placement into bile and pancreatic duct using an endoscope$24.41
• 74360Review by radiologist of image to guide opening of digestive tract$26.19
• 74420Imaging of urinary tract following injection of a contrast agent$39.49
• 74430Review by radiologist of urinary bladder image$27.60
• 74450Review by radiologist of urinary bladder and urethra images with contrast$36.16
• 74455Review by radiologist of urinary bladder and urethra images with contrast and after passing urine$71.79
• 75561Mri scan of heart before and after contrast$154.34
• 75563Mri scan of heart before and after contrast with stress imaging$202.99
• 75565Mri scan of blood flow of heart$15.27
• 75571Ct scan of heart with evaluation of blood vessel calcium$71.56
• 75572Ct scan of heart structure with contrast$94.71
• 75574Ct scan of blood vessels and grafts of heart with contrast$157.89
• 75580Analysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation an$343.33
• 75625Review by radiologist of abdominal aorta image$87.85
• 75630Review by radiologist of abdominal aorta and both leg arteries image$115.99
• 75635Ct scan of abdominal aorta and both leg arteries with contrast$132.47
• 75710Review by radiologist of arm or leg artery image$112.35
• 75716Review by radiologist of both arms or legs arteries image$122.18
• 75726Review by radiologist of abdominal artery image$108.92
• 75736Review by radiologist of pelvis artery image$86.20
• 75774Review by radiologist of additional artery image$68.38
• 75820Review by radiologist of 1 arm or leg vein of 1 arm or leg image$62.07
• 75822Review by radiologist of both arms and legs veins of both arms or legs image$111.17
• 75825Review by radiologist of major lower body vein image$90.69
• 75827Review by radiologist of major upper body vein image$86.09
• 75894Review by radiologist of image for insertion of material to block blood flow$76.92
• 75898Imaging of blood vessel$96.01
• 75984Review by radiologist of image for replacement of stomach or large bowel tube$36.29
• 75989Review by radiologist of image for drainage of fluid$75.63
• 76000Imaging guidance for procedure, 60 minutes or less$27.31
• 76080Review by radiologist of abscess or sinus cavity study$24.07
• 76098X-ray of surgical specimen$15.67
• 76100X-ray of body plane$88.76
• 76120Imaging of organ$59.18
• 763763d radiographic procedure$12.62
• 763773d radiographic procedure with computerized image postprocessing$50.10
• 76380Limited or follow-up ct scan$55.39
• 76391Mri and low frequency vibrations for measuring tissue stiffness$112.99
• 76498Other mri scan$54.47
• 76499Other diagnostic imaging procedure$49.56
• 765101d and 2d ultrasound scan of eye tissue and structures$64.45
• 765111d ultrasound scan of eye tissue and structures$57.36
• 765122d ultrasound scan of eye tissue and structures$52.75
• 76513Ultrasound scan of eye using water bath method$96.62
• 76514Ultrasound scan of cornea to determine thickness$10.70
• 76516Ultrasound scan to determine eye length$42.51
• 76519Ultrasound scan to determine eye length and lens power$49.07
• 76536Ultrasound scan of head and neck soft tissue$67.45
• 76604Ultrasound scan of chest$29.85
• 76641Complete ultrasound scan of 1 breast$97.75
• 76642Limited ultrasound scan of 1 breast$50.91
• 76700Complete ultrasound scan of abdomen$78.56
• 76705Limited ultrasound scan of abdomen$35.98
• 76706Ultrasound scan of abdominal aorta$57.09
• 76770Complete ultrasound scan behind abdominal cavity$58.76
• 76775Limited ultrasound scan behind abdominal cavity$44.86
• 76776Ultrasound scan of transplanted kidney$41.96
• 76800Ultrasound scan of spinal canal$160.15
• 76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina$88.51
• 76856Complete ultrasound scan of pelvis$80.52
• 76857Limited ultrasound scan of pelvis$43.46
• 76870Ultrasound scan of scrotum$55.05
• 76872Ultrasound scan of pelvic region through rectum$93.36
• 76873Ultrasound scan of prostate through rectum$129.46
• 76881Complete ultrasound scan of joint$51.91
• 76882Limited ultrasound scan of joint or other extremity structure except blood vessels$47.73
• 76883Comprehensive ultrasound scan of entire length of nerves in extremity$67.00
• 76937Ultrasonic guidance for blood vessel access$17.11
• 76942Ultrasonic guidance for needle placement$45.45
• 76965Ultrasonic guidance for administration of radiation therapy$69.84
• 76981Ultrasound scan of organ tissue for measuring elasticity$81.38
• 76982Ultrasound scan of growth for measuring elasticity, first growth$63.16
• 76983Ultrasound scan of growth for measuring elasticity, each additional growth$52.08
• 76984Ultrasound of chest aorta during surgery$29.82
• 76998Ultrasonic guidance during surgery$51.66
• 77001Fluoroscopic guidance for insertion or removal of central vein access device$21.63
• 77002Fluoroscopic guidance for needle placement$90.55
• 77003Fluoroscopic guidance for spine or back muscle injection$40.33
• 77011Ct guidance for needle or tube localization$170.10
• 77012Review by radiologist of ct guidance for needle placement$69.78
• 77013Ct guidance for tissue removal$179.39
• 77014Ct guidance for insertion of radiation therapy fields$70.52
• 77021Review by radiologist of mri guidance for needle placement$101.43
• 77049Mri scan of both breasts$196.04
• 77063Screening 3d breast mammography$34.08
• 77065Diagnostic mammography of 1 breast$64.22
• 77066Diagnostic mammography of both breasts$84.05
• 77067Screening mammography$65.10
• 77071Application of stress by physician for joint imaging$54.88
• 77073X-ray for bone length assessment$32.04
• 77075Complete x-ray of body bones$52.36
• 77077X-ray of joints, multiple$29.88