2 views, front and back
2 views, front and back
3 views
3 views
A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen
A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen
A procedure most commonly ordered to detect areas of abnormal bone growth due to fractures, tumors, infection, or other bone issues
Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus
Abdominal ultrasound of pregnant uterus (less than 14 weeks) single or first fetus
BREAST BIOPSY
Complete bilateral study of the extremities
Complete ultrasound of the pelvis
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections
CT 3-D IND/WK STATION
CT 3-D RECON AT CT
CT CERVICAL SPINE W/CONTRAST
CT CERVICAL SPINE W/OUT CONTRAST
CT CERVICAL SPINE W/WO
CT DORSAL SPINE
CT DORSAL SPINE W/CON
CT DORSAL SPINE W/WO CONTRAST
CT DORSAL SPN W/O CONTRAS
CT HEAD W & W/O CONTRAST
CT HEAD WITH CONTRAST
CT LIMITED/LOCALIZED STUD
CT LOWER EXT W/CONT-RIGHT
CT LOWER EXT W/CONTR-LEFT
CT LOWER EXT W/O CONTRAST LEFT
CT LOWER EXT W/WO LEFT
CT LOWER EXT W/WO RIGHT
CT LUMBAR SPINE W/CONTRAST
CT LUMBAR SPINE W/WO
CT MACILLO FACIAL AREA WITH
CT MAXILLO FACIAL AREA W/WO
CT NEEDLE BIOPSY/JT INJECT
CT of abdomen and pelvis without dye
CT of abdomen with and without dye
CT of abdomen with dye
CT of abdomen without dye
CT of pelvis without dye
CT ORBITS W/O
CT ORBITS W/WO
CT ORBITS WITH
CT PELVIS W & W/O CON
CT scan head or brain without dye
CT scan of abdomen and pelvis with contrast
CT scan of leg without dye
CT scan of lower spine without dye
CT scan of neck with dye
CT Scan of the face and jaw without dye
CT scan of the thorax with dye
CT scan of the thorax without dye
CT scan, pelvis, with contrast
CT SOFT TISSUE NECK W/WO
CT SOFT TISSUE NECK WO
CT THORACIC SPINE W/O
CT THORACIC SPINE W/WO
CT THORACIC SPINE WITH
CT THORAX W/OUT CONTRAST
CT THORAX W/WO CONTRAST
CT UNLISTED DIAG CT PROCEDUR
CT UPPER EXT W/CONT-LEFT
CT UPPER EXT W/CONT-RIGHT
CT UPPER EXT W/O-LEFT
CT UPPER EXT W/O-RIGHT
CT UPPER EXT W/WO LEFT
CT UPPER EXT W&W/O-RIGHT
CTA ABDOMEN AND PELVIS
CTA ABDOMEN W/WO
CTA AORTA W/RUNOFF W/WO
CTA HEAD W/WO
CTA LOWER EXTREMITY W/WO
CTA NECK W/WO
CTA PELVIS W/WO
CTA UPPER EXTREMITY W/WO
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest
Diagnostic ultrasound of an extremity excluding the bone, joints or vessels
Draining or injecting medication into a large joint/bursa without ultrasound
Draining or injecting medication into a major joint/bursa without ultrasound
Evaluation through measurement of fetal nuchal translucency
Fetal biophysical profile with non-stress test
Fetal biophysical profile without non-stress test
Fine Needle Aspiration Biopsy without imaging
Flouroscopy, or x-ray "movie" that takes less than an hour
Image of the heart to assess perfusion
Image of the heart to assess perfusion
Image of the heart to assess perfusion
INJECTION FOR MYELOGRAPHY
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries
Limited ultrasound of the breast
Mammography of both breasts-2 or more views
MM 3D MAMMO BIL DIAGNOSTIC
MM 3D MAMMO BIL SCREENING
MM 3D MAMMO UNILATERAL LEFT
MM 3D MAMMO UNILATERAL RIGHT
MM BREAST BX PERCUT NO IMAGI
MM DIGITAL SPOT MAG BILATERAL
MM MAMMOGRAM/BIOPSY
MM MAMMOGRAM/TISSUE
MRA ABDOMEN
MRA BRAIN W/WO CONTRAST
MRA CHEST
MRA HEAD W/OUT
MRA LOWER EXT W/O CONTRAST
MRA LOWER EXT W/O & W/CONTRAST
MRA NECK W/O
MRA NECK W/WO CONTRAST
MRA PITUITARY WITH CONTRA
MRI ABD W/ CONTRAST
MRI BONE MARROW BLOOD
MRI BRAIN W/CONTRAST
MRI CERVICAL SPINE W/CON
MRI CHST/HILAR/MEDIASTINA
MRI FACIAL ORBITS FACE W/O
MRI FACIAL ORBITS FACE W/WO
MRI FACIAL ORBITS FACE WITH
MRI LOWER EXT NON JNT W LT
MRI LOWER EXT NON JNT W RT
MRI LOWER EXT NON JNT W/WO LT
MRI LOWER EXT NON JNT W/WO RT
MRI LUMBAR SPINE WITH
MRI MYOCARDIUM W/O CONTRA
MRI NECK W/0
MRI NECK WITH
MRI of abdomen without and with dye
MRI of abdomen without dye
MRI of brain stem without dye
MRI of chest and spine with and without dye
MRI of chest and spine without dye
MRI of leg without dye
MRI of lower back with and without dye
MRI of lower extremity joint (knee/ankle) with and without dye
MRI of lower extremity joint (knee/ankle) with dye
MRI of lower extremity joint (knee/ankle) without dye
MRI of neck/spine with and without dye
MRI of pelvis before and after dye
MRI of pelvis without dye
MRI of the neck or spine without dye
MRI of upper extremity without dye
MRI ORBITS W/O
MRI ORBITS WITH
MRI ORBITS, FACE, AND/OR NECK W/WO
MRI PELVIC W/CONTRAST
MRI scan of brain before and after contrast
MRI scan of lower spinal canal
MRI TMJ
MRI UPPER EXT JOINT W/CONTRAST
MRI UPPER EXT NON-JT WITHOUT
MRI UPPER EXT W/WO LEFT JNT
MRI UPPER EXT W/WO RIGHT JNT
MRI UPPER EXTREMITY-LEFT WITH
MRI UPPER EXTREMITY-RIGHT WITH
MRI UPPER RXT NON-JT W/WO
MRI UPR EXT/NON JNT-LEFT W/O
NM GASTRIC EMPTYING
NM HIDA W/O EJECTION FRACTION
NM HIDA WITH EJECTION FRACTION
NM I 123 CAPSULE 200 PER UCI
NM I 123 THYROID MULTIDETECT
NM INTESTINE IMAGING
NM LIVER/SPLEEN (NO SPECT)
NM LTD AREA BONE SCAN
NM MUGA
NM MYOCARDIAL SPECT SINGLE S
NM PARATHYROID
NM PULMONARY PERFUSION
NM PULMONARY VENTILATION SCAN
NM PULMONARY VENTILATION/PERFUSION
NM RENAL SCAN
NM RENAL SCAN W/CAPTOPRIL
NM TC04 TECHNETATE
NM TC99M CARDIOLITE
NM TC99M CHOLETEC (MEBROFENIN)
NM TC99M DTPA
NM TC99M HEPATOLITE
NM TC99M MAA 10 MCI
NM TC99M SULFUR COLLOID
NM TESTICULAR SCAN
NM THREE PHASE BONE SCAN
NM THYROID IMAGING ONLY
One sided or limited bilateral study
One sided or limited bilateral study
PERITONOCENTESIS
Radiologic examination of both knees
Radiologic examination of one side of the chest/ribs
Radiologic examination of the ankle with 2 views
Radiologic examination of the ankle with 3 views
Radiologic examination of the collar bone
Radiologic examination of the finger(s)
Radiologic examination of the foot with 3 or more views
Radiologic examination of the forearm
Radiologic examination of the heel
Radiologic examination of the knee with 1 or 2 views
Radiologic examination of the knee with 3 views
Radiologic examination of the knee with 4 or more views
Radiologic examination of the lower leg
Radiologic examination of the middle spine, 2 views
Radiologic examination of the neck/spine, 2-3 views
Radiologic examination of the neck/spine, 4-5 views
Radiologic examination of the pelvis
Radiologic examination of the shoulder
Radiologic examination of the toe(s)
Radiologic examination, elbow; 2 views
Radiologic examination, elbow; 3 or more views
Scan to measure bone mineral density (BMD) at the spine and hip
Scan to measure bone mineral density (BMD) at the spine and hip
Scan using a radioactive medication (radiopharmaceutical) to take pictures or images of the thyroid gland.
Serial radiologic examination of the abdomen
Single view
Study of vessels on both sides of the head and neck
THORACENTESIS FOR ASPIRATION
THORACENTESIS W/ TUBE INSERT
Transvaginal ultrasound of uterus
Ultrasound of abdomen with all areas scanned
Ultrasound of back wall of the abdomen with all areas viewed
Ultrasound of back wall of the abdomen with limited areas viewed
Ultrasound of fetus with limited views
Ultrasound of head and neck
Ultrasound of head and neck
Ultrasound of single fetus
Ultrasound of the pelvis through vagina
Ultrasound of the scrotum
Up to 3 views
US 1ST TRIM FETAL NUC MEA EACH ADDITION
US ADDITIONAL CYST ASPIRATION
US AMNIOCENTESIS GUIDANC
US AORTIC LOW EXT-LEFT
US AORTIC LOW EXT-RIGHT
US ARTERIAL LOWER EXT/BIL
US ARTERIAL-SCROTAL
US ARTERIAL-SCROTAL-LIMITED
US AV GRAFT IMAGE
US BIL PHYSOLOGIC SEG AR
US BILAT ARTERIAL LOW EX
US CAROTID UNI LEFT
US CAROTID UNI RIGHT
US COMP PSEUDOANURYS GUI
US CYST ASPIRATION
US CYST GUIDANCE NEEDLE
US DOPPLER VELOCIMETRY FETAL UMBILICAL
US DUP AORTA/IVC/COMPLET
US DUPLEX ART ABD LTD
US DUPLX AORTA/IVC/LIMIT
US DUPLX SCAN PENILE VES
US ECHOENCEPHALOGRAPHY
US FETAL < 14 WKS EACH ADDITIONAL
US FETAL >14 WKS EACH ADDITIONAL FETUS
US FETAL GROWTH PARA IURG FOLLOW-UP
US GUIDANCE CYS/ANY LOCATION
US GUIDANCE INTRAOPERATIVE
US GUIDANCE INTRAOPERATIVE
US GUIDANCE-NEEDLE BIOPS
US GUIDE THORA/PARACENTIS
US GUIDE VASCULAR ACCESS
US IMPOT PENILE STUDY PLETHYSMOGRAPHY
US PHYS EXT VENOUS/CMPLT-BIL
US PHYS LOWER EXT/REST-BIL
US PHYS UP/LOW ART/MULTI-BIL
US PHYSL SEG EXERCISE-BIL
US TRANSPLANT KIDNEY
US UPPER ARTERIAL-BIL
US UPPER ARTERIAL-LEFT
US UPPER ARTERIAL-RIGHT
US VASCULAR-AORTA-IVC-ILIAC-COMPLETE
X-ray of lower and sacral spine, minimum of 4 views
X-ray of the hand with 3 or more views
X-ray of the lower spine 2-3 views
XR A C JOINTS
XR ABD/KUB
XR ABDOMEN FLATUPRIGHT
XR ARTHROGRAM SHOULDER
XR ASPIR FINE NDLE W IMAGE G
XR BARIUM ENEMA - BE
XR BARIUM ENEMA AIR CON
XR BARIUM SWALLOW
XR BARIUM SWALLOW/MODIFIED
XR BONE AGE
XR BONE SURVEY-COMPLETE
XR CHEST AND OBLIQUES
XR CHEST FLUOROSCOPY
XR COCCYX OR SACRUM
XR CYSTOGRAM
XR CYSTOURETHROGRAM
XR EXAM ENTIRE SPINE 2/3 VIEWS
XR EXTRA VIEWS
XR FACIAL BONES 4 VIEWS
XR FEMUR AP/LAT LT
XR FEMUR AP/LAT RT
XR FLURO GUIDANCE NEEDLE PLACEMENT
XR FLUROSCOPY OF LARYNX
XR FLUROSCOPY PORTACATH INSERT
XR GASTRIC TUBE INJECTION
XR GI / AC
XR GI BARIUM SWALLOW
XR GI SINGLE CONTRAST
XR GI W/SB SINGLE CONTRAST
XR GI/AC W/SB
XR HIP AP/LATERAL LT
XR HIP AP/LATERAL RT
XR HIPS BIL WITH AP/PELVIS
XR HUMERUS AP/LATERAL LT
XR HUMERUS AP/LATERAL RT
XR HYSTERIOSALPINGOGRAM
XR INJECTION PROCEDURE FOR SIALOGRAPHY
XR INJECTION SHOULDER ARTHROGRAM
XR INJECTION SINUS TRACT OR DRAIN
XR IVP
XR KIDIGRAM
XR LOWER EXTRMITY TOTAL LT
XR LOWER EXTRMITY TOTAL RT
XR MANDIBLE 4 VIEWS COMPLETE
XR MANDIBLE/LTD LESS 4 VIEWS
XR MYELO CERVICAL
XR MYELO LUMBAR
XR MYELO THORACIC
XR NASAL BONES 3 VIEWS
XR NECK SOFT TISSUE
XR OPER CHOLANGI 2ND SET FILMS
XR OPER CHOLANGIOGRAM
XR ORBITS 4 VIEWS
XR PELVIS/BOTH OBLIQUES 3 VW
XR RETROGRADE IVP
XR RIBS BILAT W PA CHEST 4 VIEWS
XR RIBS BILAT W/O CHEST 3 VIEWS
XR RIBS UNILAT LEFT W/O PA CHEST 2 VIEW
XR RIBS UNILAT RT W/O PA CHEST 2 VIEW
XR SACROILLIAC JOINTS 3 VIEW
XR SCAPULA LT
XR SCAPULA RT
XR SCOLIOSIS SURVEY
XR SIALOGRAPHY
XR SINUSES 4 VIEWS
XR SKULL 4 VIEWS
XR SKULL/LTD 2 VIEWS
XR SMALL BOWEL
XR SPINE SINGLE VIEW
XR SPINE THORACIC 4 VIEWS
XR SPINE/CER SP WITH FLEX & EXT
XR SPINE/LUMBAR W/FLEX EXT
XR SPINE/LUMBAR FLEX EX ONLY
XR STERNO/CLAV JTS 3 VIEWS
XR STERNUM-AP/LAT/OBLIQUES
XR T-M JOINTS TOMO/BILATERAL
XR TOTAL EXTRMITY UPPER LT
XR TOTAL EXTRMITY UPPER RT
XR VENOGRAM LT
XR VENOGRAM RT