* The physician, during the course of an office visit or consultation, reviews an x-ray made elsewhere; . The treating or consulting physician reviews x-rays at an emergency room or hospital visit;
* CPT code 76140, Consultation on x-ray examination made elsewhere, written report, will only be paid when there is a documented need for the service and when performed by a radiologist or physician certified to perform radiological services;
* This provision is for payment of a second interpretation under unusual circumstances such as a questionable finding for which the physician performing the initial interpretation requests the expertise of another physician (i.e., expertise of a radiologist). CPT code 76140 is to be used when a second opinion is required for a radiological procedure. Reimbursement is limited to the PC Amount listed in the Fee Schedule for the radiological procedure.
Code | Description | Amount | PC Amount | TC Amount | FUD | Assist Surg | APC Amount | |
. | 70010 | MYELOGRAPY POST FOSSA RS&I | 109.86 | XXX | N | 547.95 | ||
. | 70015 | CISTERNOGRAPHY POSITIVE CONTRAST RS&I | 276.23 | 107.95 | 168.28 | XXX | N | |
. | 70030 | RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY | 52.71 | 15.24 | 37.47 | XXX | N | |
. | 70100 | RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS | 61.60 | 16.51 | 45.09 | XXX | N | |
. | 70110 | RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS | 71.76 | 22.86 | 48.90 | XXX | N | |
. | 70120 | RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE | 61.60 | 16.51 | 45.09 | XXX | N | |
. | 70130 | RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE | 102.24 | 31.12 | 71.12 | XXX | N | |
. | 70134 | RADEX INTERNAL AUDITORY MEATI COMPLETE | 95.89 | 31.75 | 64.14 | XXX | N | |
. | 70140 | RADEX FACIAL BONES < 3 VIEWS | 54.61 | 18.42 | 36.19 | XXX | N | |
. | 70150 | RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | 78.11 | 24.13 | 53.98 | XXX | N | |
. | 70160 | RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | 61.60 | 15.88 | 45.72 | XXX | N | |
. | 70170 | DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I | 93.98 | 27.31 | 66.67 | XXX | N | |
. | 70190 | RADEX OPTIC FORAMINA | 65.41 | 19.69 | 45.72 | XXX | N | |
. | 70200 | RADEX ORBITS COMPLETE MINIMUM 4 VIEWS | 78.74 | 25.40 | 53.34 | XXX | N | |
. | 70210 | RADEX SINUSES PARANASAL <3 VIEWS | 56.52 | 15.88 | 40.64 | XXX | N | |
. | 70220 | RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | 69.85 | 22.86 | 46.99 | XXX | N | |
. | 70240 | RADIOLOGIC EXAMINATION SELLA TURCICA | 56.52 | 17.78 | 38.74 | XXX | N | |
. | 70250 | RADIOLOGIC EXAMINATION SKULL 4/> VIEWS | 67.95 | 22.86 | 45.09 | XXX | N | |
. | 70260 | RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS | 85.09 | 31.75 | 53.34 | XXX | N | |
. | 70300 | RADIOLOGIC EXAMINATION TEETH 1 VIEW | 25.40 | 10.16 | 15.24 | XXX | N | |
. | 70310 | RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH | 67.31 | 13.97 | 53.34 | XXX | N | |
. | 70320 | RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH | 97.16 | 22.23 | 74.93 | XXX | N | |
. | 70328 | RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT | 56.52 | 16.51 | 40.01 | XXX | N | |
. | 70330 | RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT | 88.27 | 22.23 | 66.04 | XXX | N | |
. | 70332 | TEMPOROMANDBLE JT ARTHROGRAPHY RS&I | 136.53 | 48.90 | 87.63 | XXX | N | |
. | 70336 | MRI TEMPOROMANDIBULAR JOINT | 562.61 | 132.72 | 429.89 | XXX | N | |
. | 70350 | CEPHALOGRAM ORTHODONTIC | 33.66 | 17.78 | 15.88 | XXX | N | |
. | 70355 | ORTHOPANTOGRAM | 35.56 | 19.69 | 15.87 | XXX | N | |
. | 70360 | RADIOLOGIC EXAMINATION NECK SOFT TISSUE | 53.98 | 15.24 | 38.74 | XXX | N | |
. | 70370 | RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ | 144.15 | 26.67 | 117.48 | XXX | N | |
. | 70371 | CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC | 175.90 | 76.84 | 99.06 | XXX | N | |
. | 70380 | RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS | 60.33 | 15.24 | 45.09 | XXX | N | |
. | 70390 | SIALOGRAPHY RS&I | 184.15 | 34.29 | 149.86 | XXX | N | |
. | 70450 | CT HEAD/BRAIN W/O CONTRAST MATERIAL | 207.01 | 76.84 | 130.17 | XXX | N | |
. | 70460 | CT HEAD/BRAIN W/CONTRAST MATERIAL | 292.74 | 102.87 | 189.87 | XXX | N | |
. | 70470 | CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | 342.27 | 114.94 | 227.33 | XXX | N | |
. | 70480 | CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | 415.93 | 115.57 | 300.36 | XXX | N | |
. | 70481 | CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL | 492.76 | 125.10 | 367.66 | XXX | N | |
. | 70482 | CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR | 536.58 | 130.81 | 405.77 | XXX | N | |
. | 70486 | CT MAXILLOFACIAL W/O CONTRAST MATERIAL | 248.92 | 77.47 | 171.45 | XXX | N | |
. | 70487 | CT MAXILLOFACIAL W/CONTRAST MATERIAL | 299.09 | 101.60 | 197.49 | XXX | N | |
. | 70488 | CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL | 364.49 | 114.94 | 249.55 | XXX | N | |
. | 70490 | CT SOFT TISSUE NECK W/O CONTRAST MATERIAL | 294.01 | 115.57 | 178.44 | XXX | N | |
. | 70491 | CT SOFT TISSUE NECK W/CONTRAST MATERIAL | 362.59 | 125.10 | 237.49 | XXX | N | |
. | 70492 | CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL | 436.88 | 146.05 | 290.83 | XXX | N | |
. | 70496 | CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | 527.69 | 158.12 | 369.57 | XXX | N | |
. | 70498 | CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | 526.42 | 158.12 | 368.30 | XXX | N | |
. | 70540 | MRI ORBIT FACE &/NECK W/O CONTRAST | 474.98 | 121.92 | 353.06 | XXX | N | |
. | 70542 | MRI ORBIT FACE & NECK W/CONTRAST MATERIAL | 564.52 | 146.69 | 417.83 | XXX | N | |
. | 70543 | MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL | 709.30 | 193.04 | 516.26 | XXX | N | |
. | 70544 | MRA HEAD W/O CONTRST MATERIAL | 497.84 | 108.59 | 389.25 | XXX | N | |
. | 70545 | MRA HEAD W/CONTRAST MATERIAL | 494.03 | 108.59 | 385.44 | XXX | N | |
. | 70546 | MRA HEAD W/O & W/CONTRAST MATERIAL | 730.25 | 133.35 | 596.90 | XXX | N | |
. | 70547 | MRA NECK W/O CONTRST MATERIAL | 499.75 | 108.59 | 391.16 | XXX | N | |
. | 70548 | MRA NECK W/CONTRAST MATERIAL | 549.91 | 135.89 | 414.02 | XXX | N | |
. | 70549 | MRA NECK W/O &W/CONTRAST MATERIAL | 763.27 | 162.56 | 600.71 | XXX | N | |
. | 70551 | MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | 405.13 | 133.99 | 271.14 | XXX | N | |
. | 70552 | MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL | 562.61 | 161.29 | 401.32 | XXX | N | |
. | 70553 | MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | 663.58 | 206.38 | 457.20 | XXX | N | |
. | 70554 | MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION | 787.40 | 190.50 | 596.90 | XXX | N | |
. | 70555 | MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION | 1337.31 | 227.33 | 1109.98 | XXX | N | |
. | 70557 | MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL | 2417.42 | 281.94 | 2135.48 | XXX | N | |
. | 70558 | MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL | 2661.59 | 310.52 | 2351.07 | XXX | N | |
. | 70559 | MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST | 2684.60 | 296.55 | 2388.05 | XXX | N | |
. | 71045 | RADIOLOGIC EXAM CHEST SINGLE VIEW | 44.45 | 16.51 | 27.94 | XXX | N | |
. | 71046 | RADIOLOGIC EXAM CHEST 2 VIEWS | 56.52 | 19.69 | 36.83 | XXX | N | |
. | 71047 | RADIOLOGIC EXAM CHEST 3 VIEWS | 71.12 | 25.40 | 45.72 | XXX | N | |
. | 71048 | RADIOLOGIC EXAM CHEST 4+ VIEWS | 76.84 | 29.21 | 47.63 | XXX | N | |
. | 71100 | RADEX RIBS UNILATERAL 2 VIEWS | 61.60 | 20.32 | 41.28 | XXX | N | |
. | 71101 | RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | 70.49 | 24.77 | 45.72 | XXX | N | |
. | 71110 | RADEX RIBS BILATERAL 3 VIEWS | 73.66 | 26.67 | 46.99 | XXX | N | |
. | 71111 | RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS | 87.63 | 29.85 | 57.78 | XXX | N | |
. | 71120 | RADEX STERNUM MINIMUM 2 VIEWS | 55.88 | 18.42 | 37.46 | XXX | N | |
. | 71130 | RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS | 66.68 | 19.69 | 46.99 | XXX | N | |
. | 71250 | CT THORAX W/O CONTRAST MATERIAL | 283.85 | 105.41 | 178.44 | XXX | N | |
. | 71260 | CT THORAX W/CONTRAST MATERIAL | 351.16 | 112.40 | 238.76 | XXX | N | |
. | 71270 | CT THORAX W/O & W/CONTRAST MATERIAL | 416.56 | 125.10 | 291.46 | XXX | N | |
. | 71275 | CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | 539.75 | 164.47 | 375.28 | XXX | N | |
. | 71550 | MRI CHEST W/O CONTRAST MATERIAL | 724.54 | 131.45 | 593.09 | XXX | N | |
. | 71551 | MRI CHEST W/CONTRAST MATERIAL | 802.01 | 156.21 | 645.80 | XXX | N | |
. | 71552 | MRI CHEST W/O & W/CONTRAST MATERIAL | 1012.83 | 203.84 | 808.99 | XXX | N | |
. | 71555 | MRA CHEST W/O & W/CONTRAST MATERIAL | 700.41 | 161.29 | 539.12 | XXX | N | |
. | 72020 | RADEX SPINE 1 VIEW SPECIFY LEVEL | 41.28 | 13.97 | 27.31 | XXX | N | |
. | 72040 | RADEX SPINE CERVICAL 2 OR 3 VIEWS | 65.41 | 20.32 | 45.09 | XXX | N | |
. | 72050 | RADEX SPINE CERVICAL 4 OR 5 VIEWS | 90.17 | 28.58 | 61.59 | XXX | N | |
. | 72052 | RADEX SPINE CERVICAL 6 OR MORE VIEWS | 107.32 | 33.02 | 74.30 | XXX | N | |
. | 72070 | RADEX SPINE THORACIC 2 VIEWS | 60.96 | 20.32 | 40.64 | XXX | N | |
. | 72072 | RADEX SPINE THORACIC 3 VIEWS | 64.77 | 19.69 | 45.08 | XXX | N | |
. | 72074 | RADEX SPINE THORACIC MINIMUM 4 VIEWS | 71.12 | 19.69 | 51.43 | XXX | N | |
. | 72080 | RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS | 60.33 | 20.32 | 40.01 | XXX | N | |
. | 72081 | RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW | 72.39 | 24.77 | 47.62 | XXX | N | |
. | 72082 | RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW | 116.21 | 29.21 | 87.00 | XXX | N | |
. | 72083 | RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW | 137.16 | 33.02 | 104.14 | XXX | N | |
. | 72084 | RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW | 160.02 | 38.10 | 121.92 | XXX | N | |
. | 72100 | RADEX SPINE LUMBOSACRAL 2/3 VIEWS | 65.41 | 20.32 | 45.09 | XXX | N | |
. | 72110 | RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | 91.44 | 28.58 | 62.86 | XXX | N | |
. | 72114 | RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6 | 104.14 | 29.85 | 74.29 | XXX | N | |
. | 72120 | RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS | 76.84 | 20.32 | 56.52 | XXX | N | |
. | 72125 | CT CERVICAL SPINE W/O CONTRAST MATERIAL | 328.93 | 96.52 | 232.41 | XXX | N | |
. | 72126 | CT CERVICAL SPINE W/CONTRAST MATERIAL | 406.40 | 110.49 | 295.91 | XXX | N | |
. | 72127 | CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL | 481.33 | 114.30 | 367.03 | XXX | N | |
. | 72128 | CT THORACIC SPINE W/O CONTRAST MATERIAL | 322.58 | 90.81 | 231.77 | XXX | N | |
. | 72129 | CT THORACIC SPINE W/CONTRAST MATERIAL | 408.94 | 110.49 | 298.45 | XXX | N | |
. | 72130 | CT THORACIC SPINE W/O & W/CONTRAST MATERIAL | 481.97 | 114.30 | 367.67 | XXX | N | |
. | 72131 | CT LUMBAR SPINE W/O CONTRAST MATERIAL | 321.31 | 90.81 | 230.50 | XXX | N | |
. | 72132 | CT LUMBAR SPINE W/CONTRAST MATERIAL | 407.04 | 110.49 | 296.55 | XXX | N | |
. | 72133 | CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL | 480.06 | 114.94 | 365.12 | XXX | N | |
. | 72141 | MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | 394.97 | 134.62 | 260.35 | XXX | N | |
. | 72142 | MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL | 573.41 | 161.93 | 411.48 | XXX | N | |
. | 72146 | MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | 395.61 | 134.62 | 260.99 | XXX | N | |
. | 72147 | MRI SPINAL CANAL THORACIC W/CONTRAST MATRL | 570.23 | 161.29 | 408.94 | XXX | N | |
. | 72148 | MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | 395.61 | 134.62 | 260.99 | XXX | N | |
. | 72149 | MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL | 566.42 | 161.93 | 404.49 | XXX | N | |
. | 72156 | MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | 668.02 | 206.38 | 461.64 | XXX | N | |
. | 72157 | MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL | 669.93 | 206.38 | 463.55 | XXX | N | |
. | 72158 | MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | 666.75 | 206.38 | 460.37 | XXX | N | |
. | 72159 | MRA SPINAL CANAL W/WO CONTRAST MATERIAL | 725.81 | 162.56 | 563.25 | XXX | N | |
. | 72170 | RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | 59.06 | 15.88 | 43.18 | XXX | N | |
. | 72190 | RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS | 71.12 | 19.69 | 51.43 | XXX | N | |
. | 72191 | CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST | 561.98 | 162.56 | 399.42 | XXX | N | |
. | 72192 | CT PELVIS W/O CONTRAST MATERIAL | 260.35 | 98.43 | 161.92 | XXX | N | |
. | 72193 | CT PELVIS W/CONTRAST MATERIAL | 418.47 | 105.41 | 313.06 | XXX | N | |
. | 72194 | CT PELVIS W/O & W/CONTRAST MATERIAL | 474.98 | 109.86 | 365.12 | XXX | N | |
. | 72195 | MRI PELVIS W/O CONTRAST MATERIAL | 483.87 | 132.08 | 351.79 | XXX | N | |
. | 72196 | MRI PELVIS W/CONTRAST MATERIAL | 565.15 | 156.85 | 408.30 | XXX | N | |
. | 72197 | MRI PELVIS W/O & W/CONTRAST MATERIAL | 713.74 | 198.76 | 514.98 | XXX | N | |
. | 72198 | MRA PELVIS W/WO CONTRAST MATERIAL | 704.22 | 160.66 | 543.56 | XXX | N | |
. | 72200 | RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS | 55.25 | 15.88 | 39.37 | XXX | N | |
. | 72202 | RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS | 62.23 | 17.15 | 45.08 | XXX | N | |
. | 72220 | RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | 54.61 | 15.88 | 38.73 | XXX | N | |
. | 72240 | MYELOGRAPHY CERVICAL RS&I | 186.69 | 81.92 | 104.77 | XXX | N | |
. | 72255 | MYELOGRAPHY THORACIC RS&I | 189.87 | 85.73 | 104.14 | XXX | N | |
. | 72265 | MYELOGRAPY LUMBOSACRAL RS&I | 174.63 | 73.66 | 100.97 | XXX | N | |
. | 72270 | MYELOGRAPY 2/MORE REGIONS RS&I | 242.57 | 121.92 | 120.65 | XXX | N | |
. | 72275 | EPIDUROGRAPY RS&I | 220.98 | 70.49 | 150.49 | XXX | N | |
. | 72285 | DISKOGRAPY CERVICAL/THORACIC RS&I | 0.00 | 0.00 | 0.00 | XXX | N | 2316.70 |
. | 72295 | DISKOGRAPY LUMBAR RS&I | 184.15 | 78.11 | 106.04 | XXX | N | |
. | 73000 | RADEX CLAVICLE COMPLETE | 52.07 | 15.24 | 36.83 | XXX | N | |
. | 73010 | RADEX SCAPULA COMPLETE | 57.15 | 16.51 | 40.64 | XXX | N | |
. | 73020 | RADEX SHOULDER 1 VIEW | 42.55 | 14.61 | 27.94 | XXX | N | |
. | 73030 | RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 53.98 | 17.15 | 36.83 | XXX | N | |
. | 73040 | RADEX SHOULDER ARTHROGRAPHY RS&I | 198.12 | 49.53 | 148.59 | XXX | N | |
. | 73050 | RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ | 66.68 | 19.05 | 47.63 | XXX | N | |
. | 73060 | RADEX HUMERUS MINIMUM 2 VIEWS | 53.98 | 15.24 | 38.74 | XXX | N | |
. | 73070 | RADEX ELBOW 2 VIEWS | 48.26 | 14.61 | 33.65 | XXX | N | |
. | 73080 | RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | 53.34 | 15.88 | 37.46 | XXX | N | |
. | 73085 | RADEX ELBOW ARTHROGRAPHY RS&I | 189.87 | 52.07 | 137.80 | XXX | N | |
. | 73090 | RADEX FOREARM 2 VIEWS | 50.17 | 15.24 | 34.93 | XXX | N | |
. | 73092 | RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS | 51.44 | 14.61 | 36.83 | XXX | N | |
. | 73100 | RADEX WRIST 2 VIEWS | 57.15 | 15.24 | 41.91 | XXX | N | |
. | 73110 | RADEX WRIST COMPLETE MINIMUM 3 VIEWS | 65.41 | 15.88 | 49.53 | XXX | N | |
. | 73115 | RADEX WRIST ARTHROGRAPHY RS&I | 211.46 | 51.44 | 160.02 | XXX | N | |
. | 73120 | RADEX HAND 2 VIEWS | 52.07 | 15.24 | 36.83 | XXX | N | |
. | 73130 | RADEX HAND MINIMUM 3 VIEWS | 59.69 | 15.88 | 43.81 | XXX | N | |
. | 73140 | RADEX FINGR MINIMUM 2 VIEWS | 60.33 | 12.70 | 47.63 | XXX | N | |
. | 73200 | CT UPPER EXTREMITY W/O CONTRAST MATERIAL | 320.68 | 90.81 | 229.87 | XXX | N | |
. | 73201 | CT UPPER EXTREMITY W/CONTRAST MATERIAL | 398.78 | 105.41 | 293.37 | XXX | N | |
. | 73202 | CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL | 496.57 | 110.49 | 386.08 | XXX | N | |
. | 73206 | CT ANGIOGRAPHY UPPER EXTREMITY | 586.74 | 161.93 | 424.81 | XXX | N | |
. | 73218 | MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL | 642.62 | 122.56 | 520.06 | XXX | N | |
. | 73219 | MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL | 705.49 | 146.69 | 558.80 | XXX | N | |
. | 73220 | MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS | 873.13 | 193.68 | 679.45 | XXX | N | |
. | 73221 | MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | 417.20 | 123.19 | 294.01 | XXX | N | |
. | 73222 | MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL | 664.85 | 147.32 | 517.53 | XXX | N | |
. | 73223 | MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL | 824.87 | 194.31 | 630.56 | XXX | N | |
. | 73225 | MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL | 695.33 | 153.04 | 542.29 | XXX | N | |
. | 73501 | RADEX HIP UNILATERAL WITH PELVIS 1 VIEW | 55.25 | 17.15 | 38.10 | XXX | N | |
. | 73502 | RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | 76.84 | 20.32 | 56.52 | XXX | N | |
. | 73503 | RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS | 95.89 | 25.40 | 70.49 | XXX | N | |
. | 73521 | RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS | 68.58 | 20.32 | 48.26 | XXX | N | |
. | 73522 | RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS | 89.54 | 27.31 | 62.23 | XXX | N | |
. | 73523 | RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS | 104.78 | 29.21 | 75.57 | XXX | N | |
. | 73525 | RADEX HIP ARTHROGRAPHY RS&I | 201.93 | 52.71 | 149.22 | XXX | N | |
. | 73551 | RADIOLOGIC EXAMINATION FEMUR 1 VIEW | 50.80 | 15.24 | 35.56 | XXX | N | |
. | 73552 | RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | 59.69 | 16.51 | 43.18 | XXX | N | |
. | 73560 | RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | 57.79 | 15.24 | 42.55 | XXX | N | |
. | 73562 | RADIOLOGIC EXAMINATION KNEE 3 VIEWS | 66.68 | 17.15 | 49.53 | XXX | N | |
. | 73564 | RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | 74.30 | 20.32 | 53.98 | XXX | N | |
. | 73565 | RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST | 66.68 | 15.88 | 50.80 | XXX | N | |
. | 73580 | RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I | 227.97 | 52.07 | 175.90 | XXX | N | |
. | 73590 | RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | 52.71 | 14.61 | 38.10 | XXX | N | |
. | 73592 | RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS | 51.44 | 14.61 | 36.83 | XXX | N | |
. | 73600 | RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | 55.25 | 15.24 | 40.01 | XXX | N | |
. | 73610 | RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | 59.69 | 15.88 | 43.81 | XXX | N | |
. | 73615 | RADEX ANKLE ARTHROGRAPHY RS&I | 212.09 | 52.71 | 159.38 | XXX | N | |
. | 73620 | RADIOLOGIC EXAMINATION FOOT 2 VIEWS | 48.26 | 13.97 | 34.29 | XXX | N | |
. | 73630 | RADEX FOOT COMPLETE MINIMUM 3 VIEWS | 55.88 | 15.24 | 40.64 | XXX | N | |
. | 73650 | RADEX CALCANEUS MINIMUM 2 VIEWS | 48.26 | 14.61 | 33.65 | XXX | N | |
. | 73660 | RADEX TOE MINIMUM 2 VIEWS | 51.44 | 12.07 | 39.37 | XXX | N | |
. | 73700 | CT LOWER EXTREMITY W/O CONTRAST MATERIAL | 321.31 | 90.81 | 230.50 | XXX | N | |
. | 73701 | CT LOWER EXTREMITY W/CONTRAST MATERIAL | 403.86 | 105.41 | 298.45 | XXX | N | |
. | 73702 | CT LOWER EXTREMITY W/O & W/CONTRAST MATRL | 488.95 | 109.86 | 379.09 | XXX | N | |
. | 73706 | CT ANGIOGRAPHY LOWER EXTREMITY | 635.64 | 170.18 | 465.46 | XXX | N | |
. | 73718 | MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL | 469.27 | 121.92 | 347.35 | XXX | N | |
. | 73719 | MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL | 554.99 | 146.69 | 408.30 | XXX | N | |
. | 73720 | MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR | 711.84 | 193.68 | 518.16 | XXX | N | |
. | 73721 | MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | 417.20 | 123.19 | 294.01 | XXX | N | |
. | 73722 | MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL | 668.02 | 147.32 | 520.70 | XXX | N | |
. | 73723 | MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | 822.96 | 193.68 | 629.28 | XXX | N | |
. | 73725 | MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL | 704.85 | 161.93 | 542.92 | XXX | N | |
. | 74018 | RADIOLOGIC EXAM ABDOMEN 1 VIEW | 50.80 | 16.51 | 34.29 | XXX | N | |
. | 74019 | RADIOLOGIC EXAM ABDOMEN 2 VIEWS | 62.23 | 20.96 | 41.27 | XXX | N | |
. | 74021 | RADIOLOGIC EXAM ABDOMEN 3+ VIEWS | 71.76 | 24.77 | 46.99 | XXX | N | |
. | 74022 | RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH | 83.19 | 29.21 | 53.98 | XXX | N | |
. | 74150 | CT ABDOMEN W/O CONTRAST MATERIAL | 267.97 | 107.95 | 160.02 | XXX | N | |
. | 74160 | CT ABDOMEN W/CONTRAST MATERIAL | 426.72 | 114.94 | 311.78 | XXX | N | |
. | 74170 | CT ABDOMEN W/O & W/CONTRAST MATERIAL | 483.87 | 126.37 | 357.50 | XXX | N | |
. | 74174 | CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG | 708.66 | 196.85 | 511.81 | XXX | N | |
. | 74175 | CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST | 563.25 | 163.20 | 400.05 | XXX | N | |
. | 74176 | CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | 358.78 | 157.48 | 201.30 | XXX | N | |
. | 74177 | CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 570.87 | 165.10 | 405.77 | XXX | N | |
. | 74178 | CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE | 644.53 | 180.98 | 463.55 | XXX | N | |
. | 74181 | MRI ABDOMEN W/O CONTRAST MATERIAL | 436.88 | 132.08 | 304.80 | XXX | N | |
. | 74182 | MRI ABDOMEN W/CONTRAST MATERIAL | 641.99 | 156.85 | 485.14 | XXX | N | |
. | 74183 | MRI ABDOMEN W/O & W/CONTRAST MATERIAL | 714.38 | 198.76 | 515.62 | XXX | N | |
. | 74185 | MRA ABDOMEN W/WO CONTRAST MATERIAL | 706.76 | 161.29 | 545.47 | XXX | N | |
. | 74190 | PERITONEOGRAM RS&I | 107.38 | 41.91 | 65.47 | XXX | N | |
. | 74210 | RADEX PHARYNX&/CERVICAL ESOPHAGUS | 158.12 | 53.34 | 104.78 | XXX | N | |
. | 74220 | RADEX ESOPHAGUS | 173.36 | 60.96 | 112.40 | XXX | N | |
. | 74230 | SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG | 227.97 | 48.26 | 179.71 | XXX | N | |
. | 74235 | RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I | 323.43 | 107.95 | 215.48 | XXX | N | |
. | 74240 | RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB | 219.08 | 62.87 | 156.21 | XXX | N | |
. | 74241 | RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB | 227.97 | 62.23 | 165.74 | XXX | N | |
. | 74245 | RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES | 332.74 | 81.92 | 250.82 | XXX | N | |
. | 74246 | RADEX UPPER GI W/WO GLUCAGON/DELAY IMGES W/O KUB | 243.84 | 62.23 | 181.61 | XXX | N | |
. | 74247 | RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB | 274.32 | 62.23 | 212.09 | XXX | N | |
. | 74249 | RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU | 356.87 | 81.92 | 274.95 | XXX | N | |
. | 74250 | RADEX SMALL INTESTINE W/MULTIPLE SERIAL IMAGES | 201.93 | 42.55 | 159.38 | XXX | N | |
. | 74251 | RADEX SM INT W/MLT SRL IMGES VIA ENTEROCLSS TUBE | 772.16 | 62.23 | 709.93 | XXX | N | |
. | 74260 | DUODENOGRAPY HYPOTONIC | 629.92 | 45.72 | 584.20 | XXX | N | |
. | 74261 | CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST | 862.33 | 217.17 | 645.16 | XXX | N | |
. | 74262 | CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST | 968.38 | 226.06 | 742.32 | XXX | N | |
. | 74263 | CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING | 1352.55 | 204.47 | 1148.08 | XXX | N | |
. | 74270 | RADEX COLON BARIUM ENEMA W/WO KUB | 288.29 | 62.23 | 226.06 | XXX | N | |
. | 74280 | RADEX COLON W/SPEC HI DNS BARIUM W/WO GLUCAGON | 407.04 | 89.54 | 317.50 | XXX | N | |
. | 74283 | THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ | 419.74 | 186.69 | 233.05 | XXX | N | |
. | 74290 | CHOLECYSTOGRAPHY ORAL CONTRST | 136.53 | 29.21 | 107.32 | XXX | N | |
. | 74300 | CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I | 109.86 | 33.02 | 76.84 | XXX | N | |
+ | 74301 | CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS | 54.97 | 19.05 | 35.92 | ZZZ | N | |
. | 74328 | ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I | 215.41 | 64.14 | 151.27 | XXX | N | |
. | 74329 | ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I | 186.01 | 64.14 | 121.87 | XXX | N | |
. | 74330 | CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I | 303.53 | 81.92 | 221.61 | XXX | N | |
. | 74340 | INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I | 196.87 | 48.90 | 147.97 | XXX | N | |
. | 74355 | PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I | 260.16 | 68.58 | 191.58 | XXX | N | |
. | 74360 | INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I | 212.86 | 50.80 | 162.06 | XXX | N | |
. | 74363 | PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I | 223.08 | 77.47 | 145.61 | XXX | N | |
. | 74400 | UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY | 213.36 | 44.45 | 168.91 | XXX | N | |
. | 74410 | UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE | 216.54 | 43.82 | 172.72 | XXX | N | |
. | 74415 | UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO | 258.45 | 44.45 | 214.00 | XXX | N | |
. | 74420 | X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL | 128.27 | 46.36 | 81.91 | XXX | N | |
. | 74425 | UROGRAPHY ANTEGRADE RS&I | 117.48 | 31.75 | 85.73 | XXX | N | |
. | 74430 | CYSTOGRAPHY MINIMUM 3 VIEWS RS&I | 70.49 | 29.21 | 41.28 | XXX | N | |
. | 74440 | VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I | 154.94 | 33.02 | 121.92 | XXX | N | |
. | 74445 | CORPORA CAVERNOSOGRAPY RS&I | 174.63 | 99.70 | 74.93 | XXX | N | |
. | 74450 | URETHROCYSTOGRAPHY RETROGRADE RS&I | 129.54 | 29.85 | 99.69 | XXX | N | |
. | 74455 | URETHROCYSTOGRAPHY VOIDING RS&I | 161.93 | 29.85 | 132.08 | XXX | N | |
. | 74470 | RADEX RENAL CYST STUDY TRANSLUMBAR RS&I | 132.95 | 47.63 | 85.32 | XXX | N | |
. | 74485 | DILATION URETERS/URETHRA RS&I | 191.77 | 72.39 | 119.38 | XXX | N | |
. | 74710 | PELVIMETRY W/WOPLACENTAL LOCALIZATION | 68.58 | 31.12 | 37.46 | XXX | N | |
. | 74712 | FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES | 861.06 | 271.15 | 589.91 | XXX | N | |
+ | 74713 | FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES | 419.10 | 168.28 | 250.82 | ZZZ | N | |
. | 74740 | HYSTEROSALPINGOGRAPHY RS&I | 147.32 | 34.29 | 113.03 | XXX | N | |
. | 74742 | TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I | 153.41 | 55.88 | 97.53 | XXX | N | |
. | 74775 | PERINEOGRAM | 182.25 | 56.52 | 125.73 | XXX | N | |
. | 75557 | CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST | 581.66 | 208.92 | 372.74 | XXX | N | |
. | 75559 | CARDIAC MRI W/O CONTRAST W/STRESS IMAGING | 810.90 | 257.18 | 553.72 | XXX | N | |
. | 75561 | CARDIAC MRI W/WO CONTRAST & FURTHER SEQ | 763.91 | 230.51 | 533.40 | XXX | N | |
. | 75563 | CARDIAC MRI W/W/O CONTRAST W/STRESS | 905.51 | 264.16 | 641.35 | XXX | N | |
+ | 75565 | CARDIAC MRI FOR VELOCITY FLOW MAPPING | 95.89 | 22.23 | 73.66 | ZZZ | N | |
. | 75571 | CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | 185.42 | 52.07 | 133.35 | XXX | N | |
. | 75572 | CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH | 477.52 | 156.85 | 320.67 | XXX | N | |
. | 75573 | CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT D | 646.43 | 227.97 | 418.46 | XXX | N | |
. | 75574 | CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | 701.04 | 213.36 | 487.68 | XXX | N | |
. | 75600 | AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I | 357.51 | 43.82 | 313.69 | XXX | N | |
. | 75605 | AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I | 240.03 | 100.33 | 139.70 | XXX | N | |
. | 75625 | AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I | 236.86 | 100.33 | 136.53 | XXX | N | |
. | 75630 | AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I | 297.18 | 158.12 | 139.06 | XXX | N | |
. | 75635 | CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP | 790.58 | 214.00 | 576.58 | XXX | N | |
. | 75705 | ANGIOGRAPHY SPINAL SELECTIVE RS&I | 452.76 | 210.82 | 241.94 | XXX | N | |
. | 75710 | ANGIOGRAPHY EXTREMITY UNILATERAL RS&I | 300.36 | 155.58 | 144.78 | XXX | N | |
. | 75716 | ANGIOGRAPHY EXTREMITY BILATERAL RS&I | 320.04 | 173.36 | 146.68 | XXX | N | |
. | 75726 | ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I | 259.08 | 99.06 | 160.02 | XXX | N | |
. | 75731 | ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I | 300.36 | 103.51 | 196.85 | XXX | N | |
. | 75733 | ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I | 323.22 | 114.94 | 208.28 | XXX | N | |
. | 75736 | ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I | 278.13 | 99.06 | 179.07 | XXX | N | |
. | 75741 | ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I | 262.26 | 114.30 | 147.96 | XXX | N | |
. | 75743 | ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I | 294.64 | 144.78 | 149.86 | XXX | N | |
. | 75746 | ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I | 264.16 | 100.33 | 163.83 | XXX | N | |
. | 75756 | ANGIOGRAPHY INTERNAL MAMMARY RS&I | 304.17 | 102.87 | 201.30 | XXX | N | |
+ | 75774 | ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I | 147.96 | 31.12 | 116.84 | ZZZ | N | |
. | 75801 | LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I | 474.35 | 80.65 | 393.70 | XXX | N | |
. | 75803 | LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I | 485.15 | 106.68 | 378.47 | XXX | N | |
. | 75805 | LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I | 490.86 | 73.66 | 417.20 | XXX | N | |
. | 75807 | LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I | 536.92 | 101.60 | 435.32 | XXX | N | |
. | 75809 | SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I | 170.82 | 43.18 | 127.64 | XXX | N | |
. | 75810 | SPLENOPORTOGRAPY RS&I | 953.04 | 88.90 | 864.14 | XXX | N | |
. | 75820 | VENOGRAPHY EXTREMITY UNILATERAL RS&I | 200.03 | 62.87 | 137.16 | XXX | N | |
. | 75822 | VENOGRAPHY EXTREMITY BILATERAL RS&I | 233.68 | 93.35 | 140.33 | XXX | N | |
. | 75825 | VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I | 233.68 | 100.33 | 133.35 | XXX | N | |
. | 75827 | VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I | 242.57 | 101.60 | 140.97 | XXX | N | |
. | 75831 | VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I | 243.84 | 99.06 | 144.78 | XXX | N | |
. | 75833 | VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I | 288.93 | 131.45 | 157.48 | XXX | N | |
. | 75840 | VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I | 259.08 | 103.51 | 155.57 | XXX | N | |
. | 75842 | VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I | 314.33 | 135.26 | 179.07 | XXX | N | |
. | 75860 | VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I | 253.37 | 101.60 | 151.77 | XXX | N | |
. | 75870 | VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I | 336.55 | 116.21 | 220.34 | XXX | N | |
. | 75872 | VENOGRAPHY EPIDURAL RS&I | 259.08 | 103.51 | 155.57 | XXX | N | |
. | 75880 | VENOGRAPHY ORBITAL RS&I | 218.44 | 63.50 | 154.94 | XXX | N | |
. | 75885 | PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I | 272.42 | 121.92 | 150.50 | XXX | N | |
. | 75887 | PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP | 273.69 | 122.56 | 151.13 | XXX | N | |
. | 75889 | HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I | 249.56 | 98.43 | 151.13 | XXX | N | |
. | 75891 | HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I | 252.73 | 99.70 | 153.03 | XXX | N | |
. | 75893 | VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS& | 210.82 | 48.90 | 161.92 | XXX | N | |
. | 75894 | TRANSCATHETER EMBOLIZATION ANY METH RS&I | 1868.81 | 130.81 | 1738.00 | XXX | N | |
. | 75898 | ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS | 243.84 | 163.20 | 80.64 | XXX | N | |
. | 75901 | MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I | 356.87 | 42.55 | 314.32 | XXX | N | |
. | 75902 | MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I | 140.97 | 34.29 | 106.68 | XXX | N | |
. | 75956 | EVASC RPR DESCND THORCIC AORTA SUBCLAV ORIG RS&I | 623.57 | 623.57 | BR | XXX | N | |
. | 75957 | EVASC RPR DESCND THORCIC AORTA CELIAC ORIG RS&I | 535.31 | 535.31 | BR | XXX | N | |
. | 75958 | PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I | 355.60 | 355.60 | BR | XXX | N | |
. | 75959 | PLMT DSTL XTN PRSTH EVASC DESC THORAC AORTA RS&I | 309.88 | 309.88 | BR | XXX | N | |
. | 75970 | TRANSCATHETER BIOPSY RS&I | 796.93 | 71.76 | 725.17 | XXX | N | |
. | 75984 | CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I | 183.52 | 62.87 | 120.65 | XXX | N | |
. | 75989 | RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I | 217.17 | 104.78 | 112.39 | XXX | N | |
. | 76000 | FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME | 84.46 | 27.94 | 56.52 | XXX | N | |
. | 76010 | RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD | 48.90 | 16.51 | 32.39 | XXX | N | |
. | 76080 | RADEX ABSCESS/FISTULA/SINUS TRACT RS&I | 102.24 | 46.99 | 55.25 | XXX | N | |
. | 76098 | RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN | 29.85 | 14.61 | 15.24 | XXX | N | |
. | 76100 | RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY | 169.55 | 56.52 | 113.03 | XXX | N | |
. | 76101 | RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI | 168.28 | 50.80 | 117.48 | XXX | N | |
. | 76102 | RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI | 309.88 | 60.96 | 248.92 | XXX | N | |
. | 76120 | CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC | 182.25 | 33.02 | 149.23 | XXX | N | |
+ | 76125 | CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION | 81.92 | 25.40 | 56.52 | ZZZ | N | |
. | 76140 | CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT | 55.25 | XXX | N | 70.16 | ||
. | 76376 | 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION | 41.28 | 17.78 | 23.50 | XXX | N | |
. | 76377 | 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION | 127.64 | 71.76 | 55.88 | XXX | N | |
. | 76380 | CT LIMITED/LOCALIZED FOLLOW UP STUDY | 258.45 | 87.63 | 170.82 | XXX | N | |
. | 76390 | MRI SPECTROSCOPY | 781.69 | 125.73 | 655.96 | XXX | N | |
. | 76391 | MAGNETIC RESONANCE ELASTOGRAPHY | 422.91 | 100.33 | 322.58 | XXX | N | |
. | 76496 | UNLISTED FLUOROSCOPIC PROCEDURE | BR | BR | BR | XXX | N | 88.47 |
. | 76497 | UNLISTED COMPUTED TOMOGRAPHY PROCEDURE | BR | BR | BR | XXX | N | 88.47 |
. | 76498 | UNLISTED MAGNETIC RESONANCE PROCEDURE | BR | BR | BR | XXX | N | 88.47 |
. | 76499 | UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE | BR | BR | BR | XXX | N | 88.47 |
. | 76506 | ECHOENCEPHALOGRAPHY REAL TIME IMAGING | 207.01 | 57.79 | 149.22 | XXX | N | |
. | 76510 | OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR | 200.03 | 104.78 | 95.25 | XXX | N | |
. | 76511 | OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY | 122.56 | 65.41 | 57.15 | XXX | N | |
. | 76512 | OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN | 109.86 | 62.87 | 46.99 | XXX | N | |
. | 76513 | OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM | 176.53 | 64.77 | 111.76 | XXX | N | |
. | 76514 | OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI | 22.86 | 14.61 | 8.25 | XXX | N | |
. | 76516 | OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN | 97.16 | 41.28 | 55.88 | XXX | N | |
. | 76519 | OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL | 118.75 | 56.52 | 62.23 | XXX | N | |
. | 76529 | OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION | 147.96 | 59.69 | 88.27 | XXX | N | |
. | 76536 | US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | 206.38 | 50.80 | 155.58 | XXX | N | |
. | 76604 | US CHEST REAL TIME W/IMAGE DOCUMENTATION | 159.39 | 48.90 | 110.49 | XXX | N | |
. | 76641 | US BREAST UNI REAL TIME WITH IMAGE COMPLETE | 191.77 | 66.04 | 125.73 | XXX | N | |
. | 76642 | US BREAST UNI REAL TIME WITH IMAGE LIMITED | 156.85 | 61.60 | 95.25 | XXX | N | |
. | 76700 | US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | 217.81 | 73.03 | 144.78 | XXX | N | |
. | 76705 | US ABDOMINAL REAL TIME W/IMAGE LIMITED | 162.56 | 52.71 | 109.85 | XXX | N | |
. | 76706 | US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA | 203.20 | 49.53 | 153.67 | XXX | N | |
. | 76770 | US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | 201.93 | 66.68 | 135.25 | XXX | N | |
. | 76775 | US RETROPERITONEAL REAL TIME W/IMAGE LIMITED | 104.78 | 52.07 | 52.71 | XXX | N | |
. | 76776 | US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN | 278.13 | 68.58 | 209.55 | XXX | N | |
. | 76800 | ULTRASOUND SPINAL CANAL & CONTENTS | 256.54 | 106.68 | 149.86 | XXX | N | |
. | 76801 | US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | 219.71 | 90.17 | 129.54 | XXX | N | |
+ | 76802 | US PREG UTERUS 14 WK TRANSABDL EACH GESTATION | 114.94 | 76.20 | 38.74 | ZZZ | N | |
. | 76805 | US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | 252.10 | 90.81 | 161.29 | XXX | N | |
+ | 76810 | US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO | 167.01 | 90.81 | 76.20 | ZZZ | N | |
. | 76811 | US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | 325.12 | 175.90 | 149.22 | XXX | N | |
+ | 76812 | US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT | 363.22 | 166.37 | 196.85 | ZZZ | N | |
. | 76813 | US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION | 219.08 | 109.86 | 109.22 | XXX | N | |
+ | 76814 | US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION | 144.15 | 92.71 | 51.44 | XXX | N | |
. | 76815 | US PREGNANT UTERUS LIMITED 1/> FETUSES | 151.13 | 59.06 | 92.07 | XXX | N | |
. | 76816 | US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS | 205.11 | 78.74 | 126.37 | XXX | N | |
. | 76817 | US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | 173.36 | 68.58 | 104.78 | XXX | N | |
. | 76818 | FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING | 218.44 | 97.79 | 120.65 | XXX | N | |
. | 76819 | FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING | 160.02 | 71.12 | 88.90 | XXX | N | |
. | 76820 | DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY | 85.73 | 46.36 | 39.37 | XXX | N | |
. | 76821 | DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART | 165.74 | 65.41 | 100.33 | XXX | N | |
. | 76825 | ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING | 494.67 | 151.13 | 343.54 | XXX | N | |
. | 76826 | ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD | 293.37 | 74.30 | 219.07 | XXX | N | |
. | 76827 | DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE | 133.99 | 52.07 | 81.92 | XXX | N | |
. | 76828 | DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT | 95.89 | 51.44 | 44.45 | XXX | N | |
. | 76830 | US TRANSVAGINAL | 218.44 | 62.87 | 155.57 | XXX | N | |
. | 76831 | SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER | 212.73 | 66.04 | 146.69 | XXX | N | |
. | 76856 | US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | 196.22 | 62.23 | 133.99 | XXX | N | |
. | 76857 | US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | 87.63 | 45.09 | 42.54 | XXX | N | |
. | 76870 | US SCROTUM & CONTENTS | 188.60 | 57.79 | 130.81 | XXX | N | |
. | 76872 | US TRANSRECTAL | 229.87 | 60.33 | 169.54 | XXX | N | |
. | 76873 | US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX | 311.79 | 140.97 | 170.82 | XXX | N | |
. | 76881 | US COMPL JOINT R-T W/IMAGE DOCUMENTATION | 159.39 | 57.15 | 102.24 | XXX | N | |
. | 76882 | US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | 102.87 | 44.45 | 58.42 | XXX | N | |
. | 76885 | US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ | 257.18 | 67.31 | 189.87 | XXX | N | |
. | 76886 | US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ | 188.60 | 56.52 | 132.08 | XXX | N | |
. | 76930 | US GUIDANCE PERICARDIOCENTESIS RS&I | 161.29 | 59.69 | 101.60 | XXX | N | |
. | 76932 | US ENDOMYOCARDIAL BIOPSY RS&I | 161.29 | 59.69 | 101.60 | YYY | N | |
. | 76936 | US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL | 482.60 | 175.90 | 306.70 | XXX | N | |
+ | 76937 | US VASC ACCESS SITS VSL PATENCY NDL ENTRY | 60.96 | 26.04 | 34.92 | ZZZ | N | |
. | 76940 | US &MNTR PARENCHYMAL TISSUE ABLATION | 300.36 | 186.06 | 114.30 | YYY | N | |
. | 76941 | US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I | 231.78 | 125.10 | 106.68 | XXX | N | |
. | 76942 | US GUIDANCE NEEDLE PLACEMENT IMG S&I | 102.24 | 57.79 | 44.45 | XXX | N | |
. | 76945 | US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I | 174.63 | 62.87 | 111.76 | XXX | N | |
. | 76946 | US GUIDANCE AMNIOCENTESIS IMG S&I | 58.42 | 34.93 | 23.49 | XXX | N | |
. | 76948 | US GUIDANCE ASPIRATION OVA IMG S&I | 134.62 | 62.87 | 71.75 | XXX | N | |
. | 76965 | US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION | 166.37 | 121.92 | 44.45 | XXX | N | |
. | 76970 | US STUDY FOLLOW UP | 161.29 | 34.93 | 126.36 | XXX | N | |
. | 76975 | GI ENDOSCOPIC US S&I | 186.06 | 76.20 | 109.86 | XXX | N | |
. | 76977 | US BONE DENSITY MEAS & INTERP PERIPH ANY METHO | 13.34 | 5.08 | 8.26 | XXX | N | |
. | 76978 | ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION | 582.93 | 146.05 | 436.88 | XXX | N | |
+ | 76979 | ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES | 395.61 | 76.84 | 318.77 | ZZZ | N | |
. | 76981 | ULTRASOUND ELASTOGRAPHY PARENCHYMA | 193.04 | 53.98 | 139.06 | XXX | N | |
. | 76982 | ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION | 172.72 | 53.98 | 118.74 | XXX | N | |
+ | 76983 | ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION | 106.05 | 45.72 | 60.33 | ZZZ | N | |
. | 76998 | ULTRASONIC GUIDANCE INTRAOPERATIVE | 114.94 | 114.94 | BR | XXX | N | |
. | 76999 | UNLISTED US PROCEDURE | BR | BR | BR | XXX | N | 88.47 |
+ | 77001 | FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT | 161.93 | 33.66 | 128.27 | ZZZ | N | |
+ | 77002 | FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON | 181.61 | 50.17 | 131.44 | ZZZ | N | |
+ | 77003 | FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON | 175.90 | 54.61 | 121.29 | ZZZ | N | |
. | 77011 | CT GUIDANCE STEREOTACTIC LOCALIZATION | 410.85 | 113.67 | 297.18 | XXX | N | |
. | 77012 | CT GUIDANCE NEEDLE PLACEMENT | 271.15 | 133.35 | 137.80 | XXX | N | |
. | 77013 | CT GUIDANCE &MONITORING VISC TISS ABLATION | 963.30 | 346.71 | 616.59 | XXX | N | |
. | 77014 | CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT | 216.54 | 80.65 | 135.89 | XXX | N | |
. | 77021 | MRI GUIDANCE NEEDLE PLACEMENT RS&I | 853.44 | 132.08 | 721.36 | XXX | N | |
. | 77022 | MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION | 1259.84 | 390.53 | 869.31 | XXX | N | |
. | 77046 | MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL | 445.77 | 130.81 | 314.96 | XXX | N | |
. | 77047 | MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL | 457.84 | 144.78 | 313.06 | XXX | N | |
. | 77048 | MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL | 708.03 | 189.23 | 518.80 | XXX | N | |
. | 77049 | MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | 723.27 | 207.01 | 516.26 | XXX | N | |
. | 77053 | MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE | 102.87 | 32.39 | 70.48 | XXX | N | |
. | 77054 | MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE | 134.62 | 41.28 | 93.34 | XXX | N | |
. | 77061 | DIGITAL BREAST TOMOSYNTHESIS UNILATERAL | 93.98 | 63.28 | 30.70 | XXX | N | |
. | 77062 | DIGITAL BREAST TOMOSYNTHESIS BILATERAL | 102.24 | 79.26 | 22.98 | XXX | N | |
+ | 77063 | SCREENING DIGITAL BREAST TOMOSYNTHESIS BI | 98.43 | 53.98 | 44.45 | ZZZ | N | |
. | 77065 | DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | 239.40 | 73.66 | 165.74 | XXX | N | |
. | 77066 | DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | 302.90 | 90.81 | 212.09 | XXX | N | |
. | 77067 | SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | 243.84 | 68.58 | 175.26 | XXX | N | |
. | 77071 | MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS | 90.81 | XXX | N | 88.47 | ||
. | 77072 | BONE AGE STUDIES | 43.18 | 17.15 | 26.03 | XXX | N | |
. | 77073 | BONE LENGTH STUDIES | 67.31 | 26.04 | 41.27 | XXX | N | |
. | 77074 | RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED | 121.29 | 41.28 | 80.01 | XXX | N | |
. | 77075 | RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL | 165.10 | 48.90 | 116.20 | XXX | N | |
. | 77076 | RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT | 180.98 | 63.50 | 117.48 | XXX | N | |
. | 77077 | JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS | 69.22 | 29.21 | 40.01 | XXX | N | |
. | 77078 | CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE | 205.74 | 22.23 | 183.51 | XXX | N | |
. | 77080 | DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | 71.76 | 17.78 | 53.98 | XXX | N | |
. | 77081 | DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | 59.69 | 18.42 | 41.27 | XXX | N | |
. | 77084 | BONE MARROW BLOOD SUPPLY | 680.72 | 145.42 | 535.30 | XXX | N | |
. | 77085 | DXA BONE DENSITY STUDY AXIAL SKELETON | 97.79 | 27.31 | 70.48 | XXX | N | |
. | 77086 | VERTEBRAL FRACTURE ASSESSMENT VIA DXA | 62.87 | 15.24 | 47.63 | XXX | N | |
. | 77261 | THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE | 128.91 | XXX | N | |||
. | 77262 | THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE | 194.31 | XXX | N | |||
. | 77263 | THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX | 303.53 | XXX | N | |||
. | 77280 | THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE | 497.84 | 67.31 | 430.53 | XXX | N | |
. | 77285 | THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED | 823.60 | 102.24 | 721.36 | XXX | N | |
. | 77290 | THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX | 916.31 | 147.96 | 768.35 | XXX | N | |
+ | 77293 | RESPIRATORY MOTION MANAGEMENT SIMULATION | 829.31 | 189.87 | 639.44 | ZZZ | N | |
. | 77295 | 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS | 885.19 | 406.40 | 478.79 | XXX | N | |
. | 77299 | UNLIS PX THER RADIOL CLINICAL TX PLANNING | BR | BR | BR | XXX | N | 175.75 |
. | 77300 | BASIC RADIATION DOSIMETRY CALCULATION | 120.02 | 59.06 | 60.96 | XXX | N | |
. | 77301 | NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS | 3495.68 | 756.92 | 2738.76 | XXX | N | |
. | 77306 | TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION | 269.88 | 132.72 | 137.16 | XXX | N | |
. | 77307 | TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY | 521.97 | 274.32 | 247.65 | XXX | N | |
. | 77316 | BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL | 367.03 | 133.35 | 233.68 | XXX | N | |
. | 77317 | BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL | 480.70 | 173.36 | 307.34 | XXX | N | |
. | 77318 | BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL | 690.88 | 274.32 | 416.56 | XXX | N | |
. | 77321 | SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY | 168.91 | 90.17 | 78.74 | XXX | N | |
. | 77331 | SPEC DOSIM ONLY PRESCRIBED TREATING PHYS | 116.84 | 82.55 | 34.29 | XXX | N | |
. | 77332 | TX DEVICES DESIGN & CONSTRUCTION SIMPLE | 94.62 | 43.18 | 51.44 | XXX | N | |
. | 77333 | TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE | 196.85 | 71.12 | 125.73 | XXX | N | |
. | 77334 | TX DEVICES DESIGN & CONSTRUCTION COMPLEX | 231.14 | 109.22 | 121.92 | XXX | N | |
. | 77336 | CONTINUING MEDICAL PHYSICS CONSLTJ PR WK | 143.51 | XXX | N | 175.75 | ||
. | 77338 | MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN | 899.16 | 406.40 | 492.76 | XXX | N | |
. | 77370 | SPEC MEDICAL RADJ PHYSICS CONSLTJ | 223.52 | XXX | N | 175.75 | ||
. | J1 | 77371 | RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT | 4603.12 | XXX | N | 15277.40 | |
. | J1 | 77372 | RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR | 1920.24 | XXX | N | 15277.40 | |
. | 77373 | STEREOTACTIC BODY RADIATION DELIVERY | 2324.74 | XXX | N | 2400.61 | ||
. | 77385 | INTENSITY MODULATED RADIATION TX DLVR SIMPLE | 948.69 | XXX | N | 738.19 | ||
. | 77386 | INTENSITY MODULATED RADIATION TX DLVR COMPLEX | 1323.98 | XXX | N | 738.19 | ||
. | 77387 | GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR | 171.45 | XXX | N | |||
. | 77399 | UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS | BR | BR | BR | XXX | N | 175.75 |
. | 77401 | RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTA | 44.45 | XXX | N | 166.13 | ||
. | 77402 | RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE | 204.47 | XXX | N | 166.13 | ||
. | 77407 | RADIATION TX DELIVERY 1 MEV >= INTERMEDIATE | 260.35 | XXX | N | 318.73 | ||
. | 77412 | RADIATION TREATMENT DELIVERY 1 MEV >= COMPLEX | 279.40 | XXX | N | 318.73 | ||
. | 77417 | THERAPEUTIC RADIOLOGY PORT IMAGES(S) | 20.32 | XXX | N | |||
. | 77423 | HIGH ENERGY NEUTRON RADJ TX DLVR 1/> ISOCENTER | 173.86 | XXX | N | 738.19 | ||
. | J1 | 77424 | INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION | BR | XXX | N | 15277.40 | |
. | J1 | 77425 | INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS | BR | XXX | N | 15277.40 | |
. | 77427 | RADIATION TREATMENT MANAGEMENT 5 TREATMENTS | 341.00 | XXX | N | |||
. | 77431 | RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY | 187.96 | XXX | N | |||
. | 77432 | STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION | 765.18 | XXX | N | |||
. | 77435 | STEREOTACTIC BODY RADIATION MANAGEMENT | 1153.80 | XXX | N | |||
. | 77469 | INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT | 571.50 | XXX | N | |||
. | 77470 | SPECIAL TREATMENT PROCEDURE | 238.13 | 192.41 | 45.72 | XXX | N | |
. | 77499 | UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT | BR | BR | BR | XXX | N | |
. | 77520 | PROTON TX DELIVERY SIMPLE W/O COMPENSATION | 1715.77 | XXX | N | 738.19 | ||
. | 77522 | PROTON TX DELIVERY SIMPLE W/COMPENSATION | BR | XXX | N | 1532.14 | ||
. | 77523 | PROTON TX DELIVERY INTERMEDIATE | BR | XXX | N | 1532.14 | ||
. | 77525 | PROTON TX DELIVERY COMPLEX | 3926.84 | XXX | N | 1532.14 | ||
. | 77600 | HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL | 810.26 | 128.27 | 681.99 | XXX | N | |
. | 77605 | HYPERTHERMIA EXTERNAL GENERATED DEEP | 1400.18 | 185.42 | 1214.76 | XXX | N | |
. | 77610 | HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS | 1244.60 | 123.19 | 1121.41 | XXX | N | |
. | 77615 | HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS | 1910.72 | 173.36 | 1737.36 | XXX | N | |
. | 77620 | HYPERTHERMIA INTRACAVITARY PROBES | 931.55 | 156.21 | 775.34 | XXX | N | |
. | 77750 | NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE | 685.17 | 473.08 | 212.09 | 090 | N | |
. | 77761 | INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE | 719.46 | 365.13 | 354.33 | 090 | N | |
. | 77762 | INTRACAVITARY RADIATION SOURCE APPLIC INTERMED | 952.50 | 546.74 | 405.76 | 090 | N | |
. | 77763 | INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX | 1356.36 | 822.96 | 533.40 | 090 | N | |
. | 77767 | HDR RDNCL SKN SURF BRACHYTX LES </2CM/1 CHAN | 419.10 | 99.70 | 319.40 | XXX | N | |
. | 77768 | HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES | 643.89 | 133.35 | 510.54 | XXX | N | |
. | 77770 | HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL | 594.36 | 184.15 | 410.21 | XXX | N | |
. | 77771 | HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL | 1084.58 | 360.68 | 723.90 | XXX | N | |
. | 77772 | HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS | 1643.38 | 510.54 | 1132.84 | XXX | N | |
. | 77778 | INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX | 1528.45 | 829.95 | 698.50 | 000 | N | |
. | 77789 | SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE | 221.62 | 108.59 | 113.03 | 000 | N | |
. | 77790 | SUPERVISION HANDLING LOADING RADIATION SOURCE | 27.31 | XXX | N | |||
. | 77799 | UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY | BR | BR | BR | XXX | N | 166.13 |
. | 78012 | THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT | 148.59 | 17.15 | 131.44 | XXX | N | |
. | 78013 | THYROID IMAGING WITH VASCULAR FLOW | 351.79 | 33.02 | 318.77 | XXX | N | |
. | 78014 | THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS | 441.33 | 44.45 | 396.88 | XXX | N | |
. | 78015 | THYROID CARCINOMA METASTASES IMG LMTD AREA | 410.85 | 60.33 | 350.52 | XXX | N | |
. | 78016 | THYROID CARCINOMA METASTASES IMG ADDL STUDY | 515.62 | 61.60 | 454.02 | XXX | N | |
. | 78018 | THYROID CARCINOMA METASTASES IMG WHOLE BODY | 573.41 | 74.30 | 499.11 | XXX | N | |
+ | 78020 | THYROID CARCINOMA METASTASES UPTAKE | 153.04 | 50.17 | 102.87 | ZZZ | N | |
. | 78070 | PARATHYROID PLANAR IMAGING | 546.74 | 70.49 | 476.25 | XXX | N | |
. | 78071 | PARATHYROID PLANAR IMAGING W/WO SUBTRACTION | 652.15 | 106.05 | 546.10 | XXX | N | |
. | 78072 | PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT | 711.84 | 139.07 | 572.77 | XXX | N | |
. | 78075 | ADRENAL IMAGING CORTEX &/MEDULLA | 825.50 | 67.31 | 758.19 | XXX | N | |
. | 78099 | UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 78102 | BONE MARROW IMAGING LIMITED AREA | 310.52 | 47.63 | 262.89 | XXX | N | |
. | 78103 | BONE MARROW IMAGING MULTIPLE AREAS | 398.15 | 63.50 | 334.65 | XXX | N | |
. | 78104 | BONE MARROW IMAGING WHOLE BODY | 454.03 | 69.85 | 384.18 | XXX | N | |
. | 78110 | PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE | 126.37 | 14.61 | 111.76 | XXX | N | |
. | 78111 | PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES | 133.99 | 17.15 | 116.84 | XXX | N | |
. | 78120 | RED CELL VOLUME DETERMINATION SPX 1 SAMPLING | 129.54 | 17.78 | 111.76 | XXX | N | |
. | 78121 | RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS | 141.61 | 24.77 | 116.84 | XXX | N | |
. | 78122 | WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU | 173.36 | 38.10 | 135.26 | XXX | N | |
. | 78130 | RED CELL SURVIVAL STUDY | 226.06 | 45.72 | 180.34 | XXX | N | |
. | 78135 | RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS | 509.27 | 48.26 | 461.01 | XXX | N | |
. | 78140 | LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE | 199.39 | 45.72 | 153.67 | XXX | N | |
. | 78185 | SPLEEN IMAGING ONLY W/WO VASCULAR FLOW | 309.25 | 30.48 | 278.77 | XXX | N | |
. | 78191 | PLATELET SURVIVAL STUDY | 226.06 | 45.72 | 180.34 | XXX | N | |
. | 78195 | LYMPHATICS & LYMPH NODES IMAGING | 652.15 | 106.05 | 546.10 | XXX | N | |
. | 78199 | UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED | BR | BR | BR | XXX | N | 501.96 |
. | 78201 | LIVER IMAGING STATIC ONLY | 348.62 | 38.10 | 310.52 | XXX | N | |
. | 78202 | LIVER IMAGING W/VASCULAR FLOW | 369.57 | 42.55 | 327.02 | XXX | N | |
. | 78205 | LIVER IMAGING SPECT | 386.08 | 60.33 | 325.75 | XXX | N | |
. | 78206 | LIVER IMAGING SPECT W/VASCULAR FLOW | 621.03 | 83.82 | 537.21 | XXX | N | |
. | 78215 | LIVER & SPLEEN IMAGING STATIC ONLY | 356.24 | 43.82 | 312.42 | XXX | N | |
. | 78216 | LIVER & SPLEEN IMAGING W/VASCULAR FLOW | 233.68 | 49.53 | 184.15 | XXX | N | |
. | 78226 | HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | 604.52 | 66.04 | 538.48 | XXX | N | |
. | 78227 | HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ | 817.25 | 80.65 | 736.60 | XXX | N | |
. | 78230 | SALIVARY GLAND IMAGING | 319.41 | 41.28 | 278.13 | XXX | N | |
. | 78231 | SALIVARY GLAND IMAGING SERIAL IMAGES | 189.23 | 39.37 | 149.86 | XXX | N | |
. | 78232 | SALIVARY GLAND FUNCTION STUDY | 185.42 | 35.56 | 149.86 | XXX | N | |
. | 78258 | ESOPHAGEAL MOTILITY | 400.69 | 64.77 | 335.92 | XXX | N | |
. | 78261 | GASTRIC MUCOSA IMAGING | 370.21 | 52.07 | 318.14 | XXX | N | |
. | 78262 | GASTROESOPHAGEAL REFLUX STUDY | 441.33 | 59.69 | 381.64 | XXX | N | |
. | 78264 | GASTRIC EMPTYING IMAGING STUDY | 612.78 | 69.85 | 542.93 | XXX | N | |
. | 78265 | GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT | 727.08 | 87.00 | 640.08 | XXX | N | |
. | 78266 | GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY | 862.33 | 95.89 | 766.44 | XXX | N | |
. | 78267 | UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS | 19.49 | XXX | N | |||
. | 78268 | UREA BREATH TEST C-14 ISOTOPIC ANALYSIS | 166.35 | XXX | N | |||
. | 78278 | ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING | 638.81 | 88.27 | 550.54 | XXX | N | |
. | 78282 | GASTROINTESTINAL PROTEIN LOSS | 138.07 | 29.21 | 108.86 | XXX | N | |
. | 78290 | INTESTINE IMAGING | 605.16 | 60.33 | 544.83 | XXX | N | |
. | 78291 | PERITONEAL-VENOUS SHUNT PATENCY TEST | 469.27 | 76.84 | 392.43 | XXX | N | |
. | 78299 | UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 78300 | BONE &/JOINT IMAGING LIMITED AREA | 421.01 | 55.88 | 365.13 | XXX | N | |
. | 78305 | BONE &/JOINT IMAGING MULTIPLE AREAS | 513.08 | 74.30 | 438.78 | XXX | N | |
. | 78306 | BONE &/JOINT IMAGING WHOLE BODY | 553.09 | 76.20 | 476.89 | XXX | N | |
. | 78315 | BONE &/JOINT IMAGING 3 PHASE STUDY | 633.73 | 90.17 | 543.56 | XXX | N | |
. | 78320 | BONE &/JOINT IMAGING TOMOGRAPHIC SPECT | 418.47 | 91.44 | 327.03 | XXX | N | |
. | 78350 | BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY | 59.06 | 20.32 | 38.74 | XXX | N | |
. | 78351 | BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR | 27.94 | XXX | N | |||
. | 78399 | UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 78414 | CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM | 134.23 | 40.01 | 94.22 | XXX | N | |
. | 78428 | CARDIAC SHUNT DETECTION | 335.92 | 67.95 | 267.97 | XXX | N | |
. | 78445 | NONCARDIAC VASCULAR FLOW IMAGING | 341.63 | 45.09 | 296.54 | XXX | N | |
. | 78451 | MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS | 620.40 | 121.29 | 499.11 | XXX | N | |
. | 78452 | MYOCARDIAL SPECT MULTIPLE STUDIES | 863.60 | 142.24 | 721.36 | XXX | N | |
. | 78453 | MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS | 557.53 | 89.54 | 467.99 | XXX | N | |
. | 78454 | MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES | 797.56 | 120.02 | 677.54 | XXX | N | |
. | 78456 | ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE | 567.06 | 87.63 | 479.43 | XXX | N | |
. | 78457 | VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL | 350.52 | 70.49 | 280.03 | XXX | N | |
. | 78458 | VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL | 375.92 | 81.28 | 294.64 | XXX | N | |
. | 78459 | MYOCARDIAL IMAGING PET METABOLIC EVALUATION | 755.52 | 127.64 | 627.88 | XXX | N | |
. | 78466 | MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN | 360.05 | 62.87 | 297.18 | XXX | N | |
. | 78468 | MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ | 373.38 | 71.12 | 302.26 | XXX | N | |
. | 78469 | MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ | 412.75 | 81.92 | 330.83 | XXX | N | |
. | 78472 | CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS | 418.47 | 87.00 | 331.47 | XXX | N | |
. | 78473 | CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT | 528.32 | 128.27 | 400.05 | XXX | N | |
. | 78481 | CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT | 321.31 | 87.00 | 234.31 | XXX | N | |
. | 78483 | CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT | 433.71 | 127.64 | 306.07 | XXX | N | |
. | 78491 | MYOCRD IMAGE PET PERFUS SINGLE STUDY REST/STRESS | 811.14 | 128.27 | 682.87 | XXX | N | |
. | 78492 | MYOCRD IMAGE PET PERFUS MULTPL STUDY REST/STRESS | 1015.04 | 161.93 | 853.11 | XXX | N | |
. | 78494 | CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT | 413.39 | 104.78 | 308.61 | XXX | N | |
+ | 78496 | CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT | 79.38 | 43.82 | 35.56 | ZZZ | N | |
. | 78499 | UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 78579 | PULMONARY VENTILATION IMAGING | 340.36 | 43.18 | 297.18 | XXX | N | |
. | 78580 | PULMONARY PERFUSION IMAGING PARTICULATE | 436.25 | 66.04 | 370.21 | XXX | N | |
. | 78582 | PULMONARY VENTILATION & PERFUSION IMAGING | 612.14 | 95.25 | 516.89 | XXX | N | |
. | 78597 | QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING | 367.67 | 64.14 | 303.53 | XXX | N | |
. | 78598 | QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN | 558.80 | 74.30 | 484.50 | XXX | N | |
. | 78599 | UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 78600 | BRAIN IMAGING <4 STATIC VIEWS | 337.82 | 40.01 | 297.81 | XXX | N | |
. | 78601 | BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW | 396.88 | 45.72 | 351.16 | XXX | N | |
. | 78605 | BRAIN IMAGING MINIMUM 4 STATIC VIEWS | 364.49 | 48.26 | 316.23 | XXX | N | |
. | 78606 | BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW | 603.25 | 56.52 | 546.73 | XXX | N | |
. | 78607 | BRAIN IMAGING TOMOGRAPHIC SPECT | 634.37 | 106.68 | 527.69 | XXX | N | |
. | 78608 | BRAIN IMAGING PET METABOLIC EVALUATION | 1086.62 | 129.54 | 957.08 | XXX | N | |
. | 78609 | BRAIN IMAGING PET PERFUSION EVALUATION | 134.62 | 134.62 | BR | XXX | N | |
. | 78610 | BRAIN IMAGING VASCULAR FLOW ONLY | 320.04 | 27.31 | 292.73 | XXX | N | |
. | 78630 | CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY | 618.49 | 60.96 | 557.53 | XXX | N | |
. | 78635 | CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY | 620.40 | 55.88 | 564.52 | XXX | N | |
. | 78645 | CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ | 595.00 | 50.17 | 544.83 | XXX | N | |
. | 78647 | CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT | 636.91 | 81.28 | 555.63 | XXX | N | |
. | 78650 | CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO | 501.02 | 45.72 | 455.30 | XXX | N | |
. | 78660 | RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY | 334.01 | 47.63 | 286.38 | XXX | N | |
. | 78699 | UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 78700 | KIDNEY IMAGING MORPHOLOGY | 312.42 | 39.37 | 273.05 | XXX | N | |
. | 78701 | KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW | 397.51 | 43.82 | 353.69 | XXX | N | |
. | 78707 | KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX | 424.82 | 83.82 | 341.00 | XXX | N | |
. | 78708 | KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX | 323.22 | 106.68 | 216.54 | XXX | N | |
. | 78709 | KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE | 673.10 | 123.19 | 549.91 | XXX | N | |
. | 78710 | KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC | 324.49 | 49.53 | 274.96 | XXX | N | |
. | 78725 | KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY | 197.49 | 33.02 | 164.47 | XXX | N | |
+ | 78730 | URINARY BLADDER RESIDUAL STUDY | 140.97 | 14.61 | 126.36 | ZZZ | N | |
. | 78740 | URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM | 399.42 | 49.53 | 349.89 | XXX | N | |
. | 78761 | TESTICULAR IMAGING WITH VASCULAR FLOW | 386.08 | 64.14 | 321.94 | XXX | N | |
. | 78799 | UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 78800 | RP LOCLZJ TUMOR/DSTRBJ AGENT LIMITED AREA | 356.24 | 60.96 | 295.28 | XXX | N | |
. | 78801 | RP LOCLZJ TUMOR/DSTRBJ AGENT MULTIPLE AREAS | 471.17 | 71.12 | 400.05 | XXX | N | |
. | 78802 | RP LOCLZJ TUMOR/DSTRBJ AGENT WHOLE BDY 1 DAY | 589.92 | 74.93 | 514.99 | XXX | N | |
. | 78803 | RP LOCLZJ TUMOR/DSTRBJ AGENT TOMOG SPECT | 622.94 | 93.98 | 528.96 | XXX | N | |
. | 78804 | RP LOCLZJ TUMOR/DSTRBJ AGT WHOL BDY REQ 2/> DAY | 1040.13 | 93.98 | 946.15 | XXX | N | |
. | 78805 | RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA | 336.55 | 64.77 | 271.78 | XXX | N | |
. | 78806 | RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY | 608.97 | 75.57 | 533.40 | XXX | N | |
. | 78807 | RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT | 622.94 | 93.98 | 528.96 | XXX | N | |
. | 78808 | NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS | 71.12 | XXX | N | 501.96 | ||
. | 78811 | PET IMAGING LIMITED AREA CHEST HEAD/NECK | 1171.64 | 135.89 | 1035.75 | XXX | N | |
. | 78812 | PET IMAGING SKULL BASE TO MID-THIGH | 1422.21 | 167.01 | 1255.20 | XXX | N | |
. | 78813 | PET IMAGING WHOLE BODY | 1486.12 | 172.72 | 1313.40 | XXX | N | |
. | 78814 | PET IMAGING CT FOR ATTENUATION LIMITED AREA | 1640.81 | 191.77 | 1449.04 | XXX | N | |
. | 78815 | PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | 1810.83 | 214.63 | 1596.20 | XXX | N | |
. | 78816 | PET IMAGING FOR CT ATTENUATION WHOLE BODY | 1826.81 | 217.17 | 1609.64 | XXX | N | |
. | 78999 | UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE | BR | BR | BR | XXX | N | 501.96 |
. | 79005 | RP THERAPY ORAL ADMINISTRATION | 248.29 | 158.75 | 89.54 | XXX | N | |
. | 79101 | RP THERAPY INTRAVENOUS ADMINISTRATION | 265.43 | 176.53 | 88.90 | XXX | N | |
. | 79200 | RP THERAPY INRACAVITARY ADMINISTRATION | 243.21 | 149.86 | 93.35 | XXX | N | |
. | 79300 | RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN | 240.98 | 121.29 | 119.69 | XXX | N | |
. | 79403 | RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS | 345.44 | 197.49 | 147.95 | XXX | N | |
. | 79440 | RP THERAPY INTRA-ARTICULAR ADMINISTRATION | 219.08 | 149.86 | 69.22 | XXX | N | |
. | 79445 | RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN | 376.56 | 207.01 | 169.55 | XXX | N | |
. | 79999 | RP THERAPY UNLISTED PROCEDURE | BR | BR | BR | XXX | N | 327.86 |
20 Miss. Code. R. 2-II