File 2 - Skilled Nursing Facility (SNF) Provider and 			
Supplier Coding File			
"Effective for claims submitted on or after January 1, 2018."			
			
Physician Interpretation of Diagnostic Tests			
Beneficiary in a Part A Covered SNF Stay			
			
The professional components of these codes are not subject to SNF consolidated billing. They should be submitted to the 					
Part B Medicare Administrative Contractor with the 26 modifier for payment consideration.			
			
CPT only copyright 2017 American Medical Association. All rights reserved.			
			
HCPCS	SHORT DESCRIPTOR		
G0106	Colon ca screen;barium enema	
G0120	Colon ca scrn; barium enema	
G0130	Single energy x-ray study	
G0279	Tomosynthesis, mammo	
G0297	Ldct for lung ca screen	
G0365	Vessel mapping hemo access	
G0398	Home sleep test/type 2 porta	
G0399	Home sleep test/type 3 porta	
G0400	Home sleep test/type 4 porta	
G0416	Prostate biopsy, any mthd	
G0452	Molecular pathology interpr	
G6001	Echo guidance radiotherapy	
G6002	Stereoscopic x-ray guidance	
Q0035	Cardiokymography	
0075T	Perq stent/chest vert art	
0076T	S&i stent/chest vert art	
0159T	Cad breast mri	
0470T	Oct skn img acquisj i&r 1st	
0471T	Oct skn img acquisj i&r addl	
0482T	Absl quan myocrd bld flo pet	
0485T	Oct mid ear i&r unilateral	
0486T	Oct mid ear i&r bilateral	
51725	Simple cystometrogram	
51726	Complex cystometrogram	
51727	Cystometrogram w/up	
51728	Cystometrogram w/vp	
51729	Cystometrogram w/vp&up	
51736	Urine flow measurement	
51741	Electro-uroflowmetry first	
51784	Anal/urinary muscle study	
51785	Anal/urinary muscle study	
51792	Urinary reflex study	
51797	Intraabdominal pressure test	
54240	Penis study	
54250	Penis study	
59020	Fetal contract stress test	
59025	Fetal non-stress test	
62252	Csf shunt reprogram	
70015	Contrast x-ray of brain	
70030	X-ray eye for foreign body	
70100	X-ray exam of jaw <4views	
70110	X-ray exam of jaw 4/> views	
70120	X-ray exam of mastoids	
70130	X-ray exam of mastoids	
70134	X-ray exam of middle ear	
70140	X-ray exam of facial bones	
70150	X-ray exam of facial bones	
70160	X-ray exam of nasal bones	
70170	X-ray exam of tear duct	
70190	X-ray exam of eye sockets	
70200	X-ray exam of eye sockets	
70210	X-ray exam of sinuses	
70220	X-ray exam of sinuses	
70240	X-ray exam pituitary saddle	
70250	X-ray exam of skull	
70260	X-ray exam of skull	
70300	X-ray exam of teeth	
70310	X-ray exam of teeth	
70320	Full mouth x-ray of teeth	
70328	X-ray exam of jaw joint	
70330	X-ray exam of jaw joints	
70332	X-ray exam of jaw joint	
70336	Magnetic image jaw joint	
70350	X-ray head for orthodontia	
70355	Panoramic x-ray of jaws	
70360	X-ray exam of neck	
70370	Throat x-ray & fluoroscopy	
70371	Speech evaluation complex	
70380	X-ray exam of salivary gland	
70390	X-ray exam of salivary duct	
70450	Ct head/brain w/o dye	
70460	Ct head/brain w/dye	
70470	Ct head/brain w/o & w/dye	
70480	Ct orbit/ear/fossa w/o dye	
70481	Ct orbit/ear/fossa w/dye	
70482	Ct orbit/ear/fossa w/o&w/dye	
70486	Ct maxillofacial w/o dye	
70487	Ct maxillofacial w/dye	
70488	Ct maxillofacial w/o & w/dye	
70490	Ct soft tissue neck w/o dye	
70491	Ct soft tissue neck w/dye	
70492	Ct sft tsue nck w/o & w/dye	
70496	Ct angiography head	
70498	Ct angiography neck	
70540	Mri orbit/face/neck w/o dye	
70542	Mri orbit/face/neck w/dye	
70543	Mri orbt/fac/nck w/o &w/dye	
70544	Mr angiography head w/o dye	
70545	Mr angiography head w/dye	
70546	Mr angiograph head w/o&w/dye	
70547	Mr angiography neck w/o dye	
70548	Mr angiography neck w/dye	
70549	Mr angiograph neck w/o&w/dye	
70551	Mri brain stem w/o dye	
70552	Mri brain stem w/dye	
70553	Mri brain stem w/o & w/dye	
70554	Fmri brain by tech	
70555	Fmri brain by phys/psych	
70557	Mri brain w/o dye	
70558	Mri brain w/dye	
70559	Mri brain w/o & w/dye	
71045	X-ray exam chest 1 view	
71046	X-ray exam chest 2 views	
71047	X-ray exam chest 3 views	
71048	X-ray exam chest 4+ views	
71100	X-ray exam ribs uni 2 views	
71101	X-ray exam unilat ribs/chest	
71110	X-ray exam ribs bil 3 views	
71111	X-ray exam ribs/chest4/> vws	
71120	X-ray exam breastbone 2/>vws	
71130	X-ray strenoclavic jt 3/>vws	
71250	Ct thorax w/o dye	
71260	Ct thorax w/dye	
71270	Ct thorax w/o & w/dye	
71275	Ct angiography chest	
71550	Mri chest w/o dye	
71551	Mri chest w/dye	
71552	Mri chest w/o & w/dye	
71555	Mri angio chest w or w/o dye	
72020	X-ray exam of spine 1 view	
72040	X-ray exam neck spine 2-3 vw	
72050	X-ray exam neck spine 4/5vws	
72052	X-ray exam neck spine 6/>vws	
72070	X-ray exam thorac spine 2vws	
72072	X-ray exam thorac spine 3vws	
72074	X-ray exam thorac spine4/>vw	
72080	X-ray exam thoracolmb 2/> vw	
72081	X-ray exam entire spi 1 vw	
72082	X-ray exam entire spi 2/3 vw	
72083	X-ray exam entire spi 4/5 vw	
72084	X-ray exam entire spi 6/> vw	
72100	X-ray exam l-s spine 2/3 vws	
72110	X-ray exam l-2 spine 4/>vws	
72114	X-ray exam l-s spine bending	
72120	X-ray bend only l-s spine	
72125	Ct neck spine w/o dye	
72126	Ct neck spine w/dye	
72127	Ct neck spine w/o & w/dye	
72128	Ct chest spine w/o dye	
72129	Ct chest spine w/dye	
72130	Ct chest spine w/o & w/dye	
72131	Ct lumbar spine w/o dye	
72132	Ct lumbar spine w/dye	
72133	Ct lumbar spine w/o & w/dye	
72141	Mri neck spine w/o dye	
72142	Mri neck spine w/dye	
72146	Mri chest spine w/o dye	
72147	Mri chest spine w/dye	
72148	Mri lumbar spine w/o dye	
72149	Mri lumbar spine w/dye	
72156	Mri neck spine w/o & w/dye	
72157	Mri chest spine w/o & w/dye	
72158	Mri lumbar spine w/o & w/dye	
72159	Mr angio spine w/o&w/dye	
72170	X-ray exam of pelvis	
72190	X-ray exam of pelvis	
72191	Ct angiograph pelv w/o&w/dye	
72192	Ct pelvis w/o dye	
72193	Ct pelvis w/dye	
72194	Ct pelvis w/o & w/dye	
72195	Mri pelvis w/o dye	
72196	Mri pelvis w/dye	
72197	Mri pelvis w/o & w/dye	
72198	Mr angio pelvis w/o & w/dye	
72200	X-ray exam si joints	
72202	X-ray exam si joints 3/> vws	
72220	X-ray exam sacrum tailbone	
72240	Myelography neck spine	
72255	Myelography thoracic spine	
72265	Myelography l-s spine	
72270	Myelogphy 2/> spine regions	
72275	Epidurography	
72285	Discography cerv/thor spine	
72295	X-ray of lower spine disk	
73000	X-ray exam of collar bone	
73010	X-ray exam of shoulder blade	
73020	X-ray exam of shoulder	
73030	X-ray exam of shoulder	
73040	Contrast x-ray of shoulder	
73050	X-ray exam of shoulders	
73060	X-ray exam of humerus	
73070	X-ray exam of elbow	
73080	X-ray exam of elbow	
73085	Contrast x-ray of elbow	
73090	X-ray exam of forearm	
73092	X-ray exam of arm infant	
73100	X-ray exam of wrist	
73110	X-ray exam of wrist	
73115	Contrast x-ray of wrist	
73120	X-ray exam of hand	
73130	X-ray exam of hand	
73140	X-ray exam of finger(s)	
73200	Ct upper extremity w/o dye	
73201	Ct upper extremity w/dye	
73202	Ct uppr extremity w/o&w/dye	
73206	Ct angio upr extrm w/o&w/dye	
73218	Mri upper extremity w/o dye	
73219	Mri upper extremity w/dye	
73220	Mri uppr extremity w/o&w/dye	
73221	Mri joint upr extrem w/o dye	
73222	Mri joint upr extrem w/dye	
73223	Mri joint upr extr w/o&w/dye	
73225	Mr angio upr extr w/o&w/dye	
73501	X-ray exam hip uni 1 view	
73502	X-ray exam hip uni 2-3 views	
73503	X-ray exam hip uni 4/> views	
73521	X-ray exam hips bi 2 views	
73522	X-ray exam hips bi 3-4 views	
73523	X-ray exam hips bi 5/> views	
73525	Contrast x-ray of hip	
73551	X-ray exam of femur 1	
73552	X-ray exam of femur 2/>	
73560	X-ray exam of knee 1 or 2	
73562	X-ray exam of knee 3	
73564	X-ray exam knee 4 or more	
73565	X-ray exam of knees	
73580	Contrast x-ray of knee joint	
73590	X-ray exam of lower leg	
73592	X-ray exam of leg infant	
73600	X-ray exam of ankle	
73610	X-ray exam of ankle	
73615	Contrast x-ray of ankle	
73620	X-ray exam of foot	
73630	X-ray exam of foot	
73650	X-ray exam of heel	
73660	X-ray exam of toe(s)	
73700	Ct lower extremity w/o dye	
73701	Ct lower extremity w/dye	
73702	Ct lwr extremity w/o&w/dye	
73706	Ct angio lwr extr w/o&w/dye	
73718	Mri lower extremity w/o dye	
73719	Mri lower extremity w/dye	
73720	Mri lwr extremity w/o&w/dye	
73721	Mri jnt of lwr extre w/o dye	
73722	Mri joint of lwr extr w/dye	
73723	Mri joint lwr extr w/o&w/dye	
73725	Mr ang lwr ext w or w/o dye	
74018	X-ray exam abdomen 1 view	
74019	X-ray exam abdomen 2 views	
74021	X-ray exam abdomen 3+ views	
74022	X-ray exam series abdomen	
74150	Ct abdomen w/o dye	
74160	Ct abdomen w/dye	
74170	Ct abdomen w/o & w/dye	
74174	Ct angio abd&pelv w/o&w/dye	
74175	Ct angio abdom w/o & w/dye	
74176	Ct abd & pelvis w/o contrast	
74177	Ct abd & pelv w/contrast	
74178	Ct abd & pelv 1/> regns	
74181	Mri abdomen w/o dye	
74182	Mri abdomen w/dye	
74183	Mri abdomen w/o & w/dye	
74185	Mri angio abdom w orw/o dye	
74190	X-ray exam of peritoneum	
74210	Contrst x-ray exam of throat	
74220	Contrast x-ray esophagus	
74230	Cine/vid x-ray throat/esoph	
74235	Remove esophagus obstruction	
74240	X-ray upper gi delay w/o kub	
74241	X-ray upper gi delay w/kub	
74245	X-ray upper gi&small intest	
74246	Contrst x-ray uppr gi tract	
74247	Contrst x-ray uppr gi tract	
74249	Contrst x-ray uppr gi tract	
74250	X-ray exam of small bowel	
74251	X-ray exam of small bowel	
74260	X-ray exam of small bowel	
74261	Ct colonography dx	
74262	Ct colonography dx w/dye	
74270	Contrast x-ray exam of colon	
74280	Contrast x-ray exam of colon	
74283	Contrast x-ray exam of colon	
74290	Contrast x-ray gallbladder	
74300	X-ray bile ducts/pancreas	
74301	X-rays at surgery add-on	
74328	X-ray bile duct endoscopy	
74329	X-ray for pancreas endoscopy	
74330	X-ray bile/panc endoscopy	
74340	X-ray guide for gi tube	
74355	X-ray guide intestinal tube	
74360	X-ray guide gi dilation	
74363	X-ray bile duct dilation	
74400	Contrst x-ray urinary tract	
74410	Contrst x-ray urinary tract	
74415	Contrst x-ray urinary tract	
74420	Contrst x-ray urinary tract	
74425	Contrst x-ray urinary tract	
74430	Contrast x-ray bladder	
74440	X-ray male genital tract	
74445	X-ray exam of penis	
74450	X-ray urethra/bladder	
74455	X-ray urethra/bladder	
74470	X-ray exam of kidney lesion	
74485	X-ray guide gu dilation	
74710	X-ray measurement of pelvis	
74712	Mri fetal sngl/1st gestation	
74713	Mri fetal ea addl gestation	
74740	X-ray female genital tract	
74742	X-ray fallopian tube	
74775	X-ray exam of perineum	
75557	Cardiac mri for morph	
75559	Cardiac mri w/stress img	
75561	Cardiac mri for morph w/dye	
75563	Card mri w/stress img & dye	
75565	Card mri veloc flow mapping	
75571	Ct hrt w/o dye w/ca test	
75572	Ct hrt w/3d image	
75573	Ct hrt w/3d image congen	
75574	Ct angio hrt w/3d image	
75600	Contrast exam thoracic aorta	
75605	Contrast exam thoracic aorta	
75625	Contrast exam abdominl aorta	
75630	X-ray aorta leg arteries	
75635	Ct angio abdominal arteries	
75705	Artery x-rays spine	
75710	Artery x-rays arm/leg	
75716	Artery x-rays arms/legs	
75726	Artery x-rays abdomen	
75731	Artery x-rays adrenal gland	
75733	Artery x-rays adrenals	
75736	Artery x-rays pelvis	
75741	Artery x-rays lung	
75743	Artery x-rays lungs	
75746	Artery x-rays lung	
75756	Artery x-rays chest	
75774	Artery x-ray each vessel	
75801	Lymph vessel x-ray arm/leg	
75803	Lymph vessel x-ray arms/legs	
75805	Lymph vessel x-ray trunk	
75807	Lymph vessel x-ray trunk	
75809	Nonvascular shunt x-ray	
75810	Vein x-ray spleen/liver	
75820	Vein x-ray arm/leg	
75822	Vein x-ray arms/legs	
75825	Vein x-ray trunk	
75827	Vein x-ray chest	
75831	Vein x-ray kidney	
75833	Vein x-ray kidneys	
75840	Vein x-ray adrenal gland	
75842	Vein x-ray adrenal glands	
75860	Vein x-ray neck	
75870	Vein x-ray skull	
75872	Vein x-ray skull epidural	
75880	Vein x-ray eye socket	
75885	Vein x-ray liver w/hemodynam	
75887	Vein x-ray liver w/o hemodyn	
75889	Vein x-ray liver w/hemodynam	
75891	Vein x-ray liver	
75893	Venous sampling by catheter	
75894	X-rays transcath therapy	
75898	Follow-up angiography	
75901	Remove cva device obstruct	
75902	Remove cva lumen obstruct	
75956	Xray endovasc thor ao repr	
75957	Xray endovasc thor ao repr	
75958	Xray place prox ext thor ao	
75959	Xray place dist ext thor ao	
75970	Vascular biopsy	
75984	Xray control catheter change	
75989	Abscess drainage under x-ray	
76000	Fluoroscopy <1 hr phys/qhp	
76001	Fluoroscope exam extensive	
76010	X-ray nose to rectum	
76080	X-ray exam of fistula	
76098	X-ray exam surgical specimen	
76100	X-ray exam of body section	
76101	Complex body section x-ray	
76102	Complex body section x-rays	
76120	Cine/video x-rays	
76125	Cine/video x-rays add-on	
76376	3d render w/intrp postproces	
76377	3d render w/intrp postproces	
76380	Cat scan follow-up study	
76496	Fluoroscopic procedure	
76497	Ct procedure	
76498	Mri procedure	
76499	Radiographic procedure	
76506	Echo exam of head	
76510	Ophth us b & quant a	
76511	Ophth us quant a only	
76512	Ophth us b w/non-quant a	
76513	Echo exam of eye water bath	
76514	Echo exam of eye thickness	
76516	Echo exam of eye	
76519	Echo exam of eye	
76529	Echo exam of eye	
76536	Us exam of head and neck	
76604	Us exam chest	
76641	Ultrasound breast complete	
76642	Ultrasound breast limited	
76700	Us exam abdom complete	
76705	Echo exam of abdomen	
76706	Us abdl aorta screen aaa	
76770	Us exam abdo back wall comp	
76775	Us exam abdo back wall lim	
76776	Us exam k transpl w/doppler	
76800	Us exam spinal canal	
76801	Ob us < 14 wks single fetus	
76802	Ob us < 14 wks addl fetus	
76805	Ob us >/= 14 wks sngl fetus	
76810	Ob us >/= 14 wks addl fetus	
76811	Ob us detailed sngl fetus	
76812	Ob us detailed addl fetus	
76813	Ob us nuchal meas 1 gest	
76814	Ob us nuchal meas add-on	
76815	Ob us limited fetus(s)	
76816	Ob us follow-up per fetus	
76817	Transvaginal us obstetric	
76818	Fetal biophys profile w/nst	
76819	Fetal biophys profil w/o nst	
76820	Umbilical artery echo	
76821	Middle cerebral artery echo	
76825	Echo exam of fetal heart	
76826	Echo exam of fetal heart	
76827	Echo exam of fetal heart	
76828	Echo exam of fetal heart	
76830	Transvaginal us non-ob	
76831	Echo exam uterus	
76856	Us exam pelvic complete	
76857	Us exam pelvic limited	
76870	Us exam scrotum	
76872	Us transrectal	
76873	Echograp trans r pros study	
76881	Us compl joint r-t w/img	
76882	Us lmtd jt/nonvasc xtr strux	
76885	Us exam infant hips dynamic	
76886	Us exam infant hips static	
76930	Echo guide cardiocentesis	
76932	Echo guide for heart biopsy	
76936	Echo guide for artery repair	
76937	Us guide vascular access	
76940	Us guide tissue ablation	
76941	Echo guide for transfusion	
76942	Echo guide for biopsy	
76945	Echo guide villus sampling	
76946	Echo guide for amniocentesis	
76948	Echo guide ova aspiration	
76965	Echo guidance radiotherapy	
76970	Ultrasound exam follow-up	
76975	Gi endoscopic ultrasound	
76977	Us bone density measure	
76998	Us guide intraop	
76999	Echo examination procedure	
77001	Fluoroguide for vein device	
77002	Needle localization by xray	
77003	Fluoroguide for spine inject	
77011	Ct scan for localization	
77012	Ct scan for needle biopsy	
77013	Ct guide for tissue ablation	
77014	Ct scan for therapy guide	
77021	Mr guidance for needle place	
77022	Mri for tissue ablation	
77053	X-ray of mammary duct	
77054	X-ray of mammary ducts	
77058	Mri one breast	
77059	Mri both breasts	
77063	Breast tomosynthesis bi	
77065	Dx mammo incl cad uni	
77066	Dx mammo incl cad bi	
77067	Scr mammo bi incl cad	
77072	X-rays for bone age	
77073	X-rays bone length studies	
77074	X-rays bone survey limited	
77075	X-rays bone survey complete	
77076	X-rays bone survey infant	
77077	Joint survey single view	
77078	Ct bone density axial	
77080	Dxa bone density axial	
77081	Dxa bone density/peripheral	
77084	Magnetic image bone marrow	
77085	Dxa bone density study	
77086	Fracture assessment via dxa	
77280	Set radiation therapy field	
77285	Set radiation therapy field	
77290	Set radiation therapy field	
77293	Respirator motion mgmt simul	
77295	3-d radiotherapy plan	
77299	Radiation therapy planning	
77300	Radiation therapy dose plan	
77301	Radiotherapy dose plan imrt	
77306	Telethx isodose plan simple	
77307	Telethx isodose plan cplx	
77316	Brachytx isodose plan simple	
77317	Brachytx isodose intermed	
77318	Brachytx isodose complex	
77321	Special teletx port plan	
77331	Special radiation dosimetry	
77332	Radiation treatment aid(s)	
77333	Radiation treatment aid(s)	
77334	Radiation treatment aid(s)	
77338	Design mlc device for imrt	
77399	External radiation dosimetry	
77470	Special radiation treatment	
77499	Radiation therapy management	
77600	Hyperthermia treatment	
77605	Hyperthermia treatment	
77610	Hyperthermia treatment	
77615	Hyperthermia treatment	
77620	Hyperthermia treatment	
77712		
77750	Infuse radioactive materials	
77761	Apply intrcav radiat simple	
77762	Apply intrcav radiat interm	
77763	Apply intrcav radiat compl	
77767	Hdr rdncl skn surf brachytx	
77768	Hdr rdncl skn surf brachytx	
77770	Hdr rdncl ntrstl/icav brchtx	
77771	Hdr rdncl ntrstl/icav brchtx	
77772	Hdr rdncl ntrstl/icav brchtx	
77778	Apply interstit radiat compl	
77789	Apply surf ldr radionuclide	
77799	Radium/radioisotope therapy	
78012	Thyroid uptake measurement	
78013	Thyroid imaging w/blood flow	
78014	Thyroid imaging w/blood flow	
78015	Thyroid met imaging	
78016	Thyroid met imaging/studies	
78018	Thyroid met imaging body	
78020	Thyroid met uptake	
78070	Parathyroid planar imaging	
78071	Parathyrd planar w/wo subtrj	
78072	Parathyrd planar w/spect&ct	
78075	Adrenal cortex & medulla img	
78099	Endocrine nuclear procedure	
78102	Bone marrow imaging ltd	
78103	Bone marrow imaging mult	
78104	Bone marrow imaging body	
78110	Plasma volume single	
78111	Plasma volume multiple	
78120	Red cell mass single	
78121	Red cell mass multiple	
78122	Blood volume	
78130	Red cell survival study	
78135	Red cell survival kinetics	
78140	Red cell sequestration	
78185	Spleen imaging	
78191	Platelet survival	
78195	Lymph system imaging	
78199	Blood/lymph nuclear exam	
78201	Liver imaging	
78202	Liver imaging with flow	
78205	Liver imaging (3d)	
78206	Liver image (3d) with flow	
78215	Liver and spleen imaging	
78216	Liver & spleen image/flow	
78226	Hepatobiliary system imaging	
78227	Hepatobil syst image w/drug	
78230	Salivary gland imaging	
78231	Serial salivary imaging	
78232	Salivary gland function exam	
78258	Esophageal motility study	
78261	Gastric mucosa imaging	
78262	Gastroesophageal reflux exam	
78264	Gastric emptying imag study	
78265	Gastric emptying imag study	
78266	Gastric emptying imag study	
78270	Vit b-12 absorption exam	
78271	Vit b-12 absrp exam int fac	
78272	Vit b-12 absorp combined	
78278	Acute gi blood loss imaging	
78282	Gi protein loss exam	
78290	Meckels divert exam	
78291	Leveen/shunt patency exam	
78299	Gi nuclear procedure	
78300	Bone imaging limited area	
78305	Bone imaging multiple areas	
78306	Bone imaging whole body	
78315	Bone imaging 3 phase	
78320	Bone imaging (3d)	
78399	Musculoskeletal nuclear exam	
78414	Non-imaging heart function	
78428	Cardiac shunt imaging	
78445	Vascular flow imaging	
78451	Ht muscle image spect sing	
78452	Ht muscle image spect mult	
78453	Ht muscle image planar sing	
78454	Ht musc image planar mult	
78456	Acute venous thrombus image	
78457	Venous thrombosis imaging	
78458	Ven thrombosis images bilat	
78459	Heart muscle imaging (pet)	
78466	Heart infarct image	
78468	Heart infarct image (ef)	
78469	Heart infarct image (3d)	
78472	Gated heart planar single	
78473	Gated heart multiple	
78481	Heart first pass single	
78483	Heart first pass multiple	
78491	Heart image (pet) single	
78492	Heart image (pet) multiple	
78494	Heart image spect	
78496	Heart first pass add-on	
78499	Cardiovascular nuclear exam	
78579	Lung ventilation imaging	
78580	Lung perfusion imaging	
78582	Lung ventilat&perfus imaging	
78597	Lung perfusion differential	
78598	Lung perf&ventilat diferentl	
78599	Respiratory nuclear exam	
78600	Brain image < 4 views	
78601	Brain image w/flow < 4 views	
78605	Brain image 4+ views	
78606	Brain image w/flow 4 + views	
78607	Brain imaging (3d)	
78608	Brain imaging (pet)	
78610	Brain flow imaging only	
78630	Cerebrospinal fluid scan	
78635	Csf ventriculography	
78645	Csf shunt evaluation	
78647	Cerebrospinal fluid scan	
78650	Csf leakage imaging	
78660	Nuclear exam of tear flow	
78699	Nervous system nuclear exam	
78700	Kidney imaging morphol	
78701	Kidney imaging with flow	
78707	K flow/funct image w/o drug	
78708	K flow/funct image w/drug	
78709	K flow/funct image multiple	
78710	Kidney imaging (3d)	
78725	Kidney function study	
78730	Urinary bladder retention	
78740	Ureteral reflux study	
78761	Testicular imaging w/flow	
78799	Genitourinary nuclear exam	
78800	Tumor imaging limited area	
78801	Tumor imaging mult areas	
78802	Tumor imaging whole body	
78803	Tumor imaging (3d)	
78804	Tumor imaging whole body	
78805	Abscess imaging ltd area	
78806	Abscess imaging whole body	
78807	Nuclear localization/abscess	
78811	Pet image ltd area	
78812	Pet image skull-thigh	
78813	Pet image full body	
78814	Pet image w/ct lmtd	
78815	Pet image w/ct skull-thigh	
78816	Pet image w/ct full body	
78999	Nuclear diagnostic exam	
79005	Nuclear rx oral admin	
79101	Nuclear rx iv admin	
79200	Nuclear rx intracav admin	
79300	Nuclr rx interstit colloid	
79403	Hematopoietic nuclear tx	
79440	Nuclear rx intra-articular	
79445	Nuclear rx intra-arterial	
79999	Nuclear medicine therapy	
83020	Hemoglobin electrophoresis	
84165	Protein e-phoresis serum	
84166	Protein e-phoresis/urine/csf	
84181	Western blot test	
84182	Protein western blot test	
85390	Fibrinolysins screen i&r	
85576	Blood platelet aggregation	
86153	Cell enumeration phys interp	
86255	Fluorescent antibody screen	
86256	Fluorescent antibody titer	
86320	Serum immunoelectrophoresis	
86325	Other immunoelectrophoresis	
86327	Immunoelectrophoresis assay	
86334	Immunofix e-phoresis serum	
86335	Immunfix e-phorsis/urine/csf	
87164	Dark field examination	
87207	Smear special stain	
88104	Cytopath fl nongyn smears	
88106	Cytopath fl nongyn filter	
88108	Cytopath concentrate tech	
88112	Cytopath cell enhance tech	
88120	Cytp urne 3-5 probes ea spec	
88121	Cytp urine 3-5 probes cmptr	
88125	Forensic cytopathology	
88160	Cytopath smear other source	
88161	Cytopath smear other source	
88162	Cytopath smear other source	
88172	Cytp dx eval fna 1st ea site	
88173	Cytopath eval fna report	
88177	Cytp fna eval ea addl	
88182	Cell marker study	
88199	Cytopathology procedure	
88300	Surgical path gross	
88302	Tissue exam by pathologist	
88304	Tissue exam by pathologist	
88305	Tissue exam by pathologist	
88307	Tissue exam by pathologist	
88309	Tissue exam by pathologist	
88311	Decalcify tissue	
88312	Special stains group 1	
88313	Special stains group 2	
88314	Histochemical stains add-on	
88319	Enzyme histochemistry	
88323	Microslide consultation	
88331	Path consult intraop 1 bloc	
88332	Path consult intraop addl	
88333	Intraop cyto path consult 1	
88334	Intraop cyto path consult 2	
88341	Immunohisto antb addl slide	
88342	Immunohisto antb 1st stain	
88344	Immunohisto antibody slide	
88346	Immunofluor antb 1st stain	
88348	Electron microscopy	
88350	Immunofluor antb addl stain	
88355	Analysis skeletal muscle	
88356	Analysis nerve	
88358	Analysis tumor	
88360	Tumor immunohistochem/manual	
88361	Tumor immunohistochem/comput	
88362	Nerve teasing preparations	
88364	Insitu hybridization (fish)	
88365	Insitu hybridization (fish)	
88366	Insitu hybridization (fish)	
88367	Insitu hybridization auto	
88368	Insitu hybridization manual	
88369	M/phmtrc alysishquant/semiq	
88371	Protein western blot tissue	
88372	Protein analysis w/probe	
88373	M/phmtrc alys ishquant/semiq	
88374	M/phmtrc alys ishquant/semiq	
88377	M/phmtrc alys ishquant/semiq	
88380	Microdissection laser	
88381	Microdissection manual	
88387	Tiss exam molecular study	
88388	Tiss ex molecul study add-on	
88399	Surgical pathology procedure	
89060	Exam synovial fluid crystals	
91010	Esophagus motility study	
91013	Esophgl motil w/stim/perfus	
91020	Gastric motility studies	
91022	Duodenal motility study	
91030	Acid perfusion of esophagus	
91034	Gastroesophageal reflux test	
91035	G-esoph reflx tst w/electrod	
91037	Esoph imped function test	
91038	Esoph imped funct test > 1hr	
91040	Esoph balloon distension tst	
91065	Breath hydrogen/methane test	
91110	Gi tract capsule endoscopy	
91111	Esophageal capsule endoscopy	
91112	Gi wireless capsule measure	
91120	Rectal sensation test	
91122	Anal pressure record	
91132	Electrogastrography	
91133	Electrogastrography w/test	
91200	Liver elastography	
91299	Gastroenterology procedure	
92025	Corneal topography	
92060	Special eye evaluation	
92065	Orthoptic/pleoptic training	
92081	Visual field examination(s)	
92082	Visual field examination(s)	
92083	Visual field examination(s)	
92132	Cmptr ophth dx img ant segmt	
92133	Cmptr ophth img optic nerve	
92134	Cptr ophth dx img post segmt	
92136	Ophthalmic biometry	
92145	Corneal hysteresis deter	
92228	Remote retinal imaging mgmt	
92235	Fluorescein angrph uni/bi	
92240	Icg angiography uni/bi	
92242	Fluorescein icg angiography	
92250	Eye exam with photos	
92265	Eye muscle evaluation	
92270	Electro-oculography	
92275	Electroretinography	
92283	Color vision examination	
92284	Dark adaptation eye exam	
92285	Eye photography	
92286	Internal eye photography	
92287	Internal eye photography	
92499	Eye service or procedure	
92537	Caloric vstblr test w/rec	
92538	Caloric vstblr test w/rec	
92540	Basic vestibular evaluation	
92541	Spontaneous nystagmus test	
92542	Positional nystagmus test	
92544	Optokinetic nystagmus test	
92545	Oscillating tracking test	
92546	Sinusoidal rotational test	
92548	Posturography	
92585	Auditor evoke potent compre	
92587	Evoked auditory test limited	
92588	Evoked auditory tst complete	
92978	Endoluminl ivus oct c 1st	
92979	Endoluminl ivus oct c ea	
93024	Cardiac drug stress test	
93025	Microvolt t-wave assess	
93050	Art pressure waveform analys	
93260	Prgrmg dev eval impltbl sys	
93261	Interrogate subq defib	
93278	Ecg/signal-averaged	
93279	Pm device progr eval sngl	
93280	Pm device progr eval dual	
93281	Pm device progr eval multi	
93282	Prgrmg eval implantable dfb	
93283	Prgrmg eval implantable dfb	
93284	Prgrmg eval implantable dfb	
93285	Ilr device eval progr	
93286	Peri-px pacemaker device evl	
93287	Peri-px device eval & prgr	
93288	Pm device eval in person	
93289	Interrog device eval heart	
93290	Icm device eval	
93291	Ilr device interrogate	
93292	Wcd device interrogate	
93293	Pm phone r-strip device eval	
93303	Echo transthoracic	
93304	Echo transthoracic	
93306	Tte w/doppler complete	
93307	Tte w/o doppler complete	
93308	Tte f-up or lmtd	
93312	Echo transesophageal	
93314	Echo transesophageal	
93315	Echo transesophageal	
93317	Echo transesophageal	
93318	Echo transesophageal intraop	
93320	Doppler echo exam heart	
93321	Doppler echo exam heart	
93325	Doppler color flow add-on	
93350	Stress tte only	
93351	Stress tte complete	
93451	Right heart cath	
93452	Left hrt cath w/ventrclgrphy	
93453	R&l hrt cath w/ventriclgrphy	
93454	Coronary artery angio s&i	
93455	Coronary art/grft angio s&i	
93456	R hrt coronary artery angio	
93457	R hrt art/grft angio	
93458	L hrt artery/ventricle angio	
93459	L hrt art/grft angio	
93460	R&l hrt art/ventricle angio	
93461	R&l hrt art/ventricle angio	
93464	Exercise w/hemodynamic meas	
93505	Biopsy of heart lining	
93530	Rt heart cath congenital	
93531	R & l heart cath congenital	
93532	R & l heart cath congenital	
93533	R & l heart cath congenital	
93561	Cardiac output measurement	
93562	Card output measure subsq	
93571	Heart flow reserve measure	
93572	Heart flow reserve measure	
93600	Bundle of his recording	
93602	Intra-atrial recording	
93603	Right ventricular recording	
93609	Map tachycardia add-on	
93610	Intra-atrial pacing	
93612	Intraventricular pacing	
93615	Esophageal recording	
93616	Esophageal recording	
93618	Heart rhythm pacing	
93619	Electrophysiology evaluation	
93620	Electrophysiology evaluation	
93621	Electrophysiology evaluation	
93622	Electrophysiology evaluation	
93623	Stimulation pacing heart	
93624	Electrophysiologic study	
93631	Heart pacing mapping	
93640	Evaluation heart device	
93641	Electrophysiology evaluation	
93642	Electrophysiology evaluation	
93644	Electrophysiology evaluation	
93660	Tilt table evaluation	
93662	Intracardiac ecg (ice)	
93724	Analyze pacemaker system	
93745	Set-up cardiovert-defibrill	
93799	Cardiovascular procedure	
93880	Extracranial bilat study	
93882	Extracranial uni/ltd study	
93886	Intracranial complete study	
93888	Intracranial limited study	
93890	Tcd vasoreactivity study	
93892	Tcd emboli detect w/o inj	
93893	Tcd emboli detect w/inj	
93922	Upr/l xtremity art 2 levels	
93923	Upr/lxtr art stdy 3+ lvls	
93924	Lwr xtr vasc stdy bilat	
93925	Lower extremity study	
93926	Lower extremity study	
93930	Upper extremity study	
93931	Upper extremity study	
93970	Extremity study	
93971	Extremity study	
93975	Vascular study	
93976	Vascular study	
93978	Vascular study	
93979	Vascular study	
93980	Penile vascular study	
93981	Penile vascular study	
93990	Doppler flow testing	
94010	Breathing capacity test	
94060	Evaluation of wheezing	
94070	Evaluation of wheezing	
94200	Lung function test (mbc/mvv)	
94250	Expired gas collection	
94375	Respiratory flow volume loop	
94400	Co2 breathing response curve	
94450	Hypoxia response curve	
94452	Hast w/report	
94453	Hast w/oxygen titrate	
94617	Exercise tst brncspsm	
94618	Pulmonary stress testing	
94621	Cardiopulm exercise testing	
94680	Exhaled air analysis o2	
94681	Exhaled air analysis o2/co2	
94690	Exhaled air analysis	
94726	Pulm funct tst plethysmograp	
94727	Pulm function test by gas	
94728	Pulm funct test oscillometry	
94729	Co/membane diffuse capacity	
94750	Pulmonary compliance study	
94772	Breath recording infant	
94799	Pulmonary service/procedure	
95782	Polysom <6 yrs 4/> paramtrs	
95783	Polysom <6 yrs cpap/bilvl	
95800	Slp stdy unattended	
95801	Slp stdy unatnd w/anal	
95803	Actigraphy testing	
95805	Multiple sleep latency test	
95806	Sleep study unatt&resp efft	
95807	Sleep study attended	
95808	Polysom any age 1-3> param	
95810	Polysom 6/> yrs 4/> param	
95811	Polysom 6/>yrs cpap 4/> parm	
95812	Eeg 41-60 minutes	
95813	Eeg over 1 hour	
95816	Eeg awake and drowsy	
95819	Eeg awake and asleep	
95822	Eeg coma or sleep only	
95824	Eeg cerebral death only	
95827	Eeg all night recording	
95829	Surgery electrocorticogram	
95860	Muscle test one limb	
95861	Muscle test 2 limbs	
95863	Muscle test 3 limbs	
95864	Muscle test 4 limbs	
95865	Muscle test larynx	
95866	Muscle test hemidiaphragm	
95867	Muscle test cran nerv unilat	
95868	Muscle test cran nerve bilat	
95869	Muscle test thor paraspinal	
95870	Muscle test nonparaspinal	
95872	Muscle test one fiber	
95873	Guide nerv destr elec stim	
95874	Guide nerv destr needle emg	
95875	Limb exercise test	
95885	Musc tst done w/nerv tst lim	
95886	Musc test done w/n test comp	
95887	Musc tst done w/n tst nonext	
95905	Motor &/ sens nrve cndj test	
95907	Nvr cndj tst 1-2 studies	
95908	Nrv cndj tst 3-4 studies	
95909	Nrv cndj tst 5-6 studies	
95910	Nrv cndj test 7-8 studies	
95911	Nrv cndj test 9-10 studies	
95912	Nrv cndj test 11-12 studies	
95913	Nrv cndj test 13/> studies	
95921	Autonomic nrv parasym inervj	
95922	Autonomic nrv adrenrg inervj	
95923	Autonomic nrv syst funj test	
95924	Ans parasymp & symp w/tilt	
95925	Somatosensory testing	
95926	Somatosensory testing	
95927	Somatosensory testing	
95928	C motor evoked uppr limbs	
95929	C motor evoked lwr limbs	
95930	Visual ep test cns w/i&r	
95933	Blink reflex test	
95937	Neuromuscular junction test	
95938	Somatosensory testing	
95939	C motor evoked upr&lwr limbs	
95943	Parasymp&symp hrt rate test	
95950	Ambulatory eeg monitoring	
95951	Eeg monitoring/videorecord	
95953	Eeg monitoring/computer	
95954	Eeg monitoring/giving drugs	
95955	Eeg during surgery	
95956	Eeg monitor technol attended	
95957	Eeg digital analysis	
95958	Eeg monitoring/function test	
95961	Electrode stimulation brain	
95962	Electrode stim brain add-on	
95965	Meg spontaneous	
95966	Meg evoked single	
95967	Meg evoked each addl	
96020	Functional brain mapping	
		
			
CPT only copyright 2017 American Medical Association. All rights reserved.			
			
			
			
			
			
			
			
			
