Independent Diagnostic Testing Facility (IDTF) Performance Standards
Medicare Provider-Supplier Enrollment
Revised: 04.11.24
CPT/HCPCS Codes | Code Description | Level of Supervision | MD Qualification / Proficiency Requirements. ALL require applicable board certification from the American Board of Medical Specialties (ABMS) or American Osteopathic Board of Radiology (AOBR) | Technician Certification / State License |
---|---|---|---|---|
0295T | EXTERNAL ELECTROCARDIOGRAPHIC RECORDING FOR MORE THAN 48 HOURS | 2 | Board Certified in any specialty | |
0296T | EXTERNAL ELECTROCARDIOGRAPHIC RECORDING FOR MORE THAN 48 HOURS | 2 | Board Certified in any specialty | |
0297T | EXTERNAL ELECTROCARDIOGRAPHIC RECORDING FOR MORE THAN 48 HOURS | 2 | Board Certified in any specialty | |
0298T | EXTERNAL ELECTROCARDIOGRAPHIC RECORDING FOR MORE THAN 48 HOURS | 2 | Board Certified in any specialty | |
10004 | Fine needle aspiration of additional lesion | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10005 | Fine needle aspiration of first lesion using ultrasound guida | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10006 | Fine needle aspiration of additional lesion using ultrasound | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10007 | Fine needle aspiration of first lesion using fluoroscopic | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10008 | Fine needle aspiration of additional lesion using fluoroscopic | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10011 | Fine needle aspiration of first lesion using MR guidance | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10012 | Fine needle aspiration of additional lesion using MR guidance | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10009 | Fine needle aspiration of first lesion using CT guidance | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10010 | Fine needle aspiration of additional lesion using CT guidance | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
10021 | FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE | 2 | Board Certified | |
10022 | Fine Needle Aspiration; w/ Imaging Guidance | 3 | Radiologist, ENT, Gen Surgery, Thoracic Surgery, Pathologist | Certified Radiology Tech in modality they are performing |
19030 | Injection procedure only for mammary ductogram or galactogram | 3 | Radiology, Oncology, GYN, General Surgery | Certified Radiology Tech in modality they are performing |
19081 | Biopsy, breast, with placement of breast localization device(s) (eg clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance. | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19082 | Each additional lesion, including steretactic guidance | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19083 | Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance. | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19084 | Each additional lesion, including ultrasound guidance | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19085 | Biopsy, breast, with placement of breast localization device(s) (eg clip, metallic pellet) when performed and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance. | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19086 | EACH ADDITIONAL LESION, INCLUDING MAGNETIC RESONANCE GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19281 | PLACEMENT OF BREAST LOCALIZATION DEVICES PERCUTANEOUS; FIRST LESION INCLUDING MAMMOGRAPHIC GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19282 | EACH ADDITIONAL LESION, INCLUDING MAMMOGRAPHIC GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19283 | PLACEMENT OF BREAST LOCALIZATION DEVICES PERCUTANEOUS; FIRST LESION, INCLUDING STEREOTACTIC GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19284 | EACH ADDITIONAL LESION, INCLUDING STEREOTACTIC GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19285 | PLACEMENT OF BREAST LOCALIZATION DEVICES PERCUTANEOUS; FIRST LESION INCLUDING ULTRASOUND GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19286 | EACH ADDITIONAL LESION, INCLUDING ULTRASOUND GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19287 | PLACEMENT OF BREAST LOCALIZATION DEVICES PERCUTANEOUS; FIRST LESION, INCLUDING MAGNETIC RESONANCE GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
19288 | EACH ADDIONAL LESION, INCLUDING MAGNETIC RESONANCE GUIDANCE | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
20220 | BIOPSY, BONE, TROCAR OR NEEDLE; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS) | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
20225 | DEEP (EG VERTEBRAL BODY, FEMUR) | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
20501 | Injection of sinus tract; diagnostic (sinogram) | 3 | Radiologist | Certified Radiology Tech in modality they are performing |
20604 | Aspiration and/or injection of small joint or joint capsule | 2 | Radiologist | Specific training for the procedure . |
20606 | Aspiration and/or injection of intermediate joint or joint | 2 | Radiologist | Specific training for the procedure. |
20611 | Aspiration and/or injection of major joint or joint capsule | 2 | Radiologist | Specific training for the procedure. |
21550 | BIOPSY, SOFT TISSUE OF NECK OR THORAX | 2 | Board Certified | Certified Radiologic Technologist in modality they are performing |
23350 | Injection procedure for the shoulder arthrography or enhanced CT | 1 | Radiology, Orthopedics, Rheumatology | Same as radiographic portion |
24220 | Injection Procedure for Elbow Arthrography | 3 | Radiologist, Orthopedic | Certified Radiology Tech in modality they are performing |
25246 | Injection Procedure for Wrist Arthrography | 3 | Radiologist, Orthopedic | Certified Radiology Tech in modality they are performing |
27093 | Injection procedure for Hip arthrography; without anesthesia | 3 | Radiology or Orthopedic | N/A |
27095 | Injection for hip x-ray | 3 Same as associated xray | Same as associated xray | Same as associated xray |
27096 | Injection procedure for sacroiliac joint, arthrography and / or | 3 | Radiology or Orthopedic | N/A |
27324 | BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; DEEP | 2 | Board Certified | Certified Radiologic Technologist in modality they are performing |
27369 | Injection of contrast for imaging of knee joint | 1 | Radiology, Orthopedics, Rheumatology | Same as radiographic portion |
27370 | Injection Procedure for Knee Arthrography | 3 | Radiologist, Orthopedic | Certified Radiology Tech in modality they are performing |
27648 | Injection procedure for ankle arthrography | Same as associated arthrography | Same as associated arthrography | Same as associated arthrography |
32405 | Biopsy lung percutaneous needle | 3 | Radiologist or Thoracic Surgeon | N/A |
32400 | BIOPSY, PLEURA; PERCUTANEOUS NEEDLE | 2 | Board Certified | |
36000 (Can bill only if physician expertise is required to place) | Introduction of needle or intracatheter | 3 | Any (Requires physician expertise to place) | Any |
36005 | Injection procedure for extremity venography | 9 | Radiology | Certified Radiology Tech in modality they are performing |
36410 | VENIPUNCTURE; NECESSITATING SKILL OF PHYSICIAN OR OTHER QUALIFIED HEALTHCARE PROFESSIONAL, DIAGNOSTIC OR THERAPEUTIC PURPOSES | 2 | Board Certified | |
36415 | Collection of Venous Blood by Venipuncture | 1 | Any | Any |
36598 | Contrast Injection(s) Radiological Evaluation of existing | 2 | Radiology | N/A |
38505 | BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL | 2 | Board Certified | |
38790 | Injection for lymphatic x-ray | 3 | Radiologist or General/Thoracic Surgeon | Certified Radiology Tech (if using isotope must be nuclear medicine tech) in modality they are performing |
38792 | Injection procedure, for identification of sentinel node | 3 | Radiologist or General/Thoracic Surgeon | Certified Radiology Tech (if using isotope must be nuclear medicine tech) in modality they are performing |
42400 | BIOPSY OF SALIVARY GLAND; NEEDLE | 2 | Board Certified | |
42550 | Injection procedure for sialography | 3 | Radiologist or ENT | N/A |
43754 | Gastric analysis test | 2 | Gastroenterologist | GI trained RN, LPN |
43755 | Gastric intubation for smear | 2 | Gastroenterologist | GI trained RN, LPN |
47000 | Biopsy of liver, needle percutaneous | 3 | Radiologist | N/A |
47505 | Injection procedure of cholangiograpy through an existing | 3 | Radiologist | Certified Radiology Tech in modality they are performing |
49180 | BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDL | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
49465 | CONTRAST INJECTION(S) FOR RADIOLOGICAL EVALUATION OF EXISTING GASTROSTOMY, DUODENOSTOMY, JEJUNOSTOMY, GASTRO-JEJUNOSTOMY, OR CECOSTOMY (OR OTHER COLONIC) TUBE, FROM A PERCUTANEOUS APPROACH INCLUDING IMAGE DOCUMENTATION & REPORT | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
50394 | Injection procedure for pyelography (as nephrostogram pyelos) | 3 | Radiology, Urology | Certified Radiology Tech in modality they are performing |
51600 | Injection procedure for cystography or voiding urethrocystogr | 3 | Radiology, Urology | Certified Radiology Tech in modality they are performing |
51610 | INJECTION PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPHY | 2 | Board Certified | Certified Radiology Tech in modality they are performing |
51702 | Insertion of temporary bladder catheter | |||
51725 | Cystometrogram | 2 | Urology, OB/GYN | Personally Trained Staff |
51726 | Complex Cystometrogram | 2 | Urology, OB/GYN | Personally Trained Staff |
51728 | Voiding Pressure Studies (VP) | 2 | Urology, OB/GYN | Personally Trained Staff |
51729 | Urethral Pressure Profile Study | 2 | Urology, OB/GYN | Personally Trained Staff |
51736 | Simple Uroflowmetry | 2 | Urology, OB/GYN | Personally Trained Staff |
51741 | Complex Uroflowmetry | 2 | Urology, OB/GYN | Personally Trained Staff |
51784 | EMG of anal or urinary sphincter | 2 | Urology, OB/GYN | Personally Trained Staff |
51785 | Needle EMG of anal or urinary sphincter | 2 | Urology, OB/GYN | Personally Trained Staff |
51792 | Stimulus Evoked Response | 2 | Urology, OB/GYN | Personally Trained Staff |
51797 | Intra-abdominal Voiding Pressure Study (AP) | 2 | Urology, OB/GYN | Personally Trained Staff |
51798 | US Measurement post void | 1 | Urology, OB/GYN | Personally Trained Staff |
54240 | Penile Plethysmography | 2 | Urology, Pulmonology | Personally Trained Staff |
54250 | Penile Nocturnal Tumesence | 1 | Urology, Pulmonology | Personally Trained Staff |
58340 | Catheterization and introduction of saline or contrast | 3 | OB/GYN or Radiology | Certified Radiology Tech in modality they are performing |
58345 | Transcervical introduction of fallopian tube catheter for dia | 3 | Radiology, OB/Gyn | N/A |
59020 | Fetal Contraction Stress Test (CST) | 2 | Radiology, OB/Gyn | Certified Radiologic Technologist in modality they are performing |
59025 | Fetal Non-stress test (NST) | 1 | Radiology, OB/Gyn | Certified Radiologic Technologist in modality they are performing |
60300 | ASPIRATION AND/OR INJECTION, THYROID CYST | 2 | Board Certified | Certified Radiologic Technologist in modality they are performing |
61055 | Cisternal or lateral cervical (C1-C2) puncture; with injectio | 3 | Radiology, Neurosurgery, Orthopedic | N/A |
62270 | Spinal puncture, lumbar, diagnostic | 3 | Radiology, Neurosurgery, Orthopedic | N/A |
62284 | Injection procedure for myelography and/or computed tomograph | 3 | Radiology, Neurosurgery, Orthopedic Surgery | Certified Radiology Tech in modality they are performing |
62302 | X-ray of upper spinal canal with radiological supervision | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
62303 | X-ray of middle spinal canal with radiological supervision | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
62304 | X-ray of lower spinal canal with radiological supervision | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
62305 | X-ray of lower spinal canal with radiological supervision | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
62310 (end dated 12/31/2016) | Injection, single, not including neurolytic substances | 2 | Radiology, Neurology, Neurosurgery, Pain Mgmt., Anesthesiologist | Certified Radiologic Technologist in modality they are performing |
62311 (end dated 12/31/2016) | Injection, single, not including neurolytic substances | 3 | Radiology, Neurology, Neurosurgery, Pain Mgmt., Anesthesiologist | Certified Radiologic Technologist in modality they are performing |
62320 | Injection of diagnostic or therapeutic substance into spinal canal of upper or middle, w/o imaging guidance | 2 | Radiology, Neurology, Neurosurgery, Pain Mgmt., Anesthesiologist | Certified Radiologic Technologist in modality they are performing, RDMS, personally trained assistant (RN) |
62321 | Injection of diagnostic or therapeutic substance into spinal canal of upper or middle w/imaging guidance | 2 | Radiology, Neurology, Neurosurgery, Pain Mgmt., Anesthesiologist | Certified Radiologic Technologist in modality they are performing, RDMS, personally trained assistant (RN) |
62322 | Injection of diagnostic or therapeutic substance into spinal canal of lower back or sacral, w/o imaging guidance | 3 | Radiology, Neurology, Neurosurgery, Pain Mgmt., Anesthesiologist | Certified Radiologic Technologist in modality they are performing, RDMS, personally trained assistant (RN) |
62323 | Injection of diagnostic or therapeutic substance into spinal canal of lower back or sacral, w/ imaging guidance | 3 | Radiology, Neurology, Neurosurgery, Pain Mgmt., Anesthesiologist | Certified Radiologic Technologist in modality they are performing, RDMS, personally trained assistant (RN) |
62367 | Electronic analysis of pump, without re-programming | 2 | Anesthesia, PM&R, Pain Management, Oncology | RN |
62368 | Electronic analysis of pump, with re- programming | 2 | Anesthesia, PM&R, Pain Management, Oncology | RN |
70010 | Contrast x-ray of brain | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70015 | Contrast x-ray of brain | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70030 | X-ray eye for foreign body | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70100 | X-ray exam of jaw | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70110 | X-ray exam of jaw | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70120 | X-ray exam of mastoids | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70130 | X-ray exam of mastoids | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70134 | X-ray exam of middle ear | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70140 | X-ray exam of facial bones | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70150 | X-ray exam of facial bones | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70160 | X-ray exam of nasal bones | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70170 | X-ray exam of tear duct | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70190 | X-ray exam of eye sockets | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70200 | X-ray exam of eye sockets | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70210 | X-ray exam of sinuses | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70220 | X-ray exam of sinuses | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70240 | X-ray exam, pituitary saddle | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70250 | X-ray exam of skull | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70260 | X-ray exam of skull | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70300 | X-ray exam of teeth | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70310 | X-ray exam of teeth | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70320 | Full mouth x-ray of teeth | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70328 | X-ray exam of jaw joint | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70330 | X-ray exam of jaw joints | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70332 | TMJ Arthrography | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70336 | Magnetic image, jaw joint | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70350 | X-ray head for orthodontia | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70355 | Panoramic x-ray of jaws | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70360 | X-ray exam of neck | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70370 | Throat x-ray & fluoroscopy | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70371 | Speech evaluation, complex | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70380 | X-ray exam of salivary gland | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70390 | X-ray exam of salivary duct | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70450 | CT head/brain w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70460 | CT head/brain w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70470 | CT head/brain w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70480 | CT orbit/ear/fossa w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70481 | CT orbit/ear/fossa w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70482 | CT orbit/ear/fossa w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70486 | CT maxillofacial w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70487 | CT maxillofacial w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70488 | CT maxillofacial w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70490 | CT soft tissue neck w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70491 | CT soft tissue neck w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70492 | CT sft tsue nck w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70496 | CT angiography, head | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70498 | CT angiography, neck | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70540 | MRI orbit/face/neck w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70542 | MRI orbit/face/neck w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70543 | MRI orbt/fac/nck w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70544 | MR angiography head w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70545 | MR angiography head w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70546 | MR angiograph head w/o&w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70547 | MR angiography neck w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70548 | MR angiography neck w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70549 | MR angiograph neck w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70551 | MRI brain w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70552 | MRI brain w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70553 | MRI brain w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70554 | MRI Brain, Functional MRI | 1 | Radiologist or Neurology | Certified radiological tech or equivalent in modality they are performing |
70557 | MRI Brain, Open proc, w/o contrast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70558 | MRI Brain, Open proc, w/ contrast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
70559 | MRI Brain, Open proc, w/o contrast followed by contrast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71010 | Chest x-ray | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71015 | Chest x-ray | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71020 | Chest x-ray | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71021 | Chest x-ray | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71022 | Chest x-ray | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71023 | Chest x-ray and fluoroscopy | 3 | Radiologist | Physician Only Service |
71030 | Chest x-ray | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71034 | Chest x-ray and fluoroscopy | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71035 | Chest x-ray | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71040 | Contrast x-ray of bronchi | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71045 | X-Ray of chest 1 view | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71046 | X-Ray of chest 2 views | 1 | Radiologist | Certified Radiology Technologist in modality they are performing |
71047 | X-Ray of chest 3 views | 1 | Radiologist | Certified Radiology Technologist in modality they are performing |
71048 | X-Ray of chest minimum of 4 views | 1 | Radiologist | Certified Radiology Technologist in modality they are performing |
71060 | Contrast x-ray of bronchi | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71090 | Pacemaker Insertion Radiology supervision | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71100 | X-ray exam of ribs | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71101 | X-ray exam of ribs/chest | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71110 | X-ray exam of ribs | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71111 | X-ray exam of ribs/chest | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71120 | X-ray exam of breastbone | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71130 | X-ray exam of breastbone | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71250 | CT thorax w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71260 | CT thorax w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71270 | CT thorax w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71271 | Low dose CT scan of chest for lung cancer screening | 2 | Radiologist | Certified Radiologist Tech in Modality they are performing |
71275 | CT angiography, chest | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71550 | MRI chest w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71551 | MRI chest w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71552 | MRI chest w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
71555 | MRI angio chest w or w/o dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72020 | X-ray exam of spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72040 | X-ray exam of neck spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72050 | X-ray exam of neck spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72052 | X-ray exam of neck spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72070 | X-ray exam of thoracic spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72072 | X-ray exam of thoracic spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72074 | X-ray exam of thoracic spine | 1 | Radiologist | Certified Radiologic Technologist (in modality they are performing |
72080 | X-ray exam of trunk spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72081 | X-ray of spine, 1 view | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
72082 | X-ray of spine, 2 or 3 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
72083 | X-ray of spine, 4 or 5 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
72084 | X-ray of spine, minimum of 6 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
72100 | X-ray exam of lower spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72110 | X-ray exam of lower spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72114 | X-ray exam of lower spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72120 | X-ray exam of lower spine | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72125 | CT neck spine w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72126 | CT neck spine w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72127 | CT neck spine w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72128 | CT chest spine w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72129 | CT chest spine w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72130 | CT chest spine w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72131 | CT lumbar spine w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72132 | CT lumbar spine w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72133 | CT lumbar spine w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72141 | MRI neck spine w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72142 | MRI neck spine w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72146 | MRI chest spine w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72147 | MRI chest spine w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72148 | MRI lumbar spine w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72149 | MRI lumbar spine w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72156 | MRI neck spine w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72157 | MRI chest spine w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72158 | MRI lumbar spine w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72159 | MR angiography spinal canal and contents w/ or w/o contrast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72170 | X-ray exam of pelvis | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72190 | X-ray exam of pelvis | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72191 | CT angiograph pelvis w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72192 | CT pelvis w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72193 | CT pelvis w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72194 | CT pelvis w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72195 | MRI pelvis w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72196 | MRI pelvis w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72197 | MRI pelvis w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72198 | MR angio pelvis w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72200 | X-ray exam sacroiliac joints | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72202 | X-ray exam sacroiliac joints | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72220 | X-ray exam of tailbone | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72240 | Contrast x-ray of neck spine | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72255 | Contrast x-ray, thorax spine | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72265 | Contrast x-ray, lower spine | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72270 | Contrast x-ray, spine | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72275 | Epidurography | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72285 | Diskography cervical or thoracic | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
72295 | X-ray of lower spine disk | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
73000 | X-ray exam of collar bone | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73010 | X-ray exam of shoulder blade | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73020 | X-ray exam of shoulder | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73030 | X-ray exam of shoulder | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73040 | Contrast x-ray of shoulder | 3 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73050 | X-ray exam of shoulders | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73060 | X-ray exam of humerus | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73070 | X-ray exam of elbow | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73080 | X-ray exam of elbow | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73085 | Contrast x-ray of elbow | 3 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73090 | X-ray exam of forearm | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73092 | X-ray exam of arm, infant | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73100 | X-ray exam of wrist | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73110 | X-ray exam of wrist | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73115 | Contrast x-ray of wrist | 3 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73120 | X-ray exam of hand | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73130 | X-ray exam of hand | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73140 | X-ray exam of finger(s) | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73200 | CT upper extremity w/o dye | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73201 | CT upper extremity w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73202 | CT uppr extremity w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73206 | CT angio upr extrm w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73218 | MRI upper extremity w/o dye | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73219 | MRI upper extremity w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73220 | MRI uppr extremity w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73221 | MRI joint upr extrem w/o dye | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73222 | MRI joint upr extrem w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73223 | MRI joint upr extr w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73225 | MR angiography, upper extremity w or w/o contrast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
73501 | X-ray of hip with pelvis, 1 view | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73502 | X-ray of hip with pelvis, 2-3 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73503 | X-ray of hip with pelvis, minimum of 4 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73521 | X-ray of both hips with pelvis, 2 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73522 | X-ray of both hips with pelvis, 3-4 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73523 | X-ray of both hips with pelvis, minimum of 5 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73525 | Contrast x-ray of hip | 3 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73551 | X-ray of femur, 1 view | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73552 | X-ray of femur, minimum 2 views | 1 | Radiology | Certified Radiologic Technologist in modality they are performing |
73560 | X-ray exam of knee, 1 or 2 | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73562 | X-ray exam of knee, 3 | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73564 | X-ray exam, knee, 4 or more | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73565 | X-ray exam of knees | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73580 | Contrast x-ray of knee joint | 3 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73590 | X-ray exam of lower leg | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73592 | X-ray exam of leg, infant | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73600 | X-ray exam of ankle | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73610 | X-ray exam of ankle | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73615 | Contrast x-ray of ankle | 3 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73620 | X-ray exam of foot | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73630 | X-ray exam of foot | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73650 | X-ray exam of heel | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73660 | X-ray exam of toe(s) | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73700 | CT lower extremity w/o dye | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73701 | CT lower extremity w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73702 | CT lwr extremity w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73706 | CT angio lwr extr w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73718 | MRI lower extremity w/o dye | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73719 | MRI lower extremity w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73720 | MRI lwr extremity w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73721 | MRI jnt of lwr extre w/o dye | 1 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73722 | MRI joint of lwr extr w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73723 | MRI joint lwr extr w/o & w/dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
73725 | MR ang lwr ext w or w/o dye | 2 | Radiologist or Orthopaedic Surgeon | Certified Radiologic Technologist in modality they are performing |
74000 | X-ray exam of abdomen | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74010 | X-ray exam of abdomen | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74018 | X-Ray of abdomen 1 view | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74019 | X-Ray of abdomen 2 views | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74020 | X-ray exam of abdomen | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74021 | X-Ray of abdomen of 3 views | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74022 | X-ray exam series, abdomen | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74150 | CT abdomen w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74160 | CT abdomen w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74170 | CT abdomen w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74174 | Computed Tomographic Angiography, abdomen & pelvis | 2 | Radiologist or Vascular Surgeon | Certified Radiologic Technologist in modality they are performing |
74175 | CT angio abdom w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74176 | CT abdomen & pelvis w/o contrast | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74177 | CT abdomen & pelvis w/contrast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74178 | CT abdomen & pelvis w/o contrast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74181 | MRI abdomen w/o dye | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74182 | MRI abdomen w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74183 | MRI abdomen w/o & w/dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74185 | MRI angio, abdom w orw/o dye | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74190 | Peritoneogram | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74210 | Contrast x-ray exam of throat | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74220 | Contrast x-ray, esophagus | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74221 | X-ray of esophagus with double contrast | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74230 | Cine/vid x-ray, throat/esoph | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74235 | Removal FB, esophageal Radiology supervision | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74240 | X-ray exam, upper gi tract | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74241 | X-ray exam, upper gi tract | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74245 | X-ray exam, upper gi tract | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74246 | Contrast x-ray uppr gi tract | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74247 | Contrast x-ray uppr gi tract | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74248 | Follow-through X-ray of upper digestive tract with multiple | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74249 | Contrast x-ray uppr gi tract | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74250 | X-ray exam of small bowel | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74251 | X-ray exam of small bowel | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74260 | X-ray exam of small bowel | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74270 | Contrast x-ray exam of colon | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74280 | Contrast x-ray exam of colon | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74283 | Contrast x-ray exam of colon | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74290 | Contrast x-ray, gallbladder | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74300 | X-ray bile ducts/pancreas | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74301 | X-rays at surgery add-on | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74328 | X-ray bile duct endoscopy | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74329 | X-ray for pancreas endoscopy | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74330 | X-ray bile/panc endoscopy | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
74340 | Introduction of long gastrointestinal tube | 3 | Radiologist or Gastroenterologist or Surgeon | Certified Radiologic Technologist in modality they are performing |
74400 | Contrast x-ray, urinary tract | 2 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74410 | Contrast x-ray, urinary tract | 2 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74415 | Contrast x-ray, urinary tract | 2 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74420 | Contrast x-ray, urinary tract | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74425 | Contrast x-ray, urinary tract | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74430 | Contrast x-ray, bladder | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74440 | X-ray, male genital tract | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74445 | X-ray exam of penis | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74450 | X-ray, urethra/bladder | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74455 | X-ray, urethra/bladder | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74470 | X-ray exam of kidney lesion | 3 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74710 | X-ray measurement of pelvis | 1 | Radiologist or Urologist | Certified Radiologic Technologist in modality they are performing |
74740 | X-ray, female genital tract | 3 | Radiologist or Gynecologist | Certified Radiologic Technologist in modality they are performing |
74742 | X-ray, fallopian tube | 3 | Radiologist or Gynecologist | Certified Radiologic Technologist in modality they are performing |
74775 | X-ray exam of perineum | 3 | Radiologist or Gynecologist | Certified Radiologic Technologist in modality they are performing |
75557 | Cardiac magnetic resonance imaging for morphology and function w/o contrast | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75559 | Cardiac magnetic resonance imaging for morphology and function w/o contrast, w/ stress imaging | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75561 | Cardiac magnetic resonance imaging for morphology and function w/o then w/ contrast | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75563 | Cardiac magnetic resonance imaging for morphology and function w/ stress testing | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75565 (secondary code) | Cardiac magnetic resonance imaging for velocity flow mapping (same parameters as primary codes 75557, 75559, 75561 or 75563) | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75571 | Computed tomography, heart, w/out contrast material, w/ quantitative evaluation of coronary calcium | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75572 | Computed tomorgraphy, heart, w/ contrast material, for evaluation of cardiac structure and morphology | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75573 | Computed tomograph, heart w/ contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75574 | Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material | 2 | Radiologist or Cardiologist | Certified Radiologic Technologist in modality they are performing |
75600 | Contrast x-ray exam of aorta | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75605 | Contrast x-ray exam of aorta | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75625 | Contrast x-ray exam of aorta | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75630 | X-ray aorta, leg arteries | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75635 | CT angio abdominal arteries | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75658 | Artery x-rays, arm | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75705 | Artery x-rays, spine | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75710 | Artery x-rays, arm/leg | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75716 | Artery x-rays, arms/legs | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75726 | Artery x-rays, abdomen | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75731 | Artery x-rays, adrenal gland | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75733 | Artery x-rays, adrenals | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75736 | Artery x-rays, pelvis | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75741 | Artery x-rays, lung | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75743 | Artery x-rays, lungs | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75746 | Artery x-rays, lung | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75756 | Artery x-rays, chest | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75774 | Artery x-ray, each vessel | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75791 | Visualize A-V shunt | 3 | Radiologist or Vascular Surgeon | Certified Radiologic Technologist in modality they are performing |
75801 | Lymph vessel x-ray, arm/leg | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75803 | Lymph vessel x-ray,arms/legs | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75805 | Lymph vessel x-ray, trunk | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75807 | Lymph vessel x-ray, trunk | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75809 | Nonvascular shunt, x-ray | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75810 | Vein x-ray, spleen/liver | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75820 | Vein x-ray, arm/leg | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75822 | Vein x-ray, arms/legs | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75825 | Vein x-ray, trunk | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75827 | Vein x-ray, chest | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75831 | Vein x-ray, kidney | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75833 | Vein x-ray, kidneys | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75840 | Vein x-ray, adrenal gland | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75842 | Vein x-ray, adrenal glands | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75860 | Vein x-ray, neck | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75870 | Vein x-ray, skull | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75872 | Vein x-ray, skull | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75880 | Vein x-ray, eye socket | 3 | Radiologist | Certified Radiologic Technologist |
75885 | Vein x-ray, liver | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75887 | Vein x-ray, liver | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75889 | Vein x-ray, liver | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75891 | Vein x-ray, liver | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75893 | Venous Sampling | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
75894 | Transcatheter therapy embolization | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76000 | Fluoroscopy (separate procedure; up to one hour physician | 3 | Radiologist | Certified Radiology Tech in modality they are performing |
76001 | Fluoroscopy more than one hour helpin non-radiologist | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76010 | X-ray, nose to rectum | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76080 | X-ray exam of fistula | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76098 | X-ray exam, breast specimen | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76100 | X-ray exam of body section | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76101 | Complex body section x-ray | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76102 | Complex body section x-rays | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76120 | Cine/video x-rays | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76125 | Cine/video x-rays add-on | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76376 | 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76377 | 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; requiring image postprocessing on an independent workstation | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76380 | CAT scan follow-up study | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76391 | Magnetic resonance (eg, vibration) elastography | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76393 | Magnetic resonance guidance for needle placement (eg, for bio modality 1-4) | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
76499 | Unlisted Diagnostic Radiologic Procedure | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76506 | Echo exam of head | 2 | Radiologist or Neurologist | Certified Radiology Tech in modality they are performing |
76510 | Ophth us, b & quant a | 2 | Ophthalmologist or Radiologist | Certified Radiology Tech in modality they are performing or JCAHPO - COMT, COT |
76511 | Ophth us, quant a only | 2 | Ophthalmologist or Radiologist | Certified Radiology Tech in modality they are performing or JCAHPO - COMT, COT |
76512 | Ophth us, b w/non-quant a | 2 | Ophthalmologist or Radiologist | Certified Radiology Tech in modality they are performing or JCAHPO - COMT, COT |
76513 | Echo exam of eye, water bath | 2 | Ophthalmologist or Radiologist | Certified Radiology Tech in modality they are performing or JCAHPO - COMT, COT |
76516 | Echo exam of eye | 1 | Ophthalmologist or Radiologist | Certified Radiology Tech in modality they are performing or JCAHPO - COMT, COT |
76519 | Echo exam of eye | 1 | Ophthalmologist or Radiologist | Certified Radiology Tech in modality they are performing or JCAHPO - COMT, COT |
76529 | Echo exam of eye | 1 | Ophthalmologist or Radiologist | Certified Radiology Tech in modality they are performing r JCAHPO - COMT, COT |
76536 | Us exam of head and neck | 1 | Radiologist or Neurologist | Certified Radiology Tech in modality they are performing |
76604 | Us exam, chest, b-scan | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76641 | Ultrasound of one breast | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76642 | Ultrasound of one breast | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76700 | Us exam, abdom, complete | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76705 | Echo exam of abdomen | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76706 | Ultrasound evaluation of abdominal aorta to detect bulging | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76770 | Us exam abdo back wall, comp | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76775 | Us exam abdo back wall, lim | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76776 | Ultrasound Transplanted Kidney | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76800 | Us exam, spinal canal | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76801 | Ob us < 14 wks, single fetus | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76802 | Ob us < 14 wks, addl fetus | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76805 | Ob us >/= 14 wks, sngl fetus | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76810 | Ob us >/= 14 wks, addl fetus | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76811 | Ob us, detailed, sngl fetus | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76812 | Ob us, detailed, addl fetus | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76813 | Ob us, nuchal lucency first | 1 | Radiologist or OB/GYN | Certified Radiology Tech in modality they are performing |
76814 | Ob us, nuchal lucency, additional gestation | 1 | Radiologist or OB/GYN | Certified Radiology Tech in modality they are performing |
76815 | Ob us, limited, fetus(s) | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76816 | Ob us, follow-up, per fetus | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76817 | Transvaginal us, obstetric | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76818 | Fetal biophys profile w/nst | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76819 | Fetal biophys profil w/o nst | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76820 | Doppler Velocimetry, Fetal; Umbilical Artery | 2 | Radiology; OB/GYN, Maternal Fetal Medicine | Certified Radiology Tech in modality they are performing |
76821 | Doppler velocimetry, fetal; middle cerebral artery | 3 | Radiology; OB/GYN, Maternal Fetal Medicine | Certified Radiology Tech in modality they are performing |
76825 | Echo exam of fetal heart | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76826 | Echo exam of fetal heart | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76827 | Echo exam of fetal heart | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76828 | Echo exam of fetal heart | 3 | Radiologist, Maternal Fetal Medicine | Certified Radiology Tech in modality they are performing |
76830 | Transvaginal us, non-ob | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76831 | Echo exam, uterus | 3 | Radiologist | Certified Radiology Tech in modality they are performing |
76856 | Us exam, pelvic, complete | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76857 | Us exam, pelvic, limited | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76870 | Us exam, scrotum | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76872 | Us, transrectal | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76881 | Us, extremity, nonvascular, real-time with image | 1 | Radiologist, Orthopedics, Podiatry | Certified Radiology Tech in modality they are performing |
76882 | Us, extremity, nonvascular, real-time with image | 1 | Radiologist, Orthopedics, Podiatry | Certified Radiology Tech in modality they are performing |
76885 | Us exam infant hips, dynamic | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76886 | Us exam infant hips, static | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76945 | U/S guidance for chorionic villae sampling | 3 | Radiologist or OB/GYN | Certified Radiology Tech in modality they are performing |
76946 | U/S guidance for amniocentesis | 3 | Radiologist or OB/GYN | Certified Radiology Tech in modality they are performing |
76970 | Ultrasound exam follow-up | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76975 | GI endoscopic ultrasound | 3 | Radiologist | Certified Radiology Tech in modality they are performing |
76977 | Us bone density measure | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76981 | Ultrasound, elastography; parenchyma (eg, organ) | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76982 | First target lesion | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
76983 | Each additional target lesion | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
77002 | Fluoroscopy for needle placement | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77010 | COMPUTED TOMOGRAPHY GUIDANCE FOR STEREOTACTIC LOCALIZATION | 2 | Radiologist or Radiation Oncologist | Certified Radiologic Technologist in modality they are performing |
77011 | Computed tomography guidance for sterotactic localization | 2 | Radiologist or Radiation Oncologist | Certified Radiologic Technologist in modality they are performing |
77014 | Computed tomography guidance for placement of radiation therapy fields | 2 | Radiologist or Radiation Oncologist | Certified Radiologic Technologist in modality they are performing |
77021 | MRI Needle Localization | 3 | Radiologist or Neurologist | Certified Radiology Tech in modality they are performing |
77046 | MRI of one breast | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
77047 | MRI of both breasts | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
77048 | MRI of one breast with or without contrast | 2 | Radiologist | Certified Radiology Tech in modality they are performing |
77049 | MRI of both breasts with or without contrast | 2 | Radiologist | Certified Radiology Tech in modality they are performing |
77051 | Computer mammogram add-on | 9 | Concept of physician supervision does not apply | Facility must be FDA Certified to Perform Mammography |
77052 | Computer mammogram add-on | 9 | Concept of physician supervision does not apply | Facility must be FDA Certified to Perform Mammography |
77053 | X-ray of mammary duct | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77054 | X-ray of mammary ducts | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77055 | Mammogram, one breast | 9 | Concept of physician supervision does not apply | Facility must be FDA Certified to Perform Mammography |
77056 | Mammogram, both breasts | 9 | Concept of physician supervision does not apply | Facility must be FDA Certified to Perform Mammography |
77057 | Mammogram, screening | 9 | Concept of physician supervision does not apply | Facility must be FDA Certified to Perform Mammography |
77058 (end dated 12/31/2018) | Magnetic image, breast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77059 ( end dated 12/31/2018) | Magnetic image, both breasts | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77061 | Digital tomography of one breast | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77062 | Digital tomography of both breasts | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77063 | Screening digital tomography of both breasts | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77065 | Mammography of one breast | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77066 | Mammography of both breast | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77067 | Mammography of one breast | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77071 | X-ray stress view | 3 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77072 | X-rays for bone age | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77073 | X-rays, bone evaluation | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77074 | X-rays, bone survey | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77075 | X-rays, bone survey | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77076 | X-rays, bone evaluation | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77077 | Joint survey, single view | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77078 | Ct bone density, axial | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77080 | Dxa bone density, axial | 1 | Radiologist or Internal Medicine Specialist | Certified Radiologic Technologist in modality they are performing |
77081 | Dxa bone density/peripheral | 1 | Radiologist or Internal Medicine Specialist | Certified Radiologic Technologist in modality they are performing |
77084 | Magnetic image, bone marrow | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
77085 | Bone density measurement using dedicated X-ray machine | 1 | Radiologist or Internal Medicine Specialist | Certified Radiologic Technologist in modality they are performing |
77086 | Fracture assessment of spine bones using dedicated X-ray mach | 1 | Radiologist or Internal Medicine Specialist | Certified Radiologic Technologist in modality they are performing |
78012 | Nuclear medicine imaging for thyroid update measurements | 9 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78013 | Nuclear Medicine Imaging of Thyroid | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78014 | Nuclear medicine imaging of thyroid | 2 | Radiology | Certified Radiology Tech in modality they are performing |
78015 | Thyroid met imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78016 | Thyroid met imaging/studies | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78018 | Thyroid met imaging, body | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78020 | Thyroid met uptake | 9 | Refernce specific | Certified Radiology Tech in modality they are performing |
78070 | Parathyroid nuclear imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78071 | Imaging of parathyroid with nuclear medicine study | 2 | Radiology | Certified Radiology Tech in modality they are performing |
78072 | Imaging of parathyroid with ct and nuclear medicine study | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
78075 | Adrenal nuclear imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78102 | Bone marrow imaging, ltd | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78103 | Bone marrow imaging, mult | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78104 | Bone marrow imaging, body | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78110 | Plasma volume, single | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78111 | Plasma volume, multiple | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78120 | Red cell mass, single | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78121 | Red cell mass, multiple | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78122 | Blood volume | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78130 | Red cell survival study | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78135 | Red cell survival kinetics | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78140 | Red cell sequestration | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78185 | Spleen imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78190 | Platelet survival, kinetics | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78191 | Platelet survival | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78195 | Lymph system imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78201 | Liver imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78202 | Liver imaging with flow | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78205 | Liver imaging (3D) | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78206 | Liver image (3d) with flow | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78215 | Liver and spleen imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78216 | Liver & spleen image/flow | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78226 | Hepatobiliary system imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78227 | Hepatobiliary system imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78230 | Salivary gland imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78231 | Serial salivary imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78232 | Salivary gland function exam | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78258 | Esophageal motility study | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78261 | Gastric mucosa imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78262 | Gastroesophageal reflux exam | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78264 | Gastric emptying study | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78265 | Stomach emptying and small bowel transit study | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
78266 | Stomach emptying and small bowel with colon transit study | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
78270 | Vit B-12 absorption exam | 1 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78271 | Vit b-12 absrp exam, int fac | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78272 | Vit B-12 absorp, combined | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78278 | Acute GI blood loss imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78282 | GI protein loss exam | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78290 | Meckels divert exam | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78291 | Leveen/shunt patency exam | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78300 | Bone imaging, limited area | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78305 | Bone imaging, multiple areas | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78306 | Bone imaging, whole body | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78315 | Bone imaging, 3 phase | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78320 | Bone imaging (3D) | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78350 | Bone mineral, single photon | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78414 | Non-imaging heart function | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78428 | Cardiac shunt imaging | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78445 | Non-Cardiac vascular flow | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78451 | Myocardial perfusion imaging, tomographic (SPECT); single study, at rest or stress | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78452 | multiple studies, at rest and/or stress | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78453 | Myocardial perfusion imaging, planar; single study, at rest or stress | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78454 | multiple studies, at test and/or stress | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78456 | Acute venous thrombus image | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78457 | Venous thrombosis imaging | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78458 | Ven thrombosis images, bilat | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78459 | Heart muscle imaging (PET) | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78464 | Myocardial Perfusion Imaging: Tomographic (Spect), Single | 2 | Cardiology or Radiology | Certified Radiologic Technologist in modality they are performing |
78465 | Myocardial Perfusion Imaging; Tomographic (Spect), Multiple | 2 | Cardiology or Radiology | Certified Radiologic Technologist in modality they are performing |
78466 | Heart infarct image | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78468 | Heart infarct image (ef) | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78469 | Heart infarct image (3D) | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78472 | Gated heart, planar, single | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78473 | Gated heart, multiple | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78481 | Heart first pass, single | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78483 | Heart first pass, multiple | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78491 | Heart image (pet), single | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78492 | Heart image (pet), multiple | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78494 | Heart image, spect | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78496 | Heart first pass add-on | 2 | Nuclear Medicine, Cardiology or Radiology | Certified Radiology Tech in modality they are performing |
78579 | PULMONARY VENTILATION IMAGING (EG, AEROSOL OR GAS) | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
78580 | Lung perfusion imaging | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78582 | Pulmonary perfusion imaging; gaseous, w/ ventilation | 1 | Radiologist or Pulmonologist | Certified Radiology Tech in modality they are performing |
78597 | QUANTITATIVE DIFFERENTIAL PULMONARY PERFUSION, INCLUDING IMA | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
78598 | QUANTITATIVE DIFFERENTIAL PULMONARY PERFUSION AND VENTILATION | 2 | Radiology | Certified Radiologic Technologist in modality they are performing |
78600 | Brain imaging, ltd static | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78601 | Brain imaging, ltd w/flow | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78605 | Brain imaging, complete | 2 | Nuclear Medicine or Radiology | Certified Radiology Tech in modality they are performing |
78606 | Brain imaging, compl w/flow | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78607 | Brain imaging (3D) | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78608 | Brain imaging (PET) | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78609 | Brain imaging (PET) | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78610 | Brain flow imaging only | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78630 | Cerebrospinal fluid scan | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78635 | CSF ventriculography | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78645 | CSF shunt evaluation | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78647 | Cerebrospinal fluid scan | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78650 | CSF leakage imaging | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78660 | Nuclear exam of tear flow | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78700 | Kidney imaging, static | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78701 | Kidney imaging with flow | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78707 | Kidney flow/function image | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78708 | Kidney flow/function image | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78709 | Kidney flow/function image | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78710 | Kidney imaging (3D) | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78725 | Kidney function study | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78730 | Urinary bladder retention | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78740 | Ureteral reflux study | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78761 | Testicular imaging/flow | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78800 | Tumor imaging, limited area | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78801 | Tumor imaging, mult areas | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78802 | Tumor imaging, whole body | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78803 | Tumor imaging (3D) | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78804 | Tumor imaging, whole body | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78805 | Abscess imaging, ltd area | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78806 | Abscess imaging, whole body | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78807 | Nuclear localization/abscess | 2 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78810 | Tumor imaging (pet), metabolic | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
78811 | Tumor imaging (pet), limited | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78812 | Tumor image (pet)/skul-thigh | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78813 | Tumor image (pet) full body | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78814 | Tumor image pet/ct, limited | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78815 | Tumorimage pet/ct skul-thigh | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
78816 | Tumor image pet/ct full body | 1 | Nuclear Medicine or Radiology | Certified Radiologic Technologist in modality they are performing |
82570 | Other Source | 1 | Any physician can do | Lab tech, RN, LPN, Paramedic, Certified Radiologic Technologist in modality they are performing |
82565 | Creatinine; Blood | 1 | Any physician can do | Lab tech, RN, LPN, Paramedic, Certified Radiologic Technologist in modality they are performing |
82948 | Glucose; Blood Reagent Strip | 1 | Any physician can do | N/A |
84520 | Urea Nitrogen; Quantitative | 1 | Pathology, Nephrology, Internal Medicine | State certified lab technician in modality they are performing |
84525 | Urea Nitrogen; SemiQuantitative | 1 | Pathology, Nephrology, Internal Medicine | State certified lab technician in modality they are performing |
91010 | Esophagus motility study | 2 | Gastroenterologist | GI trained RN, LPN |
91020 | Gastric motility | 2 | Gastroenterologist | GI trained RN, LPN |
91022 | Duodenal motility (manometric) study | 2 | Gastroenterologist | GI trained RN, LPN |
91030 | Acid perfusion of esophagus | 2 | Gastroenterologist | GI trained RN, LPN |
91034 | Gastroesophageal reflux test | 2 | Gastroenterologist | GI trained RN, LPN |
91035 | G-esoph reflx tst w/electrod | 2 | Gastroenterologist | GI trained RN, LPN |
91037 | Esoph imped function test | 2 | Gastroenterologist | GI trained RN, LPN |
91038 | Esoph imped funct test > 1h | 2 | Gastroenterologist | GI trained RN, LPN |
91040 | Esoph balloon distension test | 2 | Gastroenterologist | GI trained RN, LPN |
91065 | Breath hydrogen test | 2 | Gastroenterologist | GI trained RN, LPN |
91120 | Rectal sensation test | 2 | Gastroenterologist Colorectal Surgeon | GI trained RN, LPN |
91122 | Anal pressure record | 2 | Gastroenterologist Colorectal Surgeon | GI trained RN, LPN |
91132 | Electrogastrography | 3 | Gastroenterologist | Physician Only Service |
91133 | Electrogastrography w/test | 3 | Gastroenterologist | Physician Only Service |
92081 | Visual field examination(s) | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92082 | Visual field examination(s) | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92083 | Visual field examination(s) | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92136 | Ophthalmic biometry | 9 | Concept of a professional/technical component does not apply | Credentialed by JCAHPO: COMT |
92235 | Fluorescein Angiography | 2 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92240 | Icg angiography | 2 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92250 | Eye exam with photos | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92265 | Eye muscle evaluation | 3 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92270 | Electro-oculography | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92275 | Electroretinography | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92283 | Color vision examination | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92284 | Dark adaptation eye exam | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92285 | Eye photography | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92286 | Internal eye photography | 1 | Ophthalmologist, Neurologist or Optometrist | Credentialed by JCAHPO: COMT |
92516 | Facial Nerve Function Test | 2 | ENT or Neurology | Licensed Audiologist |
92540 | Basic Vestibular Eval; includes spontaneous nystagmus | 1 | Neurology; ENT; Audiologist | Audiologic tech; physician-trained RN/tech |
92541 | Spontaneous nystagmus test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92542 | Positional nystagmus test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92544 | Optokinetic nystagmus test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92545 | Oscillating tracking test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92546 | Sinusoidal rotational test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92547 | Supplemental electrical test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92548 | Posturography | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92552 | Pure tone audiometry, air | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92553 | Audiometry, air & bone | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92555 | Speech threshold audiometry | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92556 | Speech audiometry, complete | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92557 | Comprehensive hearing test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92561 | Bekesy audiometry, diagnosis | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92562 | Loudness balance test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92563 | Tone decay hearing test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92564 | Sisi hearing test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92565 | Stenger test, pure tone | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92567 | Tympanometry | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92568 | Acoustic reflex testing | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92570 | Acoustic reflex decay test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92571 | Filtered speech hearing test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92572 | Staggered spondaic word test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92575 | Sensorineural acuity test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92576 | Synthetic sentence test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92577 | Stenger test, speech | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92579 | Visual audiometry (vra) | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92582 | Conditioning play audiometry | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92583 | Select picture audiometry | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92584 | Electrocochleography | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92585 | Auditor evoke potent, compre | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92586 | Auditor evoke potent, limit | 9 | Concept of a professional/technical component does not apply | Licensed Audiologist |
92587 | Evoked auditory test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92588 | Evoked auditory test | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92596 | Ear protector evaluation | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92597 | Oral speech device eval | 9 | Concept of a professional/technical component does not apply | Licensed Audiologist |
92611 | MOTION FLUROSCOPIC EVALUATION OF SWALLOWING FUNCTION BY CINE OR VIDEO RECORDING | 2 | Board Certified | Certified Radiologic Technologist in modality they are performing |
92620 | Evaluation of central auditory function, with report,initial 60 minutes | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92621 | Evaluation of central auditory function, with report; each additional 15 minutes | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
92625 | Assessment of tinnitus (includes pitch, loudness matching, and masking) | 5 | Neurologist or Otolaryngologist | Licensed Audiologist |
93000 | Electrocardiogram, complete | 1 | Internist or Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93005 | Electrocardiogram, tracing | 1 | Internist or Cardiologist | RT, ARDMS, RN, LPN, NREMT-Paramedic CCI or NHA CET |
93010 | Electrocardiogram report | 9 | Concept of a professional/technical component does not apply | RN, LPN,or NREMT-Paramedic |
93015 | Cardiovascular stress test | 2 | Internist or Cardiologist - ACLS certified | RN |
93016 | Cardiovascular stress test | 2 | Internist or Cardiologist - ACLS certified | RN |
93017 | Cardiovascular stress test | 2 | Internist or Cardiologist - ACLS certified | RN |
93018 | Cardiovascular stress test | 9 | Concept of a professional/technical component does not apply | Professional component code - must be performed by a physician |
93024 | Cardiac drug stress test | 3 | Internist or Cardiologist - ACLS certified | Physician only service |
93025 | Microvolt t-wave assess | 2 | Internist or Cardiologist - ACLS certified | RN |
93040 | Rhythm ECG with report | 1 | Internist or Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93041 | Rhythm ECG, tracing | 1 | Internist or Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93042 | Rhythm ECG, report | 9 | Concept of a professional/technical component does not apply | Professional component code - must be performed by a physician |
93224 | ECG monitor/report, 24 hrs | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93225 | ECG monitor/record, 24 hrs | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93226 | ECG monitor/report, 24 hrs | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93227 | ECG monitor/review, 24 hrs | 9 | Concept of a professional/technical component does not apply | Professional component code - must be performed by a physician |
93228 | Wearable mobile cardiovascular Telemetry with | 3 | Cardiologist | RN, LPN or NREMT- Paramedic |
93229 | Wearable mobile cardiovascular Telemetry with | 1 | Cardiologist | Rn, Cardiac tech |
93241 | Heart rhythm recording, analysis, report, review and interp | 1 | Cardiologist | RN, LNP, NREMT-Paramedic, CCI or NHA CET |
93242 | Heart rhythm recording continuous external EKG over more than | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93243 | Heart rhythm analysis and report of continuous external EKG over | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93244 | Heart rhythm review, and interpretation of continuous external electrocardiographic | 1 | Cardiologist | RN, LNP, NREMT-Paramedic, CCI or NHA CET |
93245 | Heart rhythm recording, analysis, interpretation and report | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93246 | Heart rhythm recording continuous external EKG over more than 8-15 da | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93247 | Heart rhythm analysis and report of continuous external EKG over | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93248 | Heart rhythm review, and interpretation of continuous external | 1 | Cardiologist | RN, LNP, NREMT-Paramedic, CCI or NHA CET |
93268 | ECG record/review | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93270 | ECG recording | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93271 | ECG/monitoring and analysis | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93272 | ECG/review, interpret only | 9 | Concept of a professional/technical component does not apply | Professional component code - must be performed by a physician |
93278 | ECG/signal-averaged | 1 | Cardiologist | RN, LPN, NREMT-Paramedic, CCI or NHA CET |
93293 | Transtelephonic rhythm strip pacemaker evaluation single | 1 | Cardiologist | N/A |
93294 | Interrogation device evaluations remote up to 90 days | 1 | Cardiologist | N/A |
93295 | Interrogation device evaluations remote up to 90 days | 1 | Cardiologist | N/A |
93296 | Interrogation device evaluations remote up to 90 days | 1 | Cardiologist | N/A |
93297 | Interrogation device evaluations remote up to 30 days | 1 | Cardiologist | N/A |
93298 | Interrogation device evaluations remote up to 30 days | 1 | Cardiologist | N/A |
93299 | Interrogation device evaluations remote up to 30 days | 1 | Cardiologist | Credentialed by CCI as CCT or NHA CET **Carrier Discretion** |
93303 | Echo transthoracic | 1 | Cardiologist | Credentialed by ARDMS, CCI or NHA CET |
93304 | Echo transthoracic | 1 | Cardiologist | Credentialed by ARDMS, CCI or NHA CET |
93306 | Echocardiography, transthoracic, real-time w/ image | 1 | Radiologists, Cardiologist | Certified Radiology Tech in modality they are performing or CCI, NHA CET |
93306 TC | Echocardiography, transthoracic, real-time w/ image | 1 | Radiologists, Cardiologist | Certified Radiology Tech in modality they are performing or CCI, NHA CET |
93306 26 | Echocardiography, transthoracic, real-time w/ image | 1 | Radiologists, Cardiologist | Certified Radiology Tech in modality they are performing |
93307 | Echo exam of heart | 1 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93308 | Echo exam of heart | 1 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93312 | Echo transesophageal | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93313 | Echo transesophageal | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93314 | Echo transesophageal | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93315 | Echo transesophageal | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93316 | Echo transesophageal | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93317 | Echo transesophageal | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93320 | Doppler echo exam, heart | 1 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93321 | Doppler echo exam, heart | 1 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93325 | Doppler color flow add-on | 1 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93350 | Echo transthoracic, stress test | 2 | Cardiologist | Certified Radiologic Technologist in modality they are performing or CCI, NHA CET |
93351 | Echocardiography, Transthoractic, Real-Time w/ Image | 1 | Radiologist, Cardiologist | Certified Radiology Tech in modality they are performing |
93352 | Use of Echocardiographic Contrast Agent During Stress | 1 | Radiologist, Cardiologist | Certified Radiology Tech in modality they are performing |
93356 | Heart muscle strain imaging | 1 | Radiologist, Cardiologist | Certified Radiology Tech in modality they are performing |
93451 | Right heart catheterization | 3 | Cardiologist | Certified Radiologic Technologist, in modality they are performing CRT, RCIS. |
93452 | Left heart catheterization | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93453 | Combined right and left heart catheterization | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93454 | Catheter placement in coronary artery(s) for coronary angiography including injection, imaging, supervision & interp | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93455 | catheter placement bypass graft | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93456 | with right heart cath | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93457 | for bypass & right heart cath | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93458 | with left heart cath | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93459 | with left heart cath with bypass graft | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93460 | with right and left heart cath | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93461 | with right and left heart cath bypass | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93462 | Left heart catheterization by transseptal puncture through intact septum or by transapical puncture | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93463 | Pharmacologic agent administration | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93464 | Physiologic exercise study | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93563 | Inj. procedure during cardiac cath for selective coronary angiography during congenial heart cath | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93564 | Inj. procedure during cardiac cath for selective opacification of aortocoronary venous or arterial bypass graft(s) | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93565 | Inj. procedure during cardiac cath for selective left ventricular or left atrial angiography | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93566 | Inj. procedure during cardiac cath for selective right ventricular or right atrial angiography | 3 | Cardiologist | Certified Radiologic Technologist, in modality they are performing CRT, RCIS. |
93567 | Inj. procedure during cardiac cath for supravalvular aortography | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93568 | Inj. procedure during cardiac cath for pulmonary angiography | 3 | Cardiologist | Certified Radiologic Technologist in modality they are performing, CRT, RCIS. |
93660 | Cardiac Tilt Table Test | 3 | Cardiologist | RN, LPN,or NREMT-Paramedic |
93701 | Bioimpedance Testing | 1 | Radiology | Certified Radiologic Technologist in modality they are performing (ARRT:R.T.-R) |
93724 | Electronic analysis of antiarrhythmic pacemaker | 3 | Cardiologist | RN, LPN, NREMT-Paramedic or CCI |
93740 | Temperature Gradient Studies | 1 | Cardiologist | RN, LPN, NREMT-Paramedic or CCI |
93770 | Determination of venous pressure | 1 | Cardiologist | RN, LPN, NREMT-Paramedic or CCI |
93784 | Ambulatory BP monitoring | 1 | Cardiologist, Internal Medicine, Family Practice | RN, LPN,or NREMT-Paramedic |
93786 | Ambulatory BP recording | 1 | Cardiologist, Internal Medicine, Family Practice | RN, LPN,or NREMT-Paramedic |
93788 | Ambulatory BP analysis | 9 | concept of a professional/technical component does not apply | Professional component code - must be performed by a physician |
93790 | Review/report BP recording | 9 | concept of a professional/technical component does not apply | Professional component code - must be performed by a physician |
93880 | Extracranial study | 1 | Radiologist, Neurologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI or NHA CET |
93882 | Extracranial study | 1 | Radiologist, Neurologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI or NHA CET |
93886 | Intracranial study | 1 | Radiologist, Neurologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI or NHA CET |
93888 | Intracranial study | 1 | Radiologist, Neurologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI or NHA CET |
93890 | Tcd, vasoreactivity study | 1 | Radiologist, Neurologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS |
93892 | Tcd, emboli detect w/o inj | 1 | Radiologist, Neurologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS |
93893 | Tcd, emboli detect w/inj | 2 | Radiologist, Neurologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS |
93895 | Duplex scan of extracranial arteries; complete bilateral study. | 1 | Board Certified | Certified Radiologic Technologist in modality they are performing |
93922 | Extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93923 | Extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93924 | Extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93925 | Lower extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93926 | Lower extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93930 | Upper extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93931 | Upper extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93965 | Extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93970 | Extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93971 | Extremity study | 1 | Radiologist or Cardiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93975 | Vascular study | 1 | Radiologist or Vascular Surgeon | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93976 | Vascular study | 1 | Radiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93978 | Vascular study | 1 | Radiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93979 | Vascular study | 1 | Radiologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93980 | Penile vascular study | 1 | Radiologist or Urologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93981 | Penile vascular study | 1 | Radiologist or Urologist | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93985 | Duplex scan of arterial inflow & venous outflow complete bilateral study | 1 | Radiologist or Vascular Surgeon | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93986 | Duplex scan of arterial inflow & venous outflow complete unilateral study | 1 | Radiologist or Vascular Surgeon | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
93990 | Doppler flow testing | 1 | Radiologist or Vascular Surgeon | Credentialed by ARDMS RVT or ARRT: VS, RVS, CCI, or NHA CET |
94010 | Breathing capacity test | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94014 | Patient recorded spirometry | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94015 | Patient recorded spirometry | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94016 | Review patient spirometry | 9 | Concept of a professional/technical component does not apply | Professional component code - must be performed by a physician |
94060 | Evaluation of wheezing | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94070 | Evaluation of wheezing | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94150 | Vital capacity test | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94200 | Lung function test (MBC/MVV) | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94250 | Expired gas collection | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94375 | Respiratory flow volume loop | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94400 | CO2 breathing response curve | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94450 | Hypoxia response curve | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94452 | Hast w/report | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94453 | Hast w/oxygen titrate | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94617 | Exercise test for spasm of lung airways | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
94617 TC | Exercise test for spasm of lung airways with EKG | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT or RRT) or RN with relevant experience |
94618 | EXERCISE induced lung stress | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94619 | Exercise test for spasm of lung airways | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94620 | Thoracic Gas Volume | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94621 | Lung Nitrogen Washout | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94680 | Exhaled air analysis, o2 | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94681 | Exhaled air analysis, o2/co2 | 2 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94690 | Exhaled air analysis | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94726 | Plethysmography for determination of lung volumes | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) |
94729 | Diffusing capacity (eg. Carbon monoxide, membrane) | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) |
94750 | Pulmonary compliance study | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94760 | Measure blood oxygen level | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94761 | Measure blood oxygen level | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94762 | Measure blood oxygen level | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94770 | Exhaled carbon dioxide test | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
94772 | Breath recording, infant | 1 | Pulmonologist | Credentialed by NBRC (CPFT, RPFT orRRT) or RN with relevant experience |
95004 | Percut allergy skin tests | 2 | Otolaryngologist | RN |
95024 | Id allergy test, drug/bug | 2 | Otolaryngologist | RN |
95027 | Id allergy titrate-airborne | 2 | Otolaryngologist | RN |
95028 | Id allergy test-delayed type | 2 | Otolaryngologist | RN |
95044 | Allergy patch tests | 2 | Otolaryngologist | RN |
95052 | Photo patch test | 2 | Otolaryngologist | RN |
95056 | Photosensitivity tests | 2 | Otolaryngologist | RN |
95060 | Eye allergy tests | 3 | Otolaryngologist, Ophthalmologist or Optometrist | RN |
95065 | Nose allergy test | 3 | Otolaryngologist | RN |
95070 | Bronchial allergy tests | 2 | Otolaryngologist | RN |
95071 | Bronchial allergy tests | 2 | Otolaryngologist | RN |
95700 | Continuous measurement of brain wave activity (EEG), administered | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95705 | Measurement of brain wave activity (EEG, 2-12 hours, unmonitored | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95706 | Measurement of brain wave activity (EEG, 2-12 hours, unmonitored | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95707 | Measurement of brain wave activity (EEG), 2-12 hours, with | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95708 | Measurement of brain wave activity (EEG), 12-26 hours | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95709 | Measurement of brain wave activity (EEG), 12-26 hours, with | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95710 | Measurement of brain wave activity (EEG), 12-26 hours, with | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95711 | Measurement of brain wave activity with video (VEEG), 2-12 ho | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95712 | Measurement of brain wave activity with video (VEEG), 2-12 ho | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95713 | Measurement of brain wave activity with video (VEEG), 2-12 ho | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95714 | Measurement of brain wave activity with video (VEEG), 12-26 | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95715 | Measurement of brain wave activity with video (VEEG), 12-26 | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95716 | Measurement of brain wave activity with video (VEEG), 12-26 | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95717 | Continuous measurement of brain wave activity (EEG), 2-12 hou | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95718 | Continuous measurement of brain wave activity with video (VEE | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95719 | Continuous measurement of brain wave activity (EEG), 12-26 ho | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95720 | Continuous measurement of brain wave activity with video (VEE | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95721 | Continuous measurement of brain wave activity (EEG), 37-60 ho | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95722 | Continuous measurement of brain wave activity with video (VEE | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95723 | Continuous measurement of brain wave activity (EEG), 61-84 ho | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95724 | Continuous measurement of brain wave activity with video (VEE | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95725 | Continuous measurement of brain wave activity with (EEG), mor | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95726 | Continuous measurement of brain wave activity with video (VEE | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95800 | Sleep study, unattended, simultaneous recording (Not approved for home study - see G0398, G0399, G0400) | 1 | (ABSM or IM) or Pulmonary w/ add'tl subspecialty in Sleep Medicine | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95801 | Sleep study, unattended, simultaneous recording (Not approved for home study - see G0398, G0399, G0400) | 1 | (ABSM or IM) or Pulmonary w/ add'tl subspecialty in Sleep Medicine | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95803 | Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days) | 1 | Pulmonologist, Neurologist or Certified by ABSM | Credentialed by BRPT, NBRC, or ABRET (Polysomnography) |
95805 | Multiple sleep latency test | 1 | Pulmonologist,Neurologist or Certified by ABSM (subspecialty in sleep medicine is acceptable) | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95806 | Sleep study, unattended (Not approved for home study - see G0398, G0399, G0400) | 1 | Pulmonologist,Neurologist or Certified by ABSM | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95807 | Sleep study, attended | 1 | Pulmonologist,Neurologist or Certified by ABSM | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95808 | Polysomnography, 1-3 | 1 | Pulmonologist,Neurologist or Certified by ABSM | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95810 | Polysomnography, 4 or more | 1 | Pulmonologist,Neurologist or Certified by ABSM (subspecialty in sleep medicine is acceptable) | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95811 | Polysomnography w/cpap | 1 | Pulmonologist,Neurologist or Certified by ABSM (subspecialty in sleep medicine is acceptable) | Credentialed by BRPT, NBRC, or ABRET (Polysomography) |
95812 | Eeg, 41-60 minutes | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95813 | Eeg, over 1 hour | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95816 | Eeg, awake and drowsy | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95819 | Eeg, awake and asleep | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95822 | Eeg, coma or sleep only | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95824 | Eeg, cerebral death only | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95827 | Eeg, all night recording | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95830 | Insert electrodes for EEG | 9 | Concept of a professional/technical component does not apply | Physician service code - must be performed by a physician |
95857 | Tensilon test for myasthenia gravis | 3 | Neurologist | N/A |
95860 | Needle EMG One extremity | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95861 | Needle EMG Two extremities | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95863 | Needle EMG Three extremities | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95864 | Needle EMG Four extremities | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95867 | Needle EMG Cranial Nerves unilateral | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95868 | Needle EMG Cranial Nerves bilateral | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95869 | Needle EMG Thoracic paraspinal muscles | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95870 | Needle EMG, limited study | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95872 | Needle EMG Quantitative | 66 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95875 | Ischemic Limb Exercise test | 3 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95885 | Needle electromyography, each extremity with related paraspi | 2 | Neurology or Physical Medicine and Rehabilitation | Certification in electrodx technology/medicine. |
95886 | Needle electromyography, each extremity with related paraspi | 2 | Neurology or Physical Medicine and Rehabilitation | Certification in electrodx technology/medicine. |
95887 | Needle electromyography, non extremity (cranial nerve) | 2 | Neurology or Physical Medicine and Rehabilitation | Certification in electrodx technology/medicine. |
95907 | 1 nerve transmission studies, 1-2 studies | 2 | Neurology or Physical Medicine & Rehabilitation | ABEM-NCS |
95908 | 1 nerve transmission studies, 3-4 studies | 2 | Neurology or Physical Medicine & Rehabilitation | ABEM-NCS |
95909 | 1 nerve transmission studies, 5-6 studies | 2 | Neurology or Physical Medicine & Rehabilitation | ABEM-NCS |
95910 | 1 nerve transmission studies, 7-8 studies | 2 | Neurology or Physical Medicine & Rehabilitation | ABEM-NCS |
95911 | 1 nerve transmission studies, 9-10 studies | 2 | Neurology or Physical Medicine & Rehabilitation | ABEM-NCS |
95912 | 1 nerve transmission studies, 11-12 studies | 2 | Neurology or Physical Medicine & Rehabilitation | ABEM-NCS |
95913 | 1 nerve transmission studies, 13 or more studies | 2 | Neurology or Physical Medicine & Rehabilitation | ABEM-NCS |
95921 | Autonomic Nervous system testing | 2 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95922 | Autonomic Nervous system testing | 3 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95923 | Autonomic Nervous system testing | 3 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95924 | Testing of autonomic (sympathetic) nervous system function, a | 9 | Electrodiagnostic testing fellowship or similar credentials | Formal electrodiagnostic testing credentials |
95925 | Short Latency SEPS, upper limbs | 21 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95926 | Short Latency SEPS, lower limbs | 21 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95927 | Short Latency SEPS, trunk or head | 21 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95930 | Visual Evoked Response | 21 | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95937 | Neuromuscular junction testing (reptit IVE stimulation, paire) | 6a | Neurologist or Physiatrist with added certification by American Board of Electrodiagnostic Medicine | Physical therapist who is a qualified electrophysiologic clinic specialist |
95943 | Testing of autonomic (parasympathetic and sympathetic) nervou | 9 | Electrodiagnostic testing fellowship or similar credentials | Formal electrodiagnostic testing credentials |
95950 | Ambulatory eeg monitoring | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95951 | EEG monitoring/videorecord | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95953 | EEG monitoring/computer | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95954 | EEG monitoring/giving drugs | 3 | Neurologist | Physician only service |
95956 | EEG monitoring, cable/radio | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95957 | EEG digital analysis | 1 | Neurologist | Credentialed by ABRET as R. EEG T |
95958 | EEG monitoring/function test | 3 | Neurologist | Physician only service |
96372 | Therapeutic, prophylactic or diagnostic injection | 2 | Any physician can do | Any RN or technical certification can do |
96374 | Therapeutic, prophylactic or diagnostic injection intravenous push, single or initial substance/drug | 1 | ||
A9500 | Technetium TC 99M sestamibi | |||
A9501 | Technetium TC-99M teboroxime, diagnostic per study dose | |||
A9502 | Technetium TC-99M tetrofosmin | |||
A9503 | Supply of radiopharmaceutical diagnostic imaging agent | |||
A9504 | Supply of radiopharmaceutical diagnostic imaging agent | |||
A9505 | Thallous chloride TL 201-MCI | |||
A9507 | Supply of RDIA, indium in 111 capromab pendetide, per dose | |||
A9508 | Supply of radiopharmaceutical diagnostic imaging agent, ioben | |||
A9509 | Iodine I-123 sodium iodide, diagnostic, per millicurie | |||
A9510 | Supply of radiopharmaceutical diagnostic imaging agent | |||
A9512 | Technetium TC-99M pertechnetate diagnostic, per millicurie | |||
A9516 | Iodine, I-123 sodium iodide, diagnostic, per 100 microcuries | |||
A9521 | Technetium TC-99M exametazime, diagnostic, per study dose | |||
A9526 | Supply of Radiopharmaceutical Diagnostic Imaging Agent | Based on parent code (PET scan) | ||
A9528 | Iodine I-131 sodium iodide capsule(s) diagnostic, per millicurie | |||
A9529 | Iodine I-131 sodium iodide capsule(s) diagnostic, per millicurie | |||
A9531 | Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) | |||
A9536 | Technetium TC-99M depreotide diagnostic, per study dose | |||
A9537 | Technetium TC-99M Mebrofenin, Diagnostic, per study | |||
A9538 | Technetium TC-99M pyrophosphate diagnostic, per study dose | |||
A9539 | Technetium TC-99M pentetate diagnostic, per study dose | |||
A9540 | Technetium TC-99M macroaggregated albumin diagnostic, per study dose | |||
A9541 | Technetium TC-99M Sulfur Colloid, Diagnostic | |||
A9542 | Indium IN-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries | |||
A9544 | Iodine I-131 tositumomab, diagnostic, per study dose | |||
A9546 | Cobalt CO-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie | |||
A9547 | Indium IN-111 Oxyquinoline diagnostic, per 0.5 millicurie | |||
A9548 | Indium In-111 pentetate, diagnostic, per 0.5 millicurie | |||
A9550 | Technetium TC-99M Sodium Gluceptate, diagnostic, per study dose | |||
A9551 | Technetium TC-99m succimer, diagnostic, per study dose up to 10 millicuries | |||
A9552 | Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose | |||
A9553 | Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries | |||
A9554 | Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries | |||
A9555 | Rubidium RB-82 Diagnostic Per Study Dose, Up To 60 Millicur | |||
A9556 | Gallim GA-67 Citrate, diagnostic, per millicurie | |||
A9557 | Technetium TC-99M bicisate, diagnostic, per study dose | |||
A9558 | Xenon XE-133 gas, diagnostic, per 10 millicuries | |||
A9559 | Cobalt Co-57 cyanocobalamin, oral diagnostic, per study dose, up to 1 microcurie | |||
A9560 | Technetium TC-99M labeled red blood cells, diagnostic, per study dose | |||
A9561 | Technetium TC-99M Oxidronate, Diagnostic | |||
A9562 | Technetium TC-99M mertiatide, diagnostic, per study dose | |||
A9566 | Technetium TC-99M fanolesomab, diagnostic, per study dose, up to 25 millicuries | |||
A9567 | Technetium TC-99M Pentetate, Diagnostic, Aerosol, Per Study | Indirect | Radiologist | Certified Radiologic Technologist in modality they are performing |
A9568 | Technetium TC-99M Arcitumomab, Diagnostic, Per Study Dose, Up | |||
A9569 | Technetium TC-99M Exametazime Labeled Autologous White Blood | |||
A9570 | Indium IN-111 Labeled Autologous White Blood Cells, Diagnostic | |||
A9571 | Indium IN-111 Labeled Autologous Platelets, Diagnostic | |||
A9572 | Indium IN-111 Penetreotide, Diagnostic, Per Study Dose | |||
A9575 | Injection, gadoterate meglumine, 0.1 ml | Direct | Radiology | |
A9576 | Injection Gadoteridol (Prohance Multipack) Per ML | |||
A9577 | Injection Gadobenate Dimeglumine (Multihance) Per ML | |||
A9578 | Injection Gadobenate Dimeglumine (Multihance Multipack) Per | |||
A9579 | Injection Gadolinum-Based Magnetic Resonance Contrast Agent | |||
A9580 | Sodium Fluoride F-18, diagnostic, Per Study Dose, up to 30 | |||
A9581 | Gadoxetate disodium inj - | Allowed only w/ CPT 74182 or 74183 to image liver | ||
A9583 | INJECTION, GADOFOSVESET TRISODIUM, 1 ML | |||
A9585 | Injection, Gadobutrol, 0.1 ML | All qualifications/requirements of MRI apply | ||
A9586 | Florbetapir f18, diagnostic, per study dose | 1 | Radiologist | Certified Radiology Tech in modality they are performing |
A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 1 | Radiologist | Certified Radiologist Technologist in modality they are performing |
A9591 | Fluoroestradiol f18, diagnostic, 1 millicurie | 2 | Radiologist | (Approved for FDA approved indications) Certified Radiology Tech in modality they are performing |
A9592 | Copper cu-64, dotatate, diagnostic, 1 millicurie | 1 | Radiologist | (Approved for FDA approved indications) Certified Radiology Tech in modality they are performing |
A9595 | Piflufolastat F 18 diagnostic, 1 millicurie (Pylarify™) | 1 | Radiologist | (Approved for FDA approved indications) Certified Radiology Tech in modality they are performing |
A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicuri | 1 | Radiologist | Approved for FDA approved indications) Certified Radiology Tech in modality they are performing |
A9597 | Positron emission tomography radiopharmaceutical, diagnostic, | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
A9598 | Positron emission tomography radiopharmaceutical, diagnostic, | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
A9599 | Radiopharmaceutical, diagnostic, for beta-amyloid positron | 2 | Radiologist | Certified Radiologic Technologist in modality they are performing |
A9608 | Flotufolastat f 18, diagnostic, 1 millicurie | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
G0106 | Colon CA screen; barium enema | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
G0120 | Colon CA screen; barium enema | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
G0122 | Colon CA screen; barium enema | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
G0202 | Screening mammography, producing direct digital image, bilateral, all views. | 9 | ||
G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 9 | ||
G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 9 | ||
G0219 | PET imaging whole body; full & partial | 2 | Radiologist or Nuclear Medicine | Nuclear Medicine Technician |
G0278 | Iliac and/or femoral artery angiography, non-selective | 3 | Radiologist, Cardiologist, or Vascular Surgeon | Certified Radiologic Technologist in modality they are performing |
G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral | 2 | Radiologist | Certified in procedure |
G0288 | Reconstruction, CTA for surgical planning | 9 | Radiologist | Certified Radiology Tech in modality they are performing |
G0297 | Low dose ct scan (ldct) for lung cancer screening | 2 | Radiologist | Certified Radiology Tech in modality they are performing |
G0365 | Vessel mapping of vessels for hemodialysis access | 3 | Radiologist or Vascular Surgery | |
G0389 | Ultrasound B-scan and/or real time w/ image documentation | 9 | Radiologist | Certified Radiology Tech in modality they are performing |
G0398 | Home Sleep Test (HST) With Type III Portable Monitor | 1 | Neurologist, Pulmonologist | AARC (American Assoc of Respiratory Care) or cert by similar/equivalent |
G0399 | Home Sleep Test (HST) With Type III | 1 | Neurologist, Pulmonologist | AARC (American Assoc of Respiratory Care) or cert by similar/equivalent |
G0400 | Home Sleep Test (HST) With Type IV | 1 | Neurologist, Pulmonologist | AARC (American Assoc of Respiratory Care) or cert by similar/equivalent |
G0404 | Electrocardiogram, routine ECG w/ 12 leads; tracing only | |||
G2066 | Interrogation device evaluation(s), (remote) up to 30 days; | 1 | Cardiologist | Credentialed by CCI as CCT **Carrier Discretion** |
J0280 | Injection, Aminophyllin, up to 250 MG | May be allowable but ONLY w/ CMD approval | ||
J1100 | INJECTION, DEXAMETHOSONE SODIUM PHOSPHATE, 1MG | 2 | Board Certified in any specialty | |
J1200 | Injection Diphenhydramine HCL, up to 50MG | 2 | Any | RN/Paramedic |
J1245 | Injection, Dipyridamole, Per 10 MG | 3 | Radiologist or Cardiologist | Certified Radiology Tech in modality they are performing |
J1250 | Injection dobutamine HCL/250mg | |||
J1644 | Injection, heparin sodium per 1000 units | |||
J1940 | Injection, Furosemide | |||
J2250 | Injection, Midazolam Hydrochloride, per 1 mg. | 3 | Radiologist | |
J2370 | Injection, Phenylephrine HCS, up to 1 ml. | Only in emergency - 3 | Radiologist | |
J2785 | Injection, Regadenoson, 0.1 mg. | Drug has same requirements as approved test the drug is used for | ||
J2805 | Injection, Sincalide, 5 Micrograms | |||
J3240 | Injection Thyrotropin Alpha, 0.9 MG. Provided in 1.1 MG | |||
J3360 | Injection, Diazepan, up to 5 mg. | 3 | Radiologist | |
J3490 | Regadenoson (Lexiscan) Eovist | |||
J7040 | Infusion normal saline solution | When billed w/ appropriate diagnostic code | ||
Q9951 | Low Osmolar Contrast Material, 400 or Greater MG/ML | This can only be billed in conjunction with MRI CPT Code(s) | ||
Q9953 | Injection iron-based magnetic resonance contrast | |||
Q9954 | Oral magnetic resonance contrast agent | |||
Q9957 | Injection, perflutren lipid microspheres per ML. Must have resuscitation equipment immediately available. | 3 | Radiologist or Cardiologist | N/A |
Q9958 | High Osmolar contrast material, up to 149 MG/ML | Allowed if base radiologic procedure is allowed with same supervisory levels, etc. | ||
Q9961 | High Osmolar Contrast Material, 250-299 MG/ML Iodine Comcertr | 1 | Radiology | N/A |
Q9963 | High Osmolar contrast material, 350-399 MG/ML | Same as Q9958 | ||
Q9964 | High Osmolar contrast material, 400 or greater MG/ML | Same as Q9958 | ||
Q9965 | Low Osmolar Contrast Material 100-199 MG/ML Iodine | |||
Q9966 | Low Osmolar Contrast Material 200-299 MG/ML Iodine | |||
Q9967 | Low Osmolar Contrast Material 300-399 MG/ML Iodine | |||
Q9982 | FLUTEMETAMOL F18, DIAGNOSTIC, PER STUDY DOSE, UP TO 5 MILLIC | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |
Q9983 | FLORBETABEN F18, DIAGNOSTIC,PER STUDY DOSE, UP TO 8.1 MILL | 1 | Radiologist | Certified Radiologic Technologist in modality they are performing |