SPECIALTY CPT CODES DESCRIPTION

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY. Privileging ... SPECIALTY. CPT CODES ... Interventional Cardiology. 71090 ...
1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Primary Care Physicians: Internal Medicine, Family Practice, Pediatrics

71010, 71020, 71021, 71022, 71030, 71100, 71101, 71110, 72010 , 72020, 72040, 72050, 72052, 72070, 72080,72082 72100, 72110, 72114, 72170, 73000, 73010, 73020, 73030, 73050, 73060, 73070, 73080, 73090, 73092, 73100, 73110, 73120, 73130, 73140, 73500 ,73501, 73502, 73503, 73510 , 73520 , 73521, 73522, 73523 73540, 73550 ,73551, 73552, 73560, 73562, 73564, 73565, 73590, 73592, 73600, 73610, 73620, 73630, 73650, 74000, 74010, 74020, 74022 ,77080, 77081

Focus on chest x-ray, abdominal x-ray, and long bones. Exclude code 77080 and 77081 for Pediatrics.

Allergy & Immunology

71010, 71020, 71021, 71022, 71030

Focus on chest x-ray

Anesthesia

72275, 72285, 72291, 72292, 72295, 77003

Diagnostic and localization tests for pain management. Italicized codes are no longer curren t

Breast Surgeon

77051 , 77052 , 77053, 77054, 77055 , 77056 , 77057 , 77058, 77059, 77065, 77066, 77067 76645,76641,76642

Breasts and mammography x-rays. Italicized code are no longer current.

Cardiology (Includes Cardiothoracic Surgery and Cardiovascular Disease)

71010, 71020, 71021, 71022, 71030, 76930**, 78414, 78428, 78451, 78452, 78453, 78454, 78466, 78468, 78469, 78472, 78473, 78481, 78483, 78494, 78496, 75635,75574, 70498, 71275

Focus on chest x-ray, nuclear cardiology, echocardiology, and x-ray incidental to injections or biopsies. Procedures requiring prior authorization

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Pediatric Cardiology

71010, 71020, 71030, 76825, 76826, 76827, 76828

Plain films and x-ray incidental to injections and/or biopsy

Interventional Cardiology

71090, 75625, 75630, 75650 , 75658, 75660 , 75662, 75665, 75671 , 75676 , 75680, 75685, 75710, 75716,75722, 75724, 75726, 75756, 75774, 75896, 75898, 75960, 75962, 75964, 75966, 75968

Peripheral vascular x-rays. Italicized codes are no longer current

Chiropractic

72010 , 72020, 72040, 72050, 72052, 72069, 72070, 72080,72081, 72082, 72083, 72084, 72090 , 72100, 72110, 72114

Spinal x-ray

Critical Care

** 75790 , ** 75894,** 75978, **76937

Emergency Medicine

71010, 71020, 71021, 71022, 71030, 71100, 71101, 71110, 72010 , 72020, 72040, 72050, 72052, 72070, 72080,72082 72100, 72110, 72114, 72170, 73000, 73010, 73020, 73030, 73050, 73060, 73070, 73080, 73090, 73092, 73100, 73110, 73120, 73130, 73140, 73500, 73501, 73502,73503 73510, 73520, 73521, 73522,73523 73540 , 73550 ,73551,73552 73560, 73562, 73564, 73565, 73590, 73592, 73600, 73610, 73620, 73630, 73650, 73660, 74000, 74010, 74020, 74022

Services related to trauma and acute conditions.

Endocrinology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 76536, 76942, 77080, 77082 , 77081,77086

Chest and abdominal x-rays, utrasound guidance services, and bone densitometry services. Italicized code is no longer current.

Angiography, transcatheter procedures, ultrasonic guidance. Italicized code is no longer current

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Gastroenterology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 76975 76700

Urgent x-rays associated with GI diagnoses.

General Dentistry, Dental Facility, Dentistry Endodontics/Periodotics

70300, 70310, 70320, 70350, 70355

All dental x-rays

Geriatric Medicine

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022

*General medical management services

Gynecology Oncology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 76700, 76801, 76830, 76856, 76942,76857

Diagnostic of uterus (transabdominal and transvaginal), first trimester ultrasounds, and image guided biopsies.

Gynecology Only

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 74740,76641,76642 76645 , 76700, 76801, 76830, 76831, 76856, 76857, 76942, 76948, 77080, 77081

Diagnostic of uterus (transabdominal and transvaginal) and first trimester ultrasounds, bone densitometry. Italicized code is no longer current.

Hand Surgery

73000, 73010, 73020, 73030, 73050, 73060, 73070, 73080, 73090, 73092, 73100, 73110, 73120, 73130, 73140, 77071, 76942, 76881, 76882,

Plain films of the upper extremities.

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Head and Neck Surgery

70371, 76942

X-ray for biopsy

Hematology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 71100

*General medical management services

Infectious Disease

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022

*General medical management services

Maternal and Fetal Medicine/ Neonatal-Perinatal Medicine

76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815, 76816, 76817, 76818, 76819, 76820, 76821,76825, 76826, 76827, 76828, 76830, 76831, 76856, 76857, 76941, 76942, 76945, 76946, 76948

All obstetric ultrasound and x-ray associated with fertility evaluation

*General medical management services Nephrology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 76770 ***75978, ***75710, ***75791, ***75962

Neurology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 76942, 76881, 76882,

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

***payable to a boarded Nephrologist for management of the renal dialysis patients.

*General medical management services

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Neurosurgery

77001, 77002, 77003, 72040, 76942, 76881, 76882,

Fluoroscopic guidance services

Obstetrics & Gynecology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 74740, 76641,76642, 76645 , 76700, 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815, 78616, 76817, 76818, 76819, 76820, 76821, 76830, 76831, 76856, 76857, 76942, 76945, 76946, 76948, 77080, 77081, 76857

All gynecologic and obstetric x-ray, bone densitometry. Italicized code is no longer current.

Occupational Medicine

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022

*General medical management services

Oncology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 71100

*General medical management services

Ophthalmology

70030, 76510, 76511, 76512, 76513, 76514, 76516, 76519, 76529

Studies of the eye

Oral Surgery

70100, 70110, 70140, 70150, 70300, 70310, 70320, 70328, 70330, 70350, 70355

Dental, jaw, and face x-ray services

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Orthopaedic Surgery

71100, 71101, 71110, 71120, 71130, 72010 , 72020, 72040, 72050, 72052, 72069 , 72070, 72080,72081, 72082,72083,72084, 72090 , 72100, 72110, 72114, 72120, 72170, 72190, 72200, 72220, 73000, 73010, 73020, 73030, 73050, 73060, 73070, 73080, 73090, 73092, 73100, 73110, 73120, 73130, 73140, 73500 ,73501, 73502,73503, 73510, 73520 , 73521, 73522,73523,73540 , 73550 , 73551, 73552, 73560, 73562, 73564, 73565, 73590, 73592, 73600, 73610, 73620, 73630, 73650, 73660, 76000, 76881, 76882, 76942, 77001, 77002, 77003, 77071, 77072, 77073, 77074, 77075, 77076, 77080, 77081

Plain films of the bones and fluoroscopic guidance

Otolaryngology

70210, 70220, 70371, 76536, 76942

X-ray for biopsy & procedure

Pain Medicine

70371, 72275, 72285, 72291, 72292, 72295, 76942, 77001, 77002, 77003,

Diagnostic and localization tests for pain management, x-ray for needle guided procedures. Italicized codes is no longer current

Physical Medicine & Rehabilitation

77001, 77002, 77003, 70371, 76942, 76881, 76882

X-ray for needle guided procedures

Plastic Surgery

76000, 77077

Fluoroscopy, joint survey

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Podiatric Surgery

73600, 73610, 73620, 73630, 73650, 73660, 77071

Plain film of the feet

Podiatry

73600, 73610, 73620, 73630, 73650, 73660, 77071

Plain films of the feet

Pulmonary Disease

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022

*General medical management services

Reproductive Endocrinology

71010, 71020, 71021, 71022, 71030, 74000, 74010, 74020, 74022, 74740,76641,76642 76645 , 76700, 76801, 76802, 76805, 76810, 76811, 76812,76813, 76814, 76815, 76816, 76817, 76818, 76819, 76820, 76821, 76830, 76831, 76856, 76857, 76942, 76945, 76946, 76948

Encompass the services related to endocrine and obstetric/gynecology xray, all x-ray guided procedures, and retrievals. Italicized code are no longer current

Rheumatology

71010, 71020, 71021, 71022, 71030, 72202, 74000, 74010, 74020, 74022, 77080, 76942, 76881, 76882, 77080, 77081

*General medical management services, radiologic examination, bone densitometry

Surgery

76937, 76942

Guided biopsies

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

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1199SEIU BENEFIT FUND RADIOLOGY PRIVILEGING LIST BY SPECIALTY

Updated 7/11/2017

Privileging standards apply to all participating and non participating physicians.

SPECIALTY

CPT CODES

DESCRIPTION

Urology

74400, 74410, 74415, 74420, 74425, 74430, 74440, 74445, 74450, 74455, 76870, 76872, 76775, 76873, 76942, 76856

Genital x-ray procedures and biopsy procedures

Vascular Surgery

75625**, 75630**, 75650 **, 75658**, 75660 **, 75662 **, 75665 **, X-rays related to angiography, 75671**, 75676**, 75680**, 75685** , 75710, 75716**, 75722* *, 75724** , 75726**, 75736**, 75756**, 75774**,75790 , 75791**, venography, and other invasive vascular 75820**, 75827, 75833**, 75894**, 75896**, 75898**, 75940** , services, fluoroscopic guidance services. Italicized codes are no longer current 75952**, 75953**, 75960**, 75962, 75964**, 75966**, 75968**, 75978,76937 77001, 77002, 77003

Urgent Care Centers may perform all radiology services except MRIs, MRAs, CAT PET Scans *General medical management services denotes specialties where privileging may encompass procedures similar to IMED **Approved for hospital setting only

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