AIM CPT Code List

2016 CPT Radiology, ECHO, and PET Codes Requiring Review (Please Note: Group # and Default CPT "1" are for internal claims processing use only) Modality

Body Part

CT

Head

1

70480

CT orbit, sella or posterior fossa; w/o contrast

Default CPT "1" 1

CT

Head

1

70481

CT orbit, sella or posterior fossa; with contrast

0

CT

Head

1

70482

CT orbit, sella or posterior fossa; w/o contrast followed by contrast

0

CT

Head

2

70486

CT maxillofacial area (sinus); w/o contrast

1

CT

Head

2

70487

CT maxillofacial area (sinus); with contrast

0

CT

Head

2

70488

CT maxillofacial area (sinus); w/o contrast followed by contrast

0

CT

Head

3

70450

CT head or brain; w/o contrast

1

CT

Head

3

70460

CT head or brain; with contrast

0

CT

Head

3

70470

CT head or brain; w/o contrast followed by contrast

0

CT

Neck

4

70490

CT soft tissue neck; w/o contrast

1

CT

Neck

4

70491

CT soft tissue neck; with contrast

0

CT

Neck

4

70492

CT soft tissue neck; w/o contrast followed by contrast

0

CT

Chest

5

71250

CT thorax; w/o contrast (noncardiac)

1

CT

Chest

5

71260

CT thorax; with contrast (noncardiac)

0

CT

Chest

5

71270

CT thorax; w/o contrast followed by contrast (noncardiac)

0

CT

Abdomen

6

74150

CT abdomen; w/o contrast

1

CT

Abdomen

6

74160

CT abdomen; with contrast

0

CT

Abdomen

6

74170

CT abdomen; w/o contrast followed by contrast

0

CT

Pelvis

7

72192

CT pelvis; w/o contrast

1

CT

Pelvis

7

72193

CT pelvis; with contrast

0

CT

Pelvis

7

72194

CT pelvis; w/o contrast followed by contrast

0

CT

Spine

8

72125

CT cervical spine; w/o contrast

1

CT

Spine

8

72126

CT cervical spine; with contrast

0

CT

Spine

8

72127

CT cervical spine; w/o contrast followed by contrast

0

CT

Spine

9

72128

CT thoracic spine; w/o contrast

1

CT

Spine

9

72129

CT thoracic spine; with contrast

0

CT

Spine

9

72130

CT thoracic spine; w/o contrast followed by contrast

0

CT

Spine

10

72131

CT lumbar spine; w/o contrast

1

CT

Spine

10

72132

CT lumbar spine; with contrast

0

CT

Spine

10

72133

CT lumbar spine; w/o contrast followed by contrast

0

CT

Extremity

11

73200

CT upper extremity; w/o contrast

1

CT

Extremity

11

73201

CT upper extremity; with contrast

0

CT

Extremity

11

73202

CT upper extremity; w/o contrast followed by contrast

0

CT

Extremity

12

73700

CT lower extremity; w/o contrast

1

CT

Extremity

12

73701

CT lower extremity; with contrast

0

CT

Extremity

12

73702

CT lower extremity; w/o contrast followed by contrast

0

MRI

Head

13

70551

MRI brain; w/o contrast

1

MRI

Head

13

70552

MRI brain; with contrast

0

MRI

Head

13

70553

MRI brain; w/o contrast followed by contrast

0

MRI

Extremity

14

73218

MRI upper extremity, other than joint w/o contrast

1

MRI

Extremity

14

73219

MRI upper extremity, other than joint with contrast

0

MRI

Extremity

14

73220

MRI upper extremity, other than joint w/o contrast followed by contrast

0

MRI

Spine

15

72141

MRI cervical spine; w/o contrast

1

MRI

Spine

15

72142

MRI cervical spine; with contrast

0

MRI

Spine

15

72156

MRI cervical spine; w/o contrast followed by contrast

0

MRI

Spine

16

72146

MRI thoracic spine; w/o contrast

1

MRI

Spine

16

72147

MRI thoracic spine; with contrast

0

MRI

Spine

16

72157

MRI thoracic spine; w/o contrast followed by contrast

0

MRI

Spine

17

72148

MRI lumbar spine; w/o contrast

1

MRI

Spine

17

72149

MRI lumbar spine; with contrast

0

MRI

Spine

17

72158

MRI lumbar spine; w/o contrast followed by contrast

0

MRI

Heart

18

75557

MRI Cardiac for morphology and function without contrast material;

1

MRI

Heart

18

75559

MRI Cardiac for morphology and function without contrast material; with stress imaging

0

019102 (11-2015)

Group #

CPT

Description

MRI

Heart

18

75561

MRI

Heart

18

75563

NUC Card Heart

19

78451

Myocardial perfusion SPECT single study including qualitative or quantitative wall motion, ejection fraction by 1st pass or gated technique, rest or stress

0

NUC Card Heart

19

78452

Myocardial perfusion SPECT multiple studies including qualitative or quantitative wall motion, ejection fraction by 1st pass or gated technique, rest

1

NUC Card Heart

19

78453

NUC Card Heart

19

78454

Myocardial perfusion planar multiple studies including qualitative or quantitative wall motion, ejection fraction by 1st pass or gated technique, rest and/or stress

0

MRI

Head

23

70540

MRI orbit, face and neck; w/o contrast

1

MRI

Head

23

70542

MRI orbit, face and neck; with contrast

Modality

Body Part

MRI

Head

23

70543

MRI orbit, face and neck; w/o contrast followed by contrast

MRI

Head

24

70336

MRI temporomandibular joint(s)

1

MRI

Chest

25

71550

MRI chest; w/o contrast

1

MRI

Chest

25

71551

MRI chest; with contrast

0

MRI

Chest

25

71552

MRI chest; w/o contrast followed by contrast

0

MRI

Abdomen

26

74181

MRI abdomen; w/o contrast

1

MRI

Abdomen

26

74182

MRI abdomen; with contrast

0

MRI

Abdomen

26

74183

MRI abdomen; w/o contrast followed by contrast

0

MRI

Pelvis

27

72195

MRI pelvis; w/o contrast

1

MRI

Pelvis

27

72196

MRI pelvis; with contrast

0

MRI

Pelvis

27

72197

MRI pelvis; w/o contrast followed by contrast

0

MRI

Breast

29

77058 Effective Date 10/27/14

MRI pelvis; Unilateral

1

MRI

Breast

29

77059 Effective Date 10/27/14

MRI pelvis; Bi lateral

0

MRI

Other

30

77084

MRI bone marrow blood supply

1

MRA

Head

31

70544

MRA head; w/o contrast

1

MRA

Head

31

70545

MRA head; with contrast

0

MRA

Head

31

70546

MRA head; w/o contrast followed by contrast

0

MRA

Chest

32

71555

MRA chest; with or w/o contrast

1

MRA

Abdomen

33

74185

MRA abdomen; with or w/o contrast

1

MRA

Pelvis

34

72198

MRA pelvis; with or w/o contrast

1

MRA

Extremity

35

73225

MRA upper extremity; with or w/o contrast

1

MRA

Extremity

36

73725

MRA lower extremity; with or w/o contrast

1

MRA

Spine

37

72159

MRA spinal canal and contents with or w/o contrast

1

CT

Other

40

77078

CT bone mineral density study; axial skeleton

1

NUC Card Heart

44

78466

Planar, infarct avid; qualitative or quantitative

0

NUC Card Heart

44

78468

Planar, infarct avid; with ejection fraction by first pass technique

0

NUC Card Heart

44

78469

SPECT, infarct avid; with or w/o quantification

1

MRI

Extremity

46

73718

MRI lower extremity, other than joint w/o contrast

0

MRI

Extremity

46

73719

MRI lower extremity, other than joint w contrast

0

MRI

Extremity

46

73720

MRI lower extremity, other than joint w/o contrast followed by contrast

0

MRI

Extremity

46

73721

MRI lower extremity, any joint w/o contrast

1

MRI

Extremity

46

73722

MRI lower extremity, any joint w contrast

0

MRI

Extremity

46

73723

MRI lower extremity, any joint w/o contrast followed by contrast

0

MRI

Extremity

47

73221

MRI upper extremity, any joint w/o contrast

1

MRI

Extremity

47

73222

MRI upper extremity, any joint with contrast

0

019102 (11-2015)

Group #

MRI Cardiac for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; MRI Cardiac for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging

Myocardial perfusion planar single study including qualitative or quantitative wall motion, ejection fraction by 1st pass or gated technique, rest or stress

CPT

0

0

0

0 Description

Default CPT "1" 0

MRI

Extremity

47

73223

MRI upper extremity, any joint w/o contrast followed by contrast

0

CTA

Head

72

70496

CTA head

1

CTA

Neck

73

70498

CTA neck

1

MRA

Neck

74

70547

MRA neck; w/o contrast

1

MRA

Neck

74

70548

MRA neck; with contrast

0

MRA

Neck

74

70549

MRA neck; w/o contrast followed by contrast

0

CTA

Chest

75

71275

CTA chest (noncoronary)

1

CTA

Pelvis

76

72191

CTA pelvis

1

CTA

Extremity

77

73206

CTA upper extremity

1

CTA

Extremity

78

73706

CTA lower extremity

1

CTA

Abdomen

79

74175

CTA abdomen

1

CTA

Abdomen

123

75635

CTA abdominal aorta & bilateral iliofemoral lower extremity runoff

1

CTA

Abd/Pelvis

122

74174

CTA Abdomen & Pelvis

0

MRI

Other

81

MR Spectroscopy

1

NUC Card Heart

82

76390 Effective Date 10/27/14 78472

1

NUC Card Heart

82

78473

Cardiac blood pool, gated equilibrium; planar, single study, wall motion plus ejection fraction Cardiac blood pool gated equilibrium; planar, multiple studies, wall motion study plus ejection fraction

NUC Card Heart

82

78481

Cardiac blood pool first pass tech; single study, wall motion study plus ejection fraction

0

NUC Card Heart

82

78483

Cardiac blood pool first pass tech; multiple studies, wall motion study plus ejection fraction

0

NUC Card Heart

82

78494

Cardiac blood pool gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction

0

0

ECHOCARDIOGRAPHY CODES - EFFECTIVE 2/9/2013 WA&OR, EFFECTIVE 1/1/2015 ALASKA Group # Heart

93

CPT 93350

Description Transthoracic Stress Echo, complete

Default CPT "1" 1

WA, OR Eff 2/9/2013 AK Eff 1/1/15

Stress Echo

(SE) Stress Echo

Heart

Resting Trans

Heart

Modality

Body Part

Resting Trans

Heart

Resting Trans

Heart

Resting Trans

Heart

Resting Trans

Heart

93

93351

Transthoracic Stress Echo, complete w cont EKG

0

WA, OR Eff 2/9/2013 AK Eff 1/1/15

Group # 94

CPT

Description

93303 WA, OR Eff 2/9/2013 AK Eff Transthoracic Echo cardiac anomalies 1/1/15

Group # 94

CPT

Description

93304 WA, OR AK Eff Transthoracic Echo cardiac anomalies, limited 1/115

94

Default CPT "1"

93306

0

Transthoracic Echo complete w color & spectral

0

Transthoracic Echo complete wo color & spectral

1

WA, OR Eff 2/9/2013 AK Eff 1/1/15

94

93307 WA, OR Eff 2/9/2013 AK Eff 1/1/15

94

Group #

019102 (11-2015)

93308

Transthoracic Echo limited

WA, OR Eff 2/9/2013 AK Eff 1/1/15

CPT

0

Description

Transesop h Heart ageal

Transesop h Heart ageal

Transesop h Heart ageal Transesop h Heart ageal Transesop h Heart ageal

Transesop h Heart ageal

93312 95

WA, OR Eff 2/9/2013 AK Eff Transesophageal Echo 1/1/15

95

WA, OR Eff 2/9/2013 AK Eff Transesophageal Echo probe only 1/1/15

95

WA, OR Eff 2/9/2013 AK Eff Transesophageal Echo interpretation 1/1/15

95

WA, OR Eff 2/9/2013 AK Eff Transesophageal Echo congenital 1/1/15

95

WA, OR Eff 2/9/2013 AK Eff Transesophageal Echo congenital, probe only 1/1/15

95

WA, OR Eff 2/9/2013 AK Eff Transesophageal Echo congenital interpretation 1/1/15

1

93313 0

93314 0

93315 0

93316 0

93317

Group #

CPT

Description

Heart

93320

Doppler Echo complete

Heart

93321

Doppler Echo limited

Heart Echo Add- Heart O

93325 93352

Doppler Echo flow velocity Echo contrast agent (SE only) group 93

CPT

Description

0

Echo AddOn Codes (do not Echo AddOn Codes (do not Echo AddOn Codes (do not

Group #

PET

Head

42

78608

PET brain, metabolic evaluation

Default CPT "1" 1

PET

Head

42

78609

PET brain, perfusion evaluation

0

CPT

Description

Group # PET

Heart

71

78459

PET myocardial, metabolic evaluation

1

PET

Heart

71

78491

PET myocardial, perfusion, single study

0

PET

Heart

71

78492

PET myocardial, perfusion, multiple studies

0

CPT

Description

Group # PET

Other

Modality

Body Part

PET

Other

PET

Other

PET

78811

PET tumor imaging, limited

CPT

Description

84

78812

PET tumor imaging, skull to mid-thigh

84

78813

PET tumor imaging, whole body

1

Other

84

78814

PET tumor imaging with concurrent CT, limited

0

PET

Other

84

78815

PET tumor imaging with concurrent CT, skull to mid-thigh

0

PET

Other

84

78816

PET tumor imaging with concurrent CT, whole body

0

CT

Other

85

74263

Eff Date 10/27/14

Computed Tomographic (CT) Colonagraphy, screening, including image postporcessing

1

CT

Other

86

74261

eff Computed Tomographic (CT) Colonagraphy,diagnostic, including image postprocessing; Date 10/27/2014 without contrast material

1

CT

Other

86

74262 Eff Date Computed Tomographic (CT) Colonagraphy,diagnostic, including image postprocessing; 10/27/2014 without contrast material(s) including non-contrast images, if performed

0

019102 (11-2015)

84 Group #

0 Default CPT "1" 0

MRI

Head

88

70554 Eff Date 10/27/2014

Functional MRI brain not requiring physician or psychologist

1

MRI

Head

88

70555 Eff Date 10/27/2014

Functional MRI brain requiring physician or psychologist

0

CT

Heart

98

75571

Eff Computed Tomographic, heart, without contrast material, with quantitive evaluation of Date 10/27/2014 coronay calcium

1

CT

Heart

99

75572

1

CT

Heart

99

75573

Eff Computed Tomographic, heart, with contrast material, for evaluation of cardiac structure Date 10/27/2014 and morphology (including 3D image postprocessing, assessment of cardiac function, and

evaluation of venous structures, if performed) Eff Computed Tomographic, heart, with contrast material, for evaluation of cardiac structure Date 10/27/2014 and morphology in the setting of congenital hear disease (including 3D image

0

postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, is performed) CT

Heart

100

75574

Eff Computed tomograhic angiograhy, heart, coronary arteries and bypass graft(when present), Date 10/27/2014 with contrast material, including 3D image postprocessing including evaluation of cardiac

1

structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed) CT

Abd/Pelvis

101

74176

CT Abdomen & Pelvis without contrast

1

CT

Abd/Pelvis

101

74177

CT Abdomen & Pelvis with contrast

0

CT

Lung

102

S8032

Low Dose CT Lung Cancer Screening (COMMERCIAL LOB)

CT

Abd/Pelvis

101

74178

CT Abdomen & Pelvis wo/w contrast

0

MRI

Chest

109

G0297

Eff Date 12/13/2014

Low Dose CT Lung Cancer Screening

1

MRI

Pelvis

121

74712

MRI Fetal

1

019102 (11-2015)